MODULE 5: Working with Families in their Homes and Communities
Overview:
- To ensure that each youth and their family receives the individualized and culturally relevant treatment and supports they need that will result in successful reunification post residential discharge, the work of residential interventions has moved beyond the walls of the residential program to supporting families at home and in their communities throughout the residential intervention.
- Clinical and support services take place in the home and in the program. In-home services ideally take place as often as necessary ⎯ at minimum, several times a week, based on the family’s needs and goals ⎯ beginning prior to admission. Some programs have moved to daily support of families in their homes and communities during the early parts of the residential intervention and again when the aftercare component of the residential intervention begins.
- Organizations that build a mission around successful family engagement and permanency can facilitate effective work with families in their homes and communities by hiring staff, including Family/Parent Partners, who reflect the ethnicities of and speak the languages of the families served and are skilled at family engagement. It is critical that staff of all disciplines share in the commitment to providing support within homes and communities. This ensures that staff have an increased understanding of each family member’s individual strengths and needs so they can offer skill building that will be effective for the family. This also promotes a partnership between the family and the staff in identifying, putting in place and/or strengthening a full range of community services and supports that will lead to long-term successful reunification.
- Programs work to develop a range of promising and/or best practices (that are culturally relevant for the families they serve) for successfully engaging and working with families in their homes and communities. Some programs adopt a specific promising and/or best practice, or an evidence-based model (e.g., multi-systemic therapy, systemic family therapy; motivational interviewing, functional family therapy) that has been successfully used for the different ethnicities of the families they serve. Other programs study the literature and learn from other successful programs, developing a range of culturally appropriate practices, staff skills, and supports that meet the needs of the individual families they serve.
Module 5 Working with Families in their Homes and Communities Resources
BBI RESOURCES:
Ford, J., Manners, D., Wang, W., Lieberman, R.E., McMillan, J., & Caldwell, B. (2020). Establishing partnerships to improve aftercare and long-term outcomes for youth and families served through residential interventions. In B. Caldwell, R. Lieberman, J. LeBel, & G.M. Blau (Eds.), Transforming Residential Interventions: Practical Strategies and Future Directions (pp. 143–167). Routledge.
What Residential Leaders Need to Know about Effective Aftercare Practices for Youth Leaving Residential. (Forthcoming 2020, December). Building Bridges Initiative.
Working with Families in their Homes and Communities: A Building Bridges Initiative Tip Sheet for Residential Programs. (Forthcoming). Building Bridges Initiative.
Module 5
KEY CONCEPTS & DEFINITIONS
Permanency for youth means “having an enduring family relationship that is safe and meant to last a lifetime.”
Family/Parent Partners have lived experience raising a child with emotional, behavioral, or mental-health needs. A Family/Parent Partner’s role is to support the family, help them engage and actively participate on the team, and make informed decisions that drive the process. They also connect families to resources, services, and supports that they need within the community.
Youth Partners/Peer Mentors are youth with lived experience of receiving services for a behavioral or mental health need. The Youth Partner/Peer Mentor’s role is to engage and empower youth to have voice and choice in the services and supports offered to them. They work with youth to develop self-advocacy skills needed for articulating what they want and need. Youth Partners/Peer Mentors actively participate throughout a residential organization, being the first to meet a youth prior to admission and welcoming youth and families to the program, offering feedback on program practices, providing input into hiring decisions, and leading youth advisory councils to provide feedback alongside other youth in the program.
A Child and Family Team is a collaborative team of residential and culturally relevant community providers, family members, the youth, Family/Parent Partners, Youth Partners/Peer Mentors, and natural supports (e.g., people in the family’s life who they choose to involve on the team, such as a family friend, coach, teacher, religious leader, etc.). This team meets regularly to define goals, discuss progress, and refine the service and support plan to best meet the needs of the child and family.