fr Victoria ORCA MDT Protocol Development...
Transcript of fr Victoria ORCA MDT Protocol Development...
Development of a Mul/disciplinary Team Protocol for ORCA Children’s Advocacy Centre
Serena Bedwal, Project Assistant/Researcher Fred Ford, Board Chair/Ac/ng Project Manager
April 11, 2013
! Introduc)on ! Vision ! Ra)onale ! Objec)ves ! Protocol development process
! ORCA Children’s Advocacy Centre Society is a non-‐profit organiza)on striving to establish and operate a Children’s Advocacy Centre (CAC) to serve child and youth vic)ms of sexual and serious physical abuse in Greater Victoria. ORCA Society’s mission is to:
Improve the community's response to child abuse and neglect, to minimize trauma to children, youth and their families and to model, promote, and deliver excellence in child abuse response and preven;on through service, educa;on, and leadership.
! To achieve these goals, ORCA Society intends to work with several partner agencies in order to co-‐locate a mul)disciplinary team of professionals and coordinate services in the inves)ga)on and prosecu)on of child abuse cases
! The Na)onal Children’s Alliance lists the establishment of a Mul)disciplinary Team as one of its best prac)ce accredita)on standards. Criteria include: ◦ A wriPen interagency agreement ◦ Determine the involvement of each partner agency/team member ◦ Design informa)on sharing and communica)on policies ◦ Offer joint training and cross-‐educa)on opportuni)es ◦ Ensure a commitment to suppor)ng children and families throughout the process ◦ Consult with partner agencies in designing protocols and policies
! The primary objec)ve of this project is to create a Mul)disciplinary Team Protocol that will guide collabora)ve prac)ce at ORCA Children’s Advocacy Centre.
! The overall objec)ve of the protocol is to ensure that once the mul)disciplinary team is implemented, it func)ons effec)vely and is able to face any challenges that arise.
Literature Review
Review of partner agency policies
Cross-‐jurisdic/onal scan
Key informant interviews
DraMing of protocol
! Comprehensive review of literature of best prac)ces for Mul)disciplinary Teamwork in a Children’s Advocacy Centre seUng.
! Areas of inquiry: ◦ Facilita)ve factors of effec)ve mul)disciplinary teams ◦ Barriers to partner agency commitment to mul)disciplinary teamwork ◦ Sources of conflict in mul)disciplinary teams at Children’s Advocacy Centres ◦ Conflict resolu)on strategies ◦ Mul)disciplinary team protocol development guidelines
Ability to manage conflict Shared
accountability for outcomes
Commitment to teamwork
Shared vision,
values, and goals
Evalua/on of team prac/ce
Collabora/on is supported by all partner agencies Knowledge of
each other’s roles and
responsibili/es
Posi/ve interpersonal rela/onships
Open and honest
communica/on
Effec/ve team
leadership
Clear team protocol and
policies
Need for flexibility in personnel
assignments to the team
Legisla/ve/ poli/cal
barriers to informa/on sharing
Uncertainty about
prevalence of child abuse
Lack of funding and resources
Lack of experience with mul/-‐disciplinary teamwork
! Compe)ng interests and incompa)bility of goals ! Lack of knowledge of each other’s roles and responsibili)es
! Workplace stress ! Need for interdependence ! Disagreements over case process and decisions ! Turf issues ! Status and power differen)als
! Give team members an equal opportunity to be involved in development of the team and its policies and prac)ces
! Design a formal protocol to guide team prac)ce
! Focus on shared goals ! Evaluate team prac)ce on an ongoing basis
! Design a dispute resolu)on policy as part of the team protocol
! Empower team members to resolve the issue amongst themselves
! Interests-‐based Conflict Resolu)on ◦ Define the problem/clarify the issue ◦ Explore needs, interests, and goals of each team member and how they relate to the team’s overall needs and goals ◦ Brainstorm poten)al solu)ons and strive to meet all needs and interests
! U)lize conflict resolu)on skills of team leaders, agency supervisors, and third party facilitators, if necessary.
! Review of websites, documents, policies, and legisla)on of all partner agencies.
! Areas of inquiry: ◦ Goals and values of each agency ◦ Defini)ons of “child abuse” ◦ Each agency's role in child abuse inves)ga)ons ◦ Governing legisla)on and policies regarding collabora)on, informa)on sharing, and confiden)ality.
! Review of Mul)disciplinary Team Protocols used by exis)ng Children’s Advocacy Centres in the United States.
! Focus on outlining the most common components of Mul)disciplinary Team Protocols and policies and procedures associated with each component.
Mission Statement Team Composi/on
Case Selec/on Criteria Roles and responsibili/es
Intake and Referral Procedures
Forensic Interviews
Medical Examina/ons Case Reviews
Case Dissolu/on Criteria Case Tracking
Confiden/ality and Informa/on Sharing
Conflict Resolu/on
Evalua/on Joint Training
! Interviews with representa)ves from key partner agencies ◦ All local police detachments ◦ Ministry of Children and Family Development ◦ Ministry of Jus)ce ◦ Mary Manning Centre ◦ Vancouver Island Health Authority ◦ Other agencies as iden)fied
! Interviews with representa)ves from one established Children’s Advocacy Centre in Canada.
DraMing of Protocol
Coding and thema/c analysis of interview transcripts
Drawing upon common
components of Mul/disciplinary Team Protocols used by exis/ng
CACs
Crea/on of a list of “Guiding
Principles” based on thema/c analysis of
partner agency documents Development of
protocol through triangula)on of all data sources.
! Consulta)on with partner agency representa)ves to revise and finalize protocol.
Distribute draM protocol to all partner agency representa/ves (1st DraM: January 2013) 2nd DraM: (April 2013)
Establish a mee/ng schedule to review and revise each sec/on of the draM protocol. (May 2013)
Forward the revised draM protocol to the head of each partner agency for review. (July 2013)
Incorporate feedback and revisions. (August 2013)
Schedule a
formal signing of the finalized protocol by the head of each
partner agency. (September
2013)
! Team policies and procedures should be based on solid research and evidence-‐informed prac)ces
! Partner agencies should be consulted and ac)vely involved throughout the protocol development process
! The CAC needs to respect the exper)se of each of its partner agencies. The CAC should not strive to create new policies, but to provide guidance, direc)on, and an environment in which that exper)se can be brought together and coordinated to best serve children, youth, and their families; therefore, in developing a protocol, the CAC should focus on building upon exis)ng policies and re-‐framing them in a collabora)ve manner.
! For more informa/on or resources, please contact:
Serena Bedwal Project Assistant
ORCA Children’s Advocacy Centre Society [email protected]