MODULE 1 INTERAGENCY GENDERBASED VIOLENCE CASE MANAGEMENT TRAINING
MODULE 1 INTERAGENCY GENDER-BASED VIOLENCE CASE MANAGEMENT TRAINING
MODULE 11 STEP 1: INTRODUCTION AND ENGAGEMENT
Learn to greet and comfort a survivor to effectively build rapport. OBJECTIVES Explain confidentiality and the exceptions to confidentiality. Guide survivors through the process of informed consent in a safe and empowering manner.
STEPS OF SURVIVOR-CENTERED CASE MANAGEMENT Case Closure Case Follow-up Action Plan Implementation Case Action Planning Assessment Introduction and Engagement
STEP 1: INTRODUCTION AND ENGAGEMENT PURPOSE: Develop rapport with a survivor and build a foundation for a healing relationship ü Greet and comfort the survivor ü Begin building a relationship with the survivor ü Communicate in a warm and open way ü Get informed consent from the survivor to provide case management services: ü Explain case management process ü Explain confidentiality and exceptions ü Explain survivor’s rights ü Ask and answer questions ü Use consent form
ACTIVITY: GREET AND COMFORT Observe the two role plays on your own. Once the role plays are finished, get into small groups of no more than 5 people and discuss what you liked and didn’t like about the caseworker’s approach in the role plays. Then, as a group, write down three things that you think caseworkers can do/say/show to create a comfortable space for clients.
GREET AND COMFORT/RELATIONSHIP BUILDING Create a comfortable, safe and private environment • • • Physical space is private Be warm, calm and open Introduce yourself and explain who you are Hello, my name is Aisha and I am a caseworker here. I talk to many women every day who are experiencing troubles in their lives. I am very glad that you came here today. I am here to listen and discuss with you what help you may want. Before we begin, there a few things that I want to tell you about.
INFORMED CONSENT ACTIVITY Come up with a definition of informed consent. After you have written your definition, discuss why informed consent is important. Be prepared to share with the larger group.
INFORMED CONSENT The voluntary agreement of an individual who has the legal capacity to give consent. The survivor must: have the capacity and maturity to know about and understand the services being offered be legally able to give her consent
WHY DO WE NEED INFORMED CONSENT? Informed consent is essential to achieving the guiding principles of a survivor-centered approach, as it helps to establish a survivor’s explicit control over the case management process. Without establishing informed consent, we jeopardize the relationship with the survivor. Obtaining informed consent: • Demonstrates respect • Shows survivor we intend to be collaborative and empowering • Shows that we understand the need to be accountable to the survivor
WHEN DO WE OBTAIN INFORMED CONSENT? Before case management services begin = before listening to survivor’s story or gathering any information • As part of case management • When making referrals
HOW DO WE OBTAIN INFORMED CONSENT 5 steps of obtaining informed consent 1. Explain the case management process 2. Explain confidentiality 3. Explain client information 4. Explain the survivor’s rights 5. Ask the survivor if they have any questions and if they would like to continue
ACTIVITY: DEFINING CASE MANAGEMENT In your small groups, come up with an explanation for what a case manager does without using the words “case management. ”
CONSENT – EXPLAIN CASE MANAGEMENT Caseworker’s role: • Listen to the survivor’s story and discuss what the person needs to help them recover • Develop a plan with the person to meet their needs • Give appropriate referrals that the person approves • Support the person in accessing services • Be present throughout the process to help with their emotional recovery
CONSENT – CONFIDENTIALITY AND EXCEPTIONS Explain: • What confidentiality means • What the exceptions to confidentiality are • How you will proceed if you must break confidentiality It is important for you to know that I will keep what you tell me confidential. This means that I will not tell anyone what you tell me or share any other information about your case without your permission. There are only a few situations when I may have to tell someone else without your permission. If you tell me you have made plans to hurt yourself or others I would need to tell my supervisor or others who could help keep you safe.
CONSENT – STORAGE OF CLIENT INFORMATION Explain safety and security measures in place to make sure that written information and other case file information is protected We also have some forms that I will need to fill out where I will write down information that you have shared with me. These forms are not shared with anyone else – I use them to help me remember things about your case. These forms and your case file are kept in a locked file in a secure location.
SAFE DATA MANAGEMENT & STORAGE • Coding system • Separate consent forms and other file documents • Protect documents – locked cabinets, password-protected electronic documents • Establish who has access to which documents, and for what purpose • Plan for protection or destruction of documents in case of insecurity • Avoid emailing documents where possible
ACTIVITY: SURVIVOR’S RIGHTS Imagine that you have survived years of repeated, severe physical, emotional, sexual, and financial abuse at the hands of your husband. Last night, he beat you so badly that you could barely walk when you woke up but you decided to come to see someone to try to get help anyway because you fear he will actually kill you next time. You arrive at the center and are brought into a room where you meet with a caseworker you recognize from your church. You are anxious about speaking with her since she is well connected in the community and you would much rather speak with another caseworker. She begins to talk to you and asks you questions about your home life that you don’t feel comfortable answering, but you answer anyway because you want help. You also see her writing down your response, which makes you very uneasy. After an hour of answering her questions, you are feeling exhausted and you just want to go home, but she continues on, referring you to a nearby clinic for medical care. You know of that clinic and don’t feel comfortable going there because it is near your husband’s work, but you are afraid that saying no will anger the caseworker.
CONSENT – SURVIVOR’S RIGHTS Inform the person that they have rights that continue throughout their case: üThe right to request that their story, or any part of their story, not be documented on case forms. üThe right to refuse to answer any question they prefer not to. üThe right to tell the caseworker when they need to take a break or slow down. üThe right to ask questions or ask for explanations at any time. üThe right to request that a different caseworker be assigned to their case. üThe right to refuse referrals, without affecting our willingness to continue working with the person. I also want to be sure you know that you have rights as we work together. These rights are intended to keep you feeling safe during our conversation and for you to feel in control of what you share and decide during our conversations…
CONSENT – QUESTIONS AND PERMISSION Ask the survivor if they have any questions and if you have their permission to proceed: • Listen intently to the survivor’s questions • Seek to understand validate the survivor’s concerns • Provide the survivor with choices Do you have any questions about anything that I explained to you? [Allow for time to answer any questions] If I have answered all of you questions, may I have your permission to continue our conversation and begin working with you? If YES, ask the survivor to sign the informed consent form for engaging in case management services and proceed with service delivery. If NO, provide information about other case management, safety, health and legal/justice services in the community.
Group 1 - will begin as the caseworker and will complete all of Step 1 ACTIVITY: PUTTING IT ALL TOGETHER Group 2 - will begin as the client. Once you have completed the role play, you will switch. Group 2, think of a survivor with whom you are currently working. You are going to play the role of this survivor when having an initial meeting with a partner from Group 1. Be sure to omit the survivor’s name and identifying information for confidentiality purposes.
CLOSING QUESTIONS? CONCERNS? REFLECTIONS?
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