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5.04.2014
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5.04.2014
I forbindelse med byens 200-årsjubileum 2011 ble
Bildene i galleriet nedenunder er tatt av Birgitte Si
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- et samarbeidsprosjekt m
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It’s better to ask your way forward Instead of answering yourself away
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5.04.2014
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5.04.2014
Map of Estonia.mht
Can experienses from Norway be usefull in Estonia?
What kind of experienses are we talking about
Help to Children and families - Norway have done this for about 60 years.
It has changed from mostly institutional care to out patient treatment.
It has been based on the medical way of thinking that it is something wrong that
has to be repaired. This way of seeing it has still a strong position.
It has been a shift from individualism to family-network-cultural and socioeconomic thinking.
A new shift from relational contex to manualized based treatment from (NPM)
mainly from economical reasons. Family interventions seems to loose in this
context?
So yes, maybe you can learn not to do the same mistakes as we have done!
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5.04.2014
What if we could start all over again?
What do we know now that we did not know earlier?
Poverty is the most significant risk factor for children's problems
Parents mental illness or addiction is a big risk factor
Children’s problems occur in contexts with others, family, schools, friends etc.
The problems is best solved as close to the Childs living area as possible
The most important factor for change is the resources within the people itself
Relations between the helper and those to be helped is much more important
than methods
It is helpful to bring the family relations into treatment of children (and others)
It is important to ask the clients of their experiences systematically and how they
evaluate
We might ask questions about how we use our resources on assessment and diagnose
focused work. We are maybe to hung up in the thinking of : first we need to assess then
evaluate the put a diagnose- then treatment. This might be a parallel process?
This brings us into the next question.
How can we organise the help in the most useful way for those we are seeking to give
help?
We try to organize the help as close to where the children and family live as possible.
-de-centralized thinking in organising (not from the top)
- the helpers comes more out from their offices
-competence is high on the local level (how?) (active competence building)
-” You never walk alone” - net work groups and sharing in local municip.
- look at possibilities of having groups of clients/families in treatment
Only a low number are coming to the centres/hospitals for treatment?
A shift in the way we look at clients?
- away from the “experts” thinking( those who knows best without asking)
- bringing in the clients competence and expertise on to their lives
- thinking more like a co-searcher and “together with”
We are more becoming the experts on relations and how to have a resource focus
We are not the ones who know nothing, but we are in an asking position and in dialogue
with those we are supposed to help
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A local net worked based organisation
Multi family groups
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Is it possible to use peoples own
competence in a helping position?
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Client based and Outcome Directed Services?
A new way?
What works in therapy?
M. Lambert 2010
Findings
Adults after therapy:
14.1 % is cured
20.9 % is better
56.8 % no change So 65% no change or worse!!
8,2% is worse
Children in state health in America 25% is getting worse
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5.04.2014
What is the most important resource in the
work with people in need?
Hey You!
Don’t make it bad.
Take a sad song and make it better.
Remember to let them into your heart
Then you can start to make it better
Hey You!
Don’t be afraid.
You were made to go out and help them.
The minute you let them under your skin,
Then you begin to make it better.
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5.04.2014
4 quest.. 1
4 questions which can help you in improving your
relations and give value to the opinion of the clients
1
Relations between you and your therapeut (for adults)
I did not experience to
bee seen, understood and
respected
1
10
(10 cm)
I experienced to bee heard,
understood and respected
To be heared (for youngsters)
Did not listen well to
me
1
10
(10 cm)
Listened well to me
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4 quest… 2
2
We did not talk about
what I wanted to , and
did not work with what
I wanted to
Goal and themas (for adults)
1
(10 cm)
10
Vi talked and worked with
the things I wanted to work
with and talk about
How important (for youngsters)
The things we
talked about and
did, was not
important to me
1
(10 cm)
10
What we talked about
and did was important to
me
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4 quest.. 3
3
Approach and methode (for Adults)
The therapists
approach did not suit
me
1
10
(10 cm)
The thereapists approach
suited me well
What we did (for youngsters
I did not like the
things we did
today
1
10
(10 cm)
I liked the things we did
taday
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4 quest…4
4
In general (for adults)
Something was
missing in our
conversation today
1
(10 cm)
10
The conversation today was
good to me
All together (for youngsters)
I wish to do
something else
1
(10 cm)
10
I hope we can do
something like this next
time
These questions are taken from the scedules from; The Institute of
Therapeutic Change
www.talkingcure.com
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