Tag Archives: Al Coates

“Not a solution, but a system”: Adoption and Fostering Podcast interview with Delyth Evans

Another cracking podcast from the Adoption and Fostering Podcast team!

 

 

 

 

 

 

 

 

Episode 26 features an interview with Delyth Evans, Service Manager at the Centre for Adoption and Support. Delyth and Al Coates talk about the experience of child to parent violence within adoptive families. I have been asked a lot recently about safety plans and so of particular interest to me were discussions about family safety planning and safe holding, and all within a context of safeguarding the whole family.

The Centre for Adoption Support offer a three stage support programme for families,

  • A 1 day workshop on child to parent violence
  • An introduction to the principles of NVR
  • A workshop on how to manage challenging behaviour at a practical level

and family safety plans are described as fundamental to the whole offer. The emphasis is very much on understanding the violence in context, rather than as a specific incident; and in supporting parents to find strategies to manage their child’s behaviour while keeping the whole family safe.

Well worth a listen!

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Child to parent violence and abuse at Community Care Live 2017

 

 

I am thrilled to announce that I will be speaking about child to parent violence and abuse at the Community Care Live 2017 conference in London on September 26th, along with Al Coates. As one of the flagship social work events of the year, this is a real privilege, and it feels like an important milestone in the development of awareness and better support for families.

We will be presenting on why CPVA happens, and how to respond when a family seeks help.

  • What research tells us about risk factors associated with child to parent violence, and what the most common ages are for abuse to start.
  • How the abuse affects parents, and what they want from social workers and services.
  • The different issues raised when child to parent abuse emerges as an issue for a child who has been adopted, or is in a foster care, kinship care or special guardianship placement.
  • How social workers and services can support families experiencing violence or abuse.

Do come along and say hello (and hear us speak!) We have the early slot on the Tuesday, so no excuses!

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#CPV: What does it look like, part 2. Intent stuff

One of the issues that makes it difficult for us all to talk about child to parent violence and abuse is the fact that there is no one agreed definition. The one I tend to use when speaking to people is that proposed by Amanda Holt:

“A pattern of behaviour, instigated by a child or young person, which involves using verbal, financial, physical and /or emotional means to practice power and exert control over a parent”, and “the power that is practised is, to some extent, intentional, and the control that is exerted over a parent is achieved through fear, such that a parent unhealthily adapts his / her own behaviour to accommodate the child.” Continue reading

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Child on Parent Violence: Beginning of a paradigm shift?

I am grateful to Dr Girish Vaidya, Clinical Director at Sheffield Children’s NHS Foundation Trust, for allowing me to repost this recent blog on his experience of discussing CPV with colleagues.

Originally published on April 8, 2017

Al Coates and Dr Wendy Thorley’s 3 reports (the last of which is linked here) into an online research project provided fascinating reading and prompted me to present the subject in a CPD seminar for fellow psychiatrists in Sheffield’s Child and Adolescent Mental Health Service (CAMHS). I was particularly keen to share the findings of the reports, my fellow professionals’ experience of this issue and how they managed to address it.

It was heartening to hear that all my colleagues were aware of the issue. When I invited them to think about the impact on the families experiencing, their guesswork was entirely in line with the findings from Al Coates and Dr Thorley’s investigation. What this meant was that once seized of the behaviour as a problem, professionals were able to consider its consequences to the children, families and wider society.

There were also some examples that colleagues offered. One Learning Disability CAMHS Consultant recalled how she was horrified when confronted with a suggestion from social services that a child – who had earlier required 5 people to restrain him – had been advised to be returned home to his frail mother. Quite a few chipped with their experience of Sheffield Children’s Social Services and expressed their pleasant surprise at the speed of response and collaborative nature of working. It was also acknowledged, much in line with what Mary Aspinall – Miles said at a recent conference, that “parents should consider carefully before calling the police”.

So, what should parents (and professionals) do when dealing with a difficult subject like Child on Parent Violence?

My fellow psychiatrists were keen that professionals and parents work out a ‘pre-emptive emergency plan’ so that parents are not left in a dilemma about what they should do. A couple of colleagues were passionate about treating CPV on the same level of child abuse. They were also aware of the Sheffield Domestic Abuse Coordination Team’s MARAC (Multi Agency Risk Assessment Conference). Some suggested that parents should be asked about their ability to cope vs. their ability to manage their life.

Reassuringly, there was a near universal desire to have a ‘rating scale’ on the lines of various risk rating scales that professionals use, to have a common language about CPV. (I am not aware if there is any such scale and if there is, would be keen to know about it). If there isn’t a scale, my colleagues are keen to work with anyone to help develop one.

Writing this, I am reminded of an incident many years ago when one family’s holiday came in for professional scrutiny. The child had been inflicting severe violence on his parents which had destroyed many a family holiday for the rest of the family. Parents decided that they wanted to do something which didn’t wreck their other children’s holiday. They planned to take separate holidays – father with the other children and mother with the lad. They would swap the following year. It was deemed to be a demonstration of family pathology that they didn’t manage to have a family holiday without a fight. I felt that was being a bit too harsh since the family were trying to find a way out of a very challenging situation not fully appreciated by professionals. What do you think? Would you agree with Hannah Meadows’ assertion that self-care is an intelligent response to dealing with long term stress? Or would you rather that the family learn to live with the CPV on holiday?

What next?

Feedback from the CPD seminar suggested that this is just the beginning of our journey. Professionals want to know more, need to know more so that they can support more. Everyone agreed that it was a less discussed issue in clinical discussions and many emphasised that they would be on the lookout for CPV in their clinical practice in the future.

Let us continue the conversation…………………………..

If you are keen to collaborate on scientifically researching this challenge, we – as an organisation and I as a Clinical Director – would be keen to work with you.

 You will find the original here.

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Child to parent violence: Realities, Enigmas and Ambiguities

A number of new papers – academic and discussion – have been published recently, and I have gathered them all up here together for ease. Continue reading

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Child on Parent Violence – DfE Expert Advisory Group

With permission, I am reblogging this post by Al Coates, from his site: Misadventures of an Adoptive Dad. (Wednesday March 29th 2017). Al is a member of the DfE Advisory Group on fostering and adoption, and has been instrumental in bringing the issue of child to parent violence to the attention of the Department. 

It was the quarterly Department for Education’s Expert Advisory Group on Adoption Support. Today was the usual updates on this and that and a few larger issues addressed such as the working out of the role of the Virtual School Heads. We focused  to how the Adoption Support Fund was progressing, of course there are challenges but to date nearly 18,000 children had been helped and that the fair access limit remained above the average cost of the vast majority of applications. No help if you’re over with match funding and a difficult issue for some but 80 families have been match funded, which is more than I’d envisaged.
We had a discussion around the incoming legislation of the Virtual School Heads with NAVSH represented in the room they gave a good account of how they envisaged it playing on the ground. It is was a good discussion and there’s room for encouragement and optimism. Of course there are uncertainties as we move into new responsibilities and grey areas but without doubt we are heading in the right direction, it would have been nice to have heard Gareth Marr’s thoughts as we discussed the role.
The final item on the agenda was Child on Parent Violence, I’d asked for it to be there.

Drawing tougher all the findings from the Survey that I’d undertaken and the subsequent findings that Dr Wendy Thorley had made sense of in the first and second CPV reports that laid it all out. It’s too much go through verbatim and a text version of a 45 minute presentation is too much to bear so here we go in eight words.

Taboo (fear of response, isolation, criminalisation, ignorance, stigma, victim blaming)
Paradigms (different professionals view it very differently
Definitions (the trouble with them)
Causes (complicated)
Prevalence (lots, 30% ish)
Impacts (massive)
Responses (shocking)
Actions

It was well received, they’re a polite bunch, but I do think the collective minds and organisations in the room took the message to heart.

Child on Parent Violence is a ‘thing.*

This is a thing that we need to act on, a complicated, ugly, painful and prickly thing that needs to be grasped. As one member noted, not a can of worms but a bucket of worms.

Actions is the interesting bit, so what do we do next?

That’s the question, what do we do with this ‘thing’, first we call it a thing and we start to raise awareness and we start to consider if this as big as we suspect and believe that we make it a part of Social Workers Continual Professional Development.
We consider how we prepare adopters to let them know it’s a ‘thing’ and it’s ok to say it’s happening.
We liaise with safeguarding and tell them about this ‘thing’.
We develop out knowledge of interventions and what works in a real world situation.
The DfE are going to talk to the Chief Social Worker about their views and knowledge.

Today felt like a start line not and maybe a consideration of what may be the first steps in removing the taboo and developing the culture that makes it ok to ask for help and ok to say you’re not ok.

I apologise that this is all a bit vague, it’s late and having thought hard about this for a long long time and lived to varying degrees with it and in it. I feel very sleepy all of a sudden.

On another note I’m thinking of getting the presentation, with other stuff,  out to a wider audience and there’s even talk of putting on a free event for whoever’s interested and recording it, podcasting and you tubing it. I’m pondering that thought so if that’s of interest let me know.

All in all a good day.

*Speaking to a group of Social Workers last week  a senior practitioner said “We knew that this happened but we didn’t realise it was a ‘thing’.”

 

If you have found this of interest then please do check out other posts on Al’s site. 

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CPV survey: 1st impressions

At the end of November 2016, Al Coates, an adoptive parent and social worker, put out on social media a  survey asking parents about their experience of child to parent violence. You can read more about it here and here. He received 264 responses over a three week period, largely – unsurprisingly given the main mode of dissemination – from adoptive parents. The collation started straight away and a first paper was put out at the start of the new year. First Impressions is available from the CE&LT website, part of the University of Sunderland. Dr Wendy Thorley, of the University of Sunderland, is a member of what might broadly be termed the Steering committee for this project, and she has helped to edit the report.

The survey asked questions about a family’s experience of child to parent violence, and about the age at which it started, the impact on the family, and about the help that had been offered – or not. Continue reading

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