Welcome Back to Day 3
of TDM FACILITATOR TRAINING
Any questions/ concerns/ thoughts left
over from yesterday?
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Today we will focus on the
meeting itself, stage by stage,
with practice opportunities.
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SECTIONS OF A
TDM MEETING
Before
During (6 Stages)
Review
After
3
THE TDM MEETING
BEFORE…
Handout 10-1
DO BEFORE THE MEETING:
REVIEW REFERRAL INFORMATION
CHECK IN WITH SOCIAL WORKER RELEVANT “PROCESS” INFO
PREPARE THE ROOM
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THE TDM MEETING
BEFORE…
Handout 10-1
DON’T
•
•
•
•
JUST SHOW UP
ARRIVE LATE
OVER PREPARE – FORM
AN OPINION ABOUT THE
“RIGHT” OUTCOME
ALLOW STAFF TO
SELECT SEATS BEFORE
FAMILY ARRIVES
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THROUGHOUT THE
MEETING
Handout 10-2
•
•
•
•
•
•
TRUST THE PROCESS
CARE FOR ALL GROUP MEMBERS
KEEP ALERT
ENCOURAGE PARTICIPATION BY ALL
MAINTAIN BALANCED PARTICIPATION
DEMOSTRATE RESPECTFUL,
PROFESSIONAL BEHAVIOR
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THROUGHOUT THE
MEETING
Handout 10-2
• SEPARATE PROBLEMS DISCUSSED
FROM THE PEOPLE DISCUSSING THEM
• PICK-UP ON SIGNALS/CUES THAT THE
GROUP IS READY TO MOVE FORWARD
• OFFER “FAMILY ALONE TIME” IF IT
APPEARS FAMILY WILL BE BENEFIT
• WATCH YOUR NON-VERBAL MESSAGES
• STEP INTO CONTENT ISSUES ..…
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THE TDM MEETING
•
•
•
•
•
•
Handout 10-3
INTRODUCTION
IDENTIFY THE SITUATION
ASSESS THE SITUATION
DEVELOP IDEAS
REACH A DECISION
RECAP/EVALUATION/CLOSIN
G
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TDM Stages
Assessing Situation
Developing Ideas
Reaching a Decision
Identifying Situation
Recap/Close
Introduction
Majority of time should be in these stages
handout 10-4
INTRODUCTION
Sets tone
Explains purpose and goal of meeting
Introductions
Establishes Ground Rules
Answers Initial Questions
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KEY ELEMENTS
OF INTRODUCTION
Handout 10-5
o Welcome
o Statement of purpose and goal of meeting
o Declaration of desire to work together—
all opinions and ideas considered.
o Hope to agree on decision, though
ultimately agency responsible to make
decision, if unable to agree
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KEY ELEMENTS
OF INTRODUCTION
Handout 10-5
o Introduction of participants, roles
and relationship to child/ family/ case
o Ground rules
o Opportunity for questions
o Recognition of parent(s) as experts
on their children
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INTRODUCTIONS
Handout 10-6
DON’T
DO:
•
•
•
•
•
•
•
•
•
•
Be Too Easygoing
Be Too Formal
Be Preoccupied
Use Jargon
Rush
Be Professional
Be Engaging
Be Present
Use Everyday Language
Set and maintain a
calm and steady pace
for the meeting
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GROUND RULES
• RIGHT TO PRIVACY
• ALL PARTICIPANTS WILL BE TREATED
WITH RESPECT
• ONLY ONE PERSON WILL SPEAK AT A
TIME
• EVERYONE WILL HAVE AN OPPORTUNITY
TO SPEAK AND ASK QUESTIONS
• TIME FRAME
• PLUS…
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IDENTIFY THE SITUATION
Handout 10-7
•Define the Concern(s);
•Assure the situation is defined
as completely and accurately as
possible
•This is a very brief stage – What
was the situation that prompted
the meeting?
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YOUR IDENTIFICATION OF THE
SITUATION
ASSESS THE
SITUATION
Handout 10-8
 Assure full evaluation
of risks and
strengths
 Encourage full
disclosure
 Clarify facts from
opinion
 Summarize, identify
and link differences
and common ground
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ASSESSING THE SITUATION
Handout 10-9
Concerns should be talked about FIRST
so that strengths can be directly related to
concerns presented
CONCERNS
• Ask participants to be
behaviorally specific
• Explain “how” and
“why” it is unsafe or a
risk factor
STRENGTHS
• Strengths that can help
mitigate/lessen the
concerns
• Strengths that can be
protective factors
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YOUR ASSESSING OF THE
SITUATION
BRAINSTORMING
GUIDELINES
Handout 10-11 and 10-12
 Brainstorm, don’t evaluate or judge
 Anything goes, be creative
 Ensure ALL ideas are charted
 Include EVERYONE
 Quantity not quality
 Hitch hike combinations and improvements
DON’T EVALUATE IDEAS!!
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Develop Ideas related to the
decision that must be made.
The questions to ask are:
1. What ideas do we have to address the
concerns that have been identified?
2. How can we utilize the strengths that have
been identified?
IDEAS SHOULD BE IN THREE CATEGORIES:
1. Placement/custody
2. Actions to provide safety
3. Services to Reduce risk and support placement
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YOUR DEVELOPMENT OF IDEAS
Consensus Decisions
Handout 10-13
Start with the least restrictive placement/
custody suggestion.
Reality Test - can this suggestion provide
protection and safety?
If YES, then look at what services/supports
are needed to make it work.
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Consensus Decisions
Handout 10-13
If NOT, ensure an explanation is given
(doesn’t have to be the facilitator giving
it) as to why not, before moving to the
next level of restrictiveness for
consideration.
This ensures that the team is truly
examining what is the least restrictive/
least intrusive way of keeping this child
safe.
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REACHING A
DECISION
 IF MEMBERS DO NOT AGREE FACILITATOR
MUST ASK THEM “ WHAT WOULD IT
TAKE/WHAT DOES THERE NEED TO BE IN
PLACE FOR YOU TO FEEL COMFORTBALE
WITH DECISION?
 CHECK – CAN MEMBERS SUPPORT THE
DECISION?
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Using Idea Chart
To “Reach a Consensus Decision” Handout 10-14
Ideas
If Yes:
Actions to Provide Safety,
Services (to Reduce Risk)
and Supports for Stability
Ensure Explanation – Why
Not?
Examine Next Level of Care
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Levels of Decision Making
All Participants
Child
Welfare Staff
Social
Worker
YOUR REACHING A
CONSENSUS DECISION
REVIEW PROCESS
Handout 10-15
• WORKER MAKES DECISION WHEN
LACK OF CONSENSUS BETWEEN
PARTICIPATING STAFF
• ONLY PARTICIPATING AGENCY STAFF
CAN ASK FOR A REVIEW
• REVIEW CAN BE REQUESTED BY
AGENCY STAFF ONLY
• DUTY TO REQUEST A REVIEW IF
BELIEF THAT DECISION PUTS CHILD
AT RISK OF HARM, VIOLATES LAW/
POLICY, OR IS NOT LEAST
RESTRICTIVE/LEAST INTRUSIVE
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REVIEW PROCESS
Handout 10-15
• TIMELY REVIEW WITH
ADMINISTRATIVE PERSONNEL
• NOTIFICATION OF INTENTION TO
REQUEST A REVIEW SHOULD BE
MADE IMMEDIATELY.
• DECISION BY ADMINISTRATOR
BECOMES OFFICIAL AGENCY
POSITION
• AGENCY STAFF ACCEPTS
OWNERSHIP AND IMPLEMENTATION
RESPONSIBILITY FOR DECISION
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REVIEW PROCESS
AND THE FAMILY
When there is an Review, how do we
help the family during this period of
increased ANXIETY?
How do we EXPLAIN to the family
what is happening and why the
decision is being reviewed?
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EXPLAINING THE REVIEW
TO THE FAMILY
Handout 10-16
• REFRAME THE REASON
CAREFUL
RIGHT DECISION
THE LEAST HARMFUL
PROTECT THE CHILD(REN)
• ACKNOWLEDGE
FEELINGS.
• EXPLAIN
HOW
WHO
WHEN
WHO
• DEVELOP
AN INTERIM PLAN IF NECESSARY
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RECAP/ EVALUATION/ CLOSING
Handout 10-17 to 10-19







CHECK UNDERSTANDING
COMPLETE ACTION PLAN/SAFETY PLAN
ASK/ RESPOND TO QUESTIONS
ENSURE EMOTIONS/ RESPONSES ADDRESSED
SET FURTHER MEETING DATES
APPROPRIATE CLOSING
THANK THE MEMBERS OF THE GROUP
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YOUR RECAP/ EVALUATION/
CLOSE
AFTER THE MEETING
Handout 10-20
 COMPLETE NOTES
 GIVE FEEDBACK TO STAFF
 RECEIVE FEEDBACK
 COACH; SHARE POSITIVES
 COMPLETE DATA COLLECTION
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FEEDBACK
Handout 10-21
• FEEDBACK IS GIVEN TO BE HELPFUL AND TO BENEFIT
• THE RECIPIENT OF THE FEEDBACK IS READY
• FEEDBACK IS DESCRIPTIVE, NOT A JUDGMENTAL
PERCEPTION
• FEEDBACK IS GIVEN IN A TIMELY MANNER, THAT IS, AT THE
TIME OF THE OBSERVATION OR SOON THEREAFTER
• INFORMATION ADDRESSES CONCERNS THAT THE RECEIVER
IS CAPABLE OF CHANGING
•
THE INTENDED MESSAGE IS THE MESSAGE THAT IS
RECEIVED
•
ALTERNATIVE BEHAVIORS ARE EXPLORED
•
FEEDBACK IS GIVEN ON POSITIVE
BEHAVIORS, NOT JUST NEGATIVE ONES
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TDM INDICATORS AND
OUTCOMES
Handout 10-22
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GOOD NIGHT
SEE YOU TOMORROW
AT 9AM
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