Interviewing Children from First Responder to Forensic Interview Presented by: Julie Kenniston, MSW, LISW [email protected] First Responders •CPS •Law Enforcement •Fire/EMS •Emergency Department Medical Providers Is it about semantics? •First responder interview •Minimal facts interview •Field interview •Forensic interview •Safety assessment •Medical history •Forensic interview Multiple Interviews •The key is to minimize duplicative* interviews •What does the research say? • “…when interviewers follow internationally recognized bestpractice guidelines emphasizing open-questions and free memory recall…” La Rooy, Katz, Malloy and Lamb (2010) •Think about the implications of repetition (Suggestive? Coercive? Child appears coached) •So how do field interviews fit in with FIs? La Rooy et al. •“When open-ended questions are repeated, children tend to report many new (but nonetheless accurate) details about known events (Fivush, Hamond, & Harsch, 1991; Hamond & Fivush, 1991; Peterson et al., 2001), and the cases examined here illustrate how new, relevant information can be provided when children are given a second opportunity to describe their experiences.” La Rooy et al. • “Although encouraging interviewers to capitalize on the memory-enhancing properties of repeated interviewing, we must also offer a strong note of caution. In the interviews excerpted here, open-ended questions predominated. Such prompts are crucial when facilitating reminiscence and also are, of course, a key element of best-practice interviewing (see Lamb et al., 2008, for a review). As such, particular attention should be given to the quality of initial interviews when deciding whether or not to reinterview because suggestibility can be exacerbated by repeated interviews (La Rooy et al., 2009).” La Rooy et al. •“Repeated interviews are most likely to be useful in jurisdictions that provide high-quality training, regularly review interview quality, and emphasize continued professional development, with attention paid to fundamental memory concepts. Mandatory recording of each interview would, of course, maximize the ability to understand what happened while documenting the appropriateness of the questions asked.” Field Interviews and Beyond •What is the purpose of a field interview? •Is getting a disclosure required to establish safety? If so, how far should the interview go? •Do you have to do T/L in the field? •If you go to the CAC to do FI, who does the interview? •What does your MOU say? •Which cases should be seen at CAC? •What is the sequence of medical exams and FIs? Problems to Consider •Using a closed-ended approach •Not recording in the field •Don’t want to have child come in and merely record statement •If full FI is used in first responder interview, how does that impact the CAC interview? •People in the monitor room need to understand the process New things come out. We incorporate new skills. Our ability to access information is improved. Research has come out that offers us techniques that improve our access to information. First Responder Interviews •Knowing interviewer skill level and job mandate is important, however, doing things at the risk of gathering inaccurate information negates the use of certain techniques. Typical First Responder Interview •Well-intentioned •Closed-ended •Gathered information •Interviewer did most of the talking Starting with the Basics •Child’s attention span •Child development •Memory and suggestibility •The culture of questions (dinner table, school) •Building rapport •Gathering demographic information What do we need in first responder interviews? •Enough to establish the child’s safety •Who (victim and suspect) •What (enough to understand that there is something criminal happening) •Where (jurisdiction) •When (ONLY to establish if an acute medical exam is needed) Does this information have to come from the child??? •NO •The reporting source can provide information •The caregiver can provide information (particularly about perp’s access to the child and timing of that access) •If you have to talk with the child, get only enough information to refer to specialist and ask questions in a NARRATIVE format So what changes are needed? •Move away from using list questions as rapport-building •Model the way questions will be asked and answered •Get a baseline of the child’s abilities in order to structure the interview •Open-ended questions must be used in the field interview to minimize suggestibility What’s the big deal? •This debate really isn’t about first responder interviews •It is more about increasing the amount of ACCURATE information gathered from children •It is about learning and incorporating new skills •It takes practice •It is simple •It isn’t easy Price, H. L., et al. •“The best way to elicit accurate and complete narrative recall from children is to use open-ended prompts in which the child is encouraged to report from his or her memory with little guidance from the interviewer (e.g., Lamb, Sternberg, Orbach, Esplin, Stewart, & Mitchell, 2003; Orbach & Lamb, 2000; Orbach, Hershkowitz, Lamb, Sternberg, Esplin, & Horowitz, 2000).” FRAME 1st/ASK 2nd Price, H. L., et al. •“Closed-ended prompts, conversely, rely more heavily on recognition memory processes, and often involve having children provide specific information in response to options posed by investigators, thus limiting the completeness and accuracy of reports (e.g., Dale, Loftus, & Rathbun, 1978; Oates & Shrimpton, 1991).” Closed-ended prompts have no context Price, H. L., et al. •“For example, Sternberg et al. (1997) trained interviewers in the field to conduct rapport building with open-ended (e.g., Tell me about your dog) or more directive prompts (e.g., What is your dog’s name? What colour is she?). Children who practiced responding to openended prompts provided more than twice as many details and words in response to the first substantive prompt as children in the directive rapport-building condition, and continued to provide significantly more detailed information throughout the rest of the interview.” Price, H. L., et al. •“With the practice narrative establishing a desired conversational pattern, it appears as though children may simply become accustomed to this pattern and continue it throughout the substantive phase.” History of Narrative Inviting “Hence, many authors recommend that interviewers strive to create an opportunity for a child to provide the most independent and complete description of an event possible in their own words (e.g., Bull, 1995; Jones & McQuiston, 1986; Lamb, 1994; Saywitz & Elliott, in press; Yuille et al., 1993). This is accomplished by beginning the interview with the most open-ended and nonleading approaches first, even when interviewers anticipate such efforts might be fruitless (Lamb, 1994). Many children do respond to open-ended questions with relevant and meaningful information and it is difficult to anticipate who will be unresponsive.” Saywitz, K. & Camparo, L. (1998). Interviewing child witnesses: A developmental perspective. Child Abuse & Neglect, 22(8): 825843. Tell me ALL about… Narrative Event Practice •AKA episodic memory practice (NICHD) •“One such recommendation is to include a practice narrative, a targeted discussion about a non-allegation related issue, prior to introducing substantive issues” (Price, Roberts, Collins, 2012). Narrative Event Practice •Finding a topic to explore… • “I haven’t met you before. Tell me what you want me to know about you.” • “What are some things you like to do?” •Focus the child on an event and ask the child to fully narrate • “You said you play hockey. Think about a game you remember really well and tell me all about it.” • “Think about your morning. Tell me everything that happened from waking up to coming here today.” Variations •“Tell me about…from the beginning to the middle to the end. Don’t leave anything out. Even the stuff you think isn’t important.” •“Tell me all about…” •“Tell me everything…” Important Notes •Do not interrupt the child •Done before listing family, the interviewer will often hear the child mention names of people that can be followed up on later •“I heard you say you played hockey with Sammy. Who is Sammy?” -My brother •NEP teaches the child how to engage with interviewer •All open-ended questions ≠ NEP HINT… •“Tell me what cereal you ate” is NOT a narrative inviting question. •“Tell me your mom’s name.” = “What is your mom’s name?” •“Tell me how many times this happened.” = “How many times did this happen?” •“Tell me a little bit about…” minimizes the info. Important Notes, continued •Script vs. Episode/Event •“Tell me all about school.” vs. “Think about yesterday at school and tell me all about it.” •It helps to focus on actions •“Think about yesterday at school. Tell me everything you did at school yesterday.” Next Step •Once the initial narrative is completed by the child, ask narrative-inviting follow-up questions (HINT: Frame first, ask second) • “I heard you say you got dressed this morning. Tell me all about getting dressed.” • “You said you ate breakfast. Tell me all about breakfast.” • “What happened after you ate breakfast?” Practicing NEP •Introduce yourself •Invite something from the interviewee •NEP about an event •NEP open-ended follow-up questions Let’s talk about sequencing •When do you get demographic info? •Are names of body parts a crucial part of the early stages of the interview? •Where should we put NEP and instructions? •When will you transition to the topic? Transitions •How do you transition to the topic of concern? •Do these transitions work across all types of maltreatment and witnessing violence? If not, what modifications are made? •You are there for a reason. Can you frame 1st and ask 2nd? Transitions (cont.) •“Tell me the reason you are here today.” • This is the most successful, but the child hasn’t come to you in a field interview so how can you change this? •“I heard the police were here last night. Tell me all about that.” •Multiple hypotheses Hourglass Approach In order to minimize suggestibility, interviewers are advised to begin interviews with free recall questions, move to recognition questions as necessary, while moving back to free recall prompts such as, “tell me all about it” whenever (and as soon as) possible. Don’t get stuck in the middle! Follow up with “no” responses •“Were you wearing clothes?” •“No.” •“Tell me all about that.” •“I was wearing my Elsa pajamas that I got for my birthday.” Script vs. Event • Individual events allow for detail-gathering (particularly when data and how many times data) • Research suggests* that allowing the child to start with the script can enhance details when events are explored (especially for older children) • Brubacher, S. P., Roberts, K. P., & Powell, M. (2012). Retrieval of episodic versus generic information: Does the order of recall affect the amount and accuracy of details reported by children about repeated events? Developmental Psychology 48(1): 111122. Script language •Always, sometimes •Usually, most of the time •Present tense verbs • Impacted by many things (memory, trauma, repetition, importance, others??) Think about how far the first responder interview needs to go •Does interviewer need details? If so, why? •Can those details be gained from other sources? •When, how long and how many times are probably not necessary in first responder interviews •Ask on a NEED TO KNOW basis (enough to refer to the next step) •Should first responders do NEP? Concerns and Problem Solving
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