Know, Ask, Do …. Lessons from practice for preventing Filicide Jo Cavanagh OAM CEO Overview 1. Assumption - Filicide can be prevented. Model based on belief we can identify those with the intention and stop them acting on their intention. 2. International Research - a profile of context and individual characteristics emerges. 3. Survey and practitioner focus group findings Who successfully identifies such situations and individuals now? How? What do they do? 4. Bringing together research and practice expertise to form a social and behavioural change model to use at community, family and systems levels. Know this ... Ask this .... Do this ..... 2 Assumption - Filicide can be prevented It is not about knowing who will do it (false assumption)…. rather … What are the facts about circumstances in which it is known to have occurred …. Know … Identify the circumstances, context, stressors present and what support the individual has …. Ask Make a judgement call and act to protect & create safety…. Do 3 Research Brown & Tyson 2014 Key findings 1. Complex interplay of factors like mental illness, drug & alcohol abuse in a context of separation and relationship breakdown. 2. Learning from complexity theory informs how we can apply the research findings ……… ……….‘helps but doesn’t guarantee success” 4 Complexity Theory Brenda Zimmerman 5 6 Apply this to complex stressors impacting on an individuals behaviour? How the stressors are interacting to lead to a negative and lethal focus – the attractor….killing Relationship and interplay is more important than the individual parts Not a set pattern … 7 Creating attractor pull and reinforcement to increase certainty for individual and cultural change Malcolm Gladwell “Tipping point” “Outliers” Seat belts Quit smoking Public Health models Neuroscience and Behaviour Change 8 Recap ..Research Brown et al 2014 Key findings 1. Complex interplay of factors like mental illness, drug & alcohol abuse in a context of separation and relationship breakdown. It’s a complex problem. 2. Why do they do it? No common reason ….. Its not a simple or complicated problem … no formula …. Not necessarily “in the system”…may or may not be a history of family violence. Search for knowing stops us from hearing and seeing … Like complexity the picture emerges …. Lose assumptions that we know (myths) to absorb the facts and change our approach. 9 Research into practice + systems change Fact: Most (2/3) of the children are not known to child protection The perpetrators do use a number of services in the 12 months prior to the events most commonly health services (GPs and Psychiatric services) as a vast majority of the perpetrators suffer from diagnosed mental illness, commonly depression. Emerging a Prevention proposal …. Screening for risk of filicide needs to occur within the health services. Intervention to protect and create safety requires family services 10 It’s complex!! It’s about families *** Research Facts: The deaths seem to be the result of a number of stresses occurring together. The stress constellation varied according to the perpetrator’s family status.*** Fathers and mothers and step-fathers experience depression. Fathers and mothers and step-fathers experience parental separation Domestic violence had a subtle influence – different for mothers and (step) fathers Substance abuse was as common as DV. 11 Families, relationships and complexity Complex interplay of factors like mental illness, drug & alcohol abuse in a context of separation and relationship breakdown. Learning from complexity theory Why do they do it? No common reason ….. Its not a simple or complicated problem … no formula …. Not necessarily “in the system”…may or may not be a history of family violence. Separation and relationship breakdown is a shared stressor. What are the compounding factors in separation and relationship breakdown? Eg financial stress, grief and loss, loss of friends and peers, social isolation, homelessness, unemployment, Separation is a complex social, economic, legal and personal process 12 Review – changing our mindset Get the right players engaged Assumption - Filicide can be prevented. Model based on belief we can identify those with the intention and stop them acting on their intention. Requires a change of professional, family and community mindsets International Research - a profile of context and individual characteristics emerges. It’s layers of complexity – personal, social and economic stressors 3. Survey and practitioner focus group findings Who successfully identifies such situations and individuals now? How? What do they do? 4. Bringing together research and practice expertise to form a social and behavioural change model to use at community, family and systems levels. Know this ... Ask this .... Do this ..... 13 Family Life What do we do? From elevator speech to digital storytelling … 14 What can we learn from Family Practitioners? There were 52 practitioner respondents For analysis, participants grouped as: Federal Family Support – Family Law jurisdiction 21 Families and Communities – State Child Protection jurisdiction 31 15 Family practitioners working with Child Protection Family Practitioners Working with Family Law 16 Who talks about “filicide” ????? Approximately 1 in 3 (31%) respondents did not know what filicide was, including: 39% of respondents from Federal Family Support services and 29% of respondents from Families and Communities services BUT they all know about adult and context risks to child safety!! 17 All Practitioners knew about the complexity 18 Jurisdictional differences minimal in practice. 19 Practitioner identification 18% (n=9) of respondents had identified a parent to be at risk of committing filicide In the past year, 5 practitioners (9%) had identified a parent to be at risk of filicide including: 1 Families and Communities practitioner identified a mother 3 Families and Communities practitioners identified both a mother and father 1 Federal Family Support practitioner estimated he/she had identified approximately 5 fathers What difference does child protection or family law context of practice make? 20 What to ask and what to do – screening, assessment and action Most helpful questions Direct ask – Have you ever thought of harming your child? Indirect probe Do you enjoy being a parent? 21 Post screening and assessment action. Making a safety first judgement call. What action do/would you take if you assessed a parent to be at risk of committing filicide? 45 practitioners responded to this question. Make external referrals 82% (n=37) stated that they would report or discuss their assessment with Child Protection, with an additional 3 using the term “the appropriate authorities”. 36% (n=16) that they would involve the Police, with two practitioners making direct reference to Taskforce Alexis 27% (n=12) stated that they would develop safety plans 31% (n=14) stated they would refer the affected parent to a tertiary mental health service such as the CATT or for ongoing counselling 22 Knowledge to Action Knowledge to action (KTA) cycle (Source: Graham et al., 2006). GRIGORESCU ET AL. Implementation Science and the Pregnancy Risk Assessment Monitoring System PRAMS Journal of Women’s Health Vol 23 Number 12, 2014:p 990 23 Knowledge into practice improvements Training – strong links seen to suicide prevention training Risk assessment specifying filicide – build on family violence screening 24 Systems change recommendations Collaboration and communication between professional and organisations Shared data systems between health, police, family services as well as child protection and courts. Public awareness “Come with Daddy” 25 Viral change for prevention How do we share the knowledge to prevent filicide and create change for community and professionals to know about the problem, ask the right questions and spark action to create safety and Prevent filicide? Lessons from multiple disciplines to go viral through digital intelligence and technology 26 “Memes – the new replicators” Richard Dawkins, ``The Selfish Gene'‘ First published 1976 ….tunes, ideas, catch phrases, ……memes propagate themselves in the meme pool by leaping from brain to brain …. Malcolm Gladwell “Tipping Point” Connectors, networkers and sales people – how fads and fashions take off…. Chip Heath “Ideas that stick” 2007 To change someone’s way of thinking an idea needs to cross boundaries to persist over time, to change behaviour. “Switch” Direct the rider (rational side – Attractor - script) Motivate the Elephant (emotional side – reassurance, bite size wins, hope) Shape the Path (the situation – easy habits – herd follows the leader – behaviour is contagious) https://www.youtube.com/watch?v=qmmwWxVzSsw 27 Professional & community engagement 28 Professional & community engagement 29 Community & Family prevention KNOW that parents in distress can kill their children. KNOW they need your help NOW ASK about thoughts and feelings and who is helping them ASK them to promise not to hurt themselves or others. DO raise the alarm NOW. DO get professional & family support 30 GP and Mental Health prevention KNOW that PARENTS with Depression & family distress may be a risk to their (ex) partner and children called Filicide. ASK about separation & family breakdown and who is helping them ASK them about thoughts of harming themselves or others. DO confirm relationship breakdown is distressing & help is needed & available. DO make a professional family services referral NOW & alert family members or safety authorities. 31 How precious are our children 32 Call to Action?? 33
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