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by telephone after receiving a referral, an appointment letter will be mailed. (Occasionally all of the Home <br /> Based counselors have full caseloads and they may not be immediately available to see a family. If this <br /> occurs, the family is notified and other available treatment options are discussed.) As soon as the Home <br /> Based counselor is able to reach a family and schedule an appointment, an initial home visit is made for an <br /> assessment. All family members are interviewed and relevant history is collected. The Home Based Social <br /> Worker explains the program to families and lets them know that ~t is a voluntary service. The family must be <br /> committed to the goal of keeping the child in the family home in order to participate. If the family is receptive, <br /> the case is then staffed with the supervisor. Most cases are accepted for services unless the child has serious <br /> mental health problems and is in need of a different type of intervention or unless the child or family poses a <br /> safety risk for the worker. For cases that are not accepted for service, documentation of efforts to reach the <br /> family, and reasons why services were not accepted are documented and maintained for review. (6) Home <br /> Based counselors use a variety of techniques when working with families. Often they must start with crisis <br /> intervention and stabilization. The choice of counseling techniques is based on the problems encountered and <br /> the client's level of comprehension and abilities. Techniques may include confrontation, modeling, clarification <br /> exploratory questions, role play, refraining, reality therapy, use of analog~es, negotiation, universalization, and <br /> mirroring. Often it is necessary to allow clients to vent anger and frustration briefly but then they must be re- <br /> directed into a problem-solving focus. The Home Based Counselor must possess knowledge of racial, ethnic, <br /> and cultural factors and understand how these factors may impact the case dynamics. In essence, Home <br /> Based Services are very Family Centered in nature utilizing a strengths based approach in helping families <br /> resolve conflicts arid issues. Since the success of the intervention depends on the family's willingness to <br /> change, the intervention goals are family driven. (7) The Priority Risk Factors identified in the Cabarrus JCPC <br /> Community Assessment include (1) strengthening families through skills building, (2) earlier identification of <br /> drug/alcohol problems, and (3) improving availability of drug and alcohol treatment services. The Home Based <br /> program focuses on helping families improve their skills in these areas: communication, problem-solving, <br /> anger management, identifying strengths and positives to build on, improving coping skills, learning how to <br /> access appropriate resources in the community, learning how to negotiate, learning how to set goals and work <br /> toward achieving them, and enhancing family relationships. The Home Based Counselors have an opportunity <br /> to contribute to early identification of substance abuse problems because they are regularly visiting the family <br /> home. Some visits are unannounced and the worker can observe indicators of substance abuse. We can <br /> identify risk factors and connect families with preventive programs. In regard to improving the availability of <br /> substance abuse treatment, our Home Based counselors are skilled at removing barriers to participation. <br />Since we are housed within the Department of Social Services, we are well aware of programs that provide <br />funding for treatment, as well as for transportation, child care, crisis assistance, etc. (8) The Home Based daily <br />program activities revolve around seeing parents and children and carrying out the treatment plan. In addition <br />to home visits, the worker may also make school visits to participate in team planning, or follow up on a <br />particular school issue. The worker will make collateral telephone contacts as needed with other professionals <br />who may be involved in the case. In addition to this, the Home Based workers must also keep detailed case <br />notes and other documentation. Staffing of all Home Based cases are conducted at least once weekly with the <br />supervisor.(9) The Home Based counselors always try to prepare families in advance for termination of <br />services. As previously stated, on a weekly basis, every case is staffed with the supervisor. The worker must <br />complete a written monthly progress report for each case. If goals are not being met, different interventions <br />must be tried. As families develop more appropriate and successful methods of dealing with problems, the <br />Home Based counselor will congratulate the family on progress and point out that soon they will be able to <br />manage without our involvement. When families appear to be close to reaching their goals, we will set a target <br />date for termination. A closing home visit is scheduled and we review the progress in the case. If there are <br />still areas of concern, we will recommend other resources. We will also invite the family to call us any time <br />they need our support or assistance. We let them know that we will make follow-up contacts quarterly after <br />case closure to see how things are going. This helps us determine if our program is making a difference. Case <br />closure letters will be sent to Juvenile Services alerting them of the completion of Home Based Services. This <br />will be done on all cases.(10) The Home Based counselors have frequent contact with Juvenile Services to <br />discuss shared cases. Our workers attend Juvenile Court when a family we are serving has a scheduled <br />hearing. We maintain a positive working relationship with Juvenile Services. <br /> <br />JCPC PROGRAM AGREEMENT, 2004-2005 <br /> <br /> <br />