Social Work Breaks Barriers

Transcript

• 00:00Good afternoon everyone and
• 00:02welcome to Grand Rapids.
• 00:03Now before we get started today,
• 00:05I'm just a couple of announcements
• 00:07and a reminder that next week
• 00:08we won't have grand rounds,
• 00:10so grand Rounds is cancelled next week.
• 00:12Perhaps you could take some time during
• 00:13that hour to think about speakers
• 00:15that you would love to invite here and
• 00:16reach out to the grounds committee
• 00:18and with any of your suggestions.
• 00:20So please be on the lookout
• 00:22from an e-mail from Krista and
• 00:24we are accepting nominations,
• 00:25self nominations or nominations
• 00:27of others and to join our Grand
• 00:29Rounds Committee for next year.
• 00:31And so please be on the lookout for
• 00:33that e-mail and get those suggestions
• 00:35to the Grand Rounds Committee.
• 00:37And the last announcement is just
• 00:39to mention that we'll have Doctor
• 00:41Stephen Vine from the University
• 00:42of Illinois at Chicago and coming
• 00:45to join us on April 12th.
• 00:48I think it is.
• 00:50But in two weeks time and who will be talking
• 00:53about his case study on Allen Ginsberg.
• 00:55So it's one of these talks where
• 00:56we'll be embracing the humanities
• 00:58at the Grand Ryan's the 11th,
• 01:02April 11th.
• 01:02Thank you, doctor Cardona.
• 01:05And so please join us for that.
• 01:07And if any of you would
• 01:08like to meet the speaker,
• 01:09please reach
• 01:10out to Rose Marie or any
• 01:11member of the Grand Rounds
• 01:12Committee and we can set that up.
• 01:14So that's enough from from me
• 01:15to for today, I'd like to pass
• 01:17you over to our host for
• 01:18the day, my Grandparents
• 01:19Committee colleague Tara Davila.
• 01:25Good morning, everyone.
• 01:26Afternoon. Actually,
• 01:27I'm still a little behind,
• 01:28not enough coffee this morning.
• 01:30I know it's making me sleepy,
• 01:32but thank you so much for joining us
• 01:35today and happy social work month.
• 01:37And so for today, I'm going to use,
• 01:40I don't know if this is how to pronounce it,
• 01:42but the sort of Petra Kucha
• 01:45informed style of presentation.
• 01:47So it's a style developed in Tokyo
• 01:49where you do 20 slides with images.
• 01:52And 20 seconds of commentary.
• 01:54So this is mostly that where I got a little
• 01:56shorter in some of the other places,
• 01:58but this was one of the ideas
• 02:00when we were moving forward,
• 02:01so I thought I'd give it a try myself.
• 02:04So we'll see how it goes.
• 02:07So as we wrap up social work months
• 02:10together with the social work Fellowship,
• 02:12thank you.
• 02:13One way that we wanted to break barriers,
• 02:15because the theme is social
• 02:17work breaks barriers today,
• 02:18is by shining the light on
• 02:20contributions of faculty and staff
• 02:22of different disciplines whose
• 02:23terminal degree is a masters degree.
• 02:26This is not to take away from
• 02:27the work done by others,
• 02:28but rather to broaden the
• 02:30perspectives about the contributions
• 02:31of faculty and staff with masters
• 02:34degrees across our educational,
• 02:35clinical and research missions.
• 02:37And across the various settings
• 02:40of the Child Study Center.
• 02:43Our Masters,
• 02:44faculty and staff create and
• 02:46disseminate interventions,
• 02:47develop programs,
• 02:48engage in research,
• 02:50teach and train the next generation
• 02:52of practitioners,
• 02:53and help youth and families
• 02:54through complicated clinical
• 02:56challenges via assessment,
• 02:57research,
• 02:58psychopharmacology and psychotherapy.
• 03:01In 2022,
• 03:03social workers like professional counselors,
• 03:07marriage and family therapists
• 03:10and APRN scheduled 69% of the
• 03:13appointments for the practice.
• 03:14So that's like
• 03:1737,453 appointments. So they are very busy.
• 03:24And Masters, faculty and staff are
• 03:27supervisors, preceptors, authors,
• 03:29directors, associate directors,
• 03:31and I'm proud to be among the two who
• 03:33serve the department also as vice chairs.
• 03:36And so despite these
• 03:37contributions and opportunities,
• 03:39we also face challenges.
• 03:40And the root of many of these challenges are
• 03:43the systemic barriers within our institution.
• 03:47Until recently,
• 03:47faculty and staff with Masters degrees
• 03:50were underpaid within the institution
• 03:51and among our peers outside of Yale.
• 03:54And it took a tremendous amount of
• 03:57advocacy over many years to correct that.
• 04:00Additionally,
• 04:00the school has only provided
• 04:03continuing medical education credits,
• 04:04many of which are not recognized by
• 04:07the licensing boards of some of our
• 04:09faculty and staff with Masters degrees.
• 04:11And this caused a burden for us
• 04:13to go elsewhere and and pay out
• 04:15of pocket for continuing education
• 04:16when many of our colleagues could
• 04:18just get that by coming to work.
• 04:21This is the first year that we were able to
• 04:23offer continuing education units arrived,
• 04:25excuse me,
• 04:26approved by the National
• 04:27Association of Social Workers,
• 04:29which meets the licensing
• 04:31renewal criteria for all.
• 04:33Other structural barriers include not having
• 04:36a defined or valued track within the school.
• 04:40So you only have to look at the OPD website
• 04:43to get a sense of how we're regarded.
• 04:46This is one example of how the institution
• 04:48communicates that our contributions
• 04:50are not understood or valued.
• 04:52It also doesn't recognize
• 04:53other masters disciplines,
• 04:55making our colleagues feel
• 04:56invisible and unsupported.
• 05:00Until recently, this academic progression
• 05:02was limited to social work and didn't
• 05:04acknowledge the contributions of other
• 05:06faculty and staff with masters degrees.
• 05:08Thankfully, equity minded faculty
• 05:10were able to advocate to change this.
• 05:13However, we are capped at assistant
• 05:15professor with the bar for what we need to
• 05:18establish to attract constantly moving.
• 05:24When the institution as a whole
• 05:26doesn't recognize our contributions,
• 05:28there's impact.
• 05:29Others within the institution have
• 05:31followed their lead and further
• 05:33marginalized us as a supervisor.
• 05:35I've heard countless stories of colleagues
• 05:38whose terminal degrees are doctorates,
• 05:40not collaborating and making decisions
• 05:42for a case in which the treating clinician
• 05:45has a masters without consultation.
• 05:48Whether intentional or not,
• 05:49these actions convey that the clinician
• 05:51is not as important to the treatment
• 05:53of the individual and that the person
• 05:55making the decision knows best.
• 05:57I, who've always been a member of the
• 05:59clinic leadership and who came here with
• 06:01over a decade of clinical experience,
• 06:02can share countless stories of disrespect
• 06:05and disregard from fellows and faculty.
• 06:08And I can also tell the story of
• 06:10being supported and respected,
• 06:12which is why I'm able to support our
• 06:14community in the ways that I do today.
• 06:16Today you'll hear from a tiny sampling of
• 06:19our faculty and staff with masters degrees,
• 06:21and also from one in pursuit
• 06:24of their Masters degree.
• 06:28There's no way to tell you about all of
• 06:30the contributions made across our missions
• 06:32by faculty and staff whose terminal
• 06:34degree is a Masters degree in an hour.
• 06:37So I've shared how busy this group
• 06:39is with how many appointments
• 06:41they're scheduling, more than half.
• 06:43And I'd like to express my gratitude,
• 06:46my sincere gratitude and admiration
• 06:48to those on our panel today who were
• 06:50able to arrange their schedules to
• 06:52share their experiences with you,
• 06:53and for those who could not.
• 06:55We see you and we appreciate you.
• 06:59Before we hear from our colleagues
• 07:02about their experiences,
• 07:03I want to acknowledge that our
• 07:05community has embraced many different
• 07:06kinds of grand rounds presentations,
• 07:08from the very academic to the very
• 07:11heartfelt and all in between.
• 07:13When our community members choose
• 07:15to share their experiences,
• 07:16there's a level of courage and
• 07:19vulnerability that presenters embrace.
• 07:21To support them and to anchor in
• 07:23the spirit of this presentation,
• 07:25I ask that you please hold that in mind.
• 07:27They are experts on their own experiences
• 07:29and would be happy to answer questions
• 07:31that are anchored and understanding
• 07:32more about what they have shared.
• 07:36So looking ahead, we will hear from
• 07:38different programs and in home and
• 07:40outpatient and from clinicians,
• 07:41learners and model developers about
• 07:44their experiences as faculty and
• 07:46staff with master's degrees through
• 07:48their work at the Child Study Center.
• 07:50We'll have Mackenzie Fay and Bridget Torres.
• 07:53Both are clinicians and Bridget is also
• 07:55a team supervisor and there shall share
• 07:58about their experiences in the ICAPS program.
• 08:01We'll also hear from Amy Myers who
• 08:03is a consultant for family based
• 08:05recovery model, Excuse Me,
• 08:07Recovery model development and operations.
• 08:09Her colleague Karen Hansen, who is
• 08:12director of of FBR Model and development.
• 08:15I can never say that right model
• 08:17development and operations, pardon me.
• 08:21Had an unexpected situation arise
• 08:22today and she couldn't join us.
• 08:24But Amy will present for both.
• 08:27And then finally we'll hear from
• 08:29Darrell Snow and Heather Howell
• 08:31sharing their work in the parent
• 08:33and Family Development program.
• 08:35And so Heather is a clinician who's
• 08:37been with us and does all the
• 08:39intakes for the program and Darrell
• 08:41is a clinician and intern.
• 08:43So thank you for your time and attention.
• 08:45Thank you for joining us today.
• 08:47Thank you for supporting everyone
• 08:49in our community.
• 08:50And without further ado,
• 08:52we will start with Bridgette and Mackenzie.
• 09:05Aye. Please correct me if
• 09:08I'm using the microphone
• 09:09incorrectly or you can't hear me.
• 09:11This is my first time using a
• 09:12microphone in my adult life,
• 09:14so we're going to try.
• 09:17My name is Bridget Torres.
• 09:18I'm an icaps clinician
• 09:20and clinical supervisor.
• 09:22And I have been working within
• 09:24the ICAPS program and at the Yale
• 09:27Child Study Center for eight years.
• 09:29And I'm also going to pass over to Mackenzie.
• 09:31We're kind of going to do a like back
• 09:32and forth and share our individual
• 09:34experiences and then talk a little bit
• 09:35about the program as a whole. And yes,
• 09:39I'm Mackenzie Fay. I'm an LPC
• 09:41licensed professional counselor.
• 09:42And I've been, I was here for about a
• 09:46year and a half and then I left for a
• 09:47little while and came back. So, so yeah.
• 09:52Yeah, so. I can tell you guys
• 09:57a little bit more about icaps.
• 09:59Icaps which stands for intensive in home,
• 10:01childhood and adolescent
• 10:04psychiatric services.
• 10:05Is a program which serves youth
• 10:08from the age of 4 to 18 that are
• 10:12experiencing any number of psychiatric
• 10:15difficulties as well as family stressors.
• 10:18We see kids that have histories of trauma,
• 10:21and generally our kids come
• 10:24to us from outpatient clinics,
• 10:27they come to us from the hospital,
• 10:30from IOP, just from many different places,
• 10:34and we work with the families.
• 10:35For a total of six months.
• 10:37We work in teams of two and we
• 10:40provide individual therapy, parent,
• 10:43parent sessions as well as family therapy
• 10:47every week and as well as supporting
• 10:51the families in multiple domains.
• 10:54So we work with them in the community.
• 10:55We also work with
• 10:56schools. We're kind of everywhere that
• 10:59the child doesn't, that the family is.
• 11:02I think it's a very special program
• 11:04and it has provided a lot of
• 11:06unique opportunities for learning
• 11:08over the last couple of years.
• 11:12I will talk a little bit more now about
• 11:15what led me to clinical work in general
• 11:17and then I'll pass over to McKenzie, so.
• 11:20I when I was. A kid, like many kids.
• 11:25There were like 3 professions.
• 11:27You could be. I wanted to be a vet.
• 11:29That was my calling.
• 11:31I thought I was going to take care
• 11:32of animals and realized when I was
• 11:35fourteen that that involved youthanasia.
• 11:37And I was like, I don't want to do that.
• 11:40I can help people.
• 11:42So I thought about going into therapy
• 11:45in high school, going into therapy
• 11:47as a clinician in high school.
• 11:49I should say.
• 11:50What kind of spurred my decision
• 11:52further was that. I had um.
• 11:55A lot of family experiences
• 11:59with mental health.
• 12:00My dad for most of my childhood
• 12:03had undiagnosed bipolar disorder,
• 12:04which became diagnosed bipolar disorder.
• 12:07And when that happened,
• 12:08we started to interact more
• 12:10with different therapists.
• 12:12Psychiatrists did family therapy.
• 12:16And there was all of the stressors
• 12:18that come with that and that
• 12:20being part of your family system.
• 12:22And then I also have had several
• 12:24close experiences with people
• 12:26that have completed suicide.
• 12:28And so all of these things kind of
• 12:31happened at a pretty formative time
• 12:33for me and led me into social work
• 12:37and therapy as a whole when I was in.
• 12:41Undergrad I majored in psychology and
• 12:43child and adolescent mental health,
• 12:46so I've been in this world for
• 12:48since I was basically a child.
• 12:51My brain was definitely not fully developed,
• 12:54but I had the opportunity to work
• 12:56with kids with selective mutism,
• 12:57and I had the opportunity to work in.
• 13:01School settings.
• 13:02And I saw the impact that social
• 13:04workers had with the kids that
• 13:07were in those settings,
• 13:08particularly when I was in a
• 13:09school setting where that was kind
• 13:11of one of the only mental health
• 13:12professionals that they had access to.
• 13:16As I was completing my BA, I thought,
• 13:18OK, what do I want to do next?
• 13:19Do I want to try to pursue a PhD in
• 13:22psychology or do I want to go to social work?
• 13:25And the combination of kind of seeing
• 13:27what social workers have been able to do,
• 13:29as well as knowing that I
• 13:33didn't really have the money
• 13:34to be in school for another 5 to 7 years
• 13:37meant that I pursued social work and
• 13:40had the opportunity in my graduate
• 13:42training to work further in a school.
• 13:44And I also had the chance to work at an.
• 13:47Intensive outpatient program for youths with.
• 13:52OCD. And their families.
• 13:54And I saw the ways that parents
• 13:58impacted their children.
• 14:00Kind of from the other side,
• 14:02as the therapist and when I
• 14:04applied as I was graduating from
• 14:07my Masters program moved on to.
• 14:11Apply for the advanced clinical Social
• 14:13Work fellowship here and was offered that,
• 14:15and I was recruited into the icaps track.
• 14:19So I always say that Icaps chose me,
• 14:22and then I learned that I loved it.
• 14:25Umm, and
• 14:26that is how we got there.
• 14:27I'm going to pass to my camp.
• 14:29Thank you. Yeah I kind of similar
• 14:33I think although when I'm thinking
• 14:35about how I got here I I do think
• 14:37the first time I realized I wanted
• 14:38to be a therapist as an adolescent.
• 14:40I think I was like counseling a
• 14:42random peer on their family issues.
• 14:44So it it it was always going to be
• 14:46family stuff but I don't think I
• 14:47realized that until later because
• 14:49I don't know people know that.
• 14:50I mean icaps
• 14:50has from a clinic
• 14:53a clinician standpoint it's something
• 14:55it's intensive work you don't
• 14:57need a licensure to to do it and
• 14:59so there is kind of a reputation.
• 15:01By caps as a clinician that you know
• 15:04you can do it right out of your your
• 15:07masters and also but it's intense and
• 15:09it's a lot and so I'd never I can't
• 15:11say that I had this kind of identified
• 15:14as something I wanted to do but over
• 15:16time you know I think I thought I
• 15:18would go into into private practice
• 15:20more so but with my experiences
• 15:24with my own kind of family dynamics
• 15:28and slowly getting to see over
• 15:30time that. You know,
• 15:32issues that people struggle with,
• 15:34there's always in relation to to somebody
• 15:37else and often like who's closest to you,
• 15:40which might be your family.
• 15:42I started to see that more
• 15:43significance of that.
• 15:44And so I I started icaps through
• 15:48another agency in Bridgeport.
• 15:51And eventually moved to Yale which
• 15:54is the the place that the model was
• 15:56developed in a very different experience.
• 15:59And then I actually left for a
• 16:01little while and did some private
• 16:02practice stuff and came back.
• 16:03And because there's there's
• 16:04getting into our experience,
• 16:05I mean there's there's nothing like
• 16:07the the way that icaps is and and
• 16:10the dynamics like we are. You know,
• 16:13there there's just so many different.
• 16:14Our, our days are just totally,
• 16:16you know, in the car driving,
• 16:18maybe driving a parent somewhere,
• 16:20maybe helping, you know,
• 16:21going to school for a PT.
• 16:22I mean,
• 16:23it's just very exciting and it is intense.
• 16:26And we really get to be a part
• 16:29of the family's lives.
• 16:31We're in their homes,
• 16:32we're meeting people in their lives
• 16:34who are coming through their homes.
• 16:37It's a really,
• 16:38it's a really great experience.
• 16:42I don't know if you want to talk
• 16:42more about your experience.
• 16:45So my experience with icaps, like
• 16:48I said, I started as a fellow
• 16:50working with. Former fellows and. I was.
• 16:58It's like so hard to put into words.
• 17:00I think all of the different ways that
• 17:02this work is engaging and exciting and.
• 17:06I remember I always think of this
• 17:09as like an example of an icaps case
• 17:11because it was like my first icaps case,
• 17:13which was a family who had had eye caps.
• 17:17They had struggled,
• 17:18they came back and we had the
• 17:20opportunity to work with them again.
• 17:22And we engage this family in
• 17:25every way that you could imagine.
• 17:29We took this mom to her housing appointments.
• 17:33We took the kids.
• 17:34We would pick the kids up from
• 17:35school and go to sessions.
• 17:37We had an entire day where
• 17:39the family had this family.
• 17:42For part of the period that we were open.
• 17:45Had insecure housing and they.
• 17:50Found a new place to live and we
• 17:52moved their stuff in our cars,
• 17:54in bags and we spent the whole day
• 17:57with them and we helped them build
• 18:00furniture for their new place and we
• 18:02did all of these things with them
• 18:04while we were also doing therapy.
• 18:06We were engaging this parent in a way that.
• 18:10She could connect with us because
• 18:13we were literally meeting her,
• 18:14like where she was at on the floor,
• 18:17making the furniture, talking about.
• 18:20Her life and how she got to where she was
• 18:23and I I think it was in those moments
• 18:26as a new clinician that I was like,
• 18:28oh, this is so different.
• 18:30And this is like really what I want to do.
• 18:34For a long time. And.
• 18:38I think even as I've moved,
• 18:41because I've now been here 8-8 years and
• 18:43in home world is like 30 years like.
• 18:48It
• 18:48feels like a long time and then if
• 18:50it if it's 30 years, it's like 100,
• 18:52it's so there's a Max behind it.
• 18:55But I I think that as someone
• 18:59say it's true, it feels like it.
• 19:03I think I've. I've.
• 19:06Had the experience of being like a clinician,
• 19:09full-time moving and going,
• 19:10and it's so exciting.
• 19:12And then now I'm in this
• 19:13role where I am supervising,
• 19:15I've also had the opportunity to
• 19:17participate in some of the research and
• 19:19kind of contribute what I've learned
• 19:21as a clinician to our icaps research.
• 19:24And present a little bit about it
• 19:25a couple of years ago with Soyon,
• 19:27which was really awesome.
• 19:30And it just has presented all
• 19:32these really unique opportunities
• 19:34to continue learning and growing.
• 19:37And even right now as a supervisor,
• 19:39I feel like I'm constantly
• 19:40learning and I'm learning
• 19:41from the folks that I supervise
• 19:42who are in this room right now,
• 19:44and I'm really happy they're here.
• 19:48And it's just, it's,
• 19:51I don't know, I I'll keep saying it's
• 19:53special over and over again, which is
• 19:55like very repetitive but it's just so.
• 19:58Unique and has given me so much.
• 20:02So much as a person,
• 20:04even like outside of the work,
• 20:06it's just changed who I am.
• 20:07So important. Yeah. You want to jump to?
• 20:13Should I jump to the last piece?
• 20:15OK. Umm. I guess.
• 20:19So the the last piece that we were
• 20:21going to talk about is kind of like
• 20:23the community within the ICAPS program
• 20:24and then the community within the
• 20:26larger Child Study Center and some of
• 20:28the things that have made it really
• 20:30great and some of the things that
• 20:31have been more challenging I think.
• 20:35Especially when we were
• 20:36in separate buildings,
• 20:37it could feel like there was like in home,
• 20:40dynamic and like.
• 20:43Outpatient dynamic and they felt
• 20:44different and it has felt better as
• 20:46we're like all collaborating more fully.
• 20:51And I think that that's been.
• 20:54That's been an interesting thing
• 20:55to kind of figure out how to deal
• 20:58in community with everybody here.
• 21:00Umm. I've also. Joked.
• 21:05But it's not really a joke,
• 21:06because it's a fact that,
• 21:08like Yale is a place that Yale is
• 21:11a university just started letting
• 21:14women into their College in the.
• 21:1716. The 50s.
• 21:21Too close to like when I was alive.
• 21:25Like my parents were around.
• 21:29What year is it, 69? 69. So 69 so yeah.
• 21:38Yale can sometimes feel like a
• 21:40place that just started doing open.
• 21:42So we and because I was born 20 years after
• 21:46it started letting women in. Umm, so I
• 21:51I think that can sometimes carry through.
• 21:54In the ways that people respond,
• 21:57social work is is a predominantly like.
• 22:01Female field, but I think that we're
• 22:05also mostly masters level clinicians
• 22:08here and that has been. Challenging.
• 22:13I think sometimes the medical model
• 22:15is challenging for that reason.
• 22:16It can feel like we spend the most
• 22:20time with clients and even. Um.
• 22:26Come in with a breadth of experience, I feel,
• 22:30even from like our graduate training,
• 22:32but it's not always respected
• 22:34in the same way that an MD.
• 22:37Z opinion would be even though
• 22:39we we see a lot and especially
• 22:40as we like gain experience,
• 22:42we have a we have a lot of
• 22:45clinical acumen I think.
• 22:46And so that has been challenging.
• 22:48And I think even coming in is like,
• 22:52I'm a first generation college student.
• 22:54My parents didn't go to college.
• 22:55Nobody knew what.
• 22:57Half my family still doesn't
• 22:59know what I do for a job.
• 23:01And so learning the like social intricacies
• 23:05of navigating has also been tricky.
• 23:09And I think that I'm.
• 23:12It's very special because I've
• 23:13been able to find people to connect
• 23:15with and talk to about that,
• 23:16but sometimes it is still really challenging.
• 23:19Yeah. I don't know.
• 23:21I know we're probably done with our
• 23:23time but no, no, no I'll just say
• 23:26yeah you know and I've been here a
• 23:28little less than than Bridget but
• 23:30I appreciate this you know grand
• 23:32rounds because I will say I've I've,
• 23:34I've felt like as a masters level
• 23:36that my opinion is is matters and my
• 23:39clinical perspective and I feel like our
• 23:42department has done a really good job.
• 23:44You as my you know,
• 23:45supervisor you know in valuing
• 23:49and really making us feel heard.
• 23:52And umm, like our clinical judgment,
• 23:55you know, is matters and it helps
• 23:56us develop it also.
• 23:59So I appreciate it because otherwise I don't
• 24:01know that I would be thinking this way.
• 24:03And I think it does depend where it is.
• 24:05You know, coming from another agency to the,
• 24:08the, the to Yale, Umm,
• 24:11it's just a, it's a big difference.
• 24:12I feel like, you know, I can,
• 24:14I feel like I'm making an impact.
• 24:15I feel like I'm learning constantly
• 24:17and it's great. So yeah.
• 24:21Yeah. So that's our time. I'm going to pass
• 24:24to Tara, and Amy's going to come up.
• 24:26Well, thank you both for sharing
• 24:29your story and your experiences.
• 24:32We're glad that Icaps chose you,
• 24:34and we're also glad you found your way back,
• 24:36so thank you for your.
• 24:38Dedication and time.
• 24:39Yeah, I've got to share this screen.
• 24:42So we're going to hear next actually from
• 24:44Amy Meyers who's going to talk about.
• 24:47If I can figure actually is Kyle.
• 24:48Still, I don't know how to
• 24:50get this back to Sharon.
• 24:52Need to share the screen again?
• 25:00While there. You wanna what do
• 25:03you want to be able to share? The
• 25:08people who are talking.
• 25:12I mean, I'm super impressed. I've got
• 25:14like 2 1/2 pages almost repeating.
• 25:213.
• 25:24Slide I think I'm not quite as skilled.
• 25:28I would love. I mean. Showing it's
• 25:33showing the notes. Ohh. Is it?
• 25:38Oh, that's not showing anything here?
• 25:43Technical challenges.
• 25:45Know if you're not here.
• 25:47A little fear.
• 25:50Display setting.
• 25:53I lost the match.
• 25:58Or something else?
• 26:04No. OK, here's here. Oh, funny.
• 26:15Thank you, I think.
• 26:16No, you got rid of it.
• 26:23Just, just no spare words. Just like it's on.
• 26:26We'll try, we'll try.
• 26:29I think we got it.
• 26:29Don't don't touch anything.
• 26:32Thank you. How does this advance? Let's say.
• 26:38No. Thanks.
• 26:44Travel.
• 26:47Mouse. I tried the arrow. Why is it?
• 26:50I just want to know how to advance and.
• 27:01Oh. New options for us. Knowing.
• 27:10Thank you. I won't touch anything else.
• 27:15Thanks for your help if that works.
• 27:21Oh yeah, OK.
• 27:24And and now I think we're
• 27:25good. OK. Thank you.
• 27:28Technical assistance. Thank you.
• 27:31So my name is Amy Myers
• 27:32and I am a social worker.
• 27:34And as Tara mentioned earlier,
• 27:36I was supposed to be presenting
• 27:38with Karen Hansen today,
• 27:39who's unable to be with us.
• 27:41Umm, so umm, as many people know,
• 27:46but I'll repeat,
• 27:47master level people at the Child Study
• 27:50Center include those who do client
• 27:54or patient facing clinical work.
• 27:56Often referred to as master level clinicians.
• 28:01In addition to those who do other things,
• 28:04I'm here representing a group of
• 28:06master level faculty and staff who
• 28:08do some of those other things.
• 28:10And who represent the professions
• 28:12of social work and more,
• 28:15which I'll talk a little bit
• 28:16more about later.
• 28:17So I'm speaking today on behalf
• 28:19of the family based recovery model
• 28:22development and Operations Group or
• 28:26FB RMDO.
• 28:29We are a group who began and have
• 28:32been staffed mainly by masters
• 28:35level people for the last 16 years.
• 28:41So the state of Connecticut
• 28:43recognized a problem.
• 28:45That problem was that approximately
• 28:4850% of children entering out of
• 28:51home placements in Connecticut
• 28:53have a parent who has an
• 28:56identified substance use concern.
• 28:57For children under the age of 1,
• 29:00that percent increases to almost 60%.
• 29:03In these situations,
• 29:04parents who need treatment for
• 29:07substance use disorder can be
• 29:09faced with challenges relating
• 29:11to stigma and discrimination.
• 29:13Fear of further systems,
• 29:15involvement,
• 29:16lack of transportation to
• 29:18treatment and lack of childcare
• 29:20while they attend treatment.
• 29:27In 2006, the Connecticut Department of
• 29:30Children and Families approached a master
• 29:34level researcher at Johns Hopkins University,
• 29:37as well as master level faculty
• 29:39at the Child Study Center,
• 29:40which included Gene Adipose
• 29:42Master and public Health,
• 29:44and Karen Hanson, a social worker,
• 29:47to develop a model to prevent these
• 29:49out of home placements for infants
• 29:52and young children due to parental
• 29:55substance use and to support.
• 29:57Insurance and creating a stable home.
• 30:00Thus family based recovery or FBR
• 30:03was born in 2007 and we started
• 30:07with six clinical treatment teams.
• 30:09There are now 13 clinical treatment
• 30:12teams across the state of Connecticut,
• 30:14including one here at the CHILD Study Center.
• 30:17No matter what town a family lives
• 30:19in in the state of Connecticut,
• 30:21they can have access to an FBR team.
• 30:25So a little bit about the FDR model.
• 30:31FBR brings into the home
• 30:34substance use treatment,
• 30:35individual therapy for the parent,
• 30:38attachment based parent child,
• 30:40dyadic therapy and support accessing
• 30:43community services via a treatment
• 30:46team of three people that is 2
• 30:49master level clinicians and a
• 30:51bachelor level support specialist.
• 30:54The model requires careful and
• 30:56continued risk assessment,
• 30:57assessment by the treatment team and
• 31:01very close collaboration with DCF.
• 31:04FBR aims to support parents to
• 31:06recover from the underlying reasons
• 31:08for substance use and believes
• 31:11that intervening with parents while
• 31:12their children are very young.
• 31:14Underscores what we know about
• 31:16attachment as a basic basis for
• 31:19development across all domains.
• 31:26FBR aims to give parents
• 31:28the chance to change.
• 31:30No matter how many treatment
• 31:32programs they've been in previously,
• 31:34no matter how long their DCF
• 31:37involvement, we believe that
• 31:38there's always hope for change.
• 31:44We also work very hard to approach
• 31:46treatment from a stance of humility,
• 31:48recognizing that parents know themselves,
• 31:51their needs and their children best.
• 32:01Additionally, paying careful attention
• 32:03to engagement as an ongoing process
• 32:07rather than a phase of treatment,
• 32:09leaving a focus on engagement
• 32:10helps to build safe,
• 32:11respectful relationships that we
• 32:13hope will be paralleled between
• 32:16parents and their children.
• 32:18So it's just a very little bit about
• 32:20our model in which parents can
• 32:21stay in treatment for up to a year,
• 32:23which is pretty extravagant I think
• 32:26in this world of treatment scarcity.
• 32:33So our team of model
• 32:36development and operations.
• 32:39Which is different from the
• 32:40clinical treatment team,
• 32:41consists of seven individuals,
• 32:43six of us working at the Masters
• 32:46level and one with a PhD.
• 32:48As a group, our educational
• 32:51fields include social work,
• 32:52professional counseling, health psychology,
• 32:56art therapy and sociology.
• 32:59As a group, we manage the statewide
• 33:02network of all FBR treatment teams,
• 33:05which includes training all FBR staff
• 33:07across the state of Connecticut,
• 33:09weekly clinical constant
• 33:12consultation with each team.
• 33:15Data management, model fidelity and
• 33:18assurance and model enhancement.
• 33:21Our team also manages the training
• 33:24and onboarding of adaptation sites.
• 33:27The FPR model is currently being
• 33:29adapted in Allegheny County,
• 33:31Pennsylvania, Ocean County, NJ,
• 33:34Vancouver, BC, and Hennepin County,
• 33:39Minnesota.
• 33:40Our team also provides great training
• 33:42to the greater community and working
• 33:44with parents with substance use disorders,
• 33:46engagement through relationship
• 33:48based practices and reflective
• 33:51diadic approaches for family support
• 33:54and within the Child Study Center.
• 33:56In addition to working in FBR,
• 33:57MDL members of our team also
• 34:00provide clinical supervision to
• 34:02people in other programs,
• 34:04participation in the social
• 34:07work fellowship and.
• 34:10And in terms of teaching topics in the
• 34:14social work fellowship and participating
• 34:16in overall activities of the fellowship.
• 34:20So pictured on the slide.
• 34:22It's Karen Hanson,
• 34:24who is the director of FBRM DOB,
• 34:26then Heather Simon, research assistant,
• 34:29Jeanette Radovich, consultant.
• 34:32Myself consultant,
• 34:34Michelle Saint Pierre,
• 34:35consultant and Soyon Kim,
• 34:37associate research scientist
• 34:39and Heather bonnets,
• 34:40more consultant.
• 34:41And just to call out for a moment,
• 34:44this is one of our.
• 34:48Zoom practices that we began during the
• 34:50pandemic when our staff meetings went online,
• 34:52that we would take a screenshot
• 34:53each week at the end of our meeting.
• 34:56And I think it's been a really
• 34:58interesting process to see our
• 35:00pictures over time and to see
• 35:03our expressions change over time
• 35:06and who was wearing a mask.
• 35:07And sometimes we had show and tell,
• 35:09and so this has been our practice
• 35:11for just about the last three years.
• 35:18In 2016, Connecticut's first ever
• 35:22social impact bond project was launched,
• 35:25which leveraged $11.2 million in
• 35:28philanthropic funds to allow a randomized
• 35:31control trial of the FBR model.
• 35:34This was a partnership between DCF
• 35:37social Finance and UConn health in
• 35:40addition to the Child Study Center.
• 35:42The project followed FBR families
• 35:44for 18 months post enrollment and
• 35:46looked at out of home placement
• 35:48and Ray referrals to DCF.
• 35:53FBR families had 21% fewer removals
• 35:57compared to those in treatment as
• 36:00usual and 10% with a re referral to
• 36:03DCF showing the promise of the model.
• 36:06Program to date. FBR has treated
• 36:122832 families, which includes
• 36:15476 fathers and 2636 mothers.
• 36:2082% of children remain living with
• 36:24a biological parent at discharge.
• 36:2747% of parents screened positive
• 36:30for substances at intake,
• 36:31which decreases to 13% after
• 36:34five months of treatment.
• 36:37Our data show a statistically
• 36:39significant decrease in pre
• 36:41post measures on depression and
• 36:43parental stress as measured by the
• 36:45parental stress index short form.
• 36:48FRM DoD aims to combine our data
• 36:50with what we have learned from
• 36:52working with families to integrate
• 36:54evidence based practice and
• 36:56practice based evidence approaches
• 36:58to continue informing the model.
• 37:02There are challenges.
• 37:08There are challenges and
• 37:09strengths to doing this work as
• 37:11masters level faculty and staff.
• 37:14On the challenge side,
• 37:16our team straddles clinical
• 37:17and work and research,
• 37:19and sometimes it's not
• 37:20quite sure where we fit.
• 37:25And we also learned in our process that
• 37:27we needed to get without PhD or MD.
• 37:30We needed to get permission to be API's on
• 37:33the work that we were already executing.
• 37:36In addition to Dean's approval to submit
• 37:39an application for an IRB to the IRB.
• 37:44On the strength side,
• 37:46we've been afforded opportunities to break
• 37:48barriers as master level faculty and staff,
• 37:50spreading our wings by presenting
• 37:52at conferences, working on model
• 37:54development and adapting and doing
• 37:57what we all truly believe in.
• 37:59And so I'll leave you with
• 38:01just a few words from, from,
• 38:02from some families from FBR over the years.
• 38:22Thanks so much.
• 38:31No. Thank you for sharing that work and
• 38:36hearing the numbers was really something.
• 38:39So I'm so glad that you shared that
• 38:41data and that this extravagant approach
• 38:43of having more than, what is it,
• 38:4628 days of treatment is available to the
• 38:49families in Connecticut and beyond it seems.
• 38:52So thank you for that.
• 38:53And so we will not have any more
• 38:55technical problems, I hope,
• 38:56because we have no other presentations
• 38:58in terms of slides, but we do have now.
• 39:03Is it? Now let's turn our attention
• 39:07please to Darrell Snow and Heather Howell.
• 39:09We'll talk about the.
• 39:11Parent development program and their
• 39:13work there. Hello. For having us.
• 39:19I don't know is it working great.
• 39:25So my name is Heather Howell and I am the
• 39:27intake coordinator and a clinician in
• 39:29the parent family development program.
• 39:31Tara asked me to talk a little bit
• 39:32about my Masters level training,
• 39:34all of which has been at Yale.
• 39:36In the School of Medicine,
• 39:37Department of Psychiatry.
• 39:40Actually, in some early internship
• 39:41training down at the APT Foundation,
• 39:44but especially that it was
• 39:45kind of all the same thing.
• 39:47I don't know if it is anymore, really.
• 39:49All of my work at Yale until about
• 39:51five years ago was all in research.
• 39:53So I love your data.
• 39:54I love your P value.
• 39:56Nicely done.
• 39:58At facilitated research protocols
• 40:00ran clinical trials.
• 40:02All improving,
• 40:03working to improve mental health for parents.
• 40:06So a lot of perinatal psych work,
• 40:07a lot of work based about based
• 40:09out of primary care settings
• 40:11and then in community settings.
• 40:15And I know we don't usually think
• 40:16of social workers as researchers,
• 40:17but we're here doing that
• 40:19work and it's something
• 40:20that I've been very proud of.
• 40:22I facilitated a lot of medication
• 40:24trials, therapy trials.
• 40:27And one of the things I was really proud
• 40:30of and probably why Child Study Center
• 40:32keeps me around is that I could really,
• 40:34I learned to really carefully
• 40:36and accurately diagnose.
• 40:37I think that that is something, you know,
• 40:40all of social work training is pro social
• 40:43and you don't put a label on something
• 40:44if it's not precise and accurate.
• 40:46I believe on the other hand,
• 40:47if there is a label that is useful and
• 40:50informative to somebody's healthcare,
• 40:51let's talk about it and understand it
• 40:53so that we can know how to treat it.
• 40:55So that is my approach. Umm.
• 40:58I'm really fully committed
• 40:59to adult mental health.
• 41:00Again, I feel glad that child Study Center
• 41:04keeps me around because but I think it
• 41:06connects so adult recovery and Wellness,
• 41:08it definitely benefits children and I'm
• 41:11also just certain that adults deserve it.
• 41:14So for all those reasons,
• 41:15that's my commitment,
• 41:16the parent family development
• 41:19program was created.
• 41:20Five years ago, does that sound
• 41:22right when we got an adult license,
• 41:23which was a lot of work.
• 41:25So thank you, Linda.
• 41:26Mays, I assume you're out there somewhere,
• 41:29but it was really courageous work
• 41:31for the Child Study Center to expand
• 41:33how we think about what we do here.
• 41:35Our clinic offers exceptional
• 41:37mental healthcare.
• 41:38Exceptional.
• 41:39Our whole team is right here,
• 41:41an exceptional team.
• 41:42We see adults who are struggling
• 41:44to recover from trauma, depression,
• 41:47anxiety, addiction.
• 41:50And that is a lot of work.
• 41:50We see adults with complex mental illness
• 41:53providing short and long term treatment.
• 41:56Really speaking to parents own
• 41:58health and recovery and by extension
• 42:01all the data tells us that that
• 42:04strengthens their kids as well.
• 42:05Makes them better parents.
• 42:07Really.
• 42:08When parents are healthy and well,
• 42:09kids benefit,
• 42:10so everybody wins.
• 42:12We experience a ton of collaboration
• 42:15with other clinics across youth land,
• 42:19all of the elements of that
• 42:21it's really very remarkable.
• 42:22And so I'm going to introduce you to
• 42:24my colleague and our intern this year,
• 42:26Darrell Snow.
• 42:32Good afternoon, everybody.
• 42:33My name is Darrell Snow and I am a
• 42:36social work clinical intern from Southern
• 42:39Connecticut State University working
• 42:41in the adult outpatient clinic with
• 42:44Heather and our Prestige colleagues here.
• 42:47I was born and raised here
• 42:50in heaven in Connecticut,
• 42:52in the Hill neighborhood section of town.
• 42:55I'm matriculated through the New Haven
• 42:58Public School system and graduated
• 43:00from Hill House High School in 2010.
• 43:03And my. Introduction to social
• 43:06work really was pretty early on.
• 43:09I remember my 4th grade teacher kind
• 43:11of surveying the class and asking us
• 43:13kind of what did we envision ourselves being.
• 43:17And I didn't have the words for it,
• 43:19but I just knew that I wanted to work
• 43:21with people with their feelings and
• 43:23and and I remember saying that I just
• 43:26don't want to see people mad anymore, right?
• 43:28So I grew up in a really hard neighborhood
• 43:31in New Haven and was exposed to a lot.
• 43:33And so I felt like.
• 43:36My my passion came on pretty early.
• 43:39I remember going to the library
• 43:40and researching what it meant
• 43:42to be a social worker.
• 43:43Once she said that,
• 43:44that was a possibility for me.
• 43:47And another reason of my why for
• 43:50social work is that I've been
• 43:52very aware since I could remember,
• 43:54just about the systemic barriers that
• 43:56people are presented with and how
• 43:58that impacts their mental health.
• 44:00When I applied to the CHILD Study
• 44:02Center as an intern last year,
• 44:05I was given the option to work either in
• 44:07the youth clinic or in the adult clinic.
• 44:09And I had been working with Youth
• 44:11and home for the last decade or so,
• 44:14and I wanted to kind of shift
• 44:15gears a bit and understanding that,
• 44:18as Heather stated, and which is very true,
• 44:20was that adult mental health severely
• 44:23impacts children's mental health.
• 44:25And so they're all equally important
• 44:28and they work together.
• 44:30Another part of my Why is just the lack
• 44:33of representation in the field for me.
• 44:36I went into the field knowing
• 44:40that there was a void and so,
• 44:42and I understand that although there's been
• 44:46increases of men in the field of color.
• 44:49That growth has not been seen for
• 44:52black men specifically and so,
• 44:54and my search for therapy some
• 44:56years ago for myself,
• 44:58that was something that I considered.
• 45:00I wanted to have a black note therapist
• 45:02for my own preferences and so so
• 45:05understanding that the importance
• 45:07of representation is another factor
• 45:10that waited for me to to join the
• 45:13field as a clinician. Umm.
• 45:16And it's also important for me to to.
• 45:19Respond culturally to all the people
• 45:21that we serve here at the clinic,
• 45:24but also that stretches beyond
• 45:26the walls here.
• 45:28The training that I've received has been
• 45:31tremendous and I'm just so grateful to
• 45:34have grown so much clinically under the
• 45:37supervision of Diane Dodge and all of
• 45:40the parent team here. I appreciate it.
• 45:43Receive ongoing support for cases,
• 45:45feedback, one to one supervision
• 45:48weekly and group supervision,
• 45:50as well as a seminar that we have
• 45:54for all interns across disciplines.
• 45:56I've gathered a lot of learning
• 45:59opportunities over the last year,
• 46:01so I've assisted Heather with some intakes
• 46:05and also have conducted psychological
• 46:07evaluations for some of our adult folks.
• 46:13I find really great passion in the
• 46:14work that I do here at the clinic,
• 46:16but I particularly enjoy the work that
• 46:18I do within our father's program,
• 46:20founded by Carla Stover.
• 46:23For many of the men that I work with,
• 46:26the space that we've created is often
• 46:28the first time that they are able
• 46:31to express their feelings in a very
• 46:33neutral and judgment free space.
• 46:36They develop an openness to explore
• 46:38generational patterns of behaviors
• 46:40and trauma and how that influences
• 46:42some of their choices and then
• 46:44in their relationships.
• 46:46Most of all,
• 46:47they appreciate discovering new skills
• 46:49that they can learn and apply in and
• 46:51outside of the therapeutic space.
• 46:53And they've also have been able
• 46:55to access more Community resources
• 46:57just through my be me being well
• 47:00versed in the community.
• 47:02I've grown up here in New Haven.
• 47:03I know a lot that the city has to offer.
• 47:06Just want to just say that I really
• 47:08appreciate the time that I've been
• 47:10able to learn and grow here and.
• 47:12Thank you for for listening.
• 47:25I'm just looking at the time and well,
• 47:29there's like 10 minutes.
• 47:31And so I guess one question first
• 47:33of all is a big thank you to
• 47:36everyone for sharing for being here.
• 47:42For choosing to be here,
• 47:44for sharing your gifts,
• 47:46for facing the obstacles,
• 47:48for being part of what brings the
• 47:50gifts and talents here as well.
• 47:51And it's really tremendous and it's we're,
• 47:54we're our community is so lucky
• 47:57to have all of this available
• 47:59to us and so thank you.
• 48:01And I guess also with that I don't
• 48:03know if there's questions. Yeah.
• 48:11Thank you so
• 48:11much for such an inspiring
• 48:14set of presentations.
• 48:15I feel like wow, underachieving,
• 48:19I need to get going with y'all and
• 48:21I wanted to comment on
• 48:24the incredible power of the icaps programs.
• 48:28So over the over the last decade ICAPS
• 48:31has partnered with the psychology
• 48:33training program and providing an
• 48:36invaluable experience for our doctoral
• 48:39level psychologists who come here.
• 48:41And they come here and we tell
• 48:42them about the icaps opportunity.
• 48:45They say Humana, Humana,
• 48:46I'm going to someone's home in the community
• 48:49and is there a treatment manual and how
• 48:51many are there because they're used to
• 48:54office based manualized treatments.
• 48:56And I'm especially grateful to you, Bridget.
• 48:59For adopting our psychology fellows
• 49:01for the last couple of years,
• 49:03where you have modeled and taught and
• 49:06supervised in a highly compassionate
• 49:08manner how to be present with families
• 49:11in the stage of growth that they're in.
• 49:14And so I'm deeply appreciative of the
• 49:16teaching and supervision that you've been
• 49:19providing for our psychology fellows.
• 49:21And then I have a question for that.
• 49:23I'm wondering if you might reflect on
• 49:26what is it like to supervise
• 49:28across disciplines.
• 49:30What are the joys? Are there some thorns,
• 49:33kind of the roses and thorns in a
• 49:35setting such as this
• 49:37that hasn't often recognized the talents
• 49:40of all of our training partners?
• 49:44So I thought I wondered if
• 49:45you had a reflection on that.
• 49:50Which one? OK.
• 49:56I know I'm quiet. I thank you
• 49:59so much for saying that and I think a
• 50:01lot of the credit for the experience
• 50:03folks have had is also to I know
• 50:05Doctor Wilson has done a lot of
• 50:06supervision as well as generally who
• 50:08is part of gingerly has partnered
• 50:10with the psych fellows for many years.
• 50:12This is actually my first year,
• 50:14so I can share about my experience this year,
• 50:16which I really enjoyed working with
• 50:19Kara this year. It was excellent.
• 50:21I think one of the surprises for
• 50:23me was in working with somebody who
• 50:26was in training but who had done.
• 50:28Therapy before.
• 50:29So it was, it felt more like kind
• 50:32of helping her and helping.
• 50:34To understand the difference in in
• 50:36homework and also being able to see
• 50:38what you can kind of learn from the
• 50:40in home experience which is the like
• 50:43sitting and being present with a family.
• 50:45And I think one of one of the things
• 50:49that I noticed and that we did talk
• 50:51about was like especially because the
• 50:53cases we get from that we work with our
• 50:55psych fellows with our medical icaps cases.
• 50:58So there's also often a medical component
• 51:00that contributes to their mental health and.
• 51:05I think seeing that often the family actually
• 51:07knew what it was that they needed to do.
• 51:11They understood the clients medical needs.
• 51:13It was more of sitting and being like
• 51:16what what gets in the way or like what,
• 51:19what is happening with mental
• 51:20health or how does trauma impact
• 51:22the way that they respond to this.
• 51:24And I think having those conversations
• 51:27was really eye opening for me
• 51:29in terms of like
• 51:30oh, you kind of. I'm a newer,
• 51:32I'm newer to supervising,
• 51:34and I'm I'm newer to kind of.
• 51:37Roles where I'm a direct teacher.
• 51:38I've kind of mentored fellows before,
• 51:40but I think that was one of
• 51:41the things where I was like,
• 51:42oh, I really have something to
• 51:43share and it was very nice.
• 51:47And I think it was also progressing in like.
• 51:53Seeing the differences and also
• 51:55the similarities in the fields
• 51:57and kind of that we were all
• 51:59thinking about kind of like.
• 52:01Culturally, humble practice,
• 52:03social justice orientations and
• 52:05and how we're thinking about the
• 52:08families and their communities but.
• 52:10Actually having the opportunity
• 52:11to kind of guide someone through
• 52:13seeing that in person for the first
• 52:14time was really exciting, yeah.
• 52:16Thank you for your question.
• 52:19Is it OK if I jump in just briefly?
• 52:23Sorry for being the voice of God
• 52:24off screen here. I apologize.
• 52:25I just wanted to add that that Jinju
• 52:28also has has remained in touch with
• 52:32their ex psychology trainees and I
• 52:34think the model is really powerful
• 52:36experience for both the clinicians
• 52:38working together in such challenging
• 52:40yet yet rewarding circumstances.
• 52:43Just just to comment there,
• 52:46just always impressed to see that
• 52:48connections that form that way and then.
• 52:51And then the other pieces I think,
• 52:54yes, like Lori said,
• 52:55psychology comes in well trained,
• 52:57manualized experience,
• 52:58evidence based and you,
• 53:00you do have to counterintuitively put
• 53:03that all aside as you as you enter
• 53:05enter the home I think to start with.
• 53:09Thank you for offering the MD.
• 53:13John Ponce and I work a
• 53:14medical director for Icaps.
• 53:16And yes, I don't do any of the work.
• 53:17It's really the social work clinicians
• 53:19that are in the frontline here.
• 53:20So full credit is due in a perfect
• 53:23metaphor for your presentation today.
• 53:29Were there other questions that folks had?
• 53:35Yes, doctor Martin.
• 53:42So can you hear me? Can you hear me?
• 53:43So First off, thank you to all 5-6 of
• 53:46you and Tara for putting this together.
• 53:48This was really wonderful and you know it,
• 53:51it was painful as you as you relate the
• 53:54pain of the IRB example was one of the,
• 53:56you know, that didn't make sense,
• 53:57right, that you needed all
• 53:59these special permissions,
• 54:00kind of a reminder of a different status.
• 54:03And it it just made me think that there
• 54:06are social workers throughout the hospital,
• 54:09throughout the hospital,
• 54:10but I don't know if any other
• 54:12department that has shown a light
• 54:13shined a light shining a light.
• 54:17And and social work and and I think
• 54:19I I don't think it's a coincidence
• 54:21that it's a child study Center
• 54:22for a number of reasons.
• 54:23One is that we work with social
• 54:25workers very closely for years and
• 54:26I'm I'm sorry that my my friends
• 54:28from the inpatient unit our social
• 54:30work colleagues are not here but you
• 54:32and other masters level folks.
• 54:36Nursing for example.
• 54:37I mean we so we have many of these
• 54:39experiences but but but there's
• 54:40something about social work that
• 54:42I think is particularly relevant
• 54:43which is a mental health component.
• 54:46And and I guess it my hope would be
• 54:48that having the child Study Center
• 54:49being an example and this being an
• 54:51example of something that could
• 54:52happen in the broader Medical Center.
• 54:54You know that we're not going to
• 54:55see this necessarily nephrology
• 54:56because they think of kidneys not
• 54:58of mental health but we think of
• 55:00mental health and and social order
• 55:01thinks of mental health throughout.
• 55:02So I just hope that this continues
• 55:04but thank you for all the work it was.
• 55:06And those numbers were very impressive in me.
• 55:08So thank you for sharing that.
• 55:09Yeah,
• 55:10thank you. I will. Yeah. You'll be
• 55:14our last question looking at the time.
• 55:17Thank you. So I'm Lilia Benoit.
• 55:20I'm child and adolescent
• 55:21psychiatrist from France originally.
• 55:23And I have worked here at the CHILD
• 55:25Study Center for two years as an
• 55:27associate research scientist.
• 55:29And so as a foreigner,
• 55:31I'm not yet allowed
• 55:33to to be a medical
• 55:34doctor here, but
• 55:35I'm, I'm starting my residence and very,
• 55:36very happy about it.
• 55:38But for the past two years,
• 55:40I've been allowed to tutor the
• 55:42Yale medical students at 21 and
• 55:45and there is always this question.
• 55:48In this discussion we have in the
• 55:51inpatient unit because in the end they
• 55:54they realize that the kids who are
• 55:57there are there because of society,
• 55:59because of adversity,
• 56:01because of of injustice,
• 56:05because their parents don't
• 56:06don't receive the help they they
• 56:09should they deserve to have,
• 56:11because attachments,
• 56:12bonds are very insecure and most of the
• 56:14time we end up having this conversation.
• 56:16Whenever I say yes,
• 56:17the inpatient unit helps a little bit.
• 56:19This medication but what would be
• 56:22really useful would be to have one
• 56:25person spending one year with the family
• 56:28to model what is secure attachment
• 56:31and and welcome secure bonds and
• 56:33and create that with the family.
• 56:35And I didn't have any example until
• 56:37today to to tell them yes this this
• 56:40exists but I think from now on I'm
• 56:42going to say yes this is icaps and and
• 56:45at least we have some social worker
• 56:47helping us with this very important.
• 56:50Work,
• 56:50so thank you so much for sharing.
• 56:53Right. And that was also a focus of
• 56:56the work too with actually all of
• 56:58the programs that spoke today that
• 57:00focus on attachment and and taking
• 57:03care of the the entire system.
• 57:05So thank you again.
• 57:08Thanks everyone for joining us today.
• 57:12For a wonderful panel.
• 57:17And remember, there's not
• 57:18a grand rounds next week.
• 57:20And our faculty meeting,
• 57:22we're hoping to have a panel
• 57:24discussion about what it's like
• 57:25to be a woman in the Academy.
• 57:27So hope you'll see you there,
• 57:29and if anybody's interested
• 57:30in contributing to that,
• 57:31let me know. Thank you.