Training And Trains Of Thought

I booked myself onto an intensive training course with attachment guru Dan Hughes earlier this year. It was not cheap and I needed most of the year to save up for it despite the deposit being given as a birthday present from my parents. The course was level 1 in Dyadic Developmental Psychology, DDP for short. The therapeutic model was created by Dan to work with children and young people who have attachment issues and trauma related symptoms. The therapy is particularly used with fostered and adopted children who have experienced traumatic loss and/or neglect and abuse. The therapy, unlike others believes in forming an authentic relationship with clients and their families or main carers. At its core is PACE: playfulness, acceptance, curiosity, empathy. I think it’s a great parenting model for all children.

Jazz and I were involved in this therapy for many years and I whole heartedly believe in it. It was the only intervention that felt humane, positive and meaningful. We just didn’t get enough of it due to lack of LA/Health financial commitment.
My motivation for going on the course was not to become a therapist in DDP but to focus my experience and gain further expertise as a charity worker. I also want to continue to support my daughter who did not suddenly become ‘cured’ of trauma issues aged 18 when funding for the therapy ended at the stroke of midnight on her birthday.

The course has been taking place this week and I finished it on Thursday. Clutching my certificate and with a head full of learning I wended my way back home to reflect on what I had taken from it.

I have always had a heathy cynicism about the ability of therapy to cure trauma symptoms and of course my opinions of this didn’t change over the week. I still believe trauma has to be lived with and strategies for families to cope independently are what can be encouraged and developed within this style of attachment therapy.

There were 31 people on the course and I was the only person present who was a parent to a traumatised child rather than a therapist or practitioner in children’s services. This gave me quite a different perspective than the other trainees. It made me acutely aware of the use of language during discussions as well as the positions workers are in when supporting families. A great group of open minded and willing people didn’t mean that the overall care culture of the parent being less expert did not creep in and show itself. Quite a bit of innocent but disempowering suggestion during exercises and dialogue that parents might not quite understand the reasons behind behaviour in the way a therapist or ‘professional’ automatically would.

I found the many clips of therapy sessions bought tears to my eyes in ways they couldn’t to other people. That in the role plays (I still hate role play!) it meant I could easily slip into parent and child role but found myself disassociated when I was the therapist. I also learnt I was better at being an active problem solver than a more passive listener. Which is not always a good thing. I found Dan to be a true therapeutic master when watching him work with families

Many of the trainees found practising the therapy methods all day exhausting even with coffee and lunch breaks. It was nothing compared to practising it for real every day, day in, day out for years.

Having been fighting for years as a parent and more recently as a charity worker to have the voices of children and parents heard in equal status to professionals and politicians it gave me great hope to hear that Dan Hughes was potentially ‘on our side’. He proved this to me in part by using The Open Nest ‘Severance’ film as part of the training. He says he plans to use it again as he felt it showed services the direct results of not supporting families, both birth and adoptive from the start. We hope he does.

My overall conclusions were these:

1. Many therapists in the UK and within CAMHS work with models that are in potential opposition with the principles of DDP. This in turn means they work in ways that do not help adoptive families and can even damage them.

2. Social workers wanting to support families post adoption and in ways which take on principles of DDP and PACE will not necessarily get backing from LA management or the DfE, nor the budget and supervision needed to be supported in ways a therapist would.

3. There are still worrying gaps in professional knowledge around what life is really like at times for adopted children and their families. This extends to a more dangerous blaming of parents if children express trauma through behavioural problems. The Government funded research by Julie Selwyn that highlighted issues in adoption is not commonly heard of, even by adoption social workers! I think the Government are hugely selective in which adoption stats they focus on.

4. DDP therapy can potentially turn lives around but the access to both practicing it and receiving it is restricted and exclusive due to the costs involved.

5. To teach a parent and child to communicate well in the presence of trauma and to encourage healthy attachment styles in therapy sessions is a wonderful goal. It can be transformative. For a parent and child to sign up for this and commit to it is empowering and supportive for all. When that parent and child then receive opposing thinking and practice outside the therapy, in schools, health services etc, it is devastating and completely undermines the work done by the therapy. It is confusing and anger provoking for children who do not understand budgets, systems and agendas.

6. I am more convinced than ever that the current Government needed and still needs to prioritise funding to change the culture and practice around adoption and the language and rhetoric it takes place within, before it spends money on recruitment and the marketing of a system not yet fully fit for purpose.

7. If supporting traumatised children truly is your passion as a trainer, therapist, social worker, charity boss, MP or parent you should give your time and expertise as generously as you possibly can. Give free and subsidised places on your courses, give your knowledge and information to as many people as possible for free, fight your managers to gain meaningful support for families and yourself even if it makes you unpopular, write to your MP, lobby parliament, form support groups, take part in activism, hang on in there for your children against the odds.

8. If money has to be involved in your passion to support children it is always possible to make it truly fair trade.

Hope For The Future

We had some great training this week from Geraldine Casswell who is in the group of Dyadic Developmental Psychotherapy therapists who work alongside Dan Hughes. dyadicdevelopmentalpsychotherapy.org

It was positive and reassuring about having hope for the future of teenagers and young people who have experienced attachment issues and trauma. Of course we had to fund privately and were given a very fair deal but just knowing there are people out there who want to spread the words of hope and love is encouraging.

We hope to raise funds through The Open Nest Charity to help other families access training with wise mentors like Geraldine but in the meantime would like to share a video we were shown.

Post Adoption Support….I May Eat My Hat!

It’s fourteen years next month since we adopted each other. It’s been an epic journey and it certainly continues to be so. During this time I have been an avid follower of all things political, media related and policy making around adoption. I’ve watched and listened, contributed and written to MP’s. All this alongside just trying my best to have some semblance of a healthy and secure existence for my daughter.

I have never felt she was ‘owned’ by me just because she was in my longterm care, and yet when she needed support post adoption, the general response to our desperate need for help was that she was very much ‘mine’. This constant misunderstanding of her needs by our local authority, as well as her placing authority, struck me as horribly ironic. The state intervened in her birth family as her learning disabled mother sadly could not care for her and without having any support was severely and cruelly neglecting her needs. I can’t believe that nobody professional we met understood the ‘double whammy’ nature of this, and how a person full of rage due to displacement followed by further neglect of their needs was ever going to heal and thrive without great support, let alone the neglect being by those who purport to, and are paid to care.

Of course I did what most adopters do and tooled myself up, trained by Dan Hughes, read Caroline Archer and the like, applied to get help from charities such as Family Futures and Adoption UK. We even latterly attended a pitiful and run down CAMHS. We got nothing really solid, regular enough or meaningful enough and I essentially became an amateur psychologist as well as a teacher and a mum. All very well, but at what cost to my daughter? I can honestly say that the most stress caused to us was by the constant ignoring or misinterpretation of my begging for help. It felt like cruelty to us both. I’m sure we may have been the ‘complex’ case we were described as, but I knew what we needed and I know it wasn’t too much to ask. The rubbish assessment processes, mismanaged meetings, unaware social workers and budget conscious managers took up all the funding we might have had.

My original assessment as a suitable adopter was clear in its positive reporting that as a previously qualified social worker, I would be able to successfully identify a child’s needs and ask for appropriate support. That would seem laughable now if it wasn’t so sad.

So back to today. I feel as an adoptive parent I should be celebrating the Governments announcement for funding to support adoptive families. After all I am so galvanised by our experiences that I have formed a charity to try and help others with free post adoption support. (There is no catch, we will listen and we will believe and we will understand) The funding will come from myself and other volunteers fund raising, no big charity boss salaries.

My daughter is now an adult and living with support in her own home. I could go back to work to pay off the huge debts I incurred as a single parent unable to work, I could finally do my MA that I was due to start fourteen years ago, I could quite frankly laze about for at least a year to recharge my very worn out batteries, but I can’t because I feel so passionate. I feel very strongly that maybe our small contribution might mean a small amount of traumatised children might not be ignored and unsupported to the point that they are unable to remain safely in their second family. Maybe some adoptive parents might feel they got a meaningful and empathic support response that didn’t have a price tag. Maybe our creative, user led, non profit approach might be considered good practice by those who hold the power and we won’t be seen as “just mothers” playing at the big boys game. We can but try.

Sadly my experience tells me that the Governments recent announcement is not very ‘charitable’ and may amount to a political sticking plaster on a gaping wound. There are hundreds of children and parents out there now who need urgent support. They can’t wait for years to see if pilot schemes work for the lucky ones. £20 million may seem a lot, but its nothing when specialist therapeutic professionals can charge up to £1000 for a days staff training, £3000 for a detailed assessment, £100-£300 per hour for therapy, and a specialist therapeutic programme costs approx £30,000 per family per year if your child is developmentally traumatised. Some of our children have sadly become big money clients in all this.

(As an aside, a news item I saw this week whilst thinking of creative solutions to care was applauding the creative skills of the British and how we export our creativity successfully. This was in the context that the development of the new Grand Theft Auto game was done in Scotland. The cost of that creative development for a game which encourages crime and violence was £175 million).

If we like it or not, fostering and adoption make money, wether its saving money in the case of adoption over fostering, or simply in private agencies gaining fees to fund their jobs in the care ‘industry’. The National Fostering Agency was sold last year for approx £130 million. Private adoption agencies make money and the average fee gained for placing a child with an adoptive family is £27,000. Support agencies make profit.  It’s reportedly been tough for the smaller agencies to survive with prospective adopters low in numbers, hence the Governments recent financial assistance to help them make more “sales”. I know being professional and skilled deserves and needs payment, but not the expense of those one is in the business of supposedly helping.

At the moment I can see some current and existing services developing to gain potential post adoption support fund budgets. Of these, many will of course be well intended, creative, value for money, accessible to all and excellent, but some people can see money making opportunities. It makes me worried that once again, the people at the low end of the adoption food chain might be children

Apologies for my cynicism and if I am proved wrong by amazing, enshrined in law, support to all adoptees and their families (including kin) in the near future……meaningful and quick assessments of need, free therapy, quality identity and life story work, empathic fair access to education, specialist training and respite for parents and support to adoptees post eighteen……..I’ll eat my (very fashionable) hat.

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