VERP Project With Newly Qualified
         Social Workers
           October 25th, 2012
   Robin Sen (University of Sheffield)
        r.n.sen@sheffield.ac.uk




                                         1
Introduction
• Introduce VIG and VERP

• Focus on the process of what we did

• Consider evaluation methodology and data for
  this project

• Reflect on learning from the project
                                             2
Acknowledgments
• Higher Education Authority

• Rotherham Metropolitan Borough Council

• Hilary Kennedy Avig
AVIGuk Projects in UK              March 2012

                                                     Social Work

                                                       Health

                                                       Education

                                                       Charity

                                                  University postgraduate


                                                80 AVIGuk supervisors

www.videointeractionguidance.net                750 trained practitioners

                                                At least 500 in training
The core principle for attuned interaction

                                                                             Returns look to
Eg child points                                                                child, smiles
at ball             1. Child‘s Initiative      2. Parent‘s Reception         and then looks
and looks back                                                                 towards ball
at parent                                                                       saying ‘ball’



          Context
                                                                           Saying ‘Yes, you
Vigorous nod                                                             can see the ball up
And returns
                                               3. Parent‘s Response         high. I think you
look from
                    4. Child‘s Reception           New initiative                     want it’.
ball to parent                                                                  In approving
                                                                          tone, looking from
                                                                                 ball to child




Pulls parent                                                           Parent gets ball down
towards ball                                                                         for child
And points
                    5. Child‘s Response        6. Parent‘s Reception      and gives it saying
again looking           (second turn)                                       ‘there you are’ .
Back at parent                                                             With friendly look
                                                                                    and tone
                                                                .

                                                            Interaction can continue
VIG and VERP
            VIG                          VERP

• Parent-child interaction   • Developed in the UK from
• Roots in Netherlands (in     VIG
  social work!)              • Focus on inter-professional
• Brought to UK in late        communication and
  1980s/90s                    interaction with service
• Strong evidence based in     users
  Netherlands                • Tool for reflection on
• Emerging evidence base       practice
Building blocks for           Possible impact of each block
             parent as care-giver                for child as care-seeker


                                       Is helped to manage difficult situations                        3.
               DEEPENING                                 or learn new things        MEDIATED LEARNING
               DISCUSSION
                                                                                          Developing the
                                            Enjoys being helped and learning         attuned relationship
               GUIDING                                    from their parents

                                                  Enjoys interacting with their
                                                                                                      2.
               ATTUNED INTERACTION                                      parent
                                                                                     INTERSUBJECTIVITY
                                                               Experiencing being            The core of
Parent led




                                                 received, parent commenting on                 attuned
               RECEIVING INITIATIVES                what they are doing and their           interactions
                                                                          wishes
                                                         Knows their parents are
               ENCOURAGING INITIATIVES                interested in what they are                       1.
                                                           doing and their wishes              TOWARDS
                                                                                      INTERSUBJECTIVITY
                                                           Feels love, recognized        Pre-requisite for
               BEING ATTENTIVE                                     and important                 building
                                                                                     attuned interactions
The Project

‘Control Group’ NQSWs      ‘Intervention Group’
          11                     NQSWs 6


                   Consultant
                    SWs (4)



                 SW Lecturers 2
                                                  8
The format of training
• Day One (Full Day)
  Introduction to VIG and techniques for filming and
  reviewing
• Day Two (Half-day)
  Reviewing films and making plans for change
• Day Three (Half-day)
  Review/ supervision session with strengths and working
  points. Introduction to difficult conversations with
  families
• Day Four (Half-day)
  Review/ supervision session. Deepening discussion on
  difficult conversations
• Day Five (Full day)
  Presentation of edited films by participants.

                                                           9
Some key principles
• Strengths based approach to work

• Coaching/Guiding not Teaching approach
• Parallel processes for ‘guider’ and ‘guidee’

• ‘Difficult’ conversations or ‘just’ conversations



                                                  10
11
Turn Taking and Deepening Discussion
Developing Attuned Interactions:
 Waiting attentively from your turn
 Giving a second (and further) turn on same topic
 Giving and taking short turns
 Interrupting long turns in the yes cycle
Deepening the discussion by
 Supporting goal-setting
 Sharing viewpoints, collaborative discussion, problem-solving
 Naming difference of opinion; contradictions/conflicts
 Investigating the intentions behind words
 Reaching new shared understandings
 Managing conflict
                                                              12
Evaluation




             13
Outcomes of social work education
Carpenter’s (2005)
levels of outcomes

                          4. Benefit to Users and Carers


                             3a. Changes in Behaviour
                       3b. Changes in Organisational Practice


                       2a. Changing Attitudes and Perceptions
                        2b. Acquisition Knowledge and Skills



                               1. Learner’s Reactions
Evaluation Data
                 Intervention
Control Group
                Group NQSWs
  NQSWs 9
                       5

         Consultant
           Social
         Workers 4
                                15
Evaluation Design
All NQSWs
• Time 1 (1) [start of training] and Time 2 (2) [end of
  training] self-evaluation questionnaire
• Vignette scenario at start (T1) and end (T2) of
  training
• Open questions about their training

Intervention Group Only
• Feedback on VIG training


                                                          16
• Carpenter's Levels 1, 2a and 2b

  – Learner’s Responses (Feedback Sheets on
    Training)

  – Changes in Attitudes and Perceptions (Self-
    evaluation questionnaire)

  – Acquisition of knowledge and skills (Vignettes)

                                                      17
1. Learners’ Responses to VIG
Very helpful in developing             Change of thought
communication skills and                  around [my]
     strengths based                   positives/strengths
 approaches. VIG clearly
has great potential for use
      in many roles.
                           Despite our initial        Negatives:
                          doubts, it has been           -Time
                          beneficial and a real      -Technology
 Has built                                            not always
                           privilege to have
   [my]                   had the opportunity
                                                       working

confidence                   to take part.
Changes in attitude/acquisition of
            knowledge and skills
• Please see handouts at back of slides

• Consultants – Increase in average confidence levels by 15
  points or more on all areas from T0 to T1.

• Control group – increases in confidence in 12/15 areas, one of
  15 points or more. Decrease in 3 areas, not related to
  communication skills.

• Intervention group – increases in confidence in 14/15 areas.
  and two areas where increases of 15 points or more.

• Two areas of difference between CG and IG can be linked to
  course syllabus of VERP training.
                                                                 19
Acquisition of knowledge and skills
• Positive differences in both groups between t0
  and t1 other than for
   – CG in Areas 4. 8. and 9
   – IG no areas but Area 9. no change

• Strong evidence of gains in areas 1. and 6. for
  both groups, with slightly better gains for IG

• Significant positive difference in Area 4
• Significant negative difference in Area 7
Conclusions and reflections
• Positive learners’ reactions to VERP after tricky start

• Increased self-confidence in skills with some greater
  increases for IG

• Increased knowledge evidenced most areas for both
  groups with similar gains.
   – Greater gains for IG in some areas related to VERP
   – But also greater gain for CG in one area (Area 7) and gains
     for CG in 1 or 2 areas that are hard to explain in terms of
     VERP alone
Conclusions and reflections
• Process
  – Teething problems
     • Time
     • Concerns about video recording
• Methods
  – Randomly allocating SWs to VERP unexpected
    problems
  – Were the vignettes the best method to pick up
    changes through VERP?
• VERP Learning
  – Very useful but from the micro to change of self

Verp project with newly qualified social workers

  • 1.
    VERP Project WithNewly Qualified Social Workers October 25th, 2012 Robin Sen (University of Sheffield) r.n.sen@sheffield.ac.uk 1
  • 2.
    Introduction • Introduce VIGand VERP • Focus on the process of what we did • Consider evaluation methodology and data for this project • Reflect on learning from the project 2
  • 3.
    Acknowledgments • Higher EducationAuthority • Rotherham Metropolitan Borough Council • Hilary Kennedy Avig
  • 4.
    AVIGuk Projects inUK March 2012 Social Work Health Education Charity University postgraduate 80 AVIGuk supervisors www.videointeractionguidance.net 750 trained practitioners At least 500 in training
  • 5.
    The core principlefor attuned interaction Returns look to Eg child points child, smiles at ball 1. Child‘s Initiative 2. Parent‘s Reception and then looks and looks back towards ball at parent saying ‘ball’ Context Saying ‘Yes, you Vigorous nod can see the ball up And returns 3. Parent‘s Response high. I think you look from 4. Child‘s Reception New initiative want it’. ball to parent In approving tone, looking from ball to child Pulls parent Parent gets ball down towards ball for child And points 5. Child‘s Response 6. Parent‘s Reception and gives it saying again looking (second turn) ‘there you are’ . Back at parent With friendly look and tone . Interaction can continue
  • 6.
    VIG and VERP VIG VERP • Parent-child interaction • Developed in the UK from • Roots in Netherlands (in VIG social work!) • Focus on inter-professional • Brought to UK in late communication and 1980s/90s interaction with service • Strong evidence based in users Netherlands • Tool for reflection on • Emerging evidence base practice
  • 7.
    Building blocks for Possible impact of each block parent as care-giver for child as care-seeker Is helped to manage difficult situations 3. DEEPENING or learn new things MEDIATED LEARNING DISCUSSION Developing the Enjoys being helped and learning attuned relationship GUIDING from their parents Enjoys interacting with their 2. ATTUNED INTERACTION parent INTERSUBJECTIVITY Experiencing being The core of Parent led received, parent commenting on attuned RECEIVING INITIATIVES what they are doing and their interactions wishes Knows their parents are ENCOURAGING INITIATIVES interested in what they are 1. doing and their wishes TOWARDS INTERSUBJECTIVITY Feels love, recognized Pre-requisite for BEING ATTENTIVE and important building attuned interactions
  • 8.
    The Project ‘Control Group’NQSWs ‘Intervention Group’ 11 NQSWs 6 Consultant SWs (4) SW Lecturers 2 8
  • 9.
    The format oftraining • Day One (Full Day) Introduction to VIG and techniques for filming and reviewing • Day Two (Half-day) Reviewing films and making plans for change • Day Three (Half-day) Review/ supervision session with strengths and working points. Introduction to difficult conversations with families • Day Four (Half-day) Review/ supervision session. Deepening discussion on difficult conversations • Day Five (Full day) Presentation of edited films by participants. 9
  • 10.
    Some key principles •Strengths based approach to work • Coaching/Guiding not Teaching approach • Parallel processes for ‘guider’ and ‘guidee’ • ‘Difficult’ conversations or ‘just’ conversations 10
  • 11.
  • 12.
    Turn Taking andDeepening Discussion Developing Attuned Interactions:  Waiting attentively from your turn  Giving a second (and further) turn on same topic  Giving and taking short turns  Interrupting long turns in the yes cycle Deepening the discussion by  Supporting goal-setting  Sharing viewpoints, collaborative discussion, problem-solving  Naming difference of opinion; contradictions/conflicts  Investigating the intentions behind words  Reaching new shared understandings  Managing conflict 12
  • 13.
  • 14.
    Outcomes of socialwork education Carpenter’s (2005) levels of outcomes 4. Benefit to Users and Carers 3a. Changes in Behaviour 3b. Changes in Organisational Practice 2a. Changing Attitudes and Perceptions 2b. Acquisition Knowledge and Skills 1. Learner’s Reactions
  • 15.
    Evaluation Data Intervention Control Group Group NQSWs NQSWs 9 5 Consultant Social Workers 4 15
  • 16.
    Evaluation Design All NQSWs •Time 1 (1) [start of training] and Time 2 (2) [end of training] self-evaluation questionnaire • Vignette scenario at start (T1) and end (T2) of training • Open questions about their training Intervention Group Only • Feedback on VIG training 16
  • 17.
    • Carpenter's Levels1, 2a and 2b – Learner’s Responses (Feedback Sheets on Training) – Changes in Attitudes and Perceptions (Self- evaluation questionnaire) – Acquisition of knowledge and skills (Vignettes) 17
  • 18.
    1. Learners’ Responsesto VIG Very helpful in developing Change of thought communication skills and around [my] strengths based positives/strengths approaches. VIG clearly has great potential for use in many roles. Despite our initial Negatives: doubts, it has been -Time beneficial and a real -Technology Has built not always privilege to have [my] had the opportunity working confidence to take part.
  • 19.
    Changes in attitude/acquisitionof knowledge and skills • Please see handouts at back of slides • Consultants – Increase in average confidence levels by 15 points or more on all areas from T0 to T1. • Control group – increases in confidence in 12/15 areas, one of 15 points or more. Decrease in 3 areas, not related to communication skills. • Intervention group – increases in confidence in 14/15 areas. and two areas where increases of 15 points or more. • Two areas of difference between CG and IG can be linked to course syllabus of VERP training. 19
  • 20.
    Acquisition of knowledgeand skills • Positive differences in both groups between t0 and t1 other than for – CG in Areas 4. 8. and 9 – IG no areas but Area 9. no change • Strong evidence of gains in areas 1. and 6. for both groups, with slightly better gains for IG • Significant positive difference in Area 4 • Significant negative difference in Area 7
  • 21.
    Conclusions and reflections •Positive learners’ reactions to VERP after tricky start • Increased self-confidence in skills with some greater increases for IG • Increased knowledge evidenced most areas for both groups with similar gains. – Greater gains for IG in some areas related to VERP – But also greater gain for CG in one area (Area 7) and gains for CG in 1 or 2 areas that are hard to explain in terms of VERP alone
  • 22.
    Conclusions and reflections •Process – Teething problems • Time • Concerns about video recording • Methods – Randomly allocating SWs to VERP unexpected problems – Were the vignettes the best method to pick up changes through VERP? • VERP Learning – Very useful but from the micro to change of self

Editor's Notes

  • #8 Fig 1.1.3 Building attuned relationship
  • #9 My motivations for undertaking the project: VIG training by self; evidence based intervention & SW knowledge developmentForrester and communication in SW
  • #10 In between training days exercises and an online support forum were provided to discuss editing videos and analysing the interaction within them. Targeted reading was also provided.
  • #12 Conversations in difficult circumstances, what are the principles of interaction here?Do the Rogerian, person-centred counselling principles apply? (Acceptance/UPR, congruence, empathy)Yes, but ‘social work’ conversations often different circumstances to ‘counselling’ conversationsApplying the positives of other conversations to these difficult onesAn example of personal learning from VERP – turn taking and deepening discussion
  • #20 Methodological issues – what participants say/think rather than do (but links to greater confidence and ability); do all the tasks relate to communication? Are the differences in scores ‘caused’ by VIG.