41
Riddhi Mukhopadhyay and Michelle Lucas Statewide Legal Advocate Training October 11, 2018 ADVOCATING FOR HIGH NEEDS CLIENTS TIPS & STRATEGIES

ADVOCATING FOR HIGH NEEDS CLIENTS · do not need to know the details) •Explain why you are asking sensitive questions •Respect privacy, safety concerns •Remember/reassure that

  • Upload
    others

  • View
    0

  • Download
    0

Embed Size (px)

Citation preview

Page 1: ADVOCATING FOR HIGH NEEDS CLIENTS · do not need to know the details) •Explain why you are asking sensitive questions •Respect privacy, safety concerns •Remember/reassure that

Riddhi Mukhopadhyay and Michelle Lucas

Statewide Legal Advocate Training

October 11, 2018

ADVOCATING FOR HIGH NEEDS CLIENTSTIPS & STRATEGIES

Page 2: ADVOCATING FOR HIGH NEEDS CLIENTS · do not need to know the details) •Explain why you are asking sensitive questions •Respect privacy, safety concerns •Remember/reassure that

Sexual Violence Legal Services

Holistic, trauma-informed, legal services for survivors of sexual violence through:

• Advocacy

• Education

• Litigation

• Resources

• Referrals

• A program of YWCA Seattle | King | Snohomish

Page 3: ADVOCATING FOR HIGH NEEDS CLIENTS · do not need to know the details) •Explain why you are asking sensitive questions •Respect privacy, safety concerns •Remember/reassure that

Sexual Violence Legal Services

Protection orders

Victim rights in criminal cases

Immigration

Employment

Education

Housing

Family law (hotline or consultations)

Other legal needs related to safety and

stability

Page 4: ADVOCATING FOR HIGH NEEDS CLIENTS · do not need to know the details) •Explain why you are asking sensitive questions •Respect privacy, safety concerns •Remember/reassure that

Trauma & High Needs Clients

Page 5: ADVOCATING FOR HIGH NEEDS CLIENTS · do not need to know the details) •Explain why you are asking sensitive questions •Respect privacy, safety concerns •Remember/reassure that

WHY IS A CLIENT HIGH NEEDS?

TRAUMA

Page 6: ADVOCATING FOR HIGH NEEDS CLIENTS · do not need to know the details) •Explain why you are asking sensitive questions •Respect privacy, safety concerns •Remember/reassure that

WHY IS A CLIENT HIGH NEEDS?

TRAUMA

Intersectionality

Polyvictimization

Cognitive barriers

Victim Blaming

Cultural Barriers

Lack of community

Page 7: ADVOCATING FOR HIGH NEEDS CLIENTS · do not need to know the details) •Explain why you are asking sensitive questions •Respect privacy, safety concerns •Remember/reassure that

WHY IS A CLIENT HIGH NEEDS?

Page 8: ADVOCATING FOR HIGH NEEDS CLIENTS · do not need to know the details) •Explain why you are asking sensitive questions •Respect privacy, safety concerns •Remember/reassure that

Trauma-Informed Advocacy

Attending to survivor’s legal needs, while considering non-legal needs:

• Adapting advocacy to survivor

• Affirming traumatized responses

• Awareness of systemic victimization and trauma

• Non-victim blaming language and conduct

• Resources and referrals

Page 9: ADVOCATING FOR HIGH NEEDS CLIENTS · do not need to know the details) •Explain why you are asking sensitive questions •Respect privacy, safety concerns •Remember/reassure that

Trauma-Informed Communication

• Set parameters (length of time you can discuss the case, types of information you can and can’t provide, etc.)

• Listen empathetically, but professionally• Reduce repetitive requests for traumatic narratives (you

do not need to know the details)• Explain why you are asking sensitive questions• Respect privacy, safety concerns• Remember/reassure that emotional responses are

normal, acceptable• Tell victim what to expect, as much as possible• Don’t be too hard on yourself (e.g., unexpected triggers),

an apology goes a long way

Page 10: ADVOCATING FOR HIGH NEEDS CLIENTS · do not need to know the details) •Explain why you are asking sensitive questions •Respect privacy, safety concerns •Remember/reassure that

High Needs Characteristics

Page 11: ADVOCATING FOR HIGH NEEDS CLIENTS · do not need to know the details) •Explain why you are asking sensitive questions •Respect privacy, safety concerns •Remember/reassure that

IMPORTANCE OF IDENTIFYING HNCs

“We are soft wired to

experience another’s plight as

if we are experience it

ourselves.”- Jim Rifkin “Empathetic Civilization”

Page 12: ADVOCATING FOR HIGH NEEDS CLIENTS · do not need to know the details) •Explain why you are asking sensitive questions •Respect privacy, safety concerns •Remember/reassure that

IMPORTANCE OF IDENTIFYING HNCs

Passion and dedication fuels

our work but can be a double-

edged sword with HNCs

▪ Brings us down

▪ Makes job more difficult or

ineffective

▪ Takes time and energy away

from other clients

▪ Source of additional stress

and burnout

Page 13: ADVOCATING FOR HIGH NEEDS CLIENTS · do not need to know the details) •Explain why you are asking sensitive questions •Respect privacy, safety concerns •Remember/reassure that

WHY IS A CLIENT HIGH NEEDS?

Difficult Personalities

▪ Creates conflicts with you

as an advocate

▪ Hinders your ability to do

your job

▪ Interaction is consistent

with other agencies and

individuals

▪ Can be because of the

trauma…but not always

Page 14: ADVOCATING FOR HIGH NEEDS CLIENTS · do not need to know the details) •Explain why you are asking sensitive questions •Respect privacy, safety concerns •Remember/reassure that

HOW TO IDENTIFY HNCs

Page 15: ADVOCATING FOR HIGH NEEDS CLIENTS · do not need to know the details) •Explain why you are asking sensitive questions •Respect privacy, safety concerns •Remember/reassure that

HOW TO IDENTIFY HNCs:FIVE STAGES OF HIGH NEEDS CLIENTS

DENIAL

“I don’t want to think about it”

“I’ll deal with it later”

▪ Protects us from being overwhelmed

Page 16: ADVOCATING FOR HIGH NEEDS CLIENTS · do not need to know the details) •Explain why you are asking sensitive questions •Respect privacy, safety concerns •Remember/reassure that

HOW TO IDENTIFY HNCs:FIVE STAGES OF HIGH NEEDS CLIENTS

ANGER

“It’s NOT FAIR!”

“What is it now?”

▪ When we start to face reality

Page 17: ADVOCATING FOR HIGH NEEDS CLIENTS · do not need to know the details) •Explain why you are asking sensitive questions •Respect privacy, safety concerns •Remember/reassure that

HOW TO IDENTIFY HNCs:FIVE STAGES OF HIGH NEEDS CLIENTS

BARGAINING

“What if I did this? Would that make you

happy?”

“Please, just give me a break!”

▪ Creates a temporary escape/hope for

us

Page 18: ADVOCATING FOR HIGH NEEDS CLIENTS · do not need to know the details) •Explain why you are asking sensitive questions •Respect privacy, safety concerns •Remember/reassure that

HOW TO IDENTIFY HNCs:FIVE STAGES OF HIGH NEEDS CLIENTS

DEPRESSION

“What’s the point?”

“I can’t do anything right in this case.”

▪ Reality starts to sink in for us

Page 19: ADVOCATING FOR HIGH NEEDS CLIENTS · do not need to know the details) •Explain why you are asking sensitive questions •Respect privacy, safety concerns •Remember/reassure that

HOW TO IDENTIFY HNCs:FIVE STAGES OF HIGH NEEDS CLIENTS

ACCEPTANCE

“How do I start dealing with this?”

“Ok, what do I need to do?”

▪ We start identifying solutions

Page 20: ADVOCATING FOR HIGH NEEDS CLIENTS · do not need to know the details) •Explain why you are asking sensitive questions •Respect privacy, safety concerns •Remember/reassure that

HOW TO IDENTIFY HNCs

FIVE CHARACTERISTICS OF HIGH NEEDS CLIENTS

▪ Multiple provider/agency failures

▪ High risk of violence

▪ High risk of abuse

▪ High risk of legal action

▪ High risk of suicide

Page 21: ADVOCATING FOR HIGH NEEDS CLIENTS · do not need to know the details) •Explain why you are asking sensitive questions •Respect privacy, safety concerns •Remember/reassure that

PREEMPTIVE STEPS

Page 22: ADVOCATING FOR HIGH NEEDS CLIENTS · do not need to know the details) •Explain why you are asking sensitive questions •Respect privacy, safety concerns •Remember/reassure that

PREEMPTIVE STEPS

▪ Explain Rights & Responsibilities

(orally and in writing)

▪ Client’s responsibilities

▪ Agency’s responsibilities

▪ Create clear expectations and boundaries

▪ How often you will check messages

▪ How often you can get back

▪ What will prompt you to make contact

Page 23: ADVOCATING FOR HIGH NEEDS CLIENTS · do not need to know the details) •Explain why you are asking sensitive questions •Respect privacy, safety concerns •Remember/reassure that

PREEMPTIVE STEPS

▪ Develop a Service Plan

(orally and in writing)

▪ Explain all options and procedures

▪ Client chooses best option

▪ Give client ‘homework’

▪ Demonstrates commitment to the case

▪ Clarifies client’s understanding

▪ Assign based on client’s ability

Page 24: ADVOCATING FOR HIGH NEEDS CLIENTS · do not need to know the details) •Explain why you are asking sensitive questions •Respect privacy, safety concerns •Remember/reassure that

PREEMPTIVE STEPS

▪ Maintain notes

▪ Conversations about next steps

▪ Balance with privilege/subpoena considerations

▪ Continue to acknowledge trauma

▪ Goal is to understand beneficial communication style

▪ Listen to the client

▪ Story and description of self

▪ Questions

▪ Humor and non verbal cues

Page 25: ADVOCATING FOR HIGH NEEDS CLIENTS · do not need to know the details) •Explain why you are asking sensitive questions •Respect privacy, safety concerns •Remember/reassure that

EXPECTATIONS OF HNCs

Most of us are good about managing client

expectations…

but some clients expect beyond what is

realistic.

Page 26: ADVOCATING FOR HIGH NEEDS CLIENTS · do not need to know the details) •Explain why you are asking sensitive questions •Respect privacy, safety concerns •Remember/reassure that

HIGH NEEDS PERSONALITIES

Page 27: ADVOCATING FOR HIGH NEEDS CLIENTS · do not need to know the details) •Explain why you are asking sensitive questions •Respect privacy, safety concerns •Remember/reassure that

HIGH NEEDS PERSONALITIES

The Hostile/Aggressive Client:

▪ Confrontational and pushy

▪ Belittling of you in front of others

▪ Makes you question the quality of your work

▪ Possible Responses:

▪ Anger is acceptable, abuse is not

▪ Tell them you cannot help when abusive

▪ Set limits, step away

▪ Rely on the facts, not emotion

▪ Allow them to ‘save face’

Page 28: ADVOCATING FOR HIGH NEEDS CLIENTS · do not need to know the details) •Explain why you are asking sensitive questions •Respect privacy, safety concerns •Remember/reassure that

HIGH NEEDS PERSONALITIES

The Know-It-All Client:

▪ Low tolerance for contradiction/correction

▪ Dominates conversation

▪ Imposes opinion and knowledge on everything

▪ Possible Responses:

▪ Know your facts and be prepared

▪ Listen carefully and paraphrase

▪ Use questions to raise issues

▪ Stay issue focused

▪ Use their names in the conversation

Page 29: ADVOCATING FOR HIGH NEEDS CLIENTS · do not need to know the details) •Explain why you are asking sensitive questions •Respect privacy, safety concerns •Remember/reassure that

HIGH NEEDS PERSONALITIES

The Yes WoMan Client:

▪ Agrees without thinking through

▪ Wants to please and not disappoint

▪ Seeks approval

▪ Possible Responses:

▪ Empower, do not decide for them

▪ May need time to come back/think

▪ Remind them their opinion has value

▪ Give them permission to say ‘no’

▪ Have them talk through pros and cons of options

Page 30: ADVOCATING FOR HIGH NEEDS CLIENTS · do not need to know the details) •Explain why you are asking sensitive questions •Respect privacy, safety concerns •Remember/reassure that

HIGH NEEDS PERSONALITIES

The Nonresponder/Staller Client:

▪ Hopes a better choice will present itself

▪ No verbal or non verbal feedback

▪ Uncertain and timid, difficulty speaking honestly

▪ Possible Responses:

▪ Ask them what is preventing action

▪ Don’t fill the silence

▪ Hold them to deadlines

▪ Provide resources and may need time to comeback/think

▪ Ask open-ended questions; start with non-threatening topics

Page 31: ADVOCATING FOR HIGH NEEDS CLIENTS · do not need to know the details) •Explain why you are asking sensitive questions •Respect privacy, safety concerns •Remember/reassure that

HIGH NEEDS PERSONALITIES

The Pessimist/Whiner Client:

▪ No idea works or is fair

▪ Avoids taking responsibility

▪ Everyone else needs to solve the problems

▪ Possible Responses:

▪ Don’t respond if they are blaming you

▪ Don’t sympathize if they are at fault

▪ Make them propose solutions

▪ Make sure their presentations of the facts are correct

▪ Set clear boundaries, individually and as an organization

Page 32: ADVOCATING FOR HIGH NEEDS CLIENTS · do not need to know the details) •Explain why you are asking sensitive questions •Respect privacy, safety concerns •Remember/reassure that

HIGH NEEDS DOs and DON’Ts

Page 33: ADVOCATING FOR HIGH NEEDS CLIENTS · do not need to know the details) •Explain why you are asking sensitive questions •Respect privacy, safety concerns •Remember/reassure that

HNC DOs

▪ Choose your words and your battles

▪ To escalate or deescalate?

▪ Assume positive intent

▪ Less “but,” more “and”

“I feel your are angry but…” v. “I hear you and…”

▪ Default to transparency

▪ Be clear about other clients you are serving/budgeted time

▪ Admit limited knowledge or mistakes

▪ Acknowledge being treated disrespectfully

▪ Avoid “I feel” with overly emotional clients

Page 34: ADVOCATING FOR HIGH NEEDS CLIENTS · do not need to know the details) •Explain why you are asking sensitive questions •Respect privacy, safety concerns •Remember/reassure that

HNC DOs

▪ Propose reasonable fixes

▪ Should be attainable but does not have to be perfect

▪ They may bring up potential obstacles

▪ Acknowledge, but stand strong

▪ Respectful interruptions

▪ Use their name

▪ Use precise language in response to exaggerations

▪ Summarize

▪ Be clear in your role

▪ Develop concrete objectives/steps (provide in writing)

Page 35: ADVOCATING FOR HIGH NEEDS CLIENTS · do not need to know the details) •Explain why you are asking sensitive questions •Respect privacy, safety concerns •Remember/reassure that

HNC DON’Ts

▪ Do not take it personally

▪ Do not circle talk

▪ Do not try to solve every problem

▪ Do only “what is needed” to help client feel more secure

▪ Be effective and functional, not client’s everything

▪ Do not accept verbal abuse

▪ Step away from shouting/insulting/blaming

▪ Respond to conflict but avoid baiting/presupposition

▪ Do not default to savior/rescuer mentality

Page 36: ADVOCATING FOR HIGH NEEDS CLIENTS · do not need to know the details) •Explain why you are asking sensitive questions •Respect privacy, safety concerns •Remember/reassure that

TEAM APPROACH

Page 37: ADVOCATING FOR HIGH NEEDS CLIENTS · do not need to know the details) •Explain why you are asking sensitive questions •Respect privacy, safety concerns •Remember/reassure that

TEAM APPROACH

Key principle: You do not have to be alone

▪ Venting is self-care▪ Let team know you’re overwhelmed▪ Ask for input/assistance

▪ List or staff cases of high needs clients ▪ Without preemptive steps, takes much of their time▪ Develop response plan with staff (interrupting

meeting or being nearby)▪ Create agency/team wide notification system for

hostile situations

Page 38: ADVOCATING FOR HIGH NEEDS CLIENTS · do not need to know the details) •Explain why you are asking sensitive questions •Respect privacy, safety concerns •Remember/reassure that

TEAM APPROACH

Integrity of the agency and team comes first:

▪ Sometimes the best decision is to walk away▪ Sometimes you may have to terminate the client

relationship▪ Does not prevent the agency from providing

services in the future▪ Even in client-centered services, cannot work with a

client who is unwilling to work with you

Page 39: ADVOCATING FOR HIGH NEEDS CLIENTS · do not need to know the details) •Explain why you are asking sensitive questions •Respect privacy, safety concerns •Remember/reassure that

TRUST YOURSELF

REMEMBER: You are the professional.

THANK YOU!

Clients need your:

▪SKILLS

▪HELP

▪EXPERIENCE

Page 40: ADVOCATING FOR HIGH NEEDS CLIENTS · do not need to know the details) •Explain why you are asking sensitive questions •Respect privacy, safety concerns •Remember/reassure that
Page 41: ADVOCATING FOR HIGH NEEDS CLIENTS · do not need to know the details) •Explain why you are asking sensitive questions •Respect privacy, safety concerns •Remember/reassure that

Need Technical Assistance?

Email us

Send us a referral by email. Copy of referral form attached to the end of handout:

[email protected]

Call us

Encourage self-referral through our legal line. If you are not sure if the client needs a referral, call to staff a case with us:

(844) 999-SVLS (toll free)

(206) 832-3620

Find us online

See if the resources on our website are helpful:

www.svlawcenter.org