In My Shoes: Interactive computer assisted interview - BASPCAN Belfast 2012 www.inmyshoes.org.uk

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In My Shoes: Interactive computer assisted interview - BASPCAN Belfast 2012 www.inmyshoes.org.uk
In My Shoes: Interactive computer assisted
                 interview

                    BASPCAN
                    Belfast 2012
                www.inmyshoes.org.uk
           www.childandfamilytraining.org.uk

              Bill Joyce & David Glasgow

                Child & Family Training
In My Shoes: Interactive computer assisted interview - BASPCAN Belfast 2012 www.inmyshoes.org.uk
• Developed over last 23 years
• Original ‘pump priming’ grant from Liverpool
  University in 1989

• Development funded by DoH grant for 6 years
• Supported (2002-2004) by the Instone Bloomfield
  Charitable Trust

• IMS training organised by Child and Family Training
  (York), a not-for-profit organisation running training
  for the DCSF evidence based assessment tools.
In My Shoes: Interactive computer assisted interview - BASPCAN Belfast 2012 www.inmyshoes.org.uk
Messages from Serious Case
          Reviews
“One overarching theme dominates-the
enduring problem of the child being lost.
The theme of children not being seen or
heard is a feature of most studies of SCRs”
• Children insufficiently consulted or spoken
  to
• Siblings not interviewed
• Not around or kept out of sight
• Chose not to or were unable to speak.

(Understanding Serious Case Reviews and their impact DfE
2009)
In My Shoes: Interactive computer assisted interview - BASPCAN Belfast 2012 www.inmyshoes.org.uk
Messages from Serious Case Reviews
 “Above all, previous Ofsted reports have
 identified that too often the focus on the
 child was lost; adequate steps were not
 taken to establish the views and wishes and
 feelings of children and young people, and
 their voice was not heard”

 • Child not seen frequently enough and not
   asked
 • Professionals prevented from seeing and
   listening to children
 • Focus too much on needs of the parents
 • Findings poorly interpreted.

 “The voice of the child: Learning Lessons from SCRs (Ofsted
 April 2011)
In My Shoes: Interactive computer assisted interview - BASPCAN Belfast 2012 www.inmyshoes.org.uk
Having a Say in What Happens
How often children are asked their opinion on things that matter
Always                            28%
Usually                           29%
Sometimes                         29%
Not usually                       10%
Never                             4%

How much difference children’s opinions make

Always                            20%
Usually                           34%
Sometimes                         31%
Not usually                       10%
Never                             5%

          Little change from 2008 monitor
                Children’s Care Monitor 2011 (Ofsted 2012)
In My Shoes: Interactive computer assisted interview - BASPCAN Belfast 2012 www.inmyshoes.org.uk
Principles in development of In My Shoes

• Simplicity. The program should be
  simple to use for child and adult.

• Enjoyment. The package should be
  fun and interesting for children and
  help establish rapport with the
  interviewer.

• Three way communication. The
  interview process is a three way
  process between the child, computer
In My Shoes: Interactive computer assisted interview - BASPCAN Belfast 2012 www.inmyshoes.org.uk
Principles in development

Forensic considerations

• One intended use of the In My Shoes is in
  interviewing where abuse is suspected.

• The quality of information gathering and recording
  has to be acceptable in court.

• There should be no risk of the child being exposed to
  any images or questioning that might lead or disturb
  the child or vulnerable adult.
In My Shoes: Interactive computer assisted interview - BASPCAN Belfast 2012 www.inmyshoes.org.uk
Principles in development

Tamper proof record

• All responses on the computer are logged by the
  program, providing a time and date stamped record of
  the session.

• Scenes created during In My Shoes sessions can be
  printed out and used as a basis for further assessment
  and therapeutic help.

• Text and drawings can be inserted and recorded.
In My Shoes: Interactive computer assisted interview - BASPCAN Belfast 2012 www.inmyshoes.org.uk
Principles in development
Interface: speech and signing.

• The facilitation of communication with people where
  spoken language is difficult.

• Program can potentially be delivered in any language.

• Program enables the use of different guides e.g. from
  different ethnic minority groups, using different
  languages, or augmented communication techniques
  e.g. SSE - Signed Spoken English
In My Shoes: Interactive computer assisted interview - BASPCAN Belfast 2012 www.inmyshoes.org.uk
Goals of In My Shoes

• To develop a computer assisted
  interviewing package enabling very young
  and disabled children to communicate
  abuse experiences
• To reinforce collaborative, external focus of
  attention
• To continue development of symbolic
  representation of objects & abstractions in
  symbol supported interview
Symbol Supported Interview is nothing new:

The explicit and agreed use of any object, not as itself, but
 as a representation for something else which is typically
              either not present or intangible
British CP (Child) use of free drawing
                                 Bekhit et al (2005)
Never
Occasionally
Moderately
Frequently
Always                           18%
                     12%

                                       18%
               36%

                           15%
The Venerable FRT
The youthful SCARF
Scenotest (Hogrefe)
The Oucher Pain Scale
    www.oucher.org
Makaton Faces
IMS: Iterative, small/single N development
                            methodology

                                                          Develop
    Elicit
                     Develop paper         Paper         computer
communicative
                        symbol          prototype        procedure
drawings from
                      prototype           testing        prototype
   children

                                                         Computer
                                                         prototype
                                         Revision          testing

                       Feedback &       Distributed      Integration
                         feature        to team &          into IMS
                        requests           users         Application
•   Examples of initial drawings
Critical triad for secure use of symbols
      (From empirical literature)

   1.   Dual Representation
   2.   Symbolic Stability
   3.   Communicative Intent
Symbols & Communicative Intent:
             DeLoache 2004

Balloon                        Lollipop

                                   Experimenter

    Child
More detail is sometimes better.. (Allen et al 2010)
But young children value prototypicality over detail

                                  Allen et al 2010

                                  Figures on right
                                  selected by children to
                                  be symbols of verbal
                                  category
Our own brush with too much detail
… 3D symbols better behind glass

                                DeLoache (2000)
                               DeLoache used a model
                               room to show young
                               children where a toy was
                               hidden in a real room with
                               identical layout.

                               A glass fronted model lead
                               to greater success -
                               measured by child finding
                               toy in real room.
Thought bubbles enable young
children and children with autism to
not only pass false-belief tests, but
also related theory of mind tests

                 ...and enhance the distinction
                 and links between thoughts,
                 emotions and beliefs

   Speech bubbles create
   “slow throwness”*

                              Bubble Dialogue - McMahon
Facets of symbolic representations

         • Physical context/setting
         • People
         • Affect
         • Sensations/pain
         • Speech
         • Thought
     +

         • Post Hoc interpretation/processing
          i.e., messages about above.
IMS symbolic representations

                            Emotions
                                       Thoughts & Speech

People

                   Narrative &
                  Conversation

                                         Messages
                        Places

Sensations
Mary the guide, and the people chooser
British Sign Language Guide
The emotions module
The somatic experiences module
This Much! iPad Interactive visual analogue scale
This Much! iPad Interactive visual analogue scale
This Much! Interactive visual analogue scale in use
                 (5 year old girl)
Oliver: Use of emotion symbols
Oliver: Don’t interrupt the guide!
Use with an adult
And a teenager with ASD
Excerpts from a results file (real cases)
4 ½ year old girl’s symbolic representations of
injuries & fatal blow to her 18 month old sibling

    “He had them all over”       He just went like that!
    (q)                          (gesture punch)
    “I could see them when his
    nappy was changed”
Somatic experiences described by a boy (6)

                   ‘Wizzered
     Punched       ’ by Sam
     at school

   ‘Wee’
   started
   burning

 Fell on
 barbed wire                     ‘Hurt’ by
                                 sam

Mum trapped
my toe in
Kitchen door by
accident
Message:
========
He done funny things that scared me. Not
slapped me. That don’t scare me.
(?)Just funny things that scared me.

I don’t want to see him no more. Not even for
£5.
Private Law contact dispute: 4 ½ old girl

                  “Sometimes he shouts at me
                  and I did feel really scared. I
                  told my mum he has a baby
                  dragon in his tummy
                  because he's so big. He
                  doesn't really, I just said it.”

                  “Dad, I want to stay with my
                  mummy and come to your
                  house and play and my mum
                  come to pick me up and go
                  back home”
Private Law contact dispute, 7 year old child from ‘EBD’ school

                                        “marks came on my
                                        back from his hands
                                        i don't remember
                                        any of that but my
                                        mum said it.”
10 year old girl with very significant learning
              disability & ADD
10 year old girl with very significant learning disability & ADD

                      Symbol Supported narratives

          Routine                                  Distress
                                          [Brother is] pestering nan
    “My mums tooken tiger to              swearing at us and stuff,
    vets he spewed up. Hes got a          makes no…. ….can’t say it.
    tablet one a day and one a            [Clearly uncomfortable &
    night”                                embarrassed]

    uyyyyjjjjjkkkkkkkkkkkkkkkkkkk
    kkkkkkkkkkkkkkkkkkkto
    jr;r [sound of ‘cat spewing’]

Veracity of routine narrative adds confidence to distress related narrative
7 year old girl interviewed re neglect
In My Shoes: Interactive computer assisted
                 interview

                    BASPCAN
                    Belfast 2012
                www.inmyshoes.org.uk
           www.childandfamilytraining.org.uk

              Bill Joyce & David Glasgow

                Child & Family Training
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