Attachment Style Interview for children's services
Introduction
Training packages are available to workers in Adoption and Fostering (ASI-AF) and Child Care (ASI-CC). The Attachment Style Interview itself is exactly the same it is only the training that differs slightly. The differences in training are that case studies and implementation discussions are geared towards adoption and fostering in those services and child care for practitioners working in that field. The ASI Interview Pack, which is used to administer and rate the measure is the same for both and called ASI Interview Pack for Adoption/Fostering and Child Care.
The ASI is an assessment tool that assesses characteristics of parents
and carers in terms of their quality of close relationships, social
support and security of attachment style. Originally designed in the
research field, its relevance in assessment in children's services is
for gauging adequacy of carer support in terms required in the ‘Preparing
and assessing prospective adopters, June 2006’ DfES (link)
as well as anticipating ability to access-support from services if needed
in the post-placement phase. It requires training in its use (see training
information).
The ASI for children's services is based on a research interview for
parents used extensively in research studies to examine psycho-social
risks for emotional problems. Its reliability and validity is established
among researchers (including several cross cultural studies) and high
levels of association are found with social factors such as poor support,
low self-esteem and early adverse childhood experience. Recent research
is also looking at its association with parenting. Its introduction
into the adoption/field is comparatively new, with the training package
finalised in the last two years. There is ongoing evaluation of its
use in practice. It is an interview assessment that takes around an
hour to administer and around two hours to score and write up. As with
any standardised tool used in assessment, it is only one of a number
of sources that need to be taken into account in making judgements about
carer suitability and resilience.
The ASI relevance to Children Services is:
* As a means of predicting parents' support needs post-placement and
tracking such needs over the course of crises that may arise with the
placed child.
* To provide social workers in the field with a new tool in assessing adoptive parents current supportive network, quality of close relationships and relating ability to help establish their likely resilience and ability to provide a stable family context for children.
* Its origins in scientific research outside the adoption field give
it a useful independence of benchmarking, which provide for transparency
and credibility in generating information relevant to family functioning.
Read an article from Adoption Today magazine describing the use of ASI as a pre-adoption assessment tool.
**
please note:
ASI training has recently been expanded for use by Child Care teams (in addition
to Adoption and Fostering teams). The new interview itself is identical
to that of the original ASI-AF but implementation issues are focused on child care practice.
This
new ASI will be particularly useful in Children's Social Care because
it assesses strengths, resilience and risks in individuals, the couple
relationship and the support system of families of children who have
been significantly harmed or who are in need. It also contributes
to determining the impact of these individual and family factors (which
relate to the Family and Environmental Factors domain of the Assessment
Framework) on the capacity of parents to provide adequate care to meet
the needs of their children i.e. their Parenting Capacity. The
aim of this ASI will therefore be to form a crucial part in information
gathering, analysis and planning outcome-focused interventions in the
context of safeguarding children and supporting children in need and
their families. The ASI is one of a range of assessment tools developed
to assist professionals in making standardised, evidence-based assessments
of children and their families.
Summary
of ASI-AF and ASI-CC training information
Both ASI-AF and ASI-CC
training course will enable practitioners to administer and reliably
score the ASI, an interview which assesses characteristics
of parents and carers in terms of their quality of marriage, social support
and attachment style. The ASI is one of the few attachment style
interviews which has a transparent method of questioning and scoring
to assess both secure and insecure relating styles. The ASI does
not assess parenting or the parents' own early experience.
The
ASI training was developed by Professor Antonia Bifulco
and her team at the Lifespan Research Group, Royal Holloway, University
of London. Liza Bingley-Miller, National Training Co-ordinator
for Child & Family Training and her team of trainers
now undertake all ASI-AF and ASI-CC training in the UK.
ASI-AF
and ASI-CC Training Information
All ASI-AF and ASI-CC training, both for agencies and individuals on 'generics'
is run by Liza Bingley-Miller and her team at Child and Family Training.
The training package for social care practitioners in the Adoption/Fostering
and Child Care fields involves attendance at a 4-day training workshop
to enable the reliable use of this assessment tool in practice settings.
Trainings can be held on team sites or individuals can attend those
centrally held in London or York. Agency-specific/team
training held on team site can be arranged where required. The minimum
number of trainees is 10 and maximum number of people we can train
in one session is 16. 4-day ‘generic' training
workshop held in Central London and York for practitioners wanting
to learn to use the ASI reliably.
Additional arrangements can be made for further evaluation of the
ASI in practice conditions, continued consultation and/or ‘quality
control' of its use with Professor Bifulco and her team if required.
For prices and further information please contact:
for all ASI-AF and ASI-CC training (team and generics) call or email Liza Bingley
Miller, National Co-ordinator, Child & Family Training.
t 01904 633 417
Liza.Miller@childandfamilytraining.org.uk
www.childandfamilytraining.org.uk
ASI Training workshop timetable
(4 days)
-
Day 1: An overview of the ASI categories and rating
procedures, the interview and rating system. Introduction to scoring
quality of marital relationship, support and relating ability.
-
Day 2: Intensive training in scoring quality of
marital relationship, support and relating ability. This will be
aided by video and audio-taped interviews and vignettes of parents
support-contexts. Introduction to assessing attachment style.
- Day
3: Intensive training in assessing attachment style in
terms of secure and insecure styles and those enmeshed, fearful,
dismissive and withdrawn. Trainees will acquire reliable scoring
of interviews and vignettes.
- Day
4: Trainees will return after completion of a pilot interview
to discuss rating thresholds and experiences of administering the
interview in adoption/fostering or child care practice.
ASI Interview Packs
available for order
(only available to order for those who have completed the full ASI 4 day training)
Both ASI-AF and ASI-CC use the same Interview Pack. Printed
and bound copies of the that ASI Pack are also available for purchase for
users that have completed the four day ASI training course and hold
a certificate of attendance. The pack contains the scoring instructions
necessary for assessing quality of support, attachment attitudes and
overall attachment style. The pack is important for assessing carer
characteristics and is referred to by the DfES.
Download a Word document with further information, up-to-date prices and a pack
order form. (Please note that the ELECTRONIC version of ASI pack is now also available, with a year's licence for agency use - see below for details)
 front cover.jpg)
Electronic Attachment Style Interview pack
Due to numerous requests Lifespan have developed an electronic version of the pack utilising the latest PDF technology for convenience of use, for data sharing, and to fulfil agency demands for
electronic storage of evidence-based assessment records.
The PDF Acrobat format document enables the Electronic ASI to be shared amongst members of an organisation and can be re-used an indefinite number of times throughout its licence period. Download Electronic ASI flyer and for more information.
Contact us for further information.
Teams
who have commissioned ASI-AF and ASI-CC training
Adoption
and Fostering
Adoption Matters
Adoption NCH
Bedford Adoption Plus
Bedford Foster Plus
Bedfordshire Social Services
Berkshire Adoption Advisory Service
Bexley Council
Birmingham Social Services
Bournemouth Borough Council Social Services
Buckinghamshire Children's Services
By the Bridge
Cambridgeshire Children's Services
Camden Social Services
ChildLink Adoption Society
City of York Counci
Coventry Social Services
Derbyshire County Council
Derry Social Services Training Team
East Sussex Adoption and Permanence Team l
Essex Social Services
Family Care Ltd
Five Rivers FPS
Fostercare NCH
Greenwich Adoption Team
Halton Borough Council
Herefordshire
Social Services Hull City Council Children and Families Service
Hertfordshire County Council
Hounslow Council
Hull City Council
Kent County Council
Leeds Social Services
Leicester Council
Lewisham Social Services
London Borough of Bexley
London Borough of Ealing
London Borough of Hammersmith/Fulham
London Borough of Hounslow
London Borough of Tower Hamlets
London Borough of Wandsworth
Medway Council
N Ireland Health Trust
Phoenix Fostering
Plymouth Adoption and Fostering teams
Poole Children and Families Services
Portsmouth City Council
Reading Borough Council
Sheffield City Council
Solihull Adoption Team
SSAFA
Staffordshire County Council - Directorate of Children, Young People and Families
Stockport Council
Suffolk Adoption Agency
Suffolk Children's Services
Surrey Adoption & Permanency Team
Surrey Fostering Teams
TACT
Wandsworth Borough Council
Wirral Borough Council
Child Care
Ealing Council
Halton Borough Council
Powys Children Services
Collaborative arrangements
BAAF
Family Futures
FAST Team, Beds County Council
Lucy Faithfull Foundation
St Christopher’s Fellowship
Surrey Adoption & Permanency
Forensic/CAMHS/other
CAMHS Gloucestershire NHS
CONNECT Service - Suffolk Mental Health
SWAAY
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Comments on ASI- AF Training
in general
Very good trainers at helping us to understand the ASI and allow us to implement it .
The (knowledge gained at this) course will be helpful to me in ascertaining carers’ resilience and ability to seek help. It will enable me to know what kind of support to offer...
It will be beneficial when assessing foster carers as permanent foster carers.
Even outside the formal ASI this course has given me ideas for a different direction for supervision and quality assurance of PARs.
Thank you for some very skilled and significant training
March/April 2010
The course was very clear from the outset and completely fulfilled my expectations. . ..
Course trainers are clearly very knowledgeable, positive and inspiring, thank you.
The course will contribute to my greater understanding of support needs of foster carers.
As a panel member and a foster carer, this course will be relevant to both.
This will be a great tool in accessing key information and evidencing this within the PAR.
(I feel the course) should ensure greater matching success and more carefully tailored support packages... I hope it will help with counselling out unsuitable applicants, assessment and matching.
Most enjoyable training I have done in a long time with the most application uses.
October/November 2009
The
course fulfilled my aims and helped me to look at ways to focus my work
during assessment. It gave me a better understanding of the support
people need and who they are. The trainers gave good examples, listened
and helped me work through ideas. They were very approachable and encouraged
discussion.
June/July 2009
Excellent
course... really useful tool in terms of family placement work, well
explained, good content, relevant examples. I felt the learning process
was well organized, coherent and effective. Content of course (was)
highly relevant to daily work, development of skill in an evidence based
tool, useful for reports and court. Trainers were very effective, supportive
and approachable. They provided delivery of complex material in relaxed
manner conducive to learning.
(I found ASI tool) very relevant to assessments of parenting and planning
re possible intervention. In assessments that are particularly difficult,
this tool could help move work on. I now have a greater awareness of
how a person’s attachment style can impact upon a child’s
placement, issues to be aware of. It’s refreshing to have such
specific input and a new practical tool to inform practice
March/April 2009
Thoroughly
enjoyed the course, the best training I have ever had (I’ve had
lots), thank you!
A credit to (the trainer) that she was able to maintain a high level
of content and involvement throughout the day, best course I have been
on in years.
Excellent, interesting and informative cause, well presented by course
presenter.
(The trainers) were very experienced, right balance of friendly presentation
and keeping focus on serious aspects of the content. The course was
very encouraging, enabling.
February/March 2009
Training
has been excellent and has met my expectations above which were based
on prior knowledge and reading. The trainer was excellent and communicated
positively with the group – very well motivated and enthusiastic
with obvious sound knowledge of the subject.
November 2006
The course was very well designed with ample opportunities for discussion,
and allowing the group to work at a steady pace. The workshop leader
was very helpful and explained some complicated things clearly. On the
whole it was very interesting and stimulating.
An interesting model with a lot to get through but worked through
logically and clearly. Lots of practice offered to consolidate learning.
Small group facilities open discussion and questions.
February 2006
Thought provoking but enjoyable. Feels as if it will prove a particularly
effective tool for use in its entirety or in parts in many areas of
my work.
Very interesting course. Could see it being useful for Post Adoption
Support as it would identify areas where help is needed at the time
of need. Would also use the ASI within adopted adults counselling –
to ascertain the support they would need to the type of attachment they
have. Many thanks.
January 2006
I have both enjoyed this training as well as being challenged intellectually
and emotionally. The ASI is something I will use in my practice as well
as a continuing learning where I will look closely at the importance
of Attachment Theory. This training has enhanced both my knowledge base
as well as the decision making that am having to do. Thank you.
June 2005
Very interesting course. I haven’t had to think so much for
sometime. I enjoyed having my brain stimulated in a different way! It
is good the way it all came together as quite confused after the 1st
day. Structure very helpful in guiding me through to an understanding.
Many thanks.
November 2004
Comments on use of ASI-AF in practice
Certain questions have elicited useful information for
example asking people for actual evidence of confiding (rather than
relying on generalisations).
I undertake attachment style interviews as the first step of the assessment
for prospective foster carers and adopters and use it systematically.
The ASI-AF provides our agency with an additional tool in assessing
prospective cares and adopters. It helps social workers recognise both
weakness factors and resources in regards to carer’s ability to
manager and function under stressful situations. Its use is definitely
optimised if undertaken at the first stage of the assessment. It offers
a deep understanding of the applicants’ attitudes and feelings
and of their close supportive relationships.
It has offered great insight into a carers’ attachment style,
more so than the BAAF Form F alone.
(ASI-AF has offered) More comprehensive insight into individual functioning,
and has provided a theoretical basis by which we can explain a carers
approach to the care of a child. This has helped to provide or recommend
the most suitable package of support. Objective and tangible model rather
than being subjective and swayed by interviewees’ style.
Frequently Asked Questions:
How
does ASI measure attachment?
The
ASI measure adult attachment style in relation to a person's ability
to access and utilise social support. As such it belongs to the ‘social
psychology' strand of investigation of attachment style. The ASI
provides a categorisation of attachment style for individuals, as well
as assesses their specific support context and quality of close relationships.
The resulting attachment profile not only determines which style best
characterises them (e.g. Secure, Enmeshed, Fearful, Angry-dismissive
or Withdrawn), but also the extent to which the insecure styles are
dysfunctional in terms of whether the person is ‘Markedly', ‘Moderately'
or ‘Mildly' Insecure. This is important, given evidence that ‘Mildly
Insecure' styles carry less risk of mental health problems.
Does the ASI measure parenting behaviour?
It
should be stressed that the ASI does not assess parenting behaviour.
However, the measure has been shown to predict depression and marital/partner
problems, which are correlated with parenting problems. Highly insecure
attachment styles also relate to low self-esteem, conflictful or distant
relationships and adverse childhood experience. The ASIs role in
the adoption/fostering process is primarily to aid in the identification
of both vulnerability and resilience factors in carers in order to promote
the latter. These are framed in terms of having a suitable support network
and appropriate help-seeking in crises, which will aid in keeping placements
stable.
What
are the research background & findings to the ASI?
The
ASI interview for adults has been used extensively in research studies
to examine psycho-social risks for mental health problems. The research
team at Lifespan Research Group, Royal Holloway (University of London),
led by Professor Antonia Bifulco, designed the interview on the basis
of extensive earlier study on support and cognitive vulnerability for
depression. The team have published their research findings on community
studies of mothers and their adolescent offspring, as in pregnant mothers
and the postnatal period. These papers are summarised in the appendices.
The
ASIs reliability and validity is established among researchers (including
several cross-cultural studies) and good inter-rater agreement has been
found in three different studies. This followed the training and use
of a training manual which ensured that different research teams internationally
could use the ASI consistently. The ASI-AF and ASI-CC training package is based
on the same approach.
The
ASI has been used in different age groups, in high-risk community
groups, in an antenatal series and cross-culturally with consistent
results in terms of increased vulnerability of those with highly insecure
styles to depression. ‘Highly Insecure' attachment styles are a significant
predictor of major depression and postnatal depression in women; they
also relate significantly to other vulnerability factors such as low
self-esteem, poor support and childhood neglect and abuse. However,
there is evidence that a ‘Mildly Insecure' attachment style does not
elevate risk of depression. Thus it is important to assess not only
the type of attachment style, but also the degree of insecurity or relationship
impairment associated with it.
What
is meant by Secure attachment style?
A
secure attachment style, in terms of the ASI, refers to good ability
to make and maintain close supportive relationships. It also refers
to having positive attitudes towards others in terms of trust and being
able to attain closeness, being self-reliant and having low levels of
anger and fear in relating to others. Prevalence figures show that just
under half in a general community sample have ‘Clearly Secure' attachment
style, with around a third having a ‘Mildly Insecure' attachment style
and about 20% a ‘Highly Insecure' attachment style. There is no evidence,
as yet, determining the proportions in adopting/fostering carers; however,
a small-scale pilot study suggests similar rates. Mild levels of insecure
attachment (‘Mildly Insecure') are usually categorised along with those
Clearly Secure. There is no evidence that individuals with mildly insecure
styles cope less well in relationships. For example, recent research
analysis found that those who had bad childhood experiences but ‘Mildly
Insecure' attachment were less likely to suffer from depression than
those with bad childhood experiences and ‘Highly Insecure' attachment
styles rated on the ASI. Thus those with Mildly Insecure styles may
prove to be resilient individuals who have ‘worked through' their own
childhood issues.
What is the meaning of ‘Highly Insecure' attachment style and
how does it relate to early life factors?
Research
studies have shown that childhood neglect/abuse, stressful pregnancy
and birth experience, and marital adversity relate to ‘Highly Insecure'
attachment style. In the case of childhood experience it is important
to note that there is evidence that ‘Highly Insecure' attachment styles
mediate the risk for depression. This means that the negative impact
of childhood experience in adulthood only holds for those who continue
to be troubled by Highly Insecure styles. For those individuals with
an adverse childhood but secure attachment, the risk of depression is
greatly reduced. It is important for social workers in this field to
remember that most individuals who experience adverse childhood survive
without any major problems into adulthood. However, ‘Highly Insecure'
attachment style is a good marker of those who have become damaged by
their early life experiences. Fearful and Angry-dismissive Highly Insecure
styles are particularly related to adverse childhood experience.
Can
attachment style change?
Attachment
style, as rated by the ASI, can change over time. One study, which
researched attachment in antenatal women over the year around the birth
of their baby, found that over two thirds (77%) retained the same level
of security at the end of the study period. When attachment style did
change it involved a move to greater security after the baby was born.
In another series, examined over a three year period, around a quarter
underwent major changes in level of security. People with vulnerability
factors (e.g. low self esteem) were more likely to change. For example,
31% changed from ‘Clearly Secure or ‘Mildly Secure' to ‘Highly Insecure'
or vice versa compared with only 17% in a lower risk group.
How can the ASI be used in different social contexts?
As
with all interview measures, the ASI needs to be sensitive to the
gender, cultural background, social class and age of the respondent.
The ASI is intentionally flexible in the extent to which it can encompass
different support settings, and its semi-structured interview nature
means that the wording of questions can be adapted to the understanding
and context of the carer being interviewed. The selection of support
figures is intentionally broad – thus in certain cultural groups, or
at certain life stages, different sorts of supportive relationships
will be selected. Thus the ASI, although always asking about the
partner relationship, will also cover other close support figures taken
from any area of life (family of origin, partner's family, long-term
friendships, recent friendships, close neighbours, etc). This means
that in cultures where confiding is only accepted among family members,
this can be accommodated perfectly well in the ASI. Also in cultures
where active emotional support is not expected from the marital relationship
(for example, arranged marriages), this can be encompassed and relevant
questions about support can be attributed to other relationships.
With
regard to the rating scheme, the ASI also allows for differences
in expression of styles from individuals from different cultural or
demographic backgrounds. Thus where the support context is good, but
individuals show signs of avoidance (through Mistrust or high Self-reliance)
or anxiety (through Desire for Company and Fear of Separation) in relationships,
this can usually be subsumed under the ‘Mildly Insecure' categories.
These do not carry additional risk of disorder outcomes, and are not
taken to be contra-indications for adoption/fostering success. Thus
mild levels of Enmeshed, Fearful, Angry-Dismissive or Withdrawn styles
may indeed be more common among cultural groups, social classes, by
gender or life stage, but do not as a result get precluded from being
considered.
The
ASI has been used on both men and women, on those from different cultures
and ethnic and religious groups, and on people from different social
classes. It has also been used on a wide range of ages from 16 through
to 85. As yet there have been no contexts in which the interviewee has
proved unclassifiable in attachment terms, or where the interviewee
did not understand the information being covered, nor where support
and support-seeking were deemed irrelevant. The flexibility of the ASI
has shown its applicability to these different groups, and the relationship
of highly insecure attachment style both to disorder outcomes and to
adverse childhood experience have been found in all groups.
However,
it should also be noted that ‘Highly Insecure' attachment style does
relate to social adversity. Therefore, groups with known adversity in
terms of social deprivation or exclusion are also likely to have higher
rates of insecurity. Surveys of self-report attachment questionnaires
in the USA have shown differences in style by age, gender, ethnicity,
social class and urban versus rural location. However, the relationship
of insecure style to negative childhood experience held despite such
demographic variation.
What other Attachment Assessments can be used?
Although attachment theory has been extensively applied to the adoption/fostering
field, this has mainly to examine parent/child dyads in relation to
internal psychological factors relating to attachment problems. The
methods utilised are complex and highly specialised and are usually
administered and scored by specialist psychologists. This includes the
Adult Attachment Interview (AAI - George et al, 1985) which focuses
on questions about the carer’s own childhood, and uses discourse
analysis methods to assessed the working through of early life experience
in relation to secure or insecure styles. This is used primarily for
looking at concordances of carer/parent and child’s attachment
styles and therefore relevant to parenting capacity rather than adult
support as in the ASI. Since the two measures tap different aspects
of attachment, and question about different domains, it is therefore
possible to use both for an in-depth assessment.
Although a number of simpler questionnaire measures exist to assess
adult attachment style in terms of inter-personal relating style, these
are largely unsatisfactory in adoption contexts because of their brevity
and lack of contextual information. Therefore the Attachment Style Interview
provides a useful practitioner-administered assessment of attachment
style in relation to supportive-contexts.
(See ASI ‘summary information’ and ‘how to interpret
the ASI’ for more details).
Does the ASI have a questionnaire?
Although
a number of simpler questionnaire measures exist to assess adult attachment
style in terms of inter-personal relating style, these are largely unsatisfactory
in adoption-fostering contexts because of their brevity and lack of
contextual information. However, they may form a useful supplement to
the ASI interview, particularly for repeat assessments. There is
a self-report questionnaire of the ASI available which is called
the Vulnerable Attachment Style Questionnaire (VASQ). The VASQ has been
developed and standardised and is being widely used as a speedy, pencil
and paper assessment. It will give basic information about level of
security and style, but of course cannot give the context of relationships
nor behaviour in relating to close others.
Information for carers
A summary of the ASI and its characteristics in order language
terms is provided:
Download
the pdf here.
Read an article from Adoption Today magazine describing the use of ASI as a pre-adoption assessment tool.
ASI Dissemination document for social workers
Download
the pdf here
References:
1. Preparing and assessing prospective adopters, June 2006. Available
from www.everychildmatters.gov.uk/adoption
2. The Royal Holloway College, University of London
3. Mickelson KD, Kessler R & Shaver PR (1997) Adult attachment in
a nationally representative sample. Journal of Personality and Social
Psychology. 73: 1092-1106.
4. The Adult Attachment Interview, George, Kaplan & Main (1964).