Services for Kids

1. Services for Kids

2. “Interestingly enough, a large portion of that 25 percent were kids who were initially referred for runaway.“They scored the highest in terms of self-esteem, self-preservation, and ability to differentiate responsibility.” “When we did sample psychological testing of that whole group, here’s what we found: Overall, the children in the ‘problem’ category tested out much healthier mentally.“They showed higher self-esteem, stronger self-preservation instincts, and a clearer sense of who was responsible for what.” Cathleen Brooks

3. Things may be fine

4. People with problems can and do recover • You’re worthy • you deserve help • You’re not alone • It’s not your fault • These are illnesses

5. Accessible to all children • Context of kids’ realities • Create safety • Respect defenses

6. Creativity (with safety) • Healing environment • Respect and concern

7. Resilience?

8. The Safe (Strong) Container

9. Working With Families

10. Parents’ Trauma Histories • Attachment • Regulation • Judgment • Anxiety • Self-absorption • Protection • Responsibility

11. A Few Skills • Hope • Willingness • Empowerment • Support network • Self-awareness • Insight • Attachment • Proactivity • Planning • Affiliation • Direction • Purpose

12. Family Recovery(White & Savage, 2005) • Health and functioning • Subsystem relationships • Roles, rules, rituals • External relationships •  kids’ risk

13. Physical, psychological, social, spiritual • Family living skills • Parent and recovery strategies • Life skills (e.g., conflict, communication, problems, nutrition) • Tailored to learning challenges

14. Flood Control

15. Trauma Support and Treatment

16. Vision: Trauma-Informed Care

17. Single-Session Therapy:Not a Good Idea.

18. Normalize Negotiate Self-regulation Pacing Talk to the amygdala Monitor medications Safe environment? Take care of yourself Safety First

19. Building Trust Radar Defenses Boundaries Pass the test Mistakes Connection Authenticity Navigate emotions Build Trust

20. Involve consumers • Be a teacher • Answer the big question • Triage challenges • Collaborate • Build skills • Talk to strengths • Point to resources • Embody Hope • Foster the vision Focus on Empowerment

21. Art for Kids (Safely)

22. What makes them effective? Mainstream, e.g.: CBT, TF-CBT EMDR Systematic Desensitization, Exposure DBT TREM Seeking Safety Approaching Mainstream, e.g.: Mindfulness, MBCT, MI-CBT Art, music, equestrian therapy Neurofeedback Somatic and Somatosensory, e.g.: Somatic Experiencing Trauma Resiliency Model/Veterans Resiliency Model Somatic Trauma Therapy Trauma Releasing Exercises Tapping (e.g., TFT, EFT) Craniosacral Therapy All Kinds of Approaches

23. Motivation Targeting symptoms Reconnecting with the body Visualization Making it concrete Replacing thoughts Managing emotions Breaking down problems Being here now Inner observer Integration No Great Mystery

24. A Few Recovery Tools • Attunement • Breathing • Observing • Presence • Labeling emotions • Mindfulness • Yoga, etc. • Exercise • Massage • Side to side • Peak experiences • Appreciation

25. Ritual and Healing Ritual and the brain In recovery activities Finding safe rituals Self-designed rituals Faith rituals Family rituals Community rituals

26. Meaning, Purpose, Transformation Posttraumatic growth Grieving Forgiveness Atonement Acceptance New meaning “Strength at the broken places” Transcendence Transformation

27. Determining Percentages of Responsibility (Scurfield, 2006)

28. Trauma-Informed Systems

29. The Nexus:Prevention, Treatment, Recovery

30. A culture rooted in: Safety Trustworthiness Choice Collaboration Empowerment (Roger Fallot, PhD Sidran Institute)

31. All aspects All groups A new routine Thinking Understanding

32. A Few Placesto Start • www.trauma-pages.org • http://mentalhealth.samhsa.gov/nctic/ • www.ptsd.va.gov • pamelawoll@sbcglobal.net

33. Resilience Grows Back Pam Woll(773) 334-7531pamelawoll@sbcglobal.net