Parent’s Own ACEs ScoreParent’s Educational Attainment Stability of Employment Service Needs (Level and Access) Mental Health Needs/Diagnosis Substance Abuse Needs/Diagnosis Access to Resources Overall Parent’s Own Awareness of Challenges Parent’s Willingness to Change
Many studies indicate that caregiver functioning is a major predictor of child functioning after child experiences a trauma (Linares et al. 2001, Lieberman, Van Horn, & Ozer 2005)
Birth parent involvement can improve children's depression and lower their externalizing behavior problems (McWey, Acock, & Porter 2010)
See NCTSN Guide for Attorneys and Judges on Birth Parents and “What Children in Foster Care Want You to Know”
Area of great focus is on balance between family preservation and child removal
Increased knowledge of parental protective factors and trauma informed practice are being encouraged utilized with the birth parents given positive parental involvement increases positive outcomes for children
Entering into the Child Welfare System and Foster Care are traumas, often including multiple placements that lead to problems for child development on top of the trauma child experienced in their home
Some studies in Illinois looked at “close margin” cases where investigator may view removal of a child differently. Children remaining in the home demonstrated increased well-being, especially older children (lower risk of delinquency and adult criminal involvement, higher earnings and employment as an adult, possible relationship to lower rate of teen pregnancy) Doyle, J. (2007, 2008)
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Recap: Provide support and guidance to the child’s family and caregivers.
• Children experience their world in the context of family relationships.
• Research has demonstrated that support from their caregivers is a key factor influencing children’s psychological recovery from traumatic events.
• Resource families have some of the most challenging and emotionally draining roles in the entire child welfare system.
• Providing support and guidance to the child’s family and caregivers is a part of federal outcomes (CFSR goals).
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Always think about least restrictive placementsStaying in own home when possible with wrap around services Assure that evidence informed practices being used
Help Children build life long positive and sustainable adult relationships Mentoring, Faith Based Orgs, Extended Family, Natural Supports
Ensure Safety and Basic Needs are Met Develop Safety and Coping Plans
Assure that a “team approach” is being used to do all of this
Understanding what we can do even better …
Trauma Informed Care (TIC) “Trauma-Informed Care is a strengths-based framework that is grounded in an understanding of and responsiveness to the impact of trauma, that emphasizes physical, psychological, and emotional safety for both providers and survivors, and that creates opportunities for survivors to rebuild a sense of control and empowerment.” (Hopper, Bassuk, and Olivet 2009, p. 133)
Trauma Informed Child Welfare System (TICW)
“A trauma informed child welfare system is one in which all parties involved recognize and respond to the varying impact of traumatic stress on children, caregivers, and those who have contact with the system. Programs and organizations within the system infuse this knowledge awareness and skills into their organizational cultures, policies and practices. They act in collaboration, using the best available science to facilitate and support resiliency and recovery.” (Hendricks, Conradi, & Wilson, 2011, p.189)
NEAR SCIENCE
• Neuroscience
• Epigenetics
• Adverse Childhood Experiences
• Resilience
http://www.healthygen.org/resources/nearhome-toolkit
http://www.healthygen.org/resources/laura-porter-keynote-address-near-science-wa-state-resilience-findings
NEAR: What Help actually Helps ?
• Support: Feeling socially and emotionally supported and hopeful • Social Emotional Competence Building • Hope and a Sense of Future
• Help: Having two or more people who give concrete help when needed • Concrete Supports (not Facebook Friends)
• Community Reciprocity: Watching our for children, intervening when they are in trouble, and doing favors for one another
• Primary network of protection in your community• People you see each day and see you
• Social Bridging: Reaching Outside one’s immediate circle of friends to recruit help for someone inside that circle
• Asking for help • Trusting Systems and People outside your circle to respond and be safe
http://www.healthygen.org/resources/laura-porter-keynote-address-near-science-wa-state-resilience-findings
Adding Context, Stress Proliferation, & Moderators (+/-) to ACE Influence on Lifespan Health and Functioning
Taken from: http://www.cdc.gov/ace/pyramid.htm
Educational & Work Achievement
Social Determinant
Factors
Adult Stressors
Protective Resources
Children’s Resilience Initiative
Three basic building blocks to success:Adapted from the research of Dr. Margaret Blaustein
Attachment - feeling connected, loved, valued, a partof family, community, world
Regulation - learning about emotions and feelings andhow to express them in a healthy way
Competence - acting rather than reacting, acceptingoneself and making good choices
From Blaustein & Kinniburgh (2010) Treating Traumatic Stress in Children and Adolescents
Education about TraumaBuilding Self-Monitoring SkillsBuilding Affect Management Skills Enhancing Supports
Adapted from Blaustein & Kinniburgh (2010) Treating Traumatic Stress in Children and Adolescents
Building Youth Wellness
DIRECT SERVICE STAFFS WELLNESS
LEADERS WELLNESS
Greater Social, Emotional,
Physical, & Cognitive Wellness
Engagement in Wellness Activities
Adopting More Healthy Behavior Choices
Healthy Relationships with Authority Figures and Peers
Social Emotional Determinants of Health
Secondary Trauma of Providing Direct Care to At Promise Youth
Belief Systems of many human service professionals about how children change behavior and why they engage in negative behaviors
Skill Level and Support Resources provided to Direct Service Professionals
Professional Quality of Life
Compassion Satisfaction Compassion Fatigue
Burnout Secondary Trauma
We will come back to this in a moment
What are the skills we need to have to build resilience and thriving into our lives when
we we are exposed to this level of trauma in our work ?
Brave Leadership Story …
What are the qualities of being brave …
“I define vulnerability as uncertainty, risk, and emotional exposure.” - Brené Brown
Read more: http://www.oprah.com/own-super-soul-sunday/excerpt-daring-greatly-by-dr-brene-brown#ixzz5EL9ykeiO
The Gifts of Imperfection— Be you
Daring Greatly— Be all in
Rising Strong— Fall. Get up. Try again
Braving the Wilderness – Courage to Stand Alone. True Belonging.
Brown, Brené (2015-08-25). Rising Strong (Kindle Locations 168-169). Random House Publishing Group. Kindle Edition.
“It is not the critic who counts; not the man who points out how the strong man stumbles, or where the doer of deeds could have done them better. The credit belongs to the man who is actually in the arena, whose face is marred by dust and sweat and blood; who strives valiantly; who errs, who comes short again and again, because there is no effort without error and shortcoming; but who does actually strive to do the deeds; who knows great enthusiasms, the great devotions; who spends himself in a worthy cause; who at the best knows in the end the triumph of high achievement, and who at the worst, if he fails, at least fails while daring greatly, so that his place shall never be with those cold and timid souls who neither know victory nor defeat.”
THE MAN IN THE ARENAExcerpt from the speech "Citizenship In Republic” delivered at the Sorbonne, in Paris, France on 23 April, 1910
Dr. Brené Brown is a research professor at the University of Houston where she holds the Huffington
Foundation – Brené Brown Endowed Chair at The Graduate College of Social Work.
She has spent the past two decades studying courage, vulnerability, shame, and empathy, and most recently
completed a seven-year study on courageous leadership.
https://daretolead.brenebrown.com/
The Arena Armory
VALUES
Authentic leaders demonstrate a passion for their purpose, practice their values consistently, and lead with their hearts as well as their heads.
Harvard Business Review, Bill George, et al, February 2007
The Arena
Self Compassion
Armory
How do we treat ourselves?
Let’s think about if your morning started today like this …
What are the messages that you would send yourself?
Let’s write them down ...
The compassion friend you picked reflects what you just said right back to you …
What does that feel like ?
What did we want the compassion friend to say?
Can we say that to ourselves as a practice?
1. Self-Kindness – care and understanding, soothing
2. Common Humanity – suffering happens, life is imperfect
3. Mindfulness – “be” with painful feelings
In the helping fields we are often asked even more to offer compassion to others …
This places us at risk for compassion fatigue and even burn out
Practicing self compassion has been shown to improve: Less burnout and “compassion’ fatigue (Raab, 2014)More satisfaction in a care giving role (Barnard &Curry, 2012)Less fear of failure (Breines & Chen, 2012)More likely to try again and persistent in efforts after failure (Breines& Chen, 2012)
1. Self-Kindness – care and understanding, soothing
2. Common Humanity – suffering happens, life is imperfect
3. Mindfulness – “be” with painful feelings
In the helping fields we are often asked even more to offer compassion to others …
This places us at risk for compassion fatigue and even burn out
Practicing self compassion has been shown to improve: Less burnout and “compassion’ fatigue (Raab, 2014)More satisfaction in a care giving role (Barnard &Curry, 2012)Less fear of failure (Breines & Chen, 2012)More likely to try again and persistent in efforts after failure (Breines & Chen, 2012)
Take your index card and create a self compassionate statement “I am enough” “I am strong” “I am smart” “I am kind”
Think about what gentle touch you might use with the mantra
The Arena
Empathy Self Compassion
Armory
1. Perspective Taking
2. Staying out of Judgement• With parents remember this especially
3. Recognizing Emotion
4. Communicating Emotion