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Trauma Focused Play Therapy
Association of Student Assistance Professionals of New Jersey
Feb. 26. 2016
Jan Simms Puig, Ed.D. Licensed Psychologist, NJ #2992
Licensed Marriage and Family Therapy – S NJ #1242
Registered Play Therapy – S #1352
Trauma Specialist -TLC
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GREETINGS
WELCOME! MY NAME IS : JAN SIMMS PUIG, ED.D 900 KINGS HIGHWAY NORTH SUITE 201 CHERRY HILL, NEW JERSEY 08034 E–MAIL: [email protected] PHONE: (856)482-7755
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OBJECTIVES Describe:
Case Presentation -
Developing Treatment Objectives
Selecting Play Therapy Tools
Factors to Consider
Moving from Barriers and Challenges to Change
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OUTLINE
I. Case Background- Information: Moving from Problem to Treatment Plan
II. Framework: Engagement – Problem – Interaction - Resolution
III. Tools: Choices – Affect Regulation – Sensori/Motor-
Direct vs. Indirect Techniques
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• Complex
• Repeated Trauma
• Medical- surgery
• Physical- abuse
• Sexual–abuse
• Emotional - Abuse
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• Play Questionnaire
• Trauma Reactions - see slide
• Parent(s)/Child - TLC
• Parent’s Problem Definition – Informal/Formal
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TRAUMA REACTIONS Worry
Hurt
Fear
Anger
Revenge
Guilt
Shame
Sadness
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THERAPY COLLABORATION
CHILD
Family
THERAPIST
School , Auxiliary,
Community Resources TREATMENT
SUCCESS
Engagement
Problem
Interaction
Solution/Resolution
Treatment Plan
Process: Fun Activity- Intervention- Fun Activity
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TRAUMA FOCUSED - Framework
FOUR PRIMARY TFT GOALS
1) Create an environment of Safety, Trust , Comfort
2) Process Traumatic material
3) Encourage Social Reconnections- Hope
4) Return to pre-trauma developmental functioning
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Gil, Eliana Trauma- Focused Integrated Play Therapy (TF-IPT , Gil Center for Healing
and Play , PLC. Fairfax, Va 2011. www.gilcenter.com
Trauma Focused Preparation = Treatment Plan
Child/Adolescence
. Questionnaire
Trauma Reactions
Parent/Teacher Questionnaire
Secondary Trauma
Brave Bart
Trauma check List
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You can only reduce arousal on a sensory level, not a cognitive level
So will talking about it help?
Will telling the person they are safe help?
Maybe, a little bit… but it is in what we do to make people feel safe, feel better, on a sensory level that helps reduce arousal.
ACTIVITY: WHAT ARE SOME ACTIVITIES YOU ALREADY USE TO HELP KIDS LOWER AROUSAL?
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EMOTIONAL REGULATION
Fighting, Substance Abuse, Aggression,
Eating Disorders, Compulsions…
If a person can
discriminate
between his or
her emotions, he
or she would be
more likely to
notice specific
body sensations
that are
connected to
emotions and
not misinterpret
them (Hill, 2012)
When individuals
with PTSD
improve their
ability to
emotionally
regulate they will
experience less
PTSD related
symptom logy
that leads to
unproductive
behavior
responses:
How are you feeling today?
Check- in
Affect regulation
Identify feelings
Intensity level
Biblio-therapy
Self selected activity
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SENSORI-MOTOR
Rationale
Techniques
Applications
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TREATMENT- TOOLS - CYCLE
PLAY THERAPY
FAMILY/ PLAY SENSORI-MOTOR
CHILD
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LET’S PLAY - Play Samples
Balloons (3) Splatz /Blotz
Sand Tray
Bubbles
Bean Bags
Kid News
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Go Away Monster
G.A Green Monster
G.A.M. Silly String
Fish’n for Feelings
Confusion /Mixed Up
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REFERENCES Association for Play Therapists [email protected] Gil, Eliana, Trauma Focused Integrative Play Therapy Workshop, in
press, August, 2011. (Other books available by Dr. Gil on childhood trauma and treatment). WWW.GILCENTER.COM
Gil, Eliana, Helping Abused and Traumatized Children: Integrating Directive and Nondirective Approaches, Guilford Press, New York, 2006.
Gil, Eliana, Working with Children with Sexual Behavior Problems. Guilford Press, New York, 2014.
Lowenstein, Liana, ed., The Creative Use of Therapeutic Games with Children, Youth and Families. Champion Press, Toronto, Canada, 2011. www.lianalowenstein.com
Steele, William and Raider, Melvyn, The National Institute for Trauma and Loss in Children, Trauma Learning Center, Structured Sensory Intervention for Traumatized Children, Adolescents and Parents, The Edwin Mellen Press,Ltd., 2001. www.tlcinstitute.org
Kestly, Theresa A. PhD, The Interpersonal Neurobiology of Play: Brain –Building Interventions for Emotional Well-Being.
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Bennett, H.J. It Hurts When I Poop: A story for Children Who are Scared to Use the Potty. Magination Press. Washington, D.C. 2007
Cho, Shinta. The Gas We Pass: The Story of Farts. Kane/Miller Book Publishers. American Publication. 1994.
Goodyear-Brown, Paris, LCSW, RPT-S, Treating Problems of Dysregulation Through the Targeted Use of Creative Interventions, 2009, http://lianalowenstein.com/Dysregulation.pdf
Gomi, Taro. Everyone Poops. Kane/Miller. 1993.
Selfesteemshop.com 32839 Woodward Ave.
Royal Oaks, Michigan 48073.
TLC, 13725 Starr Commonwealth Road Albion, MI 49224. © Starr Commonwealth 2015. [email protected]
Goodyear-Brown, Paris, LCSW, RPT-S, Treating Problems of Dysregulation Through the Targeted Use of Creative Interventions, 2009, http://lianalowenstein.com/Dysregulation.pdf
Lowenstein, Liana, MSW, Ten Favorite Parenting Techniques, www.lianalownstein.com, 2010.
Ford, Katrinca, MS, MFT, Children and Tantrums: Why They Do It. How to Get Through it. http://lianalowenstein.com/Children_and_Tantrums.pdf
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QUESTIONS & CLOSING THOUGHTS
• Treating Problems of Dysregulation Through the Targeted Use of Creative Interventions Paris Goodyear-Brown, LCSW, RPT-S, 2009, http://lianalowenstein.com/Dysregulation.pdf
• Ten Favorite Parenting Techniques
Liana Lowenstein, MSW
www.lianalownstein.com
Contact Info: Phone: (416) 575-7836
Email: [email protected]
• Children and Tantrums: Why They Do It. How to Get Through it.
Katrinca Ford, MS, MFT
http://lianalowenstein.com/Children_and_Tantrums.pdf also found at:
http://www.familyplaytherapy.com/children-and-tantrums-why-they-do-it-how-to-get-through-it/
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HANDOUTS
TLC
Trauma Intervention Program
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The National Institute for Trauma and Loss in Children
HANDOUTS Drawing and Coloring
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TLC 2014
www.starr.org/tlc
Mind Body Skills: Activities for Emotional
Regulation
HANDOUTS
Mind Body Skills: Activities for Emotional
Regulation
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TLC 2014
www.starr.org/tlc
Drawing and Coloring
• TLC Child and Adolescent PTSD Questionnaire • The National Institute for Trauma and Loss in Children
• www.starttraining.org/tlc
• TLC 2012, Revised 2013
• TLC Child and Adolescent PTSD Questionnaire Scoring Form Subscale I: Re-experiencing of Sensations and Memories of the Trauma(s)
• The National Institute for Trauma and Loss in Children
• www.starttraining.org/tlc
• TLC 2012, Revised 2013
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HANDOUTS