Services for Kids
“Interestingly enough, a large portion of
“When we did sample psychological testing of
25 percent here‟s what we found:
thatwhole group, were kids who were initially
that
referred for runaway. „problem‟ category
Overall, the children in the
tested out much healthier mentally.
Cathleen Brooks
“Theyshowed higher self-esteem, stronger
“They scored the highest in terms of self-
esteem, self-preservation, and ability to
self-preservation instincts, and a clearer sense
of who was responsible for what.”
differentiate responsibility.”
Things may be fine
• You‟re not alone
• It‟s not your fault
• People
• These are illnesses
with
problems
can and do
recover
• You‟re
worthy
• you
deserve
help
• Accessible to
all children
• Context of kids‟
realities
• Create safety
• Respect
defenses
• Creativity (with safety)
• Healing environment
• Respect and concern
Resilience?
The Safe (Strong) Container
Working With Families
Parents‟ Trauma
Histories
• Attachment
• Regulation
• Judgment
• Anxiety
• Self-absorption
• Protection
• Responsibility
• Hope
• Willingness
• Empowerment
• Support network
• Self-awareness
• Insight
• Attachment
• Proactivity
• Planning
• Affiliation
• Direction
A Few Skills • Purpose
• Health and
functioning
• Subsystem
relationships
• Roles, rules,
rituals
• External
Family relationships
Recovery • kids’ risk
(White & Savage, 2005)
• Physical, psychological, social, spiritual
• Family living skills
• Parent and recovery strategies
• Life skills (e.g., conflict, communication,
problems, nutrition)
• Tailored to learning challenges
Flood
Control
Trauma Support and Treatment
Vision: Trauma-Informed Care
Single-Session Therapy:
Not a Good Idea.
Safety First
• Normalize
• Negotiate
• Self-regulation
• Pacing
• Talk to the amygdala
• Monitor medications
• Safe environment?
• Take care of yourself
• Radar
• Defenses
Building
• Boundaries
• Pass the test
Trust
• Mistakes
• Connection
• Authenticity
• Navigate emotions
Build Trust
• Involve consumers
• Be a teacher
• Answer the big
question
• Triage challenges
• Collaborate
• Build skills
• Talk to strengths
Focus on • Point to resources
Empowerment • Embody Hope
• Foster the vision
Art for Kids (Safely)
• Mainstream, e.g.:
– CBT, TF-CBT
– EMDR All Kinds of Approaches
– Systematic Desensitization, Exposure
– DBT
– TREM What
– Seeking Safety
• Approaching Mainstream, e.g.:
makes
– Mindfulness, MBCT, MI-CBT them
– Art, music, equestrian therapy
– Neurofeedback effective?
• 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
• 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
• Attunement
• Breathing
• Observing
• Presence
• Labeling emotions
• Mindfulness
• Yoga, etc.
• Exercise
A Few • Massage
Recovery • Side to side
• Peak experiences
Tools
• Appreciation
• Ritual and the brain
• In recovery activities
• Finding safe rituals
• Self-designed rituals
• Faith rituals
• Family rituals
• Community rituals
Ritual and Healing
Meaning, Purpose, Transformation
• Posttraumatic
growth • New meaning
• Grieving • “Strength at the
• Forgiveness broken places”
• Atonement • Transcendence
• Acceptance • Transformation
Determining
Percentages
of Responsibility
(Scurfield, 2006)
Trauma-Informed Systems
The Nexus:
Prevention,
Treatment,
Recovery
A culture rooted in:
Safety Trustworthiness Choice
Collaboration
Empowerment
(Roger Fallot, PhD
Sidran Institute)
All All aspects
groups
A new routine
Thinking Understanding
A Few
Places
to Start
• www.trauma-pages.org
• http://mentalhealth.samhsa.gov/nctic
• www.ptsd.va.gov
• pamelawoll@sbcglobal.net
Resilience
Grows
Back
Pam Woll
(773) 334-7531
pamelawoll@sbcglobal.net