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Resource Family  Pre-Approval Resource Family  Pre-Approval

Resource Family Pre-Approval - PowerPoint Presentation

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Uploaded On 2018-10-20

Resource Family Pre-Approval - PPT Presentation

Class 2 Housekeeping Items Icebreaker Activity Presentation of material Child Development Maslows First part of Trauma information Break 10 minutesoptionalclass vote Video Through Our Childrens Eyes ID: 690520

sacramento cps dhhs rfa cps sacramento rfa dhhs county program child trauma page brain children development positive stress survival

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Presentation Transcript

Slide1

Resource Family Pre-Approval

Class 2Slide2

Housekeeping ItemsIcebreaker Activity

Presentation of material (Child Development, Maslow’s, First part of Trauma information)

Break (10 minutes)-optional/class voteVideo (Through Our Children’s Eyes)Finish presentation of material (Second part of Trauma information, Positive Discipline)

2

Agenda for Tonight

Sacramento County DHHS/CPS/RFA ProgramSlide3

Why are we covering child development?

What does this have to do with our children in care?

Development…

3

Sacramento County DHHS/CPS/RFA ProgramSlide4

Birth page 21-3 months page 3

4-6 months page 4

7-12 months page 513-18 months page 619-24 months page 72-3 years page 83-5 years page 96-11 years page 1012-15 years page 1116-21 years page 12

Refer to the handout “the specs of normal child development”

4

Sacramento County DHHS/CPS/RFA ProgramSlide5

Self-Actualization

(achieving individual potential)

Self Esteem

(self esteem and esteem for others)

Belonging

(love, affection, being a part of groups)

Safety and Security

(shelter, removal from danger)

Survival

(physiological needs, health, food, sleep)

5

M

aslow’s HIERARCHY OF NEEDS

Sacramento County DHHS/CPS/RFA ProgramSlide6

Trauma is a type of damage to the mind that occurs as a result of a severely distressing event.

It is often the result of an overwhelming amount of stress that exceeds one’s ability to cope, or integrate the emotions involved with that experience.

Often involving a sense of intense fear, terror and helplessness.A traumatic event involves one's experience, or repeating events of being overwhelmed that can be precipitated in weeks, years, or even decades as the person struggles to cope with the immediate circumstances, eventually leading to serious, long-term negative consequences.

Post-Traumatic Stress Disorder (PTSD)-mental health disorder that may develop following a traumatic event that includes changes in emotional, behavioral and physiological functioning.

What is Trauma?????

6

Sacramento County DHHS/CPS/RFA ProgramSlide7

In our children trauma may lead to….

Loss of the capacity to sustain appropriate representations of mother/father as base of security

Inability to determine who is safe and who is dangerous (you are unresponsive, you are unreliable, you are or will be dangerous)Loss of sense of mother/father as reliable protectors

The impact

7

Sacramento County DHHS/CPS/RFA ProgramSlide8

REACTIONS TO TRAUMA

RESPONSES TO TRAUMA

Ability to trust others

Sense of personal safetyAbility to manage emotionsEffectiveness in navigating life changes

Physical and emotional responses

Hyper arousal (nervousness, jumpiness, quickness to startle, hyper vigilance)Avoidance/withdrawal (feeling numb, shutdown, pulling away from activities/relationships, avoiding things that prompt memories of the trauma)

Re-experiencing (intrusive images, sensations, dreams, memories)

8

Sacramento County DHHS/CPS/RFA ProgramSlide9

How extensive trauma can be…

9

Sacramento County DHHS/CPS/RFA ProgramSlide10

Reptilian brain (old brain/developed first)- in charge of instincts/ “fight, flight, freeze”/autopilot, plays a major role in trauma/survival, does NOT respond to language/conscious thought

Limbic (middle brain/developed second)- in charge of emotions, memories, habits

Neocortex (new brain/developed last)- in charge of language, abstract thought, imagination, consciousness, reason, rationalization, logicHow does the brain work?

10

Sacramento County DHHS/CPS/RFA ProgramSlide11

We want children to have “typical development”

11

Sacramento County DHHS/CPS/RFA ProgramSlide12

Increased levels of stress hormones like adrenaline and cortisol (child is on survival mode)-chronic stress/trauma can lead to the child’s survival mode becoming the normal mode

What are stress hormones?

Adrenaline: secreted by the adrenal glands, especially in conditions of stress, increasing blood circulation, breathing, and carbohydrate metabolism and preparing muscles for exertionCortisol: secreted by the adrenal gland. It is released in response to stress and low blood-glucose concentration

Brain development and trauma

12

Sacramento County DHHS/CPS/RFA ProgramSlide13

If a child feels threatened/unsafe the body goes into survival mode state/body acts to protect itself which causes chemical and physical changes.

The “thinking and rational” parts of the brain begin to shut down/stress hormones kick in

If this survival mode is activated regularly during childhood survival mode can become normal mode

13

Sacramento County DHHS/CPS/RFA ProgramSlide14

Smaller brain volumes (less development of the brain material) Less development of the upper brain

Fewer brain connections

What can happen to the brain?

14

Sacramento County DHHS/CPS/RFA ProgramSlide15

See the differences in each brain?

15

Sacramento County DHHS/CPS/RFA ProgramSlide16

Because trauma effects brain functioning these children are at higher risk to develop cognitive, physical, emotional, social, health and developmental problems

Some child/parent/family risk factors are:

Biomedical (low birth weight, physical deformities, chronic health problems)Child maltreatment especially before age 3Parental substance abuse/mental health

Single or teen parentLow educational attainment of parent4 or more children in the homeFamily poverty or domestic violence

Involvement with CPS

Sacramento County DHHS/CPS/RFA Program16

Risk factors Slide17

Break Time….

17

Sacramento County DHHS/CPS/RFA ProgramSlide18

Video Time…

18

Sacramento County DHHS/CPS/RFA ProgramSlide19

Please read Billy’s Story begins on page 41Part 2 on page 42

Part 3 on page 52

Part 4 on page 56Conclusion on page 59Billy’s Story…

19

Sacramento County DHHS/CPS/RFA ProgramSlide20

Education of parents about the importance of early life experiencesKnowledge of parenting and of child/youth development

Prevention/education about abuse/neglect

Accessible and quality mental health services for parents Ensuring adequate nutritionQuality child carePositive relationships (nurturing/attachment), rich learning environments, and safe environments

How to support healthy brain development

20

Sacramento County DHHS/CPS/RFA ProgramSlide21

The importance of early experiences for brain development

21

Sacramento County DHHS/CPS/RFA ProgramSlide22

We want positive life experiences for children to promote healthy brain development

22

Sacramento County DHHS/CPS/RFA ProgramSlide23

Do not be afraid to talk about the traumatic eventLet the child guide when they want to talk about it

Listen to the child, answer questions, be honest provide comfort and support

It’s ok to tell the child that you don’t know why something happened Use age appropriate language and explanationsPost trauma reactions differ in length of time, be realistic

Trauma informed care giving

23

Sacramento County DHHS/CPS/RFA ProgramSlide24

Provide consistent, predictable pattern/routine for the child's day (this will help them feel safe)

Be nurturing, comforting, affectionate, patient, responsive

Help them learn to cope and they will be able to recover. It will take time please be patientDiscuss your expectation for behavior and discipline with the childTalk with the child and listen to them

Teach the child to relax (deep breathing, breathing slowly, listening to calming music, saying positive affirmations, sight, smell, touch, taste, listen)

Watch closely for signs of re-enactment or other behaviors

Protect the childGive the child “choices” and some sense of controlAsk for help

Sacramento County DHHS/CPS/RFA Program

24

How can you help?Slide25

“Tangle toys”/pinwheel- can be used as calming and relaxing for the child

Rhythm and repetition (tossing a ball, rocking, swinging, music, reading nursery rhymes/Dr. Seuss books, dancing, swimming)

Breathing regulation (in and out through nose/emphasize on exhaling/talk calmly)Calming activities- yoga, music, walking

Some ideas….

25

Sacramento County DHHS/CPS/RFA ProgramSlide26

Routines/predictability/patterns/

consistency are important for our children

26

Sacramento County DHHS/CPS/RFA ProgramSlide27

The ability to recover from traumatic eventsFACTORS THAT CAN INCREASE RESILIENCE…

A strong relationship with a competent, caring adult/family

Feeling connected to a positive role model/mentorHaving talents and abilities nurtured and appreciatedFeeling some control over their own lifeHaving a sense of belonging

What is resilience ??

27

Sacramento County DHHS/CPS/RFA ProgramSlide28

This refers to people who work with people that have been traumatized therefore are indirectly or secondarily at risk of developing the same or similar symptoms

Most at risk are emergency service professionals/caregivers who work with maltreated/abused/traumatized children

Secondary trauma

28

Sacramento County DHHS/CPS/RFA ProgramSlide29

Children are the most vulnerable members of our societyEmpathyInsufficient recovery time

Unresolved personal trauma

Sense of isolation from family/friends/coworkersLack of helpful resources/or not knowing about resourcesWhy does secondary trauma happen?

29

Sacramento County DHHS/CPS/RFA ProgramSlide30

EMOTIONAL: anger, sadness, grief, anxiety, depression, guilt, hopelessness, fear

PHYSICAL:

headaches, stomach aches, lethargy, constipation, problems sleepingPERSONAL: self isolation, cynicism, mood swings, irritabilityWORKPLACE:

avoidance of certain clients, missed appointments, tardiness, lack of motivationWhat are some indicators?

30

Sacramento County DHHS/CPS/RFA ProgramSlide31

PHYSICAL:

good sleep habits, eat well, dance, walking, jogging, any type of exercise

PSYCHOLOGICAL: self reflection, meditation, pleasure reading, say “no”, smile, solitudeEMOTIONAL: see friends, cry, laugh, praise yourself, humor

WORK PLACE: take breaks, take lunch, set limits, peer support, utilize supervision, use vacation time/sick time/FMLA

Self care is critical!

31

Sacramento County DHHS/CPS/RFA ProgramSlide32

32

Sacramento County DHHS/CPS/RFA ProgramSlide33

Helps you become more effective at accomplishing your goalsProvides you tools to manage difficult situations as they arise

Provides you with emotional resources

Focus you need to help the child in your careResult: You being a more effective and fulfilled Resource ParentSelf care can help:

33

Sacramento County DHHS/CPS/RFA ProgramSlide34

What is positive discipline?

Rooted in a secure, trusting relationship between parent and child

Ultimate goal of discipline is to help the child develop self control and self disciplineTechniques involve prevention, distraction and substitution to guide child away from harm

Often children communicate through their behavior (helps them develop better communication skills)Focuses on the importance of understanding developmentally appropriate behavior

Use discipline as a tool to teach children rather than punish

Sacramento County DHHS/CPS/RFA Program

34

Using positive disciplineSlide35

Please turn to page 109 in the binder for some tools

to

use for Positive DisciplineSome tools for Positive Discipline

35

Sacramento County DHHS/CPS/RFA ProgramSlide36

Good Night…see you all Tuesday!

36

Sacramento County DHHS/CPS/RFA Program