Sensory Modulation and Smoking Cessation Why Me I was inspired by Karen the physiotherapist who spoke about using sensory modulation in the detox centre she worked in I have been working with sensory modulation for a number of years but never ID: 637963
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Slide1
Switch the Habit to Flick the Habit- Sensory Modulation and Smoking Cessation Slide2
Why MeI was inspired by
Karen, the physiotherapist ,who
spoke about using sensory modulation in the detox
centre she worked in.I have been working with sensory modulation for a number of years but never used it as a tool for smoking cessation. People often say NRT doesn’t work, wanting an easy out.two unsuspecting hard core smokers, who happened to be there for a sensory connection class, wore the brunt of my enthusiasm. Smoking Cessation in Action trial – with Breakfree
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The Theory – Sensory ModulationGrounded in
neuroscientific
theory
working with vagus nerve, ANS, sympathetic nervous system, fight and flight, all the senses.Te Pou – Project SootheIn the MH service there has been a big push nation wide to increase the use of sensory modulation which studies have shown to help with the reduction of restraint and seclusion.Slide4
What is sensory modulation?Sensory Modulation is an approach that uses environment, equipment and activities to regulate a persons’ sensory experience and optimise wellbeing.
Sutton & Nicholson 2011 (AUT)
Citation: Sutton, D., & Nicholson, E. (2011). Sensory modulation in acute mental health wards: A qualitative study of staff and service user perspectives. Auckland, New Zealand: Te Pou o Te Whakaaro Nui.Using our senses to give deliberate reassuring feedback to our brain.Slide5
Te Pou feedback For Sensory Modulation Use in MH: Service Users Experience
Created a sense of safety
Sense of control
Positive associations‘grounded’SoothedAided in distraction from distressing thoughtsSutton and Nicholson 2011
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Why Sensory Modulation
Sensory modulation activities are:
recovery focused
based on patient choice success oriented.Items and activities are available to help a patient calm down and avert crisisthe locus of control shifts from staff intervention to personal responsibility for self-regulation.
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Why Use Sensory Modulation with Smoking Cessation?Over the years we have found sensory modulation groups have been particular successful with our people
attending groups for alcohol
and drug issues.
Basically it boils down to swapping one self soothing habit for another, which just happens to not have the social and legal consequences.Giving up smoking is just as much about giving up the physical habits as giving up the addiction.7Slide8
What it is doing
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Who who who
Individuals with trauma histories, mental illnesses, or addictions, or who have developed problematic behaviour patterns, are sometimes unaware of their particular sensory needs or stress responses.
Champagne 2003, Cool 1990, Reisman and Blankey 1991
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Reconnecting with the Senses
1. Sight
2. Sound
3. Smell
4. Taste
5. Touch
6. Vestibular
Balance
7. Proprioception
Deep pressure (combination of internal and external touch)
Oral Motor
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What senses are smokers using?
11
Smell
TasteVisual
Touch
Proprioception
Oral motor – suck, blow, deep breath
Slide12
SMELL SENSATIONS
CALMING
Soothing scented candles – vanilla, lavender
Mild fragranceScented bath powderPleasant smell+ve associations
ALERTING
Candles –
lemon, peppermint
Strong fragrances
Perfume
Noxious odour
Room fragrance spray
-
ve
associations
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TASTE
CALMING
Mild
SweetLollipopsPleasantPorridge and brown sugar
Apple juice
Sweet fruits
ALERTING
Strong or spicy
Sour or bitter
Lemon drop
Strong peppermints
Distasteful
Chilli
Lemonade
Pickles
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VISUAL SENSATIONS
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CALMING
Soft colours
Natural or dim lighting
Serene paintings
Pleasant scenery
Flickering candle
Fish aquarium
Bubble lamp
Clean and sparsely furnished room
ALERTING
Bright colours
Modern art
Complex visual images
Changing patterns of light
Video game
Messy and cluttered roomSlide15
TOUCH
CALMING
(DEEP PRESSURE TOUCH)
Strong hugsFirm touch on the shoulderWeighted blanket, lap pad, soft toy
Squeezing a stress ball
Use of hand lotions
Neutral warmth
ALERTING
(LIGHT TOUCH)
Tickling
Light stroking
Prickly or squishy
Unfamiliar or unexpected touch
Cool room
Fiddling with a stress ball
Snapping a rubber band on the wrist
Use of fidget items
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PROPRIOCEPTION
Proprioceptors provide information about the position and movement of the body, signalling muscle stretch, tension, & joint position.
Sense of joint and body movement
They are located in the muscles and joints throughout the body and are sensitive to stretching and compression.Oral Motor activities are one of the power houses of SM - strong muscles and strong feedback
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Proprioception
CALMING
ALERTING
Isometric muscle contractionMovement against resistanceHeavy work- digging, sweeping
Balance trainer
Exercise bands and equipment
Medicine and Swiss Ball
Stress ball – squeezing
Climbing – push-pull activities
Hiking
Claywork / putty
Kneading dough
Yoga, Tai chi, Haka
Rocking chair, swing seat, hammock
Fast movement
Jogging
Jumping
Aerobics
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Oral Motor
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Oral Motor Slide19
Impairs our ability to:
Think clearly
Problem Solve
Make the best decisionLearnListenReflect and adapt behaviour
High Arousal
StateSlide20
Self-Regulation/Self-SoothingBecoming aware of own sensory preferences and patterns
Learning what works for them
And
How to use in everyday life as well as when there is more of a crisis situation
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Self Regulation Strategies
Often done at a sub-conscious level i.e. rocking; bouncing legs; fiddling with objects etc.
Active self-regulation can yield more or less sensory input
People with active self regulation strategies select and engage in behaviours to control their own sensory experiences
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What
s
ensory things can you identify you could offer for your clients to use when craving?
Thinking particularly around the senses used when smoking.
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Use with Breakfree Programme
Using Karen Moore’s sensory connection books as a base for the sessions, we are adding activities into the groups at the REd Hub. The plan is that people will make their own sensory kits to help combat the habits of smoking.
Replacing the sensory habits used in smoking with other healthier options.
Alongside NRT 23Slide24
Breakfree - Kirsty and CavellWhat’s happening at their other groups.
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Personal ‘Flick the Habit’ kits
Stress balls
Hand and nail balm
Face spraysBubble blowingDeep breathingSucking thickshakesBlowing windmillsFidgets worry beadsPlaying wind instrumentsSucking ice Chewing gumWasabi peasStrong peppermints
Exercise routine
Colouring
in
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Feedback so farMy two unsuspecting hard cores are trying different things to stop. They are willing to think about it. This is a major break through.
Using sensory techniques to reduce stress
eg
weighted blanket, which reduces the craving for a cigarette.Trying other techniques26