New England NEA #4 Slides.pdfFour steps to guide your well-being and stress mitigation strategy 1....

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8/7/2020 1 New England NEA: How to Transform Trauma and Create Healing Communities in Schools Webinar #4: The Core Capacities to Transform Trauma in Schools: The Healing Community . © NFI Vermont 2020 [email protected] Dave Melnick, LICSW Director of Outpatient Services Northeastern Family Institute, Vermont (NFI) Fellow and Trainer, ChildTrauma Academy Beacon House Transforming Trauma: The School as a Healing Community A workshop and 3-credit graduate course learning opportunity with Dave Melnick, LICSW Fall 2020 or Winter/Spring 2021 Many students today arrive at school with unprecedented adversity, due to high rates of traumatic stress, the current pandemic, social isolation, and inequities. Oftentimes, our traditional methods of relationship building, discipline, and instruction are falling short for these students, often leaving educators strained, frustrated, and self-doubting. In this workshop with graduate course option, we will study the harmful effects of trauma on students and on the workforce, the premises for trauma-informed practices and the core capacities necessary to successfully address posttraumatic stress. The graduate class will take a more comprehensive look into these core capacities, with a focus on helping educators transform their mindsets in order to make shifts in their practice. Finally, we study the central components for building resilience, first for the workforce and then for students. For more information, please contact Wendy Cohen at [email protected] Northeastern Family Institute , Vermont

Transcript of New England NEA #4 Slides.pdfFour steps to guide your well-being and stress mitigation strategy 1....

Page 1: New England NEA #4 Slides.pdfFour steps to guide your well-being and stress mitigation strategy 1. Values: Stress is related to your values. Clearly identify them. 2. Anticipate and

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New England NEA:How to Transform Trauma and Create Healing Communities in Schools

Webinar #4: The Core Capacities to Transform Trauma in Schools: The Healing Community

.

© NFI Vermont 2020 [email protected]

Dave Melnick, LICSWDirector of Outpatient Services

Northeastern Family Institute, Vermont (NFI)Fellow and Trainer, ChildTrauma Academy

Beacon House

Transforming Trauma:

The School as a Healing CommunityA workshop and 3-credit graduate course learning opportunity

with Dave Melnick, LICSW

Fall 2020 or Winter/Spring 2021

Many students today arrive at school with unprecedented adversity, due to high rates of traumatic stress, the

current pandemic, social isolation, and inequities. Oftentimes, our traditional methods of relationship building,

discipline, and instruction are falling short for these students, often leaving educators strained, frustrated, and

self-doubting. In this workshop with graduate course option, we will study the harmful effects of trauma on

students and on the workforce, the premises for trauma-informed practices and the core capacities necessary to

successfully address posttraumatic stress. The graduate class will take a more comprehensive look into these

core capacities, with a focus on helping educators transform their mindsets in order to make shifts in their

practice. Finally, we study the central components for building resilience, first for the workforce and then for

students.

For more information, please contact Wendy Cohen at [email protected]

Northeastern Family Institute , Vermont

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What is “trauma-informed?

© NFI Vermont 2020 [email protected]

Trauma –informed

Realize

Recognize

Respond

Reduce

What is “trauma-transformed?

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Trauma –transformed

Relational

Realize

Recognize

Respond

Reduce

Reflective

Resilience

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Core Capacities of Trauma-informed Practice

© NFI Vermont 2020 [email protected]

Trauma –informed

Reflective Practice

Reframing

Reducing Stress

Reenactment

Prevention

Effects of Developmental Trauma

© NFI Vermont 2020 [email protected]

#1

Physiology:

Body & Brain

#2

Attachment &

Relationships

#3

Emotion Regulation

#4

Cognition & Learning

#5

Behavioral Control

#6

Dissociation

#7

Self-esteem & Future

Orientation

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Core Capacities of Trauma-informed Practice

© NFI Vermont 2020 [email protected]

Trauma –informed

Reflective Practice

Reframing

Reducing Stress

Reenactment

Prevention

What is Reflective Practice…

© NFI Vermont 2020 [email protected]

“The cure for the pain is in the pain”

Rumi

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Begin Well: Fostering a Facilitative Environment

© NFI Vermont 2020 [email protected]

1. Connections with adults and children

2. Contribution: Opportunities to help others

3. Control

4. Competence

5. Confidence

6. Character

7. Coping Skills

4 Core Capacities to Transform Trauma: Reframing

© NFI Vermont 2020 [email protected]

“Everything can be a ‘that’; everything can be a ‘this’”

~ Chuang Tzu

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4 Core Capacities to Transform Trauma: Reframing

© NFI Vermont 2020 [email protected]

4 Core Capacities to Transform Trauma: Reframing

© NFI Vermont 2020 [email protected]

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4 Core Capacities to Transform Trauma: ReframingWhat it is…

© NFI Vermont 2020 [email protected]

Reframing

1. Seeing the same thing differently

2. Both/And thinking

3. A Shift in mindset and

emotion

4. A means to regulate stress

and neutralize…

5. Change the context, change the interaction, change feeling about child

4 Core Capacities to Transform Trauma: ReframingWhen is reframing necessary

© NFI Vermont 2020 [email protected]

Reframing

1. Behavior is chronic, unremitting and non-responsive

to traditional approaches

2. When we continue to put only a

negative attribute on the behavior

3. When we have lost sight of the

impact of chronic stress

4. Blaming, Complaining,

Shaming becomes dominant impulse

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Video Activity

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1. Label/Describe Paul’s mindsets/beliefs about Whitney.

Describe what he believes he is seeing?

2. What are your mindsets/beliefs about Whitney?

What are the reasons Whitney is acting the way she is?

4 Core Capacities to Transform Trauma: Reframing

© NFI Vermont 2020 [email protected]

Misbehavior

• Disrespectful• Argumentative• Avoidance

Stress Behavior

• Devalued, Helpless, Anxious

• Uncertainty, move against

• Move away

Reframing

• Self-protective• Determined, self-agency,

fight response, limit setting• Self-aware, watchful

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4 Core Capacities to Transform Trauma: What you gain..

© NFI Vermont 2020 [email protected]

Reframing

1. Allows things to change form

(metamorphosis)

2. Your belief system shift can shift behavior. See a different

kid!

3. Perspective shift, point of

view 4. proximity

Reframing

© NFI Vermont 2020 [email protected]

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4 Core Capacities to Transform Trauma: Typical Reframes

© NFI Vermont 2020 [email protected]

Oppositional/Defiant/

Resistant

Fight/Flight

Self-agency/ Determined

Stubborn Resolute

Disrespectful Self-protective

problem child Child with challenges

Avoidant/ Lazy/

Unmotivated

Conserving Resources/

Know their limits

Stress Response System: Typical or Average Person

.

© NFI Vermont 2020 [email protected]

Low/No Stress

Rest, Restore, Repair

Mild/Moderate Stress

Optimize, MaximizeModerate/High Stress

Overload, ExhaustionToxic Stress

Breakdown

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.

© NFI Vermont 2020 [email protected]

The amount of energy in your body

“The response of the body to any demand made on it (often for change)” (Selye)

“Stress is what arises when something you care about is at stake”, something of value/invested in” (McGonigal)

Low/No Stress

Rest, Restore, Repair

Mild/Moderate Stress

Optimize, MaximizeModerate/High Stress

Overload, ExhaustionToxic Stress

Breakdown

Stress Response System

© NFI Vermont 2020 [email protected]

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Strategies to Regulate Stress: Workforce Well-Being“VAAST”

Four steps to guide your well-being and stress mitigation strategy

1. Values: Stress is related to your values. Clearly identify them.

2. Anticipate and Assess stress states: “If it is predictable it is preventable”. Identify your “hot zones”. Identify your ‘in the moment stress level”

3. Share the load: Stress mitigation is a team sport. Cultivate an inner circle. How does your supervisor and organization/program intentionally help with this?

4. Test it out: feedback helps us to refine and improve Reflective practice. Is this working for me? What other action can I take?

© NFI Vermont 2020 [email protected]

Reflective Practice: Stress Mitigation.

Two essential questions:

1. What is the nature of your relationship with that student?

2. When you are in struggle with them, which of your core values are being violated, challenged

© NFI Vermont 2020 [email protected]

Page 13: New England NEA #4 Slides.pdfFour steps to guide your well-being and stress mitigation strategy 1. Values: Stress is related to your values. Clearly identify them. 2. Anticipate and

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Strategies to Regulate Stress: Bottom up/ Top Down

© NFI Vermont 2020 [email protected]

Cognitive

(10-20%)

Relational/ Affective

(30-40 %)

Physiological(51%)

Strategies to Regulate Stress: Bottom up/ Top Down

© NFI Vermont 2020 [email protected]

Cognitive

Relational/ Affective

Physiological

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Stress Response System: Typical or Average Person

.

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Low/No Stress

Rest, Restore, Repair

Mild/Moderate Stress

Optimize, MaximizeModerate/High Stress

Overload, ExhaustionToxic Stress

Breakdown

Stress Response System: 3. Mild-to-Moderate Stress Confer Great Benefits (Enhancements)

.

© NFI Vermont 2020 [email protected]

Low/No Stress

Rest, Restore, Repair

Mild/Moderate Stress

Optimize, MaximizeModerate/High Stress

Overload, ExhaustionToxic Stress

Breakdown

1. Optimal Performance2. Flexibility, Versatile3. Vigilance4. Accountability/Reflective5. Motivation6. Responsive (esp. to logic

and reason)7. Buoyant8. Relational

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Conditions That Foster Resilience: PRIDE

.

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Low/No Stress

Rest, Restore, Repair

Mild/Moderate Stress

Optimize, MaximizeModerate/High Stress

Overload, ExhaustionToxic Stress

Breakdown

1. Predictability: Structuree and Routine moderates uncertainty

2. Relational: Safe, Caring , Respectful

3. Identify: Your hot spots and triggers

4. Developmental Stressors: 5. Empathy, validation,

compassion

Stress Response System: 4. Moderate-to-High Stress Can Create Stress-Adapted

.

© NFI Vermont 2020 [email protected]

Low/No Stress

Rest, Restore, Repair

Mild/Moderate Stress

Optimize, MaximizeModerate/High Stress

Overload, ExhaustionToxic Stress

Breakdown

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.

© NFI Vermont 2020 [email protected]

Low/No Stress

Rest, Restore, Repair

Mild/Moderate Stress

Optimize, MaximizeModerate/High Stress

Overload, ExhaustionToxic Stress

Breakdown

Threshold of ToleranceWOT

Bandwidth

Stress Response System

Stress Response System: Resilient Person

.

© NFI Vermont 2020 [email protected]

Low/No Stress

Rest, Restore, Repair

Mild/Moderate Stress

Optimize, MaximizeModerate/High Stress

Overload, ExhaustionToxic Stress

Breakdown

Threshold of ToleranceWOT

Bandwidth

Page 17: New England NEA #4 Slides.pdfFour steps to guide your well-being and stress mitigation strategy 1. Values: Stress is related to your values. Clearly identify them. 2. Anticipate and

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Stress Response System: Stress Adapted or Developmental

Sensitivity.

© NFI Vermont 2020 [email protected]

Low/No Stress

Rest, Restore, Repair

Mild/Moderate Stress

Optimize, MaximizeModerate/High Stress

Overload, ExhaustionToxic Stress

Breakdown

Threshold of ToleranceWOT

Bandwidth

1. “Stress Blindness2. Diminished Capacity to Parent/Blocked Care3. “Closed Brain” rigid cognitively4. Reactivity/short-tempered5. Blame, Complain, Shame6. Self-focused7. Anxious, panicky, detached

© NFI Vermont 2020 [email protected]

Low/No Stress

Rest, Restore, Repair

Mild/Moderate Stress

Optimize, MaximizeModerate/High Stress

Overload, ExhaustionToxic Stress

Breakdown

Stress Response System: Stressed Adults

.

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Conditions That Create Vulnerability and Sensitivity to Threat

.

© NFI Vermont 2020 [email protected]

Low/No Stress

Rest, Restore, Repair

Mild/Moderate Stress

Optimize, MaximizeModerate/High Stress

Overload, ExhaustionToxic Stress

Breakdown

1. Dangerous, Unreliable Caregiving2. Neglectful, Chaotic, Non-responsive3. Unregulated Stress4. Little or no protective factors5. Challenges/Expectations are not

developmentally appropriate6. Authoritarian, cold, commanding

caregiving

Strategies That Build Resilience

.

© NFI Vermont 2020 [email protected]

Low/No Stress

Rest, Restore, Repair

Mild/Moderate Stress

Optimize, MaximizeModerate/High Stress

Overload, ExhaustionToxic Stress

Breakdown

Structure, Routine, Rituals, Predictability, TraditionsAddress relational poverty (equity not fairness)Developmentally appropriate exposure to stressors 7 C’s: (Ken Ginsburg, MD)

Connection (enriched relationships)CompetenceContributionControl ConfidenceCharacter/ ConsequencesCoping Skills

“Short moments of action, many times a day”

Name the emotion

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Strategies That Build Resilience

.

© NFI Vermont 2020 [email protected]

Low/No Stress

Rest, Restore, Repair

Mild/Moderate Stress

Optimize, MaximizeModerate/High Stress

Overload, ExhaustionToxic Stress

Breakdown

Surprise child’s mistrusting brain by “challenging their expectations of caregiving

behavior” Listen/Lecture & Getting to yes

VCRReframe

Regulate—Relate—ReasonConnect before you correct

Story tell

Stress Response System

.

© NFI Vermont 2020 [email protected]

Low/No Stress

Rest, Restore, Repair

Mild/Moderate Stress

Optimize, MaximizeModerate/High Stress

Overload, ExhaustionToxic Stress

Breakdown