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Foundations to Flourish

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Providing Therapeutic Transition to Schools for Children who have Experienced Trauma.
Presented by:
Angela Kretz, Program Co-ordinator, Act for Kids Wooloowin
Marina Ringma-Mclaren, Early Intervention Teacher, Act for Kids Wooloowin

Providing Therapeutic Transition to Schools for Children who have Experienced Trauma.
Presented by:
Angela Kretz, Program Co-ordinator, Act for Kids Wooloowin
Marina Ringma-Mclaren, Early Intervention Teacher, Act for Kids Wooloowin

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Foundations to Flourish

  1. 1. Foundations to Flourish Providing Therapeutic Transitions to Schools for Children who have Experienced Trauma Presenters: Angela Kretz Program Co-ordinator Act for Kids Wooloowin Marina Ringma-McLaren Early Intervention Teacher Act for Kids Wooloowin
  2. 2. • Reviewing the Problem - Child Abuse & Neglect • Who are Act for Kids & what do they do? • Theories underpinning practice • What is Trauma? • Early Education Program – Key Focus Areas • Transitioning from EEP to Prep • Questions? Presentation Overview
  3. 3. Child Abuse and Neglect Child abuse and neglect is one of Australia’s biggest and most misunderstood social problems. Despite being under-reported, Australian authorities confirmed 40,844 children were abused or neglected between 2013- 2014 Harm is defined in legislation as “detrimental effect of a significant nature on the child’s physical, psychological or emotional wellbeing” Child abuse is typically categorised as Physical, Emotional, Sexual, and Neglect. Abuse is usually a pattern of behaviour; rarely the result of a single incident The effects of child abuse and neglect can be significant and lead to lifelong problems. Impact brain development • Hippocampus – memory function • Pre-frontal Cortex – learning • Corpus Callosum – LB/RB connection Impact physical development • Overall growth - malnutrition • Impairment of fine/gross motor skills Impact social/emotional development • Language delays • Inability to form attachments In the long term it can lead to drug and alcohol abuse, mental illness, difficulty developing and maintaining healthy relationships, unemployment and all sorts of social disadvantage. The outcomes for children if someone takes action to protect them can be overwhelmingly positive. With early and appropriate support, children and young people can overcome their experiences. It’s also true that with the right kind of support parents can often change their behaviour, routines and environment to provide a safe and caring home for their children.
  4. 4. How big is the problem?  In 2013-2014 there were 304,094 notifications of suspected abuse or neglect reported to Australian protection authorities; one child every two minutes  In 2013-14, 40,844 Australian kids suffered abuse and neglect*. That’s one child every 13 minutes suffering abuse or neglect.  94% of abused kids are harmed by someone they know and should be able to trust  83% of the kids we see are harmed by a natural parent  Over half of the parents we engage with report they too were abused as children  Child abuse costs the Australian economy at least $10.7 billion* Source: Australian Institute of Health and Welfare. Child protection Australia 2013-14. Child welfare series no. 61. Cat. No. CWS 52. Canberra: AIHW. http://www.aihw.gov.au/publication-detail/?id=601299550762
  5. 5. About Act for Kids Act for Kids is an Australian not-for-profit charity providing free professional therapy and family support services to prevent and treat child abuse and neglect. Established as the Abused Child Trust in 1988, we have been helping Australian families keep their children safe for more than 27 years. During that time we have grown from one part-time therapist to a team of over 300 providing services state-wide and interstate. In 2008, at the ripe old age of 20, we changed our name to Act for Kids to better reflect our broader range of services, and to share a positive call to action across communities. Our Purpose To prevent and treat child abuse and neglect. Our Vision All kids have a safe and happy childhood, free from abuse and neglect. Our Values We are a professional, ethical team who is caring, courageous and collaborative.
  6. 6. Act for Kids Services Therapy (CIS/Flourish/WT/ITP) Provision of individual and family therapy utilising a variety of modalities. Collaborative practice across multi-disciplinary team & stakeholder group Family Support (FaCC) Connects families to community services (IFS/RAI) Early intervention counselling, coaching & psycho-education for children & families provided within the home Residential Services The SafeKIDS Program is a partnership between Traditional Owners and Act for Kids, and aims to keep kids in their local community
  7. 7. Act for Kids Services Cont. Education Services EEP Protective behaviours program - grade 1 kids (LTBSWEAF) In-school therapeutic support (individual/group) Community Education Trauma informed psycho-education Government & non-government sector
  8. 8. ACT For Kids - WooloowinAct for Kids Wooloowin
  9. 9. ACT for Kids – Objectives To work with children and young people (0-17) who have experienced trauma as a consequence of abuse and/or neglect. To engage with their families and/or carers around family functioning, communication, parenting, and the impact of abuse and trauma on child well-being and safety. To provide holistic integrated interventions that utilizes assessments and therapy to achieve identified goals and outcomes for families, their children and young people. To work with children and their relevant stakeholders to improve their social, emotional and educational development. To enhance community education, assessments and interventions through training and workshops Service Objectives
  10. 10. Attachment Theory: helps us to understand human relationship development from pre-birth onwards throughout the life span. Trauma Theory: helps us understand the neurobiological and psychological impact of abuse and neglect on the child Developmental Theory: helps us understand typical development and development under adversity Theories Underpinning Practice
  11. 11. Our earliest experiences are physical/sensory in nature • Infants are ‘wired’ to engage in social relationships • Infants cries and behaviours are designed to engage the attention, care and concern of those close around them. • Attachment relationship is something that children and caregivers create together in an ongoing reciprocal way. • The quality of the attachment between an infant & parent is strongly associated with the infant’s language development. Attachment Theory
  12. 12. There is no such thing as a baby, there is a baby AND someone” (Donald Winnicott)
  13. 13. Trauma is any event that overwhelms the infant or child’s capacity to cope. What is Trauma? Complex trauma however: • involves multiple incidents over a period of time • is grounded in relational connections which involve isolation, shame and disconnection • impacts on the person’s sense of self in relation to others • impacts upon the child’s development
  14. 14. Children are more vulnerable to trauma than adults because they have had limited experiences of facing and overcoming challenges in their life. Understanding Trauma? Their bodies and minds are still developing.
  15. 15. Trauma occurs when an event is so frightening it causes a prolonged alarm reaction, where the body is primed and pumped with chemicals and enzymes such as adrenaline and does not calm down for a long time. In any person, this creates an altered neurological state. Trauma Response “Children exposed to significant threat will ‘reset’ their baseline state of arousal, such that even at baseline – when no external threats or demands are present – they will be in a physiological state of persisting alarm.” Bruce Perry
  16. 16. Hyperarousal (Sympathetic nervous system) (separation anxiety, hyper-vigilent, low thresholds, emotional meltdowns) Window of Tolerance Just Right Zone We can think and feel at the same time Hypoarousal (Parasympathetic) (Flat affect, shut down, passive aggressive, appears sluggish) Emotional Regulation
  17. 17. • The brain is at its most plastic in early childhood • In childhood, there is the greatest vulnerability to harm but also the greatest potential for healing. Neuroplasticity
  18. 18. Early Education Program Kindy • The teacher & teacher aide are funded by Education Queensland • 2 groups – Kindy 2-3 years of age; Pre-Prep 4-5 years of age • Focus is on developing social/emotional skills & school readiness • Multidisciplinary approach utilised within the EEP environment Education & Prevention
  19. 19. LCCH school Education Queensland Act for Kids Early Education Program Working in Partnership
  20. 20. Early Education Program – Who can attend? Open case with Child Safety or Engaged with the Intensive Family Support Prior history of abuse, neglect and /or trauma At high risk due to developmental, social and emotional delays Currently in foster placement or being reunified Need support to attain skills that will help them to enter school
  21. 21. Excellence in Inclusive Education
  22. 22. Photo of room trashed
  23. 23. The Iceberg Model Context…..What children do and say is always driven by things we can’t see and things they can’t always explain. We need to shift our thinking from: What is wrong with you? to How can I understand you? Behaviours Needs Developmental challenges Fight / flight / freeze
  24. 24. Key Focus of the Early Education Program Building strong healthy relationships
  25. 25. Key Focus of the Early Education Program Provide a safe place to learn and grow
  26. 26. Key Focus of the Early Education Program Helping them to understand their overwhelming feelings and emotions • Emotional literacy • Identifying emotions/ feeling • Learning to control them
  27. 27. Key Focus of the Early Education Program Sensory Exploration
  28. 28. Key Focus of the Early Education Program Act for Kids Reclaiming Childhood
  29. 29. Key Focus of the Early Education Program Moving beyond learned helplessness and fixed mindsets. Rewriting our understanding about who we are as learners
  30. 30. Transition to Prep • Set small achievable daily goals • Provide safe learning challenges which can be built upon • Clear expectations • Reduce student stress levels and bring their attention and awareness back into the classroom • Create the belief that it is possible for them to succeed • Building a learning culture • Building the skills to engage and learn • Address the fears / anxiety • Celebrating their success
  31. 31. Transition to Prep Documentation to help support a successful transition to Prep
  32. 32. School Really Matters “Teachers who understand the effects of trauma on children’s education, who are able to develop teaching practices to help them, and who are able to participate actively and collaboratively (with carers) .. will not only improve their educational outcomes but will assist in their healing and recovery.”
  33. 33. “When I first came to EEP, my world was confused and angry .. .. but I have learnt about myself ... and I am glad that I am
  34. 34. Although we can't be there to rescue them from their situations we can be there to hold their hand, to give them an experience of what positive attachment looks like, to be calm and consistent; to always be there for them no matter their behaviour and to show them the possibility that life can be different.

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