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Handout #1
Adolescent Development 1
Developed by IHS for the Ohio Child Welfare Training Program - June 2017
ADOLESCENT DEVELOPMENT
Note Taking Guide
Foundations of Adolescent Development
Principles of Development
1. Not everyone develops at the same rate and development
varies across domains.
2. Development is influenced by social and cultural diversity.
3. Past experience influences motivation to learn new things.
4. Relationships are key to development.
5. Children learn in a variety of ways.
6. Development happens in a specific order.
7. Play is important to development.
8. Physical, cognitive, social, and emotional development are all important and connected.
9. Biology and experience both influence development.
10. Challenging children helps their development.
11. Early experiences have a lifelong impact on a child’s development.
12. Development goes from the simple to the complex.
-Adapted from National Association for the Education of Young Children, 2009
 Three important brain-related concepts:
o The brain develops from the bottom up (Blakemore, 2012).
o The brain is a “use dependent” organ (Blakemore, 2012; Glaván, 2013; Sentis, 2012).
o Brain development continues beyond the teen years (Sentis, 2012).
 Development occurs in domains – physical, cognitive, and social/emotional.
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At the end of this module, you will be able to:
 Discuss the physical, cognitive, social, and emotional development of adolescents
 Describe why adolescent behavior can be challenging
 Identify positive parenting strategies to prepare adolescents for adulthood
Handout #1
Adolescent Development 2
Developed by IHS for the Ohio Child Welfare Training Program -June 2017
Typical Adolescent Development
 Adolescents are experiencing physical changes as a result of
puberty and cognitive changes like increased abstract thinking.
Social/emotional tasks include:
o identity
o autonomy
o intimacy
o sexuality
o achievement
 Many youth in care have experienced trauma and toxic stress.
 This can result in changes in the brain and in behavior. It may
also result in developmental delays.
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Assessing Development
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Handout #1
Adolescent Development 3
Developed by IHS for the Ohio Child Welfare Training Program -June 2017
Understanding Behavioral Challenges
 Challenging behavior can be the result of:
o The emotional brain “winning” over the logical brain
o A reaction to a trauma trigger
o A self-protection measure
 Behavior is communication. It is the way adolescents express
their needs.
 Caregivers parenting teens should:
o Practice self-care
o Become self-aware
o Have a plan
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Caregiver’s Role in Preparing for Adulthood
Caregivers have three tasks:
o Support relationships
o Provide structure
o Offer experiences
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Handout #1
Adolescent Development 4
Developed by IHS for the Ohio Child Welfare Training Program -June 2017
REFLECTION QUESTIONS
1. Think back to your adolescence. Who was an important figure in your life? What characteristics of
this person did you most admire? Do you possess similar characteristics?
2. Which resource did you learn about today that most interests you? How do you think you will use
it?
3. In which life skills area will it be the most difficult for you to prepare youth? What can you do to
improve your skills in this area?
RESOURCES
 https://www.healthychildren.org/English/ages-stages/teen/Pages/Stages-of-Adolescence.aspx -
American Academy of Pediatrics’ Stages of Adolescence
 http://ohiomindsmatter.org - Mental health information for doctors, school personnel, caregivers
and youth
 http://jfs.ohio.gov/PFOF/FosterCare-to-Age21.stm - Ohio’s Bridges Program for emancipated youth
until the age of 21
 http://www.namiohio.org/ - Ohio Chapter provides education, peer mentors and support to families
caring for those with mental illness.
 http://www.jobcorps.gov/home.aspx – helps youth complete their high school education, and even
provides housing
 http://Ohioreach.wikispaces.com– provides assistance to foster care youth who want to go on to
college
 https://www.childwelfare.gov/pubs/youth_transition.pdf - Helping Youth Transition to Adulthood
 https://selfserve.thebenefitbank.org – Ohio Benefits Bank links youth and families to resources
 http://www.multiracialsky.com –practical parenting strategies in caring for youth in a multiracial
family setting
 http://www.ohio.org – A guide to Ohio cultural and ethnic events and festivals
 http://www.odjfs.state.oh.us/forms/file.asp?id=2720&type=application/pdf - Foster Youth Rights
Handbook
 https://www.fosterclub.com/ - online support and resources for foster youth
Handout #2
Adolescent Development 1
Developed by IHS for the Ohio Child Welfare Training Program - June 2017
ADOLESCENT DEVELOPMENT
Developmental Tasks, Life Skills, and Normalcy
Content found in AAP, 2015; APA, 2002; Blakemore, 2012; Casey, Jones, & Hare, 2008; Child, Youth & Family, 2016; Conn, Alpert-Gillis,
Baldwin & Jee, 2016; Dodge, Burks, Bates, Pettit, Fontane & Price, 2003; Field, 2013; Glavan, 2013; Gongala, 2016; Kinder, 2016; Merrill, 2016;
NIMH, n.d.; Rakhee, 2015; Ratika, 2016; Saldana, 2013; Salerno & Antony, 2014; Search Institute, 2007 & 2016; Sentis, 2012; Stages, 2008;
Steinberg & Morris, 2001; Williams, 2013; Witmer, 2016.
Early Adolescence (Ages 12-14)
Physical Domain Cognitive Domain Social-Emotional Domain Life Skills Normalcy Activities
 Puberty Onset
- Females 11-14
- Males 12-15
 Female - Breast/Hips,
Menses, Body Fat
Increase
 Male - Penis/Testicles,
Deepening Voice, Wet
Dreams
 Male/Female - Body
Hair, Perspiration
 Height/Weight
Increase, Coordination
Problems
 Focus in Present
 Limited Ability for
Future Planning
 Abstract & Moral
Thought Increases
 Grey Matter at Peak
Density
 Mood Swings from
Higher Reasoning to
Emotional Outbursts
 Fears/Loneliness
 Forgetfulness/
Mental Fog
 Individuation -
Separate from Parents
 Strong Identification
with Peer Groups
Often Rooted in Fear
of Rejection
 Value Testing
 Friendships Based on
Same Gender, Same
Age, Same Activities
 Focus on Appearance
and Material
Possessions
 Schedule/Cancel
Appointments
 Keep Calendar
 Count Change Correctly
 Mow/Trim Lawn
 Detail Car
 Prepare Meals
 Problem Solve
 Laundry
 Articulate Problem &
Seek Help
With Adult Help:
 Music/Dance
 Recreational Sports
 Birthday Parties
 Sleep Overs
 Scouting & 4-H
 Summer Camps
 School Trips
 Places of Worship
 Youth Groups
 Community Activities & Events
 Fishing
 Band/Choir
 Theater
 Writing Clubs
 Volunteering
Handout #2
Adolescent Development 2
Developed by IHS for the Ohio Child Welfare Training Program - June 2017
Middle Adolescence (Ages 15-17)
Physical Domain Cognitive Domain Social-Emotional Domain Life Skills Normalcy Activities
 Female Height
Stabilizes, Body Fat
Reduces
 Male Height Increase,
Muscle Mass Increases
 Puberty Complete
(Females
Earlier/Males Later)
 Coordination Improves
 Goal & Priority
Setting Ability
 Abstract Thought &
Moral Reasoning
Increases
 Prefrontal Cortex
Developing
 Grey Matter &
Neural Pathways
Pruning
 Brain Pleasure
Centers Highly
Receptive
 Underdeveloped
Capacity to Delay
Gratification
 Individuation-Separate
From Peer Group
 Friendships Based on
Interests Across Gender,
Age or Location
 Struggles with Body
Image & Self Doubt
 Risk Taking Behavior &
Rejection of Authority
 Intense Romantic
Relationships which May
Change Often and Based
on Physical Attraction
 Contact with Colleges or
Employers
 Manage Schedule
 Use Bank Account
 Change Flat
 Admit When Wrong-Make
Amends
 Child Care & Pet Care
 Referee, Life Guard
Certifications
 Part time employment
With Decreasing Adult Help:
 School Clubs & Sports
 Community Activities
& Events
 Volunteer
 Time with Peers
 Athletic Club
Memberships
 Hunting & Fishing, Dirt
Bikes, 4 Wheelers, etc.
 Hiking, Camping
 Driving
 Managing Personal
Pets & Farm Animals
 Vacations
Late Adolescence (Ages 18-21)
Physical Domain Cognitive Domain Social-Emotional Domain Life Skills Normalcy Activities
 Females
Flexibility Decreases,
Strength & Agility
Increases
 Males
Height, Body Hair,
Muscle Mass all
Continue to Increase
 Males/Females
Physical Potential
Peaks for Strength,
Precision, & Endurance
 Future Orientation
 Ability to Delay
Gratification and
Learn From
Experience
 Decreases in Peer
Influence/Pressure
 Mental Health Issues
May Become More
Pronounced and
Require Treatment
 Individuation - Separate
From Parents and Peers
 Friendships Based on
Mutual Acceptance &
Enjoyment
 Satisfaction in Helping
Others
 Romantic Relationships
are now Based on
Values, Trust,
Monogamy, & Future
Plans
 Housing & Bills
 Employment
 Education
 Manage Transportation
Needs
 Manage Healthcare
 Work Well with Difficult
People
 Positive Relationships with
Friends, or Family
Without Adult Help:
 College/Vocation/
Technical School
 Clubs, Hobbies
 Religious Affiliation
 Vacations
 Movies & Dates
 Volunteer Service
 Manage Healthcare
 Live Alone
 Visit Family/Friends
 Plan an Activity
 Mentor/Advocate
 Save for Investment
Handout #3
Adolescent Development 1
Developed by IHS for the Ohio Child Welfare Training Program - June 2017
ADOLESCENT DEVELOPMENT
Teen Scenarios
Read your assigned scenario and discuss the following questions:
1. For each of the three domains (cognitive, physical, and social/emotional), determine what
stage of adolescence this youth is in and provide “evidence.”
2. What are this youth’s strengths and barriers when considering his/her adulthood
preparation? What past events contributed to these characteristics?
3. What additional information would you like in assessing this youth?
Teen One
Teen one was taken from his mother and placed in foster care at age 18 months because of serious
abuse. At 21 months, he was placed in a second foster home under suspicion of neglect when he failed
to grow well in the first foster home. He remained in the second home until age 3 when he was placed
with his 64-year-old grandmother.
Grandma had medical problems which prevented her from provided the care she would have liked,
leaving teen one to fend for himself as a toddler and growing child. Teen one had an aunt who lived with
he and grandma off and on when she was out of work or had no boyfriend to support her. She treated
teen one as a best friend, made lots of promises of special things they might do together but never
followed through or had contact when she was out of the home.
Teen one was 17 when his grandma was placed in a nursing home and he entered his 3rd foster home.
He is taller than most of his peers and appears to be much older than his 17 years. He likes himself and
sees himself as unique. He views life as a game.; he tries to figure out the rules, and then manipulates
them to get what he wants. He says it gives him a real rush when he feels he has “beaten” the game.
Teen one is an expert at conning and conforming. He can be charming and cooperative, or manipulative
and evasive, depending on which strategy will best get him what he wants. When a strategy doesn’t
work, he works hard to figure out what he should have done differently to get his way.
Despite his ability to manipulate, he has a very circumscribed understanding of other people. He doesn’t
consider other people’s feelings, and denies having any himself. He makes a good first impression, but
others are quickly alienated when people realize his superficiality and lack of sincerity. He is always
getting into power struggles with adults and authority and loves it when he “wins.” He has no close
friends. He says he doesn’t need them; he’s perfectly capable of taking care of himself. He creates an
image of invulnerability and indifference, and sees himself as having no problems.
Handout #3
Adolescent Development 2
Developed by IHS for the Ohio Child Welfare Training Program - June 2017
Teen Two
Teen two lived with her father (minister), mother (home maker) and three younger siblings. When teen
two was 9 years old her father began finding excuses to enter the bathroom while she bathed. He would
remain in the bathroom even when teen two asked him to leave, claiming as her father there was
nothing wrong with his being there. After 6 months, the father began fondling teen two in her bedroom
at night. By age 11, teen two’s father was having intercourse with her.
Teen two’s father excused his behavior by saying that God had made the human body beautiful and that
the bond between parents and children was meant to be sacred. He explained that others would not
understand their relationship so it should not be discussed. He urged her that telling the secret could get
him banned from the church and break their family apart.
Teen two wanted to tell her mother but was afraid her mother would blame her. She was also afraid her
father would lose his job. At age 15, teen two told a favorite teacher. She was placed with a maternal
aunt during the investigation. Teen two entered foster care after a brief stay with her maternal aunt.
Teen two feels sure no one will forgive her for telling or want to date her. She is anxious and depressed.
She complains of stomach aches, headaches and sometimes throws up. She states she does not use
drugs or alcohol but does “party” a lot with friends. She has been arrested twice with teens who were
out late drinking, but charges have never been filed against her.
Teachers report occasional outbursts between teen two and other students, with teen two starting
arguments over minor issues. Her teachers like her but find her withdrawn and pensive. A school
counselor reports teen two frequently visits her office to chat, but is reluctant to discuss her private life.
She apologizes profusely for doing poorly on school tests.
Last week teen two was caught having sex with an adult male she snuck onto school property. This was
the same male she was caught with in the foster home two days earlier. Teen two expresses great
remorse, offering help around the house to try to “make up” for her failure. She reports she does not
love, or even really like this man but that he says nice things to her and she doesn’t want to hurt his
feelings by breaking off the relationship. She breaks down in tears several times daily asking her foster
parents not to think badly of her.
Handout #3
Adolescent Development 3
Developed by IHS for the Ohio Child Welfare Training Program - June 2017
Teen Three
Teen three was the fourth of six children raised on a farm. His family included three older sisters, a
younger brother and sister, a grandmother, aunt and a cousin who came to visit and never left. His
father was 50 and mother 22 when he was born. Teen three’s father was an alcoholic and would often
drink himself into a stupor. Occasionally he would be verbally abusive but there was no evidence of
physical abuse.
Teen three’s mild temperament made him a favorite with the family. His older sisters, grandma and aunt
spoiled him with attention when he was little, carrying him everywhere and rocking him to sleep at
night. As he grew older they gave him extra food and money.
Four years ago, teen three’s father died of alcohol-related illness. His mother remarried a strict man. He
was determined to toughen teen three up, avoiding praise or shows of affection. Teen three’s mother
turned to drugs to deal with life’s struggles, and died of an overdose when teen three was 12. Teen
three began hanging out with a local gang and repeatedly got into trouble. He entered foster care when
his step father refused to take him back after his last arrest.
Now 13 years old, teen three is short and scrawny. He has somewhat of a “baby face,” is quiet and
generally cooperative. He is easy to get along with to the point of over-compliance and passivity. He
readily agrees with others and conforms quickly to their demands, particularly when he views them to
be in power. He has very poor self-esteem and feels entirely inadequate in comparison to people around
him. To adults, he appears helpless and in need of protection.
Teen three is viewed by peers as a “tag-a-long” and is often used by his peers. He will do whatever he is
told, because he craves social acceptance. He is only marginally accepted, however, and often socially
scapegoated.
Teen three’s thinking ability is very concrete and he views the world in simplistic, concrete terms. He
understands his own feeling in concrete terms. He describes himself as “friendly” and “not so good at
school” and his family as “nice” and sometimes “loud.”
Teen three was arrested with a group of kids going 80 miles per hour in a van at midnight. The group
had all been drinking and marijuana joints were also found in the vehicle. Teen three insisted he did not
know there were drugs in the van. He said he was standing on a corner with kids after school when he
was offered a ride and didn’t want to look “weird” by refusing.
Handout #4
Adolescent Development 1
Developed by IHS for the Ohio Child Welfare Training Program - June 2017
ADOLESCENT DEVELOPMENT
Responding to the Behavior
1. Practice Self Care
- What keeps you in a healthy emotional state?
2. Become self-aware
- What teen behaviors trigger a negative reaction from you? Does this relate to anything
from your past?
3. Have a plan
- What strategies have worked well for you in the past?
Suggested models include:
 KEEP: Keeping Foster and Kin Parents Supported and Trained (Child Welfare Information
Gateway, n.d., Promising Practices)
 Parenting with Love and Logic (Cline & Fay 1977)
 The Keys to Your Child’s Heart (Smalley 2003)
 RACER – flip page over to see an example of the RACER model
Handout #4
Adolescent Development 2
Developed by IHS for the Ohio Child Welfare Training Program - June 2017
The RACER model (Larmar, S., & Clark, J. 2010)
1. Remain Calm- Try to remain calm and conscious of your own thoughts and feelings
2. Assess Safety- Assess the safety of all involved and act accordingly to minimize risk
3. Consider Context- Consider the context of the exchange before responding
4. Events/Triggers- Determine activating events and the underlying need
5. Respond- Implement specific strategies in a calm and supportive manner
Application Example: 15-year-old Brooklyn
Brooklyn has experienced multiple placements in the five years she has been in the care system. She
was originally placed in out-of-home care following investigation that confirmed that Brooklyn was
being sexually abused by her stepfather. Brooklyn is generally a courteous and quiet young woman;
however, she is vulnerable to experiencing extreme fits of rage if she feels threatened. Her anger is
usually exacerbated by the provocation of Thomas, the twelve-year-old son of her foster caregivers.
Thomas will often enter Brooklyn’s room without permission or threaten her if she does not cooperate
with him. When Brooklyn’s caregivers try to assist her, Brooklyn hurls violent abuse at them, creating
significant stress for the rest of the family, in particular, Susan, the youngest daughter in the family.
o REMAIN CALM: Approach Brooklyn calmly and empathize with her frustration over Thomas’
behavior. It is important to use open body language and a rational tone of voice (Metcalf 1997 in
Larmar & Clark, 2010).
o ASSESS SAFETY OF ALL INVOLVED: If other people are near Brooklyn, ask her to move to a place
where there are no people. If she refuses, then ask them to leave the area for their safety. Without
an audience, Brooklyn may find it easier to calm down.
o CONSIDER THE CONTEXT: If Brooklyn is acting out in the home or in a place where there are no
others around, talk to her about her behavior. If she is in a more public space, or if it would create a
sense of embarrassment to talk to her in front of those around, the caregiver should attempt to get
Brooklyn alone (Temple-Plotz et al. 2002 in Larmar & Clark, 2010). For example, the caregiver
should consider the implications of a direct confrontation in front of Brooklyn’s friends and may
want to choose their response carefully.
o EVENT/TRIGGERS-DETERMINE ACTIVATING EVENT: The activating event is Thomas’s behavior
towards Brooklyn. It is important for Brooklyn’s caregivers to confront Thomas about his intrusive
behavior and the need for behavior change on his part to reduce Brooklyn’s anxiety (Balson 1995 in
Larmar & Clark, 2010).
o RESPOND-IMPLEMENT APPROPRIATE STRATEGY: If Brooklyn is yelling at Thomas, then the caregiver
should remove him from the situation. The caregiver can then focus her attention on Brooklyn
(Yogendra 1989 in Larmar & Clark, 2010). If Brooklyn continues to act aggressively, it may be
appropriate to ask her to stay in her room until she is ready to talk reasonably, making clear that this
is not a punitive consequence but a practical strategy to help support her in her frustrated state
(Larmar 2002 in Larmar & Clark, 2010). When Brooklyn is calm, the caregiver should make sure to
discuss the incident with her to help her feel supported, identify what past experiences or feelings
Thomas’ behavior brought up, and what she could do differently the next time Thomas bothers her.

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Adolescent development Handouts.pdf

  • 1. Handout #1 Adolescent Development 1 Developed by IHS for the Ohio Child Welfare Training Program - June 2017 ADOLESCENT DEVELOPMENT Note Taking Guide Foundations of Adolescent Development Principles of Development 1. Not everyone develops at the same rate and development varies across domains. 2. Development is influenced by social and cultural diversity. 3. Past experience influences motivation to learn new things. 4. Relationships are key to development. 5. Children learn in a variety of ways. 6. Development happens in a specific order. 7. Play is important to development. 8. Physical, cognitive, social, and emotional development are all important and connected. 9. Biology and experience both influence development. 10. Challenging children helps their development. 11. Early experiences have a lifelong impact on a child’s development. 12. Development goes from the simple to the complex. -Adapted from National Association for the Education of Young Children, 2009  Three important brain-related concepts: o The brain develops from the bottom up (Blakemore, 2012). o The brain is a “use dependent” organ (Blakemore, 2012; Glaván, 2013; Sentis, 2012). o Brain development continues beyond the teen years (Sentis, 2012).  Development occurs in domains – physical, cognitive, and social/emotional. ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ At the end of this module, you will be able to:  Discuss the physical, cognitive, social, and emotional development of adolescents  Describe why adolescent behavior can be challenging  Identify positive parenting strategies to prepare adolescents for adulthood
  • 2. Handout #1 Adolescent Development 2 Developed by IHS for the Ohio Child Welfare Training Program -June 2017 Typical Adolescent Development  Adolescents are experiencing physical changes as a result of puberty and cognitive changes like increased abstract thinking. Social/emotional tasks include: o identity o autonomy o intimacy o sexuality o achievement  Many youth in care have experienced trauma and toxic stress.  This can result in changes in the brain and in behavior. It may also result in developmental delays. ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ Assessing Development ___________________________________________________ ___________________________________________________ ___________________________________________________ ___________________________________________________ ___________________________________________________ ___________________________________________________ ___________________________________________________ ___________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________
  • 3. Handout #1 Adolescent Development 3 Developed by IHS for the Ohio Child Welfare Training Program -June 2017 Understanding Behavioral Challenges  Challenging behavior can be the result of: o The emotional brain “winning” over the logical brain o A reaction to a trauma trigger o A self-protection measure  Behavior is communication. It is the way adolescents express their needs.  Caregivers parenting teens should: o Practice self-care o Become self-aware o Have a plan ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ Caregiver’s Role in Preparing for Adulthood Caregivers have three tasks: o Support relationships o Provide structure o Offer experiences _________________________________________________________ _________________________________________________________ _________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________
  • 4. Handout #1 Adolescent Development 4 Developed by IHS for the Ohio Child Welfare Training Program -June 2017 REFLECTION QUESTIONS 1. Think back to your adolescence. Who was an important figure in your life? What characteristics of this person did you most admire? Do you possess similar characteristics? 2. Which resource did you learn about today that most interests you? How do you think you will use it? 3. In which life skills area will it be the most difficult for you to prepare youth? What can you do to improve your skills in this area? RESOURCES  https://www.healthychildren.org/English/ages-stages/teen/Pages/Stages-of-Adolescence.aspx - American Academy of Pediatrics’ Stages of Adolescence  http://ohiomindsmatter.org - Mental health information for doctors, school personnel, caregivers and youth  http://jfs.ohio.gov/PFOF/FosterCare-to-Age21.stm - Ohio’s Bridges Program for emancipated youth until the age of 21  http://www.namiohio.org/ - Ohio Chapter provides education, peer mentors and support to families caring for those with mental illness.  http://www.jobcorps.gov/home.aspx – helps youth complete their high school education, and even provides housing  http://Ohioreach.wikispaces.com– provides assistance to foster care youth who want to go on to college  https://www.childwelfare.gov/pubs/youth_transition.pdf - Helping Youth Transition to Adulthood  https://selfserve.thebenefitbank.org – Ohio Benefits Bank links youth and families to resources  http://www.multiracialsky.com –practical parenting strategies in caring for youth in a multiracial family setting  http://www.ohio.org – A guide to Ohio cultural and ethnic events and festivals  http://www.odjfs.state.oh.us/forms/file.asp?id=2720&type=application/pdf - Foster Youth Rights Handbook  https://www.fosterclub.com/ - online support and resources for foster youth
  • 5. Handout #2 Adolescent Development 1 Developed by IHS for the Ohio Child Welfare Training Program - June 2017 ADOLESCENT DEVELOPMENT Developmental Tasks, Life Skills, and Normalcy Content found in AAP, 2015; APA, 2002; Blakemore, 2012; Casey, Jones, & Hare, 2008; Child, Youth & Family, 2016; Conn, Alpert-Gillis, Baldwin & Jee, 2016; Dodge, Burks, Bates, Pettit, Fontane & Price, 2003; Field, 2013; Glavan, 2013; Gongala, 2016; Kinder, 2016; Merrill, 2016; NIMH, n.d.; Rakhee, 2015; Ratika, 2016; Saldana, 2013; Salerno & Antony, 2014; Search Institute, 2007 & 2016; Sentis, 2012; Stages, 2008; Steinberg & Morris, 2001; Williams, 2013; Witmer, 2016. Early Adolescence (Ages 12-14) Physical Domain Cognitive Domain Social-Emotional Domain Life Skills Normalcy Activities  Puberty Onset - Females 11-14 - Males 12-15  Female - Breast/Hips, Menses, Body Fat Increase  Male - Penis/Testicles, Deepening Voice, Wet Dreams  Male/Female - Body Hair, Perspiration  Height/Weight Increase, Coordination Problems  Focus in Present  Limited Ability for Future Planning  Abstract & Moral Thought Increases  Grey Matter at Peak Density  Mood Swings from Higher Reasoning to Emotional Outbursts  Fears/Loneliness  Forgetfulness/ Mental Fog  Individuation - Separate from Parents  Strong Identification with Peer Groups Often Rooted in Fear of Rejection  Value Testing  Friendships Based on Same Gender, Same Age, Same Activities  Focus on Appearance and Material Possessions  Schedule/Cancel Appointments  Keep Calendar  Count Change Correctly  Mow/Trim Lawn  Detail Car  Prepare Meals  Problem Solve  Laundry  Articulate Problem & Seek Help With Adult Help:  Music/Dance  Recreational Sports  Birthday Parties  Sleep Overs  Scouting & 4-H  Summer Camps  School Trips  Places of Worship  Youth Groups  Community Activities & Events  Fishing  Band/Choir  Theater  Writing Clubs  Volunteering
  • 6. Handout #2 Adolescent Development 2 Developed by IHS for the Ohio Child Welfare Training Program - June 2017 Middle Adolescence (Ages 15-17) Physical Domain Cognitive Domain Social-Emotional Domain Life Skills Normalcy Activities  Female Height Stabilizes, Body Fat Reduces  Male Height Increase, Muscle Mass Increases  Puberty Complete (Females Earlier/Males Later)  Coordination Improves  Goal & Priority Setting Ability  Abstract Thought & Moral Reasoning Increases  Prefrontal Cortex Developing  Grey Matter & Neural Pathways Pruning  Brain Pleasure Centers Highly Receptive  Underdeveloped Capacity to Delay Gratification  Individuation-Separate From Peer Group  Friendships Based on Interests Across Gender, Age or Location  Struggles with Body Image & Self Doubt  Risk Taking Behavior & Rejection of Authority  Intense Romantic Relationships which May Change Often and Based on Physical Attraction  Contact with Colleges or Employers  Manage Schedule  Use Bank Account  Change Flat  Admit When Wrong-Make Amends  Child Care & Pet Care  Referee, Life Guard Certifications  Part time employment With Decreasing Adult Help:  School Clubs & Sports  Community Activities & Events  Volunteer  Time with Peers  Athletic Club Memberships  Hunting & Fishing, Dirt Bikes, 4 Wheelers, etc.  Hiking, Camping  Driving  Managing Personal Pets & Farm Animals  Vacations Late Adolescence (Ages 18-21) Physical Domain Cognitive Domain Social-Emotional Domain Life Skills Normalcy Activities  Females Flexibility Decreases, Strength & Agility Increases  Males Height, Body Hair, Muscle Mass all Continue to Increase  Males/Females Physical Potential Peaks for Strength, Precision, & Endurance  Future Orientation  Ability to Delay Gratification and Learn From Experience  Decreases in Peer Influence/Pressure  Mental Health Issues May Become More Pronounced and Require Treatment  Individuation - Separate From Parents and Peers  Friendships Based on Mutual Acceptance & Enjoyment  Satisfaction in Helping Others  Romantic Relationships are now Based on Values, Trust, Monogamy, & Future Plans  Housing & Bills  Employment  Education  Manage Transportation Needs  Manage Healthcare  Work Well with Difficult People  Positive Relationships with Friends, or Family Without Adult Help:  College/Vocation/ Technical School  Clubs, Hobbies  Religious Affiliation  Vacations  Movies & Dates  Volunteer Service  Manage Healthcare  Live Alone  Visit Family/Friends  Plan an Activity  Mentor/Advocate  Save for Investment
  • 7. Handout #3 Adolescent Development 1 Developed by IHS for the Ohio Child Welfare Training Program - June 2017 ADOLESCENT DEVELOPMENT Teen Scenarios Read your assigned scenario and discuss the following questions: 1. For each of the three domains (cognitive, physical, and social/emotional), determine what stage of adolescence this youth is in and provide “evidence.” 2. What are this youth’s strengths and barriers when considering his/her adulthood preparation? What past events contributed to these characteristics? 3. What additional information would you like in assessing this youth? Teen One Teen one was taken from his mother and placed in foster care at age 18 months because of serious abuse. At 21 months, he was placed in a second foster home under suspicion of neglect when he failed to grow well in the first foster home. He remained in the second home until age 3 when he was placed with his 64-year-old grandmother. Grandma had medical problems which prevented her from provided the care she would have liked, leaving teen one to fend for himself as a toddler and growing child. Teen one had an aunt who lived with he and grandma off and on when she was out of work or had no boyfriend to support her. She treated teen one as a best friend, made lots of promises of special things they might do together but never followed through or had contact when she was out of the home. Teen one was 17 when his grandma was placed in a nursing home and he entered his 3rd foster home. He is taller than most of his peers and appears to be much older than his 17 years. He likes himself and sees himself as unique. He views life as a game.; he tries to figure out the rules, and then manipulates them to get what he wants. He says it gives him a real rush when he feels he has “beaten” the game. Teen one is an expert at conning and conforming. He can be charming and cooperative, or manipulative and evasive, depending on which strategy will best get him what he wants. When a strategy doesn’t work, he works hard to figure out what he should have done differently to get his way. Despite his ability to manipulate, he has a very circumscribed understanding of other people. He doesn’t consider other people’s feelings, and denies having any himself. He makes a good first impression, but others are quickly alienated when people realize his superficiality and lack of sincerity. He is always getting into power struggles with adults and authority and loves it when he “wins.” He has no close friends. He says he doesn’t need them; he’s perfectly capable of taking care of himself. He creates an image of invulnerability and indifference, and sees himself as having no problems.
  • 8. Handout #3 Adolescent Development 2 Developed by IHS for the Ohio Child Welfare Training Program - June 2017 Teen Two Teen two lived with her father (minister), mother (home maker) and three younger siblings. When teen two was 9 years old her father began finding excuses to enter the bathroom while she bathed. He would remain in the bathroom even when teen two asked him to leave, claiming as her father there was nothing wrong with his being there. After 6 months, the father began fondling teen two in her bedroom at night. By age 11, teen two’s father was having intercourse with her. Teen two’s father excused his behavior by saying that God had made the human body beautiful and that the bond between parents and children was meant to be sacred. He explained that others would not understand their relationship so it should not be discussed. He urged her that telling the secret could get him banned from the church and break their family apart. Teen two wanted to tell her mother but was afraid her mother would blame her. She was also afraid her father would lose his job. At age 15, teen two told a favorite teacher. She was placed with a maternal aunt during the investigation. Teen two entered foster care after a brief stay with her maternal aunt. Teen two feels sure no one will forgive her for telling or want to date her. She is anxious and depressed. She complains of stomach aches, headaches and sometimes throws up. She states she does not use drugs or alcohol but does “party” a lot with friends. She has been arrested twice with teens who were out late drinking, but charges have never been filed against her. Teachers report occasional outbursts between teen two and other students, with teen two starting arguments over minor issues. Her teachers like her but find her withdrawn and pensive. A school counselor reports teen two frequently visits her office to chat, but is reluctant to discuss her private life. She apologizes profusely for doing poorly on school tests. Last week teen two was caught having sex with an adult male she snuck onto school property. This was the same male she was caught with in the foster home two days earlier. Teen two expresses great remorse, offering help around the house to try to “make up” for her failure. She reports she does not love, or even really like this man but that he says nice things to her and she doesn’t want to hurt his feelings by breaking off the relationship. She breaks down in tears several times daily asking her foster parents not to think badly of her.
  • 9. Handout #3 Adolescent Development 3 Developed by IHS for the Ohio Child Welfare Training Program - June 2017 Teen Three Teen three was the fourth of six children raised on a farm. His family included three older sisters, a younger brother and sister, a grandmother, aunt and a cousin who came to visit and never left. His father was 50 and mother 22 when he was born. Teen three’s father was an alcoholic and would often drink himself into a stupor. Occasionally he would be verbally abusive but there was no evidence of physical abuse. Teen three’s mild temperament made him a favorite with the family. His older sisters, grandma and aunt spoiled him with attention when he was little, carrying him everywhere and rocking him to sleep at night. As he grew older they gave him extra food and money. Four years ago, teen three’s father died of alcohol-related illness. His mother remarried a strict man. He was determined to toughen teen three up, avoiding praise or shows of affection. Teen three’s mother turned to drugs to deal with life’s struggles, and died of an overdose when teen three was 12. Teen three began hanging out with a local gang and repeatedly got into trouble. He entered foster care when his step father refused to take him back after his last arrest. Now 13 years old, teen three is short and scrawny. He has somewhat of a “baby face,” is quiet and generally cooperative. He is easy to get along with to the point of over-compliance and passivity. He readily agrees with others and conforms quickly to their demands, particularly when he views them to be in power. He has very poor self-esteem and feels entirely inadequate in comparison to people around him. To adults, he appears helpless and in need of protection. Teen three is viewed by peers as a “tag-a-long” and is often used by his peers. He will do whatever he is told, because he craves social acceptance. He is only marginally accepted, however, and often socially scapegoated. Teen three’s thinking ability is very concrete and he views the world in simplistic, concrete terms. He understands his own feeling in concrete terms. He describes himself as “friendly” and “not so good at school” and his family as “nice” and sometimes “loud.” Teen three was arrested with a group of kids going 80 miles per hour in a van at midnight. The group had all been drinking and marijuana joints were also found in the vehicle. Teen three insisted he did not know there were drugs in the van. He said he was standing on a corner with kids after school when he was offered a ride and didn’t want to look “weird” by refusing.
  • 10. Handout #4 Adolescent Development 1 Developed by IHS for the Ohio Child Welfare Training Program - June 2017 ADOLESCENT DEVELOPMENT Responding to the Behavior 1. Practice Self Care - What keeps you in a healthy emotional state? 2. Become self-aware - What teen behaviors trigger a negative reaction from you? Does this relate to anything from your past? 3. Have a plan - What strategies have worked well for you in the past? Suggested models include:  KEEP: Keeping Foster and Kin Parents Supported and Trained (Child Welfare Information Gateway, n.d., Promising Practices)  Parenting with Love and Logic (Cline & Fay 1977)  The Keys to Your Child’s Heart (Smalley 2003)  RACER – flip page over to see an example of the RACER model
  • 11. Handout #4 Adolescent Development 2 Developed by IHS for the Ohio Child Welfare Training Program - June 2017 The RACER model (Larmar, S., & Clark, J. 2010) 1. Remain Calm- Try to remain calm and conscious of your own thoughts and feelings 2. Assess Safety- Assess the safety of all involved and act accordingly to minimize risk 3. Consider Context- Consider the context of the exchange before responding 4. Events/Triggers- Determine activating events and the underlying need 5. Respond- Implement specific strategies in a calm and supportive manner Application Example: 15-year-old Brooklyn Brooklyn has experienced multiple placements in the five years she has been in the care system. She was originally placed in out-of-home care following investigation that confirmed that Brooklyn was being sexually abused by her stepfather. Brooklyn is generally a courteous and quiet young woman; however, she is vulnerable to experiencing extreme fits of rage if she feels threatened. Her anger is usually exacerbated by the provocation of Thomas, the twelve-year-old son of her foster caregivers. Thomas will often enter Brooklyn’s room without permission or threaten her if she does not cooperate with him. When Brooklyn’s caregivers try to assist her, Brooklyn hurls violent abuse at them, creating significant stress for the rest of the family, in particular, Susan, the youngest daughter in the family. o REMAIN CALM: Approach Brooklyn calmly and empathize with her frustration over Thomas’ behavior. It is important to use open body language and a rational tone of voice (Metcalf 1997 in Larmar & Clark, 2010). o ASSESS SAFETY OF ALL INVOLVED: If other people are near Brooklyn, ask her to move to a place where there are no people. If she refuses, then ask them to leave the area for their safety. Without an audience, Brooklyn may find it easier to calm down. o CONSIDER THE CONTEXT: If Brooklyn is acting out in the home or in a place where there are no others around, talk to her about her behavior. If she is in a more public space, or if it would create a sense of embarrassment to talk to her in front of those around, the caregiver should attempt to get Brooklyn alone (Temple-Plotz et al. 2002 in Larmar & Clark, 2010). For example, the caregiver should consider the implications of a direct confrontation in front of Brooklyn’s friends and may want to choose their response carefully. o EVENT/TRIGGERS-DETERMINE ACTIVATING EVENT: The activating event is Thomas’s behavior towards Brooklyn. It is important for Brooklyn’s caregivers to confront Thomas about his intrusive behavior and the need for behavior change on his part to reduce Brooklyn’s anxiety (Balson 1995 in Larmar & Clark, 2010). o RESPOND-IMPLEMENT APPROPRIATE STRATEGY: If Brooklyn is yelling at Thomas, then the caregiver should remove him from the situation. The caregiver can then focus her attention on Brooklyn (Yogendra 1989 in Larmar & Clark, 2010). If Brooklyn continues to act aggressively, it may be appropriate to ask her to stay in her room until she is ready to talk reasonably, making clear that this is not a punitive consequence but a practical strategy to help support her in her frustrated state (Larmar 2002 in Larmar & Clark, 2010). When Brooklyn is calm, the caregiver should make sure to discuss the incident with her to help her feel supported, identify what past experiences or feelings Thomas’ behavior brought up, and what she could do differently the next time Thomas bothers her.