Families: Courage - Resilience - Transformation
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OBJECTIVES: If I were starting an adolescent treatment center what would I want to make sure adolescents and families learn? Identify and Describe How Families Arrive at your door. To Demonstrate the Power of Family Mapping and the Art and Science of Portraiture. Clinical and Reverse Interventions - what are these and how to do? Share Standard Vocabulary Families need to know Family Change Agreements - What are these - when to use?
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Families: Courage - Resilience - Transformation
- 2. Meet Dr. Louise Author- Falling Up-A Memoir of Renewal & Learn To Thrive- An Intervention Guidebook Educator - Former Faculty SDSU, School of Social Work, SDSU Interwork Institute Director -All About Interventions and Past Director Alcohol and Other Drug Services USD Clinician -LCSW , CDWF -Candidate Principal Investigator Dept. of Ed & NI- NIAAA and other grants Woman-Widow- Wife-Mother-Stepmother- Grandmother - Step Grandmother
- 3. Objectives If I were starting an adolescent treatment center what would I want to make sure adolescents and families learn Identify and Describe How Families Arrive at your door ? To Demonstrate the Power of Family Mapping and the Art and Science of Portraiture Clinical and Reverse Interventions-what are these and how to do Share Standard Vocabulary Families need to know Family Change Agreements- What are these- when to use ?
- 5. How did you arrive today ? Hungry-hope they have good food Worried about Family Energized after exercise Thinking I have soon much work to do Happy Traffic was awful- Grateful I work at Paradigm
- 6. How Do Your Clients arrive ? Substance Abuse Mental Health Legal Issues School Problems -Bullying Relationship Failures Physical Maladies -Pain etc Sexual Identity Gambling, Gaming,Digital Intergenerational Wounds
- 7. What Kind Of Families do You Meet AGREEABLE ANALYSIS INVISIBLE QUESTIONER KNOW IT ALL COMPLAINER TALKER WORRIER MICO-MANAGER BOOMERRANG Emotionally intense
- 11. Attributes of Healthy Families McMannis PHD & MacMcMannis MSW Talking and Loving Balancing Closeness & Difference Expressing Language Accepting Difference Adapting to Change Seeing The Positive Sharing Time together Effective Problem Solving Who’s in Charge Parenting Together
- 13. Lets do a Family Map Salvador Minuchin Flip Chart Colored Pens for Key
- 15. Keeping The Status Quo SA. MH, CP etc . Organizing structure Unconscious and Consciously Gratification Strategies must be employed that change usual ways of relating, categorizing , and thinking
- 17. ASSUMPTIONS ABOUT FAMILIES THAT SEEK OUR HELP HURTING EXPERTS MOTIVATED SEEKING SOLUTIONS WOUNDED FAMILY OF ORIGIN BEEN UNSUCCESSFUL IN SEEKING SOLUTIONS THEY MAY NOT SEE THEIR PART IN THE PROBLEM -want you to FIX LOVE ONE AUTHENTIC- VULNERABLE- COURAGEOUS
- 18. Lets Give Our Families No Fault Insurance
- 19. HAVE YOU EARNED THE RIGHT TO HEAR ANOTHER’S STORY ?
- 21. BRAVING - Brown Am I clear in helping client accept own boundaries ? Am I reliable ? Do I do what I say I will do? Do I hold myself accountable-Ethics, professional standards &, seek collaboration when necessary Confidentiality Nonjudgemental Am I generous in my interpretation of self and others ?
- 22. Listening Skills
- 26. History DR. RUTH R Pronounced a Disease like Heart Disease &Diabetes Describable, Predictable and Progressive If Left Untreated Fatal 1954 American Society on Alcoholism
- 27. Dr. Seabrook Hypersensitivity to alcohol Insatiable cravings Excited by the smallest experience “TO AVOID an attack of alcoholism one had to experience a complete and enduring abstinence”
- 28. Dr. Tiebot Recognized the impact of Spiritual Transformation Roadblocks -Fear of Change Fear of the Unknown Shame Anger and Rage Defiance & Defenses Impulsivity - Tramua Repetition
- 29. What is Addiction Addiction is a primary , chronic disease of brain reward, motivation, memory and related circuity Dysfunction in these circuits leads to characteristics biological, psychological,social, spiritual,manifestations This is reflected in an individual pathology pursing reward and/or reflex by substances and other behaviors March 2011
- 31. Learn Your ABCs A = Age of First Use B= Big Changes C-Co-Existing Mental Health /Behavioral Heath Issues DNA= Family History
- 32. Enough Buttons
- 33. Process Disorders SEX Porn GAMING GAMBLING DISORDERED EATING EXERCISE SHOPPING DIGITAL SOCIAL MEDIA
- 35. The Adolescent Brain Brain Maturation-age 25 nIMH longitude study 1991 Lag between prefrontal cortex-and growth of limbic system when emotions originate and prefrontal that manages Limbic system explodes at puberty while it takes 10 plus years for prefrontal cortex Cerebellum Higher level Cognition
- 42. Shame Shame is the intensely painful feeling or experience of believing we are flawed and therefore unworthy of love and belonging I am Not Good Enough Brene Brown
- 43. Who Stole The Cookie From The Cookie Jar? The Difference between Shame is Guilt I am bad versus I did something bad
- 44. Humiliation The act of making someone feel inferior or foolish Someone Telling You , You aren’t Smart Enough, Good Enough …Stupid Or you have negative self talk…
- 45. Embarrassment Have you ever felt embarrassed?
- 46. Grief and Loss Loss-something of Value is gone Grief-Total response to emotional experience Bereavement- Subjective Response by loved ones Mourning-Behavioral Response
- 50. START WHERE YOUR CLIENT IS
- 51. Resilience Quotient Mayo clinic 0= Not at all Accurate 1=Somewhat Accurate 2=Moderately Accurate 3= Very Accurate 4= Extremely Accurate
- 52. On a Scale of 1-4 I am able to adapt to change easily I feel in control of my Life I tend to bounce back after a hardship or an illness I have close dependable relationships I remain optimistic, even if things seem hopeless I can think clearly and logically under stress I see humor in situations, even stress
- 53. Resiliency in Recovery The ability to overcome challenges of all kinds, trauma, tragedy, addiction, personal crisis , plain ole life problems and bounce back , stronger wiser and more personally powerful
- 54. Whats ok - Whats Not ok What was ok before Treatment? Whats not ok today ? What gets confusing ? Boundary Exercise
- 57. Self Compassion - Dr. Kristen Neff Self Kindness versus Self Judgement Common Humanity vs Shared Isolation -suffering and personal inadequacy is part of the human experience Mindfulness vs. Over Identification which leads to negativity
- 59. Self Compassion Exercise 1 First, think about times when a loved one feels really bad about him or herself or is really struggling in some way. How would you respond to your l oved in this situation (especially when you’re at your best)? Please write down what you typically do, what you say, and note the tone in which you typically talk to your friends. 2 Now think about times when you feel bad about yourself or are struggling. How do you typically respond to yourself in these situations? Please write down what you typically do, what you say, and note the tone in which you talk to yourself. 3 Did you notice a difference? If so, ask yourself why. What factors or fears come into play that lead you to treat yourself and others so differently? 4 Please write down how you think things might change if you responded to yourself in the same way you typically respond to a close friend when you’re suffering. Why not try treating yourself like a good friend and see what happens? close friend or loved one is struggling and feels really bad about himself
- 61. Intervention Teams Participants are experts Psycho-educational Value Driven Directive-Homework Evidenced Based Solution Focused
- 62. Intervention Models - Traditional Vern Johnson Frank Picard-Family Intervention Seeley Southworth
- 63. Traditional Styles Made Modern Jeff and Debra -Love First Ed Storti-Authentic Model Combine Elements of MI into traditional approaches
- 64. Invitational Models Systemic ( Speare & Raitner) Arise- Garret & Landau -3 Phase Lamm-4 Step Model Action -Campbell & Tracey
- 65. Stanger Process Phase One :Intervention Agreement and Initiative Step 1:Engagement Step2 : Determine Key stakeholders Step 3: Define Client Guidelines, Confidentiality
- 66. Information Gathering , Objections and Action Plan Step 4 : Identify Background - Family Map Step 5 :Assess ILO and Key Stakeholders (Retrospective Analysis and Portraiture ) Step 6 : Teach and Survey Accountability Teams Step 7: Develop Measurable Action Plans
- 67. Phase 3 :Implementation, Review and Follow-Up Sep 8 Coaching : Delivering the Information Step 9:Intervention Step 10 : Progress Review and Feedback Step 11: Follow Up: SFC/ Case Management
- 70. Modalities USED MI- Rolling With Resistance SFT- In A Perfect World what would life look like CBT Brown- You Can Write Your Own Story Family MAPPING Parallel Processes You Can ALL FALL UP
- 72. Agreements
- 73. Lets Brain Storm Pre -Admit Upon Entry into Treatment During Treatment During Clinical Interventions After Care plan OutPatient Home Care
- 76. Resources The Daring WAY & Rising Strong- Brown Crucial Conversations -Patterson et al Parallel Processes- Prozatek Journey of The Heroic Parent-Reedy Motivational Interviewing- Miller & Rollnick http:www.motivationalinterviewing.org Solution Focused Therapy - Young & Berg Dr. Louise Stanger http://www.allaboutinterventions.com Are You A Helicopter or Submarine ? Sober World -, Spring 2016 Stanger
- 77. Resources Brene Brown-Daring Way & Rising Strong Kristen Neff- www.self-compassion.org William Martin & Phillip Hemphill- Taming Disruptive Behavior Joe Newman -Raising Lions McMannis & McMannis -Family Therapy Institute of Santa Barbara http://ftisb.org
- 78. Resources Stanger www.allaboutinterventions.com Systemic Model www.systemicintervention.com Arise www.likinghumansystems.com Jays- www.lovefirst.net Lamm www.bradlamm.com Seeley www.intervention911.com
- 79. Resources Storti www.stortimodel.com mintz-www.realifeis.com I’ll Quit Tomorrow -Vern Johnson TAP 35 Institute for Solution Focused Therapy www.solutionfocused.net
- 80. An Intervention Guidebook for Loved Ones and Their Families Learn Thrive:to LOUISE STANGER ED.D., L.C.S.W., BRI II, CIP
- 82. Meet Dr. Louise Author- Falling Up-A Memoir of Renewal & Learn To Thrive- An Intervention Guidebook Educator - Former Faculty SDSU, School of Social Work, SDSU Interwork Institute Director -All About Interventions and Past Director Alcohol and Other Drug Services USD Clinician -LCSW , CDWF -Candidate Principal Investigator Dept. of Ed & NI- NIAAA and other grants Woman-Widow- Wife-Mother-Stepmother- Grandmother - Step Grandmother
- 83. Objectives If I were starting an adolescent treatment center what would I want to make sure adolescents and families learn Identify and Describe How Families Arrive at your door ? To Demonstrate the Power of Family Mapping and the Art and Science of Portraiture Clinical and Reverse Interventions-what are these and how to do Share Standard Vocabulary Families need to know Family Change Agreements- What are these- when to use ?
- 85. How did you arrive today ? Hungry-hope they have good food Worried about Family Energized after exercise Thinking I have soon much work to do Happy Traffic was awful- Grateful I work at Paradigm
- 86. How Do Your Clients arrive ? Substance Abuse Mental Health Legal Issues School Problems -Bullying Relationship Failures Physical Maladies -Pain etc Sexual Identity Gambling, Gaming,Digital Intergenerational Wounds
- 87. What Kind Of Families do You Meet AGREEABLE ANALYSIS INVISIBLE QUESTIONER KNOW IT ALL COMPLAINER TALKER WORRIER MICO-MANAGER BOOMERRANG Emotionally intense
- 91. Attributes of Healthy Families McMannis PHD & MacMcMannis MSW Talking and Loving Balancing Closeness & Difference Expressing Language Accepting Difference Adapting to Change Seeing The Positive Sharing Time together Effective Problem Solving Who’s in Charge Parenting Together
- 93. Lets do a Family Map Salvador Minuchin Flip Chart Colored Pens for Key
- 95. Keeping The Status Quo SA. MH, CP etc . Organizing structure Unconscious and Consciously Gratification Strategies must be employed that change usual ways of relating, categorizing , and thinking
- 97. ASSUMPTIONS ABOUT FAMILIES THAT SEEK OUR HELP HURTING EXPERTS MOTIVATED SEEKING SOLUTIONS WOUNDED FAMILY OF ORIGIN BEEN UNSUCCESSFUL IN SEEKING SOLUTIONS THEY MAY NOT SEE THEIR PART IN THE PROBLEM -want you to FIX LOVE ONE AUTHENTIC- VULNERABLE- COURAGEOUS
- 98. Lets Give Our Families No Fault Insurance
- 99. HAVE YOU EARNED THE RIGHT TO HEAR ANOTHER’S STORY ?
- 101. BRAVING - Brown Am I clear in helping client accept own boundaries ? Am I reliable ? Do I do what I say I will do? Do I hold myself accountable-Ethics, professional standards &, seek collaboration when necessary Confidentiality Nonjudgemental Am I generous in my interpretation of self and others ?
- 102. Listening Skills
- 106. History DR. RUTH R Pronounced a Disease like Heart Disease &Diabetes Describable, Predictable and Progressive If Left Untreated Fatal 1954 American socity on Alcoholism
- 107. Dr. Seabrook Hypersensitivity to alcohol Insatiable cravings Excited by the smallest experience “TO AVOID an attack of alcoholism one had to experience a complete and enduring abstinence”
- 108. Dr. Tiebot Recognized the impact of Spiritual Transformation Roadblocks -Fear of Change Fear of the Unknown Shame Anger and Rage Defiance & Defenses Impulsivity - Tramua Repetition
- 109. What is Addiction Addiction is a primary , chronic disease of brain reward, motivation, memory and related circuity Dysfunction in these circuits leads to characteristics biological, psychological,social, spiritual,manifestations This is reflected in an individual pathology pursing reward and/or reflex by substances and other behaviors
- 111. Learn Your ABCs A = Age of First Use B= Big Changes C-Co-Existing Mental Health /Behavioral Heath Issues DNA= Family History
- 112. Enough Buttons
- 113. Process Disorders SEX Porn GAMING GAMBLING DISORDERED EATING EXERCISE SHOPPING DIGITAL SOCIAL MEDIA
- 114. The Adolescent Brain Brain Maturation-age 25 nIMH longitude study 1991 Lag between prefrontal cortex-and growth of limbic system when emotions originate and prefrontal that manages Limbic system explodes at puberty while it takes 10 plus years for prefrontal cortex Cerebellum Higher level Cognition
- 121. Shame Shame is the intensely painful feeling or experience of believing we are flawed and therefore unworthy of love and belonging I am Not Good Enough Brene Brown
- 122. Who Stole The Cookie From The Cookie Jar? The Difference between Shame is Guilt I am bad versus I did something bad
- 123. Humiliation The act of making someone feel inferior or foolish Someone Telling You , You aren’t Smart Enough, Good Enough …Stupid Or you have negative self talk…
- 124. Embarrassment Have you ever felt embarrassed?
- 125. Grief and Loss Loss-something of Value is gone Grief-Total response to emotional experience Bereavement- Subjective Response by loved ones Mourning-Behavioral Response
- 129. Whole Hearted Living
- 130. START WHERE YOUR CLIENT IS
- 131. Resilience Quotient Mayo clinic 0= Not at all Accurate 1=Somewhat Accurate 2=Moderately Accurate 3= Very Accurate 4= Extremely Accurate
- 132. On a Scale of 1-4 I am able to adapt to change easily I feel in control of my Life I tend to bounce back after a hardship or an illness I have close dependable relationships I remain optimistic, even if things seem hopeless I can think clearly and logically under stress I see humor in situations, even stress
- 133. Resiliency in Recovery The ability to overcome challenges of all kinds, trauma, tragedy, addiction, personal crisis , plain ole life problems and bounce back , stronger wiser and more personally powerful
- 134. Whats ok - Whats Not ok What was ok before Treatment? Whats not ok today ? What gets confusing ? Boundary Exercise
- 137. Self Compassion - Dr. Kristen Neff Self Kindness versus Self Judgement Common Humanity vs Shared Isolation -suffering and personal inadequacy is part of the human experience Mindfulness vs. Over Identification which leads to negativity
- 139. Self Compassion Exercise 1 First, think about times when a loved one feels really bad about him or herself or is really struggling in some way. How would you respond to your l oved in this situation (especially when you’re at your best)? Please write down what you typically do, what you say, and note the tone in which you typically talk to your friends. 2 Now think about times when you feel bad about yourself or are struggling. How do you typically respond to yourself in these situations? Please write down what you typically do, what you say, and note the tone in which you talk to yourself. 3 Did you notice a difference? If so, ask yourself why. What factors or fears come into play that lead you to treat yourself and others so differently? 4 Please write down how you think things might change if you responded to yourself in the same way you typically respond to a close friend when you’re suffering. Why not try treating yourself like a good friend and see what happens? close friend or loved one is struggling and feels really bad about himself
- 141. Intervention Teams Participants are experts Psycho-educational Value Driven Directive-Homework Evidenced Based Solution Focused
- 142. Intervention Models - Traditional Vern Johnson Frank Picard-Family Intervention Seeley Southworth
- 143. Traditional Styles Made Modern Jeff and Debra -Love First Ed Storti-Authentic Model Combine Elements of MI into traditional approaches
- 144. Invitational Models Systemic ( Speare & Raitner) Arise- Garret & Landau -3 Phase Lamm-4 Step Model Action -Campbell & Tracey
- 145. Stanger Process Phase One :Intervention Agreement and Initiative Step 1:Engagement Step2 : Determine Key stakeholders Step 3: Define Client Guidelines, Confidentiality
- 146. Information Gathering , Objections and Action Plan Step 4 : Identify Background - Family Map Step 5 :Assess ILO and Key Stakeholders (Retrospective Analysis and Portraiture ) Step 6 : Teach and Survey Accountability Teams Step 7: Develop Measurable Action Plans
- 147. Phase 3 :Implementation, Review and Follow-Up Sep 8 Coaching : Delivering the Information Step 9:Intervention Step 10 : Progress Review and Feedback Step 11: Follow Up: SFC/ Case Management
- 150. Modalities USED MI- Rolling With Resistance SFT- In A Perfect World what would life look like CBT Brown- You Can Write Your Own Story Family MAPPING Parallel Processes You Can ALL FALL UP
- 152. Agreements
- 153. Lets Brain Storm Pre -Admit Upon Entry into Treatment During Treatment During Clinical Interventions After Care plan OutPatient Home Care
- 156. Resources The Daring WAY & Rising Strong- Brown Crucial Conversations -Patterson et al Parallel Processes- Prozatek Journey of The Heroic Parent-Reedy Motivational Interviewing- Miller & Rollnick http:www.motivationalinterviewing.org Solution Focused Therapy - Young & Berg Dr. Louise Stanger http://www.allaboutinterventions.com Are You A Helicopter or Submarine ? Sober World -, Spring 2016 Stanger
- 157. Resources Brene Brown-Daring Way & Rising Strong Kristen Neff- www.self-compassion.org William Martin & Phillip Hemphill- Taming Disruptive Behavior Joe Newman -Raising Lions McMannis & McMannis -Family Therapy Institute of Santa Barbara http://ftisb.org
- 158. Resources Stanger www.allaboutinterventions.com Systemic Model www.systemicintervention.com Arise www.likinghumansystems.com Jays- www.lovefirst.net Lamm www.bradlamm.com Seeley www.intervention911.com
- 159. Resources Storti www.stortimodel.com mintz-www.realifeis.com I’ll Quit Tomorrow -Vern Johnson TAP 35 Institute for Solution Focused Therapy www.solutionfocused.net
- 160. An Intervention Guidebook for Loved Ones and Their Families Learn Thrive:to LOUISE STANGER ED.D., L.C.S.W., BRI II, CIP