INFORMING, EDUCATING, EMPOWERING FAMILIES

Transcription

1 INFORMING, EDUCATING, EMPOWERING FAMILIES

2 The Role of Occupational Therapy in Supporting Children who have Experienced Trauma Presented by: Marisa Capogreco, OT/s Clare Demberger, OT/s Andrea D. Fairman, PhD, OTR/L, CPRP Bridget McNamara, OT/s & Ellie Wheeler, OT/s Webinar delivered June 21, 2016 for the Federation for Children with Special Needs

3 Brief Summary This webinar describes some of the unique aspects of interventions utilized by occupational therapists (OTs) for children who have survived trauma. Occupational Therapists help people across the lifespan participate in the things they want and need to do through the therapeutic use of everyday activities (occupations) (AOTA, 2016). See more at: spx#sthash.qkmsw6zp.dpu

4 Brief Summary (continued) This webinar will be delivered in four parts: 1. A general background on the overall impact of trauma on health and wellness. Followed by three aspects and approaches to intervention often used by OTs in helping children who have experienced trauma: 2. Creating a secure attachment 3. Using mindfulness to promote well-being 4. Sensory-based strategies

5 About the presenters: Dr. Andrea D. Fairman, PhD, OTR/L, CPRP Associate Professor OTD Students: Marisa Capogreco, OT/s Clare Demberger, OT/s Bridget McNamara, OT/s & Ellie Wheeler, OT/s Dr. Fairman teaches and conducts research at the MGH Institute of Health Professions. In addition to over 15 years of experience as an occupational therapist, she is also a Certified Psychiatric Rehabilitation Practitioner (CPRP). She has worked with many families in providing community-based mental health services, including children who have experienced trauma.

6 After each section we will pause for Q & A. Are there any questions before we begin?

7 The Global Impact of Trauma Video Presentation by Ellie Wheeler, OT/s

8 Click to play Video

9 Questions & Answers

10 Attachment & Trauma Video Presentation by Bridget McNamara, OT/s

11 Click to play Video

12 Questions & Answers

13 Mindfulness Video Presentation by Clare Demberger, OT/s

14 Who, What, When, Where, Why & How?

15 What is mindfulness? Mindfulness is a spiritual or psychological faculty and described in the healthcare literature as an intentional engaging of a non-judgmental awareness of the present moment Mindfulness allows you to be fully present in the here and the now in order to enjoy the wonders of life that have the power to heal, transform, and nourish us Thich Nhat Hanh

16 What is mindfulness? Mindfulness-Based Stress Reduction (MBSR) 1. Instructive material 2. Experiential practice 3. Group discussion Mindfulness- Based Cognitive Therapy (MBCT)

17 Why should I engage in mindfulness? Mindfulness allows individuals to implement a present oriented attention focus which allows them to: Reduce anxiety and fear through exposure to thoughts and feelings Experience greater levels of calm and relaxation Establish greater self awareness

18 Why should I engage in mindfulness? Mindfulness Increases: Attention, emotional and cognitive understanding, bodily awareness and coordination, and interpersonal awareness. Executive functioning skills or the ability to organize tasks, plan ahead, manage time, and make decisions. Mindfulness Decreases: Negative impacts of stress and toxic stress. Levels of somatization, depression, negative affect, negative coping, rumination, and self hostility. Responses to social stress like intrusive thoughts and emotional arousal.

19 Who should engage in mindfulness? Simply, everyone. Children Parents Teachers Friends School Administration Health Care Professionals everyone!

20 Where can I practice mindfulness? School Home MBSR & MBCT weekly programs Community centers Occupational Therapy

21 When should I start practicing mindfulness? Let s try some breathing exercises together.

22 Click on the box below to play video

23 How can I start my mindfulness practice with children? Try these today! Family Meditation Glitter Jar Belly Breathing Rocks

24 Click on the box below to play video

25 Questions & Answers

26 Sensory Strategies Video Presentation by Marisa Capogreco, OT/s

27 Click on the box below to play video

28 Wrap-Up with Final Questions, Answers & Discussion

29 Click on the box below to play video

30 REFERENCES American Occupational Therapy Association (2016) What is occupational therapy? Retrieved from: Baer, R. (2003). Mindfulness training as a clinical intervention: A conceptual and empirical review. Clinical Psychology: Science and Practice, 10, Biegel, G.M., Brown, K.W., Shapiro, S.L., & Schubert, C.M.(2009). Mindfulness-based stress reduction for the treatment of adolescent psychiatric outpatients: A randomized controlled trial. Journal of Consulting and Clinical Psychology, 77, Brown, C., & Nicholson, R. (2011). Sensory Skills. In Brown, C. & Stoffel, V.C. (Eds.), Occupational therapy in mental health: A vision for participation (pp ). Philadelphia: FA Davis. Center on the Developing Child at Harvard University. (2010). The foundations of lifelong health are built in early childhood. Danese, A., & McEwen, B. S. (2012). Adverse childhood experiences, allostasis, allostatic load, and age-related disease. Physiology & Behavior, 106(1), Dunn, W. (1994). Performance of typical children on the sensory profile: An item analysis. American Journal of Occupational Therapy, 48(11),

31 REFERENCES - continued Flook, L., Smalley, S.L., Kitil, M.J., Galla, B., Kaiser-Greenland, S., Locke, et al. (2010). Effects of mindful awareness practices on executive functions in elementary school children. Journal of Applied School Psychology, 26, Garner, A. S., Shonkoff, J. P., Siegel, B. S., Dobbins, M. I., Earls, M. F., Garner, A. S., Wood, D. L. (2012). Early childhood adversity, toxic stress, and the role of the pediatrician: Translating developmental science into lifelong health. Pediatrics, 129(1), e224-e231. doi: /peds Gronksi, M. P., Bogan, K. E., Kloeckner, J., Russell-Thomas, D., Taff, S. D., Walker, K. A., & Berg, C. (2013). Childhood toxic stress: A community role in health promotion for occupational therapists. American Journal of Occupational Therapy, 67(6), e148-e153. Hornor, G. (2015). Childhood trauma exposure and toxic stress: What the PNP needs to know. Journal of Pediatric Health Care, 29(2), Kabat-Zinn, J. (1990). Full catastrophe living: Using the wisdom of your body and mind to face stress, pain and illness. New York, NY: Delacourt. Mason, D. J., & Cox, K. (2014). Toxic stress in childhood: Why we all should be concerned. American Academy of Nursing, 62(6), Mendelson, T., Greenberg, M.T., Dariotis, J.K., Feagans Gould, L., Rhoades, B.L., & Leaf, P.J. (2010). Feasibility and preliminary outcomes of a school-based mindfulness intervention for urban youth. Journal of Abnormal Child Psychology, 38,

32 REFERENCES - continued Nhat Hanh, T. (2011). Planting seeds: Practicing mindfulness with children. Berkley, CA: Parallax Press. Petrenchik, T., & Weiss, D. (2015). Occupational therapy s role in mental health promotion, prevention, & intervention with children and youth childhood trauma. Retrieved from Ryan, K., Powers, D., & Lane, S. (2015). Trauma and development: An integrated best practice approach [PDF document]. Retrieved from Sibinga EM, Webb L, Ghazarian SR, et al. School-Based Mindfulness Instruction: An RCT. Pediatrics. 2016;137(1):e Shern, D., Blanch, A. K., & Steverman, S. M. (2014). Impact of toxic stress on individuals and communities: A review of the literature. Mental Health America. Shonin, E., Van Gordon, W., & Griffiths, M.D. (2012). The health benefits of mindfulness-based interventions for children and adolescents. Education and Health, 30(4). Turner, K. (2015). Sensory Motor Model & Models of Sensory Processing. [PowerPoint slides]. Retrieved from University of Massachusetts Medical School. Center for Mindfulness in Medicine, Health Care, and Society. Differences- MBCT and MBRS. Retrieved from:

33 Thank you for your time and attention.

34 Thank You For Participating! Please complete the Survey Monkey in your