child protection office 2014 diocese of grand island dear lord, … · 2019. 9. 19. · and to...
TRANSCRIPT
Slide 1
Diocese of Grand Island
Child Protection Office
2014
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Slide 2
Dear Lord, We ask You to bless these Your
holy people who have participated in the Church’s efforts to help
stop child sexual abuse.
Open their hearts to Your call to be the “ears, eyes and voice of
children and young people” everywhere.
Give them the vision and grace needed to fulfill the special
commitments that each of them has made to making their homes,
churches, schools, communities and world a safer place for all God’s Children.
Amen
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Models Christ and the
Gospel message.
Follows Catholic Social
Teaching.
Provides deliberately
different messages than
those encountered in
society.
Fosters faith
development.
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Slide 4
Unconditional Love
Forgiveness
Focus on others
versus self
Empathy
Dignity / Respect
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Slide 5
The Life and Dignity of
the Human Person
The Call to Family,
Community, & Participation
Solidarity
The Dignity of Work
Rights & Responsibilities
The Option for
the Poor &
Vulnerable
Caring for
God’s Creation
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Slide 6
A place where youth are treated with dignity and respect.
An opportunity to experience what it means to serve and protect the rights of others, to defend marriage and the family, and to exercise religious liberty.
The sort of community where adults are “looking out for” young people and where young people can encounter positive adults.
In the midst of a culture of rapid change and diversity, where children are
increasingly desensitized to sexual exploitation and violence, our parish and
school communities can continue to be:
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• A primary goal of our faith environment is to foster the faith development of our children and youth.
• If we hope to do so, we must first meet basic developmental needs.
• Safety, among other basic needs, is necessary for normal development.
PHYSIOLOGICAL
SAFETY
SOCIAL
SELF
ESTEEM
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Slide 8
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Physical Neglect • Malnourishment
• Inadequate shelter
• Poor health / access to medical care
• Lack of brain stimulation
Physical Abuse / Trauma• Physical injury
Repeated Abuse / Trauma of Any Kind• Neurological Impact
PHYSIOLOGICAL
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Slide 10
Abuse • Physical
• Sexual
• Emotional
Neglect Bullying / Peer Abuse Experiencing Violence Witnessing violence Physical Trauma
• Accident
• Illness
• Injury
Other Traumatic Events
SAFETY
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Slide 11
Relational Trauma
• Abuse or neglect by a
care-giver
• Sexual abuse
• Bullying / Peer abuse
• Experiencing Violence
• Witnessing violence
Lack of supportive
response by caregiver /
first responder
SOCIAL
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Slide 12
Self Esteem Defined: Self-respect; Confidence in one’s merit as an individual
person; Self-efficacy
Abuse / Trauma of any kind• Can challenge our belief that we
have efficacy over our environment
• Children often internalize blame for traumatic experiences.
Relational Trauma • Development of self vs. others
• When our dignity is not recognized by others, it becomes more difficult to recognize it ourselves.
SELF
ESTEEM
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Slide 13
Self-Actualization:
• Expressing one's creativity,
• Quest for spiritual enlightenment
• Pursuit of knowledge
• The desire to give to society.
Abuse / Trauma of any kind
• Can challenge our beliefs about:
The existence of God
God’s love for us
The meaning of life
The goodness of society
Experiencing trauma can lead to
depression, hopelessness,
decreased energy, and loss of
interest.
SELF
ACTUALIZATION
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Slide 14
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Slide 16
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2011 Behavioral Risk Factor Surveillance System (BRFSS)
10,293 respondents to ACE module
53% of Nebraskans reported at least one ACE
Direct Exposures• Physical abuse• Sexual abuse• Verbal abuse
Environmental ExposuresHousehold dysfunction associated with:• Mental illness• Substance abuse• Divorce• Domestic violence• Living with persons with
incarceration histories
Kristin Yeoman, MD, MPH (2011) Nebraska Department of HHS
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Slide 18
0% 5% 10% 15% 20% 25% 30%
Household Incarceration
Household Witness Abuse
Divorce
Household Substance Abuse
Household Mental Illness
Verbal Abuse
Sexual Abuse
Physical Abuse
Yeoman K, Safranek T, Buss B, Cadwell BL, Mannino D. Adverse Childhood Experiences and Adult Smoking,
Nebraska, 2011. Prev Chronic Dis 2013;10:130009. DOI: http://dx.doi.org/10.5888/pcd10.130009
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Slide 19
0% 10% 20% 30% 40% 50% 60%
> 1 Adverse Childhood Event
1-2 ACEs
3-4 ACEs
> 5 ACEs
0 ACEs
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Slide 20
> 5 ACEs
3-4
ACEs
1-2
ACEs
0 ACEs
In a classroom
of 30 students…
Slide adapted from Kristin Yeoman, MD, MPH, Nebraska DHHS
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Slide 21
of Chronic Stress and Trauma
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Slide 22
Trauma can impact a child in virtually all areas of
development.
Cognitive Social
Emotional Spiritual
Behavioral Physical
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Slide 23
Effects of childhood adverse experiences
neurological biological psychological social
Adverse Childhood Experiences
Disrupted Neurodevelopment
Social, Emotional, and Cognitive
Impairment
Adoption of Health-risk Behaviors
Disease, Disability, and Social
Problems
Early Death
Death
Conception
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Slide 24
When faced with a traumatic situation,
our body prepares itself to fight or flee.
Neurochemicals prepare body for a
heightened state of arousal.
Sympathetic nervous system is activated
• increased heart rate / blood pressure
• respiration
• heightened senses
Areas of our brain responsible for
arousal (“doing brain”) become more
active.
Areas of the brain necessary for
executive functioning (“thinking brain”)
become less active.
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Slide 25
Human beings can also exhibit an
alternative automatic response to trauma :
FIGHT FLIGHT
FREEZE
“The fight or flight response (in its original form) is about survival. It's about hope. We activate it when we believe there's a chance we can outrun or outfight our attackers. The freeze response however, gets activated when's there's no hope.” StressStop.com
• Shock
• Numbness
• Dissociation
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Slide 26
Developmental Trauma – When childhood trauma is prolonged or repeated.
Repeated activation of the stress response system.• Baseline state of arousal altered
• Physiologically in a state of “fight or flight” (or “freeze”) in the absence of external threat.
Barriers to meeting developmental needs / interference with optimal development
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Slide 27
Video: Through Our Eyes: Children,
Violence, and Trauma
Office of Justice Programs U.S. Department of Justice
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Slide 28
If there is danger, the “thinking” brain shuts down, allowing the “doing” brain to act.
Repeated trauma, or perceived danger can lead children to experience this process repeatedly.
Ultimately, traumatized children can experience changes in brain structure, neuro-chemistry, & genetic expression.
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Slide 29
When trauma is prolonged or repeated:
Interpretation of neutral cues as threatening
Trigger fight / flight / freeze response
Interfere with thinking / problem-solving
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Slide 30
Nurturing & stable attachments with adults
Belief in a predictable & benevolent world/ generally good things will happen to me
Feeling of positive self-worth/others will see my strengths
Optimism about the future
Feeling that I can have a positive impact on the world
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Slide 31
Developmental Trauma
Basic mistrust of adults/inability to depend on others
Belief that the world is an unsafe place/bad things will happen & they are usually my fault
Assumption that others will not like me
Fear & pessimism about future
Feelings of hopelessness & lack of control
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Slide 32
Sense of Self vs. Others
Negative self-esteem• Internalized messages.
Low Self-efficacy • Inability to prevent bad
things from happening.
Self –Blame• Children may rationalize
that they are to blame for or are deserving of maltreatment.
“Every word, facial expression,
gesture, or action on the part of a
parent gives the child some message
about self-worth. It is sad that so
many parents don't realize what
messages they are sending.” -
Virgina Satir
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Slide 33
Self- regulation is the
ability to monitor and
control our own
behavior, emotions, or
thoughts.
Modulation of Affect
Self-Soothing
Tolerating Discomfort
Maintaining Attention
Delaying Gratification
“Infants are incapable of meeting
their own needs and are dependent
on the external regulation that
comes from attentive, caring
adults.” Bruce D. Perry, MD, Ph.D.
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Slide 34
Trust vs. Mistrust
• Difficulty developing
trust in others
Instability
• Poor regulation of
emotions
• Difficulty resolving
conflict
Unclear Boundaries
• Boundaries violated
by others
• Understanding of self
& others
Re-victimization
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Organization of narrative material
Understanding of cause & effect
Perspective-taking
Attentiveness
Emotional regulation
Executive Functioning
Engaging in curriculum
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Reactivity & impulsivity
Aggression
Defiance
Withdrawal
Perfectionism
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Slide 37
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Positive outcomes for children who have been victimized by abuse have been found to be related to:
• The presence of a consistent positive relationship with an adult.
• A supportive, protective response to the child’s disclosure of abuse.
• Positive peer support.
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Slide 39
A protective factor is a characteristic or situation that reduces or buffers the effects of risk, and promotes resilience in the face of risk. These conditions, when present in families and communities, increase the health and well-being of children and families.
Prevent Child Abuse-Nebraska
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Slide 40
Nurturing and attachment
Knowledge of parenting /child development
Parental resilience Social connections Parent support Social /emotional
competence of children
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Slide 41
Video:
Trauma, Brain, Relationship: Helping
Children Heal
The Post Instituteand
Santa Barbara Graduate Institute
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Slide 42
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To build resiliency
To help kids heal
To foster learning
and development
To provide an
opportunity for kids to
experience the kind of
loving relationships
God intended for them.
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Slide 44
Safety
Empowerment
Collaboration
Choice
Trust
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Slide 45
Use Safe Environment Strategies
Focus on individual strengths & needs
Provide Predictable / consistent• rules
• structure
• relationships
• Environment
Prevent bullying
/harassment
Avoid seclusion /
restraint
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Teach coping skills /self-regulation
• Identification and expression of emotions
• Problem-solving
• Decision making / discernment
• Prayer / meditation
Meaningful participation
• Role in classroom / program
• Sense of belonging
• Opportunity to serve others
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Slide 47
High expectations
• Compassion, empathy and
support
• Not just “hope they will
behave / learn / grow”
• Confidence that they will
succeed
Focus on strengths / Build competency
• Recognize unique gifts
• Meet children where they are
• Provide challenges with support
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Slide 48
Staff / Volunteers• Team Approach / Consultation
Students • Establishing Rules• Collaborative Problem-Solving• Open Communication
Family • Open Communication• Use families as resources to support children• Provide education, training and support to families
Community • Utilize community resources• Create a parish community where “everyone looks out for
children and children can encounter positive adults”
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Slide 49
Give choices and alternatives
Provide a variety of tools to help students
cope
Involve student in self-care / safety plans• Identify / Eliminate
triggers• Empower the student
to address triggers• Work with student to
develop coping skills
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Slide 50
Relationship First
Attunement• Are you present?
• Are you listening?
• Are you reflecting?
Affection• Appropriate Touch
• Non-physical affection
• Effective praise
Understanding /Acceptance• Unconditional Positive Regard
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Slide 51
Check assumptions• Observe and question
• When in doubt - assume positive intent
Model right relationships
Be deliberately different than adults who may have been hurtful!
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Slide 52
Clearly Negative Deliberately Positive
Secrets Open communication
Focus on self versus other Focus on needs of child
Poor boundaries Clear boundaries
Harmful / hurtful Kindness
Disregard for the child’s dignity. Respect for life and dignity of the
Human person.
Overt / covert sexual behavior Appropriate behavior
Exposure to inappropriate materials
/ activities
Appropriate media, activities,
discussion
Threats /accusations/ blame Clear expectations / redirection /
logical consequences
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Slide 53
Actions that seem positive Deliberately positive actions
Special attention Unconditional positive regard /
equal attention
Privileges / access to restricted
objects / activities
Equal access to appropriate objects
and activities
Ally against other adults Team with other adults / supportive
of relationship with parents
Flattery Descriptive praise
Shared interests Group interests
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Slide 54
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Slide 55
Don’t ask, “What’s wrong with this kid?”
They ask, “What happened to this kid?”
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Slide 56
Think effective
intervention…
…not appropriate
consequence
Children’s behavior can be a
sign that something needs to
change:
• Consequences imply,
“This child needs motivation
to change.”
• Intervention implies,
“Change is needed to meet
this child’s needs.”
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Slide 57
1. Re-frame difficult behavior• “What’s wrong with this kid?” vs. “What happened to this kid?”
• Doing brain vs. thinking brain?
• Threatening vs. feeling threatened?
2. Re-evaluate our response• Consequence vs. Intervention
• Self Reflection: • “Are my emotions in check?”
• “Am I modeling Christ?” • “Am I being deliberately different?”
3. Observe and question• What might be triggering this behavior?
• What might be the purpose of this behavior?
• What can I do differently to change the child’s response?
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Slide 58
Anger naturally evokes anger or creates defensiveness in others.
Anger can trigger fight / flight /freeze in a traumatized child.
STOP and ask yourself, “What am I feeling besides anger?”
Identifying the feeling behind our anger can lead to a more effective response.
Keeping your emotions in check may prevent triggering fight / flight/ freeze
Our Emotions Can Be a Trigger
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Slide 59
Relaxing / Calming Down
• Take a break
• Make use of relaxation strategies:
Distraction
Physical relaxation
Prayer
Creative Expression
Seek Supervision / Counsel• Identify problem & your feelings.• Consider alternate perspectives.• “Edit” your thoughts.
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Slide 60
Challenging behavior occurs when demands placed upon children for:
• Flexibility
• Adaptability
• Frustration Tolerance
• Problem solving
Skill deficit vs. motivation problemLost at School – Ross Green
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Slide 61
Our “thinking” brain has the greatest potential to adapt and grow.
Neurological changes due to developmental trauma can be compensated for by building skills.
Children most learn adaptive skills most readily through: • Modeling• Practice• Reinforcement
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Slide 62
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Slide 63
Self-Regulation
Problem-Solving
Relationship-Building
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Slide 64
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Slide 65
Keep your emotions in check• Relax • Pray • Seek Counsel
Use Active Listening Skills• Eye Contact •Focus without Interrupting
• Repeat / Inquire / Paraphrase
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Slide 66
Identification of Emotions
Active Listening Skills
Coping Skills
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Slide 67
Observe and Reflect Feelings• Examples: “You look sad today, are you doing ok?”
• “That book just won’t fit back on the shelf, how
frustrating.”
• “You must be lonely sitting over here by yourself?
Come and join us.”
Identify Feelings• Feelings in Scripture
• Feelings Chart
• Feelings Wheel Activity, (2006), NationalAssociation for the Education of Young Children.
http://www.naeyc.org/files/yc/file/200611/BTJFoxSupplementalActivities.pdf
• Match that Feeling Tag (2013)
Communicate Feelings• Families Share Feelings
and I-Feel Statements, (2007)
Right Relationship Curriculum Components, gidiocese.org, http://child.gidiocese.org/Portals/0/ChildProtection/communication_jan07.pdf
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Slide 68
Make Eye Contact
Acknowledge, Clarify,
& Reflect
• Nod head, “say uh-huh”
• Ask a question
• Repeat what was said
• Paraphrase; “What I am hearing
you say is…”
Communication 101, Right Relationship Curriculum Components, Communication (2007), gidiocese.org, http://child.gidiocese.org/Portals/0/ChildProtection/communication_jan07.pdf
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Slide 69
Relaxation• Breathing• Visual Imagery /Guided Meditation / Reflection• Progressive Muscle Relaxation / Movement• Prayer
Expression• Journaling• Art• Communication
Focus• Focusing Attention• Distraction (changing focus)• Focus on Others vs. Ourselves
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Slide 70
Breathing with Bubbles
•Take a deep breath, breathing in all that is
good…
•Breathe out, releasing
all that isn't good.
•Watch your troubles
drift away in a bubble!
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Slide 71
Visualization and Breathing• Listen to your breath for few
minutes.
• Imagine that you are in a meadow full of dandelions.
• Imagine picking one up and then blowing the seeds.
• Blow through your lips as if holding a real flower.
• With each breath, the tension leaves your body.
www.Stress-relief-tools.com
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Slide 72
Progressive Muscle Relaxation• Free Script
http://prtl.uhcl.edu/portal/page/portal/COS/Self_Help_and_Handouts/Files_and_Documents/Progressive%20Muscle%20Relaxation.pdf
• Progressive Muscle Relaxation for Children, Koeppen, A.S. (1974), Your Family Clinic LLC, www.yourfamilyclinic.com/adhd/relax.htm
Movement• Butterfly Hugs, (2014), kidrelaxation.com
http://kidsrelaxation.com/uncategorized/butterfly-hugs/
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Slide 73
Repetitive prayer can reset
your stress thermostat
(2007), Agostino Bono,
Catholic News Service,
www.catholicnews.comhttp://www.catholic.org/news/health/story.php?id=23172
Prayer for Stress Relief (2012),
Gentle-Stress-Relief.com
http://www.gentle-stress-relief.com/prayer-for-stress-relief.html
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Slide 74
Any prayer can be calming.
Memorized Prayer“…in the face of the complexity of life,
of our great yearning, and of the mystery
of God, it can be almost impossible to
come up with the words that capture the
depth of our feelings, especially when we are distracted by grief or fear. At those times, it helps to have someone else's words in front of us, words from the psalmist or one of the saints that express our need in a way that requires no more of us than we can give during a difficult time. “
Amy Welborn (2004)
Some prayers incorporate what we now consider “relaxation strategies”
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Slide 75
The Jesus Prayer (sometimes called Breath Prayer)
• Prayer to Jesus, Catechism of the Catholic Church, http://www.vatican.va/archive/ccc_css/archive/catechism/p4s1c2a2.htm
• The Jesus Prayer and the Rosary (2010), Steven D. Greydanus, National Catholic Register, http://www.ncregister.com/blog/steven-greydanus/jesus_prayer_rosary
Contemplative Prayer and BreathFr. James Farfaglia, (2012), Catholic Online, www.catholic.org , http://www.catholic.org/homily/yearoffaith/
story.php?id=48753
“...(breath) is a part of the Christian
tradition…God gave us breath and breathes His breath into us!”
Genesis 2: 7John 20: 22-23 Ezekiel 37: 5-6Fr. James Farfaglia
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Slide 76
The Rosary• The traditional Roman Catholic meditative
prayer form, the rosary is based on movement-- the movement of fingers on beads.
• Praying the Hail Mary with Actions (2013), Loyola Press, www.loyolapress.comhttp://www.loyolapress.com/praying-the-hail-mary-with-actions.htm
Labyrinth Prayer• “My Labyrinth of Grace and
Forgiveness,” Total Catechesis: Catechetical Sessions on Christian Morality, (2004), Cheryl Tholcke, Saint Mary’s Press.
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Slide 77
Begin with a scripture reading / Bible story – or- Let students pick their own setting.
• Ask students to close their eyes and imagine
themselves in the situation.
• Instruct them to: “Picture sights, sounds,
smells, people, objects (the more sensory
details the better).
• Ask them to reflect: “How do you feel?
• Tell them to: “Imagine Jesus joining you.”
• Ask them to reflect: “What would you tell him?”
“What would He say?”
• Ask them to reflect : “How do you feel now?”
Remind students they can go back whenever the are in distress.
Resources:• Total Catechesis, (2014), Saint Mary’s Press, http://www.smp.org/series/37/total-catechesis/
• Resources for leading guided reflections. (2010). Joe Paprocki, The Catechist’s Journey, Loyola Press, http://catechistsjourney.loyolapress.com/2010/11/resources-for-leading-guided-reflectionsmeditations/
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Slide 78
A child in a state of “fight or flight” may need to calm themselves before prayer.
• Breathing and Prayer, (2009), Loyola Press, http://www.loyolapress.com/breathing-and-prayer-fyi.htm
• Relaxation Techniques for Prayer (2009), Ave Maria Press, avemariapress.com https://www.avemariapress.com/engagingfaith/2009/06/relaxation-techniques-for-prayer/
• Guided Meditation: Readying Your Body for Prayer, (2009), Ave Maria Press, https://www.avemariapress.com/engagingfaith/2009/08/guided-meditation-readying-your-body/
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Slide 79
Provide opportunities to use skills
Pray together
Implement a plan to calm
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Slide 80
Notice when children / youth are using
adaptive strategies / skills
Give praise
Offer choices• “Because you have all been
paying attention so
well, I will let you choose if we
read or draw next….”
• Offer two acceptable choices
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Slide 81
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Slide 82
Most problem solving models include the same basic steps:
Identify the problem
Identify possible solutions
Identify the pros / cons
Chose a solution
Evaluate effectiveness
Repeat as necessary
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Slide 83
Identify the decision to be made or the issue to be resolved.
Pray for openness to God’s will, and for freedom from prejudgment and addictions
Gather all the necessary information.
Evaluate advantages & disadvantages.
Trust in God and make your decision.
Confirm the decision.
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Slide 84
Getting to the Heart of the Matter from Horizons: Deciding as a Christian, (2003), Brian Singer-Towns, St. Mary’s Press.
Discernment: Making Inspired Choices (2013), Joe Paprocki, Loyola Presshttp://www.loyolapress.com/discernment-making-
inspired-choices.htm
Stop, Drop and Roll Discernment, Natalie Tansill, Lifeteen.com, http://lifeteen.com/discernment-in-3-easy-steps/
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Slide 85
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Slide 86
Sit in a circle without obstructions
Use a Talking Piece
Establish an agreement about listening and
behavior in the circle.For example :
• listening without interruptions
• sharing speaking time
• not having side conversations
• And generally being respectful toward each other.
To be effective, circles should become part
of what we regularly do.
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Slide 87
Use a talking piece. Review conduct
agreement at each circle.
Keep a positive attitude Address the whole
circle. Use open-ended
questions. Allow time to think after
asking a question. Answer first, as a model.
Pass the talking piece to someone likely to answer appropriately.
Check back with those who pass & invite them to speak.
Remind participants about agreements when necessary:
“Please remember our
agreement to not have side conversations while others are
speaking.”
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Slide 88
Negative or critical comments on what someone shares, or remarks directed at an individual should be dealt with.
Address the targeted child in the group:• “I am so sorry that has happened to you in my class. Thank you for
offering to respond. Please keep doing so.”
Ask the aggressor to stay after class. Engage them in reflective process:• “What did you say?”
• “What were you trying to make happen?”
• “Who was affected by that statement?”
• “How were those people affected?”
• “How do you know?”
• “What should you do to make it right?”
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Slide 89
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Slide 90
Nathanael Matanick
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Slide 91
What strikes you about this video?What triggers fight / flight / freeze for this
child?How did the abuse history of this child
impact her later behavior / interactions with others?
How did the adults who were trying to help, unknowingly mimic the behaviors of adults who had been hurtful in her life?
What could they have done to be “deliberately different”?
What actions by adults were healing for this child?
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Slide 92
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Slide 93
Child abuse and neglect interferes with
meeting which of the following basic
developmental need(s)?
a. Physiological Needs
b. Safety Needs
c. Social
d. Self-Esteem
e. All of the above.
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Slide 94
True or False: Few Nebraskans responding to the 2011 Behavioral Risk Surveillance System survey reported experiencing any Adverse Childhood Experiences (ACEs).
a. True. b. False.
53% of Nebraskans responding to the survey
reported experiencing at least one Adverse
Childhood Experience.
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Slide 95
Based on the results of this study we
would expect that about six students
in a classroom of thirty have
experienced ___ or more ACEs?
a. Five
b. Three
c. One
d. Two
e. All of the above.
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Slide 96
When faced with impending danger our
central nervous system activates the
stress response, preparing our body to:
a. Fight
b. Flee
c. Freeze
d. a, b, or c
e. a and c
Fight, Flee, or Freeze
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Slide 97
5. When trauma is prolonged or repeated a child’s _________ can be impacted.
a. Brain Structure, Self-Regulation & Problem-Solving.
b.World View, Self-Concept, & Relationships.
c. Learning and Classroom Behaviors.d. a, b, and ce. b and c
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Slide 98
Which of the following is not identified in training as important reason for creating a trauma-sensitive environment?
a. To build resiliencyb. To help kids healc.To make people more tolerant of child
abuse and trauma.d.To foster learning and developmente. To provide kids and opportunity to
experience the kind of loving relationships God intended for them.
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Slide 99
Which of the following are the five qualities of a trauma-sensitive environment identified in training?
a. Safety, Empowerment, Collaboration, Choice, Trust
b. Empowerment, Assertiveness, Safety, Security, Communication
c. Safety, Security, Secrecy, Choice, Trustd. Choice, Rules, Trust, Security, Safety. e. Trust, Rules, Choice, Consistency,
Freedom
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Slide 100
Looking through a trauma-sensitive lens, we are most likely ask:
a. What’s wrong with this kid?b. What did this kid do wrong?c. What would be an appropriate
punishment? d. What would be an effective
intervention?e. What will motivate this child to change?
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Slide 101
To help a child be resilient, it is important that we do which of the following when they disclose abuse?
a. Remain calm and respond in a supportive manner.
b. Communicate that the child is not at fault.
c. Listen without interrupting.d. Report bullying to appropriate
authorities.e. All of the above.
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Slide 102
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