module six: introduction to s.e.l.f. and treatment planning conferences

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Module Six: Introduction to S.E.L.F. and Treatment Planning Conferences

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Page 1: Module Six: Introduction to S.E.L.F. and Treatment Planning Conferences

Module Six:Introduction to S.E.L.F.

and

Treatment Planning Conferences

Page 2: Module Six: Introduction to S.E.L.F. and Treatment Planning Conferences

Trying to transform a nonlinear system using a linear model just

doesn’t work.

Jeffrey Goldstein, 1994The Unshackled Organization

Page 3: Module Six: Introduction to S.E.L.F. and Treatment Planning Conferences

DOES SYSTEMIC CHANGE WORK?

Around the world a full 70% of change efforts in companies fail

How many change efforts directed at the children will fail?

Change efforts are usually based on social engineering

Surfing the Edge of Chaos - Pascale, Millemann, Gioja, p.6

Page 4: Module Six: Introduction to S.E.L.F. and Treatment Planning Conferences

SOCIAL ENGINEERING PREMISES

Leader as head, Organizations as body: intelligence is centralized near the top

Premise of predictable change: assumes predictability and control during time span of change effort

Assumption of cascading intention: initiative defined, is communicated and rolled out.

Surfing the Edge of Chaos - Pascale, Millemann, Gioja, p.6

Page 5: Module Six: Introduction to S.E.L.F. and Treatment Planning Conferences

Social engineering as a context is obsolete –

Period.

“Living Systems” isn’t a metaphor for how human institutions operate.

It’s the way it is.

Surfing the Edge of Chaos - Pascale, Millemann, Gioja

Page 6: Module Six: Introduction to S.E.L.F. and Treatment Planning Conferences

S.E.L.F.

Safety

Emotion

Loss

Future

Page 7: Module Six: Introduction to S.E.L.F. and Treatment Planning Conferences

THERE ARE FOUR KINDS OF SAFETY:

• Your body is safe from physical harmPhysical safety:

• You are safe with yourselfPsychological safety:

• You are safe with other peopleSocial safety:

• You and other people in your community are safe and consistent with your conscience, beliefs, values

Moral /ethical safety:

Page 8: Module Six: Introduction to S.E.L.F. and Treatment Planning Conferences

PHYSICAL SAFETYNo violence to others in any form: physical, emotional, verbal, or sexual

Absence of suicidality / self-destructive behavior

Absence of substance abuse

Healthy, safe, relational sexual behavior

Avoidance of risk-taking behavior

Good health practices

Healthy, nonviolent disciplinary practices

Page 9: Module Six: Introduction to S.E.L.F. and Treatment Planning Conferences

PSYCHOLOGICAL SAFETY

Self-protection

Self-knowledge

Self-efficacy

Self-esteem

Self-empowerment

Self-control

Self-discipline

Page 10: Module Six: Introduction to S.E.L.F. and Treatment Planning Conferences

SOCIAL SAFETY

Safe attachments

Safety in the group

Exercise of responsible authority

Social responsibility

Page 11: Module Six: Introduction to S.E.L.F. and Treatment Planning Conferences

MORAL SAFETY(“Everything I Ever Needed to Know, I Learned in Kindergarten” by Robert

Fulghum)Share everythingPlay fairDon't hit peoplePut things back where you found themClean up your own messDon't take things that aren't yoursSay you're sorry when you hurt somebodyWash your hands before you eatFlush

Page 12: Module Six: Introduction to S.E.L.F. and Treatment Planning Conferences

EMOTIONS

Giving words for feelings: Mad, Sad, Scared, Glad, Shamed

Neither expressing nor suppressing, but managing

Trading in actions for words

Page 13: Module Six: Introduction to S.E.L.F. and Treatment Planning Conferences

LOSS

Grieving

Saying goodbye

Refraining from Reenactment

Moving on

Page 14: Module Six: Introduction to S.E.L.F. and Treatment Planning Conferences

FUTURE

Changing trajectories

New attractors

Different choices

Imagination

Vision

Page 15: Module Six: Introduction to S.E.L.F. and Treatment Planning Conferences

A way of organizing complexity

Dynamic and nonlinear

Phases you move in and out of, not

stages you climb

An accessible language

Gets everyone on the same page

Applicable to children, adults,

families, staff and organization

S.E.L.F.

Page 16: Module Six: Introduction to S.E.L.F. and Treatment Planning Conferences

PRACTICE

Scavenger Hunt!

Page 17: Module Six: Introduction to S.E.L.F. and Treatment Planning Conferences

DISCUSSION

• Still need the SELF practice slides

Page 18: Module Six: Introduction to S.E.L.F. and Treatment Planning Conferences

SAFETY

Clients learn to care for themselves and others

Clients learn how to name what they feel and handle it without hurting themselves or others.

Clients learn to accept change and loss and how to say goodbye to people/places/things they care about

Clients learn to first imagine and then create a different futrure outcome for themselves

Page 19: Module Six: Introduction to S.E.L.F. and Treatment Planning Conferences

THE SANCTUARY TOOLKIT

Comm

unity

Mee

tings

Safet

y Pla

ns

S.E.L

.F. P

sych

oedu

catio

n

Red F

lag

Revie

ws

S.E.

L.F.

Trea

tmen

t Plan

ning

Team

Mee

tings

Sanctuary

Toolki

t

Page 20: Module Six: Introduction to S.E.L.F. and Treatment Planning Conferences

S.E.L.F. TREATMENT PLANNING CONFERENCE

WHAT IS IT?

Page 21: Module Six: Introduction to S.E.L.F. and Treatment Planning Conferences

A time to measure client progress and

treatment.

A way to evaluate goals, struggles and progress

by organizing this information into the categories of safety,

emotion management, loss and future.

Non-hierarchical encourages discussion

and collaboration between team members,

including clients and families, rather than a

rote reporting or reading from reports

SELF Rx Plannng

Page 22: Module Six: Introduction to S.E.L.F. and Treatment Planning Conferences

“What happened to you?” instead of “What’s wrong with you?”

More time for the solution than the problem.

All attendees are expected to participate in giving information and posing questions.

S.E.L.F. TREATMENT PLANNING CONFERENCEHOW DO YOU RUN ONE?

Page 23: Module Six: Introduction to S.E.L.F. and Treatment Planning Conferences

Fosters a shared

language

Organize

s how we

talk

about

treatment

Keep

s a

focu

s on

tr

aum

a

Keeps a

focus on

growth

and

change

consistent

contact with

team

members,

clients and familie

s

SE

LF

TR

EA

TM

EN

T P

LA

NN

ING

Page 24: Module Six: Introduction to S.E.L.F. and Treatment Planning Conferences

S.E.L.F. TREATMENT PLANNING CONFERENCE

SAFETY

RECENT SUCCESSES

• Client successes:• Family successes• Staff successes

PRESENT CHALLENGES

• Past unsafe events impacting present, transitioning, home visits,

• use of student support• health issues,• destructive, aggressive behaviors • Bullying and victimization, • ability to trust staff and peers, boundary issues.

GOALS• Client commits to: • Family commits to: • Staff commits

Page 25: Module Six: Introduction to S.E.L.F. and Treatment Planning Conferences

S.E.L.F. TREATMENT PLANNING CONFERENCE

EMOTIONS

RECENT SUCCESSES

• Client successes:• Family successes• Staff successes

PRESENT CHALLENGES

• Recognizing and naming feelings, • identifying and using coping skills, • identifying triggers, • ability to read social cues, re-enactments. .

GOALS• Client commits to: • Family commits to: • Staff commits

Page 26: Module Six: Introduction to S.E.L.F. and Treatment Planning Conferences

S.E.L.F. TREATMENT PLANNING CONFERENCE

LOSS

RECENT SUCCESSES

• Client successes:• Family successes• Staff successes

PRESENT CHALLENGES

• Ability to talk about losses or changes, • ability to anticipate impending losses, • ability to deal with change constructively, • past losses impacting present. . .

GOALS• Client commits to: • Family commits to: • Staff commits

Page 27: Module Six: Introduction to S.E.L.F. and Treatment Planning Conferences

S.E.L.F. TREATMENT PLANNING CONFERENCE

FUTURE

RECENT SUCCESSES

• Client successes:• Family successes• Staff successes

PRESENT CHALLENGES

• Learned helplessness • academic progress, • ability to care for self and others• ability to talk about aftercare plans • ability to express strengths and resources• ability to participate in community service .

GOALS• Client commits to: • Family commits to: • Staff commits

Page 28: Module Six: Introduction to S.E.L.F. and Treatment Planning Conferences

LET’S PRACTICE!

Safety

Emotion

Loss

Future

Page 29: Module Six: Introduction to S.E.L.F. and Treatment Planning Conferences

BE THE CHANGE YOU WANT TO SEE

Mohandas Gandhi