group art therapy interventions & strategies: working with children exposed to domestic violence

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Gretchen Miller, MA, ATR-BC Registered Board Certified Art Therapist Certified Trauma Consultant The Domestic Violence Center Cleveland, OH Group Art Therapy Interventions & Strategies: Working with Children Exposed to Domestic Violence

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Overview of art therapy group interventions and strategies when working with children impacted by domestic violence by Registered Board Certified Art Therapist Gretchen Miller, MA, ATR-BC. For more, check out this e-course offering: http://bit.ly/AaUdi8

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Page 1: Group Art Therapy Interventions & Strategies: Working with Children Exposed to Domestic Violence

Gretchen Miller, MA, ATR-BC

Registered Board Certified Art Therapist

Certified Trauma Consultant

The Domestic Violence Center

Cleveland, OH

Group Art Therapy Interventions & Strategies: Working with Children Exposed

to Domestic Violence

Page 2: Group Art Therapy Interventions & Strategies: Working with Children Exposed to Domestic Violence

About Art Therapy

Art Therapy is the deliberate use of art-making to address psychological and emotional needs.  Art therapy uses art media and the creative process to help in areas such as, but not limited to: fostering self-expression, create coping skills, manage stress, and strengthen sense of self.  Art therapy has provided mental health treatment for clients who have experienced trauma, grief & loss, depression, chronic illness, substance abuse, and more.

~ The Art Therapy Alliance

Page 3: Group Art Therapy Interventions & Strategies: Working with Children Exposed to Domestic Violence

Using Art in Trauma Intervention Creative process and art-making can provide opportunities for

decision-making, problem-solving, and help build resiliencyRespond to art expressions with an accepting, calming,

validating, and normalizing approachEncourage and provide creative choices for open, self-

expressionCreate a safe, inviting, and structured environment for making

art free of judgment, interpretation, and asking too many questions

Support opportunities for storytelling through interest of art created

Malchiodi, C. (2005). Using Art in Trauma Recovery with Children Monograph.

Page 4: Group Art Therapy Interventions & Strategies: Working with Children Exposed to Domestic Violence

Stabilization Emotion expression and validation Coping with feelings and crisis Reducing anxiety, fear, tension Adjustment to shelter life, family changes Safety planning Short term intervention & prevention

Miller, G. (2008). Bruce Perry’s Impact: Considerations for Art Therapy & Children From Violent Homes

Considerations when working with children from homes of domestic violence:

Page 5: Group Art Therapy Interventions & Strategies: Working with Children Exposed to Domestic Violence

Appropriate developmental level Provide a sense of safety & predictability Repetition Relational enrichment Experience of reward

Perry, B. (2006). Applying Principles of Neurodevelopment to Clinical Work with Maltreated and Traumatized Children

Considerations when working with children from homes of domestic violence:

Page 6: Group Art Therapy Interventions & Strategies: Working with Children Exposed to Domestic Violence

Create a group structure designed to foster:

Consistency Predictability Safety and ability to make choices Relational interaction Appropriate role modeling

Support Groups for Youth

Page 7: Group Art Therapy Interventions & Strategies: Working with Children Exposed to Domestic Violence

Acceptance and trust Validation of experience Educate & normalize trauma reactions Promoting emotional expression Coping and stress management

Sensory based group art interventions that explore:

Page 8: Group Art Therapy Interventions & Strategies: Working with Children Exposed to Domestic Violence

Trust & Acceptance

Art Interventions that focus on:

• Getting to Know the Child• Building Rapport & Relationship• Safety• Promoting Self-Worth & Self Esteem• Celebrating Self• Building Resiliency

Page 9: Group Art Therapy Interventions & Strategies: Working with Children Exposed to Domestic Violence

A Favorite Kind of Day DrawingMalchiodi, C. (1997)

Page 10: Group Art Therapy Interventions & Strategies: Working with Children Exposed to Domestic Violence

Safety Box

Page 11: Group Art Therapy Interventions & Strategies: Working with Children Exposed to Domestic Violence

Safety Box

Page 12: Group Art Therapy Interventions & Strategies: Working with Children Exposed to Domestic Violence

Validation of Experience

Art Interventions that focus on:

•Promoting Emotional Expression•Honors experience•Provides opportunity for storytelling

Page 13: Group Art Therapy Interventions & Strategies: Working with Children Exposed to Domestic Violence

Fighting

Page 14: Group Art Therapy Interventions & Strategies: Working with Children Exposed to Domestic Violence

Fighting

Page 15: Group Art Therapy Interventions & Strategies: Working with Children Exposed to Domestic Violence

Coming to Shelter / Worried about Leaving Pet Behind

Page 16: Group Art Therapy Interventions & Strategies: Working with Children Exposed to Domestic Violence

Shelter Adjustment / Coming to Shelter

Page 17: Group Art Therapy Interventions & Strategies: Working with Children Exposed to Domestic Violence

Shelter Adjustment / Coming to Shelter

Page 18: Group Art Therapy Interventions & Strategies: Working with Children Exposed to Domestic Violence

Normalizing Trauma Reactions

Art Interventions that focus on:

•Education and Validation•Sensory-Based Activities•Identifying Ways to Cope w/ reactions•Animals, creatures, and other characters that can provide examples through a non-threatening image or story

Page 19: Group Art Therapy Interventions & Strategies: Working with Children Exposed to Domestic Violence

Sherman-- A Terrible Thing Happened Story

Page 20: Group Art Therapy Interventions & Strategies: Working with Children Exposed to Domestic Violence

Bart & the Sad, Bad, and Scary Thing that Happened—Brave Bart Story

Page 21: Group Art Therapy Interventions & Strategies: Working with Children Exposed to Domestic Violence

Trauma Stress Thoughts

Page 22: Group Art Therapy Interventions & Strategies: Working with Children Exposed to Domestic Violence

Promoting Emotional Expression

Art Interventions that focus on:

• Physical response to trauma reactions or experience• Permission and acceptance of emotions related to fear, worry, anger, sadness, guilt, humiliation

Page 23: Group Art Therapy Interventions & Strategies: Working with Children Exposed to Domestic Violence

Emotional X-Ray: Scared

Page 24: Group Art Therapy Interventions & Strategies: Working with Children Exposed to Domestic Violence

Emotional X-Ray: Helpless

Page 25: Group Art Therapy Interventions & Strategies: Working with Children Exposed to Domestic Violence

Emotional X-Ray: Tension

Page 26: Group Art Therapy Interventions & Strategies: Working with Children Exposed to Domestic Violence

Feelings Mask

Page 27: Group Art Therapy Interventions & Strategies: Working with Children Exposed to Domestic Violence

Coping and Stress Management

Interventions that focus on:

• Body’s response to stress/relaxation• Relaxation techniques• Breath work• Healthy ways to calm, soothe, feel safe

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ReferencesMalchiodi, C. (2008). Creative Interventions with Traumatized Children. New York: Guildford Press.

Malchiodi, C. (2005). Using Art in Trauma Recovery with Children. Monograph published by the National Institute for Trauma and Loss in Children.

Malchiodi, C. (1997). Breaking the Silence: Art Therapy with Children from Violent Homes . New York: Brunner Mazel.

Miller, G. (2008). Bruce Perry’s Impact: Considerations for Art Therapy & Children From Violent Homes on Slideshare

Perry, B. (2006). Applying Principles of Neurodevelopment to Clinical Work with Maltreated and Traumatized Children in Working with Traumatized Youth in Child Welfare edited by Nancy Boyd. New York: Guilford Press.

Page 32: Group Art Therapy Interventions & Strategies: Working with Children Exposed to Domestic Violence

© 2010 Gretchen Miller, MA, ATR-BCRegistered Board Certified Art TherapistCertified Trauma and Loss Consultant

[email protected] www.gretchen-miller.com