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A Bio-Psycho-Social Assessment of an Adjunctive Intervention for Youth in Alternative Schools
Rebekah Conway Roulier, Ed.M.
Doc Wayne
Doc Wayne • Doc Wayne is a 501(c)(3) non-profit that connects with youth
through sports, utilizing our sports-based therapeutic curriculum, do the good® (DtG). o DW Therapeutic Sports Program (League)o Billable Group Therapy (Chalk Talk)o Leadership Program (Global Life Empowerment)o Training Program
Sport & TherapySport-based intervention which incorporates principles from:
o Trauma-informed careo Positive youth development o Trauma-based components model (Attachment, Regulation
and Competency Framework) o Stabilization model (Dialectical Behavior Therapy) o Attachment-based interaction model (Parent-Child
Interaction Therapy)
Evaluation• Method: self-report, computerized games which assessed
behavior, and physiological measurement • Participants: 53 (male and female)• Ages: 12-19 (serve ages 12-22)• Population: League and Chalk Talk participants compared to
control group. o Victims of abuse and/or neglecto Sexually exploited and trafficked o Impoverished/underservedo Truanto Mentally ill (specifically survivors of complex trauma)o Differently-abled
Alarming Descriptors• Social Cognition - “Reading the Mind in the Eyes Task.”
o Healthy youth 70%. o Adults on the autistic spectrum 50%.o Doc Wayne youth 37% of faces (SD = 15%, Range = 0 to 75%).
• Physiology and Stresso Average resting heart rate for youth in this age group is 60-80 beats per
minute (bpm).o The majority of youth (65%) had elevated resting heart rates, above 80
bpm (M = 85, SD = 15).o Five participants had extremely elevated resting HR, over 100 bpm. o May be reflective of psychological stress, poor cardiovascular health,
or medication status.
Does Doc Wayne Help?Outcome(s) Measurements Group
Differences
Social Conflicts Personal Distress and Perspective Taking
Small
Emotion Regulation Reappraisal; Suppression; Shutting Down
Significant
Social Cognition “Reading the Mind in the Eyes Task”
Moderate
Physiology & Stress Ability to respond to stress and challenges. Resting Heart Rate, Heart Rate Variability
Significant
Multiple Season Participants
Outcome(s) Measurements Group Differences
Life Goals Expected likelihood of achieving goals
Small
Social Conflicts Personal Distress and Perspective Taking
Moderate – Personal Distress None-Perspective Taking
Emotion Regulation
Reappraisal; Suppression; Shutting Down
Small- Seeking support and shutting down
Social Cognition
“Reading the Mind in the Eyes “ Task
Moderate
Physiology & Stress
Ability to respond to stress and challenges. Resting Heart Rate; Heart Rate Variability
Moderate – StressNone- Heart RateModerate- Heart Rate Variability
Outcome Categories• Category A: Outcomes which change quickly, and continue to
develop over time.• Shutting Down• Personal Distress• Social Cognition• Heart Rate Variability
• Category B: Outcomes which happen quickly, and “top out” with continued participation.
• Reappraisal• Perspective-taking• Heart Rate
• Category C: Outcomes which take time to emerge.• Seeking Support• Career Goals
Conclusion• Effect sizes are consistent with the effect sizes of individual
psychotherapies tested using Randomized Clinical Trials. o Effect size – the size of the difference between two groups.
Is the magnitude of the differences between two groups clinically meaningful?
o Most psychotherapy studies yield an effect size of .3.• Sport can be therapeutic and a form of therapy.
Video
Impact: http://youtu.be/ekkVJhBut9A
Questions?For 2009 and 2012 program evaluations please
leave your card!
Rebekah Conway Roulier, Ed.M.
General Manager, Doc Wayne
617-233-0710
@DocWayneDtG
@RLCRoulier