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<p>Trauma: Engage, Educate &amp; Empower</p> <p>Trauma: Engage, Educate &amp; EmpowerJessica Luquis, MA, LMHC &amp; Jennifer Barry, LMSWSt. Catherines Center for childrenDecember 20151 What is a trauma assessment?Similar to a bio-psycho-social assessment, however focuses on trauma the child has experienced throughout the lifespan, can be specific to sexual traumaIs a clinical assessment, not forensic though is often used by Social Services or Child Protective workers for family court mattersUsed to summarize traumatic experiences, assess childs readiness/appropriateness for treatment, and formulates treatment recommendations including level of care as relevant to supervision needs and permanency appropriatenessif parent is perpetrator or cannot provide appropriate supervision, recommendations will be made as to needs and appropriateness of potential caregiver2Engagement Strategies.</p> <p>You are Not your abuseYou are Not what they did to youYou are Not your trauma</p> <p>You ARE the cleverness that survivedYou ARE the courage that escapedYou ARE the power that hid and protected a tiny spark of your light!</p> <p> statistics show 25% of women and 16% of men have been sexually abused as childrenStatistics show that in the USA 1 in 4 girls and 1 in 6 boys will be victims of childhood sexual abuse before the age of 18.these stats come from oneinfour.org3Things to Avoid:gift giving, candy, distractions, other methods of bribery for compliance stickers or other prizes. being like the perpetrator and grooming the child to talk with usif this evaluation goes to court any type of prize or bribery will have the potential to invalidate your findings and recommendations as well your testimony.This could lead to you being discredited as a professional and expert. Dont be a perp!</p> <p>We want to elicit the TRUTH, not what we want to hear from the child and we dont want the child to guess or feel as though they have to impress us or reply a certain way4Things to Avoidcontinued:Do not force a child into a session. It may take one or two introductions before the child is comfortable to speak with you. It also may be needed to defer the assessment/evaluation because it is important to not force the evaluation as this can be re traumatizing.This does not mean you have not done your job or are not competent this actually means you are doing your job correctly!!!!</p> <p>Every 107 seconds another American is sexually assaulted (</p> <p>EX: look to a person in the room next to you and tell them your most embarrassing sexual experience-this is what we are asking the client to do5Things to Remember!!!Focus on the relationship, use the language and words the child uses to help them feel comfortable communicate empathy not sympathy model resiliencywatch body language, non verbal cues, facial expressions, tone of voice comfortable when using words such as penis and vagina because this will come up frequentlyIf you are uncomfortable your clients will be too!!!</p> <p>We want to empower our clients and make them survivors not victims! Use example of supervision around penis disclosure. Jen tell story of 12f saying how can girls have sex together if they just have a pussy Ex: have the group say out loud PENIS and VAGINA</p> <p>6Things to remembercontinuedUse current terminology: no more good touch bad touch why not use good and bad???-this is labeling and sometimes bad feels good also leads to influence later relationships as sexual activity being bad it is helpful to ease into talking about touching, talk about less threating wrong things such as hitting, biting, kicking talk about wrong touching and what it is, wrong implies it can be fixed, and bad implies black and white thinking no room for improvement.Its important to be correct and use the right terms, evoking change and empowering children!7Things to Remember.continuedUse appropriate interviewing techniques.provide rules for the assessment, inform child breaks are ok, make the child comfortable, explain process and validate the childs feelingsRemind child you will not be mad at them, that you work with lots of kids that have talked about similar thingsBe prepared have some toys, paper, crayonsKeep it simpleNormalize and neutralize!</p> <p>Jes give some examples of interview techniques from yule method.8Delivering the Recommendations</p> <p>Its All in the DELIVERY..Be strength based and validatingdont say but lets use anddisplay empathyDont feel pressure to have all the answers, be Confident!its ok to be neutral from other people involved-objective is bestbe the voice for the childtake your time and take a breath</p> <p>It is easier to build strong children than to fix broken men</p> <p>Validate parents feelingsthis must be so hard for youthese are some things I noticed you do welletc.. Saying but can change the tone of a message/conversation and tune out the parent.Jen give example of mtg where parents were cursing and yelling she was pointing and stating you are a fucking idiot to the county worker and providers were all confused and upset and SW had to take charge and validate all parties10Its All in the DELIVERYcontinuedAcknowledge the elephant in the room- this is sensitive and difficult informationthank everyone for participating and encourage honestyremain focused on what is best for the child, no blaming, no shaming!</p> <p>build upon strengths and weaknesses will gradually take care of themselves</p> <p>Ex: I like to start all my meetings by acknowledging and validating, allow people choices and time, remind everyone this is a treatment team to help the child as they cay it takes a village to raise a child.</p> <p>11Vicarious TraumaIt is also called compassion fatigue, is the latest term that descries the phenomenon generally associated with the cost of caring for othersIts the emotional residue from constant exposure to working with people and hearing trauma stories Counselors become witnesses to the pain, fear and terror that trauma survivors have endured it is a State of tension and preoccupation with the stories and trauma experiences described by clientsBurnout- something that happens over time and as it builds up a change, such as time off can take care of burnout or improve it</p> <p>Vicarious trauma is NOT burnout however it can lead to burnout, Vicarious trauma and burnout will not just go away it is something to take care of sooner than later and is needed to remain effective in taking care of and treating others12Signs and symptomsHypervigilant (startle easy, being jumpy, sleep difficulty), feeling on edgeAngry, irritated, blaming othersDepression, loss of interest, loss of joy. Feeling hopeless associated with workAnxious, worried not doing enough for clientsFeeling NUMBCan impact counselors personal life, such as relationships as well as health both emotional and physical, this is why self care is IMPERATIVE!</p> <p>Trouble falling asleep, staying asleep and losing sleep over patients, arguing with friends and family, feeling like you have nothing left to give, feeling like why bother and that your work is meaningless, not wanting to go to work13Self Care</p> <p>Self-Care StrategiesUse humor and have fun!Monitor yourself, track burnout and compassion fatigueRest, eat healthy, take breaks (yes at work too)Yoga, cooking, meditation, attending religious services, going to sporting events, visit museums, going to the movies, hiking, painting or drawing use physical strategies such as: baths, walks, laughing, talkingTrauma work isnt traumatizing unless you make it so, if you believe in resiliency your clients will feel it as well, this is empowering as a clinician and as a clientSEX does not have to all bad(at least lets hope not)When in doubt ask for help! Seek supervision, talk with peers</p> <p> We need to remember to care for ourselves or we cannot care for others, its necessary to put in time for our own relationships with friends, family and significant others, often as counselors we treat our clients better than ourselves sometimes we need to take our own advice time for a Self guided meditation.15References:Oneinfourusa.orgRainn.orgACA.orgUseful websites:Self care assessment website imagery and meditation website http://www.innerhealthstudio.comEngagement worksheets website</p> <p>Here are a few websites to access now and again to check yourself and also one that is great for quick worksheets useful for starting points during assessment periods that will provide basic information17A little about us</p> <p>Jessica Luquis MA LMHC: is a graduate from Sage Graduate School in New York. She is currently a Trauma Therapist and clinical supervisor for the trauma treatment program at St. Catherines Center for Children. Ms. Luquis utilizes such modalities as TF-CBT and DBT in her treatment of children and adolescents with severe emotional disturbances who have endured trauma. Ms. Luquis uses yoga and meditation as her means of self care.</p> <p>Jennifer Barry LMSW : is a graduate from Fordham University in New York. She currently is the Intake Coordinator and Diagnostic Clinician for St. Catherines Center for Children. Ms. Barry also works with the sexual trauma treatment program, where she practices TF-CBT, play therapy and sand tray therapy with youth in need of specialized trauma treatment. Ms. Barry enjoys hot yoga as a means of self care.QUESTIONS?????</p> <p>Thank you all for your hard work and dedication to helping children and families!!!!!Contact Info:Jessica Luquis, MA, LMHC: jluquis@st-cath.orgJennifer Barry, LMSW: </p>


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