trauma focused play therapy - asapnj.camp9.orgasapnj.camp9.org/resources/documents/j. puig... ·...
TRANSCRIPT
![Page 1: Trauma Focused Play Therapy - asapnj.camp9.orgasapnj.camp9.org/resources/Documents/J. Puig... · Trauma Focused Play Therapy Association of Student Assistance Professionals of New](https://reader031.vdocuments.us/reader031/viewer/2022030408/5a8aad3c7f8b9a4a268c0881/html5/thumbnails/1.jpg)
1
![Page 2: Trauma Focused Play Therapy - asapnj.camp9.orgasapnj.camp9.org/resources/Documents/J. Puig... · Trauma Focused Play Therapy Association of Student Assistance Professionals of New](https://reader031.vdocuments.us/reader031/viewer/2022030408/5a8aad3c7f8b9a4a268c0881/html5/thumbnails/2.jpg)
Trauma Focused Play Therapy
Association of Student Assistance Professionals of New Jersey
Feb. 26. 2016
Jan Simms Puig, Ed.D. Licensed Psychologist, NJ #2992
Licensed Marriage and Family Therapy – S NJ #1242
Registered Play Therapy – S #1352
Trauma Specialist -TLC
2
![Page 3: Trauma Focused Play Therapy - asapnj.camp9.orgasapnj.camp9.org/resources/Documents/J. Puig... · Trauma Focused Play Therapy Association of Student Assistance Professionals of New](https://reader031.vdocuments.us/reader031/viewer/2022030408/5a8aad3c7f8b9a4a268c0881/html5/thumbnails/3.jpg)
GREETINGS
WELCOME! MY NAME IS : JAN SIMMS PUIG, ED.D 900 KINGS HIGHWAY NORTH SUITE 201 CHERRY HILL, NEW JERSEY 08034 E–MAIL: [email protected] PHONE: (856)482-7755
3
![Page 4: Trauma Focused Play Therapy - asapnj.camp9.orgasapnj.camp9.org/resources/Documents/J. Puig... · Trauma Focused Play Therapy Association of Student Assistance Professionals of New](https://reader031.vdocuments.us/reader031/viewer/2022030408/5a8aad3c7f8b9a4a268c0881/html5/thumbnails/4.jpg)
OBJECTIVES Describe:
Case Presentation -
Developing Treatment Objectives
Selecting Play Therapy Tools
Factors to Consider
Moving from Barriers and Challenges to Change
4
![Page 5: Trauma Focused Play Therapy - asapnj.camp9.orgasapnj.camp9.org/resources/Documents/J. Puig... · Trauma Focused Play Therapy Association of Student Assistance Professionals of New](https://reader031.vdocuments.us/reader031/viewer/2022030408/5a8aad3c7f8b9a4a268c0881/html5/thumbnails/5.jpg)
OUTLINE
I. Case Background- Information: Moving from Problem to Treatment Plan
II. Framework: Engagement – Problem – Interaction - Resolution
III. Tools: Choices – Affect Regulation – Sensori/Motor-
Direct vs. Indirect Techniques
5
![Page 6: Trauma Focused Play Therapy - asapnj.camp9.orgasapnj.camp9.org/resources/Documents/J. Puig... · Trauma Focused Play Therapy Association of Student Assistance Professionals of New](https://reader031.vdocuments.us/reader031/viewer/2022030408/5a8aad3c7f8b9a4a268c0881/html5/thumbnails/6.jpg)
• Complex
• Repeated Trauma
• Medical- surgery
• Physical- abuse
• Sexual–abuse
• Emotional - Abuse
6
![Page 7: Trauma Focused Play Therapy - asapnj.camp9.orgasapnj.camp9.org/resources/Documents/J. Puig... · Trauma Focused Play Therapy Association of Student Assistance Professionals of New](https://reader031.vdocuments.us/reader031/viewer/2022030408/5a8aad3c7f8b9a4a268c0881/html5/thumbnails/7.jpg)
• Play Questionnaire
• Trauma Reactions - see slide
• Parent(s)/Child - TLC
• Parent’s Problem Definition – Informal/Formal
7
![Page 8: Trauma Focused Play Therapy - asapnj.camp9.orgasapnj.camp9.org/resources/Documents/J. Puig... · Trauma Focused Play Therapy Association of Student Assistance Professionals of New](https://reader031.vdocuments.us/reader031/viewer/2022030408/5a8aad3c7f8b9a4a268c0881/html5/thumbnails/8.jpg)
TRAUMA REACTIONS Worry
Hurt
Fear
Anger
Revenge
Guilt
Shame
Sadness
8
![Page 9: Trauma Focused Play Therapy - asapnj.camp9.orgasapnj.camp9.org/resources/Documents/J. Puig... · Trauma Focused Play Therapy Association of Student Assistance Professionals of New](https://reader031.vdocuments.us/reader031/viewer/2022030408/5a8aad3c7f8b9a4a268c0881/html5/thumbnails/9.jpg)
THERAPY COLLABORATION
CHILD
Family
THERAPIST
School , Auxiliary,
Community Resources TREATMENT
SUCCESS
![Page 10: Trauma Focused Play Therapy - asapnj.camp9.orgasapnj.camp9.org/resources/Documents/J. Puig... · Trauma Focused Play Therapy Association of Student Assistance Professionals of New](https://reader031.vdocuments.us/reader031/viewer/2022030408/5a8aad3c7f8b9a4a268c0881/html5/thumbnails/10.jpg)
Engagement
Problem
Interaction
Solution/Resolution
Treatment Plan
Process: Fun Activity- Intervention- Fun Activity
10
TRAUMA FOCUSED - Framework
![Page 11: Trauma Focused Play Therapy - asapnj.camp9.orgasapnj.camp9.org/resources/Documents/J. Puig... · Trauma Focused Play Therapy Association of Student Assistance Professionals of New](https://reader031.vdocuments.us/reader031/viewer/2022030408/5a8aad3c7f8b9a4a268c0881/html5/thumbnails/11.jpg)
FOUR PRIMARY TFT GOALS
1) Create an environment of Safety, Trust , Comfort
2) Process Traumatic material
3) Encourage Social Reconnections- Hope
4) Return to pre-trauma developmental functioning
11
Gil, Eliana Trauma- Focused Integrated Play Therapy (TF-IPT , Gil Center for Healing
and Play , PLC. Fairfax, Va 2011. www.gilcenter.com
![Page 12: Trauma Focused Play Therapy - asapnj.camp9.orgasapnj.camp9.org/resources/Documents/J. Puig... · Trauma Focused Play Therapy Association of Student Assistance Professionals of New](https://reader031.vdocuments.us/reader031/viewer/2022030408/5a8aad3c7f8b9a4a268c0881/html5/thumbnails/12.jpg)
Trauma Focused Preparation = Treatment Plan
Child/Adolescence
. Questionnaire
Trauma Reactions
Parent/Teacher Questionnaire
Secondary Trauma
Brave Bart
Trauma check List
12
![Page 13: Trauma Focused Play Therapy - asapnj.camp9.orgasapnj.camp9.org/resources/Documents/J. Puig... · Trauma Focused Play Therapy Association of Student Assistance Professionals of New](https://reader031.vdocuments.us/reader031/viewer/2022030408/5a8aad3c7f8b9a4a268c0881/html5/thumbnails/13.jpg)
13
You can only reduce arousal on a sensory level, not a cognitive level
So will talking about it help?
Will telling the person they are safe help?
Maybe, a little bit… but it is in what we do to make people feel safe, feel better, on a sensory level that helps reduce arousal.
ACTIVITY: WHAT ARE SOME ACTIVITIES YOU ALREADY USE TO HELP KIDS LOWER AROUSAL?
![Page 14: Trauma Focused Play Therapy - asapnj.camp9.orgasapnj.camp9.org/resources/Documents/J. Puig... · Trauma Focused Play Therapy Association of Student Assistance Professionals of New](https://reader031.vdocuments.us/reader031/viewer/2022030408/5a8aad3c7f8b9a4a268c0881/html5/thumbnails/14.jpg)
14
EMOTIONAL REGULATION
Fighting, Substance Abuse, Aggression,
Eating Disorders, Compulsions…
If a person can
discriminate
between his or
her emotions, he
or she would be
more likely to
notice specific
body sensations
that are
connected to
emotions and
not misinterpret
them (Hill, 2012)
When individuals
with PTSD
improve their
ability to
emotionally
regulate they will
experience less
PTSD related
symptom logy
that leads to
unproductive
behavior
responses:
![Page 15: Trauma Focused Play Therapy - asapnj.camp9.orgasapnj.camp9.org/resources/Documents/J. Puig... · Trauma Focused Play Therapy Association of Student Assistance Professionals of New](https://reader031.vdocuments.us/reader031/viewer/2022030408/5a8aad3c7f8b9a4a268c0881/html5/thumbnails/15.jpg)
How are you feeling today?
Check- in
Affect regulation
Identify feelings
Intensity level
Biblio-therapy
Self selected activity
15
![Page 16: Trauma Focused Play Therapy - asapnj.camp9.orgasapnj.camp9.org/resources/Documents/J. Puig... · Trauma Focused Play Therapy Association of Student Assistance Professionals of New](https://reader031.vdocuments.us/reader031/viewer/2022030408/5a8aad3c7f8b9a4a268c0881/html5/thumbnails/16.jpg)
16
![Page 17: Trauma Focused Play Therapy - asapnj.camp9.orgasapnj.camp9.org/resources/Documents/J. Puig... · Trauma Focused Play Therapy Association of Student Assistance Professionals of New](https://reader031.vdocuments.us/reader031/viewer/2022030408/5a8aad3c7f8b9a4a268c0881/html5/thumbnails/17.jpg)
SENSORI-MOTOR
Rationale
Techniques
Applications
17
![Page 18: Trauma Focused Play Therapy - asapnj.camp9.orgasapnj.camp9.org/resources/Documents/J. Puig... · Trauma Focused Play Therapy Association of Student Assistance Professionals of New](https://reader031.vdocuments.us/reader031/viewer/2022030408/5a8aad3c7f8b9a4a268c0881/html5/thumbnails/18.jpg)
TREATMENT- TOOLS - CYCLE
PLAY THERAPY
FAMILY/ PLAY SENSORI-MOTOR
CHILD
18
![Page 19: Trauma Focused Play Therapy - asapnj.camp9.orgasapnj.camp9.org/resources/Documents/J. Puig... · Trauma Focused Play Therapy Association of Student Assistance Professionals of New](https://reader031.vdocuments.us/reader031/viewer/2022030408/5a8aad3c7f8b9a4a268c0881/html5/thumbnails/19.jpg)
LET’S PLAY - Play Samples
Balloons (3) Splatz /Blotz
Sand Tray
Bubbles
Bean Bags
Kid News
19
Go Away Monster
G.A Green Monster
G.A.M. Silly String
Fish’n for Feelings
Confusion /Mixed Up
![Page 20: Trauma Focused Play Therapy - asapnj.camp9.orgasapnj.camp9.org/resources/Documents/J. Puig... · Trauma Focused Play Therapy Association of Student Assistance Professionals of New](https://reader031.vdocuments.us/reader031/viewer/2022030408/5a8aad3c7f8b9a4a268c0881/html5/thumbnails/20.jpg)
20
![Page 21: Trauma Focused Play Therapy - asapnj.camp9.orgasapnj.camp9.org/resources/Documents/J. Puig... · Trauma Focused Play Therapy Association of Student Assistance Professionals of New](https://reader031.vdocuments.us/reader031/viewer/2022030408/5a8aad3c7f8b9a4a268c0881/html5/thumbnails/21.jpg)
21
![Page 22: Trauma Focused Play Therapy - asapnj.camp9.orgasapnj.camp9.org/resources/Documents/J. Puig... · Trauma Focused Play Therapy Association of Student Assistance Professionals of New](https://reader031.vdocuments.us/reader031/viewer/2022030408/5a8aad3c7f8b9a4a268c0881/html5/thumbnails/22.jpg)
REFERENCES Association for Play Therapists [email protected] Gil, Eliana, Trauma Focused Integrative Play Therapy Workshop, in
press, August, 2011. (Other books available by Dr. Gil on childhood trauma and treatment). WWW.GILCENTER.COM
Gil, Eliana, Helping Abused and Traumatized Children: Integrating Directive and Nondirective Approaches, Guilford Press, New York, 2006.
Gil, Eliana, Working with Children with Sexual Behavior Problems. Guilford Press, New York, 2014.
Lowenstein, Liana, ed., The Creative Use of Therapeutic Games with Children, Youth and Families. Champion Press, Toronto, Canada, 2011. www.lianalowenstein.com
Steele, William and Raider, Melvyn, The National Institute for Trauma and Loss in Children, Trauma Learning Center, Structured Sensory Intervention for Traumatized Children, Adolescents and Parents, The Edwin Mellen Press,Ltd., 2001. www.tlcinstitute.org
Kestly, Theresa A. PhD, The Interpersonal Neurobiology of Play: Brain –Building Interventions for Emotional Well-Being.
22
![Page 23: Trauma Focused Play Therapy - asapnj.camp9.orgasapnj.camp9.org/resources/Documents/J. Puig... · Trauma Focused Play Therapy Association of Student Assistance Professionals of New](https://reader031.vdocuments.us/reader031/viewer/2022030408/5a8aad3c7f8b9a4a268c0881/html5/thumbnails/23.jpg)
Bennett, H.J. It Hurts When I Poop: A story for Children Who are Scared to Use the Potty. Magination Press. Washington, D.C. 2007
Cho, Shinta. The Gas We Pass: The Story of Farts. Kane/Miller Book Publishers. American Publication. 1994.
Goodyear-Brown, Paris, LCSW, RPT-S, Treating Problems of Dysregulation Through the Targeted Use of Creative Interventions, 2009, http://lianalowenstein.com/Dysregulation.pdf
Gomi, Taro. Everyone Poops. Kane/Miller. 1993.
Selfesteemshop.com 32839 Woodward Ave.
Royal Oaks, Michigan 48073.
TLC, 13725 Starr Commonwealth Road Albion, MI 49224. © Starr Commonwealth 2015. [email protected]
Goodyear-Brown, Paris, LCSW, RPT-S, Treating Problems of Dysregulation Through the Targeted Use of Creative Interventions, 2009, http://lianalowenstein.com/Dysregulation.pdf
Lowenstein, Liana, MSW, Ten Favorite Parenting Techniques, www.lianalownstein.com, 2010.
Ford, Katrinca, MS, MFT, Children and Tantrums: Why They Do It. How to Get Through it. http://lianalowenstein.com/Children_and_Tantrums.pdf
23
![Page 24: Trauma Focused Play Therapy - asapnj.camp9.orgasapnj.camp9.org/resources/Documents/J. Puig... · Trauma Focused Play Therapy Association of Student Assistance Professionals of New](https://reader031.vdocuments.us/reader031/viewer/2022030408/5a8aad3c7f8b9a4a268c0881/html5/thumbnails/24.jpg)
24
QUESTIONS & CLOSING THOUGHTS
![Page 25: Trauma Focused Play Therapy - asapnj.camp9.orgasapnj.camp9.org/resources/Documents/J. Puig... · Trauma Focused Play Therapy Association of Student Assistance Professionals of New](https://reader031.vdocuments.us/reader031/viewer/2022030408/5a8aad3c7f8b9a4a268c0881/html5/thumbnails/25.jpg)
• Treating Problems of Dysregulation Through the Targeted Use of Creative Interventions Paris Goodyear-Brown, LCSW, RPT-S, 2009, http://lianalowenstein.com/Dysregulation.pdf
• Ten Favorite Parenting Techniques
Liana Lowenstein, MSW
www.lianalownstein.com
Contact Info: Phone: (416) 575-7836
Email: [email protected]
• Children and Tantrums: Why They Do It. How to Get Through it.
Katrinca Ford, MS, MFT
http://lianalowenstein.com/Children_and_Tantrums.pdf also found at:
http://www.familyplaytherapy.com/children-and-tantrums-why-they-do-it-how-to-get-through-it/
25
![Page 26: Trauma Focused Play Therapy - asapnj.camp9.orgasapnj.camp9.org/resources/Documents/J. Puig... · Trauma Focused Play Therapy Association of Student Assistance Professionals of New](https://reader031.vdocuments.us/reader031/viewer/2022030408/5a8aad3c7f8b9a4a268c0881/html5/thumbnails/26.jpg)
HANDOUTS
TLC
Trauma Intervention Program
26
The National Institute for Trauma and Loss in Children
![Page 27: Trauma Focused Play Therapy - asapnj.camp9.orgasapnj.camp9.org/resources/Documents/J. Puig... · Trauma Focused Play Therapy Association of Student Assistance Professionals of New](https://reader031.vdocuments.us/reader031/viewer/2022030408/5a8aad3c7f8b9a4a268c0881/html5/thumbnails/27.jpg)
HANDOUTS Drawing and Coloring
27
TLC 2014
www.starr.org/tlc
Mind Body Skills: Activities for Emotional
Regulation
![Page 28: Trauma Focused Play Therapy - asapnj.camp9.orgasapnj.camp9.org/resources/Documents/J. Puig... · Trauma Focused Play Therapy Association of Student Assistance Professionals of New](https://reader031.vdocuments.us/reader031/viewer/2022030408/5a8aad3c7f8b9a4a268c0881/html5/thumbnails/28.jpg)
HANDOUTS
Mind Body Skills: Activities for Emotional
Regulation
28
TLC 2014
www.starr.org/tlc
Drawing and Coloring
![Page 29: Trauma Focused Play Therapy - asapnj.camp9.orgasapnj.camp9.org/resources/Documents/J. Puig... · Trauma Focused Play Therapy Association of Student Assistance Professionals of New](https://reader031.vdocuments.us/reader031/viewer/2022030408/5a8aad3c7f8b9a4a268c0881/html5/thumbnails/29.jpg)
• TLC Child and Adolescent PTSD Questionnaire • The National Institute for Trauma and Loss in Children
• www.starttraining.org/tlc
• TLC 2012, Revised 2013
• TLC Child and Adolescent PTSD Questionnaire Scoring Form Subscale I: Re-experiencing of Sensations and Memories of the Trauma(s)
• The National Institute for Trauma and Loss in Children
• www.starttraining.org/tlc
• TLC 2012, Revised 2013
29
![Page 30: Trauma Focused Play Therapy - asapnj.camp9.orgasapnj.camp9.org/resources/Documents/J. Puig... · Trauma Focused Play Therapy Association of Student Assistance Professionals of New](https://reader031.vdocuments.us/reader031/viewer/2022030408/5a8aad3c7f8b9a4a268c0881/html5/thumbnails/30.jpg)
30
HANDOUTS