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Children and youth
exposed to domestic violence

   A responsive system
   grounded in resilience


      Linda Chamberlain
        Jordan Sizelove
        Devorah Levine
        Kristin Bodiford
Introductions


          Please share
          one word
 that describes resilience to you
Purpose

Impact   of exposure to domestic violence
Introduction   to resilience
Research   on neuroplasticity and resilience
Building  a responsive system with the lens
 of resilience
Children’s Exposure
Visual      - as “eyewitness”
Audio      - hearing the violence
Tool     of Perpetrator - used in event
Aftermath          - the impact of violence


“Seeing my mom get beat is worse than being beat myself.” (Teen)
Impact
Adverse   health outcomes
School   health and performance
Greater rates of antisocial behavior,
 substance abuse, suicide attempt, mental
 illness
Linked to other forms of community
 violence
Voices of Youth
“Violence effects kids’ behavior because
 they think it’s ok to pick on women and
 those smaller than them.” (Teen)
“Most  of the times kids know domestic
 violence is wrong, but they are
 traumatized by seeing their mom get beat
 up. I hit my younger bothers and stole
 cars because I was so angry.” (Teen)
Shifting Our View
Increase   capacity
Build   partnerships
Small   tests for change
Strengths   based framework

    No problem can be solved from the same level of
    consciousness that created it. We must learn to
    see the world anew.” Einstein
We get to choose
Strengths-based view….
Does  not ignore problems/difficulties or
 the critical need to ameliorate/prevent the
 harm caused.
Key assumptions are:
 ◦ individuals, families, and communities are
   defined not by their difficulty, but rather by
   their multiple strengths,
 ◦ the amelioration of current difficulties or the
   prevention of future difficulties begins with the
   identification and marshaling of these
   strengths.
                                  Kenneth Maton
Resilience … positive adaptation
in the context of significant adversity
Human Development Process >>
Environmental Resilience in Action
Inputs
                           Individual Inputs
DEVELOPMENTAL
                                                  Individual
SUPPORTS &
                           THAT MEET              Outputs
OPPORTUNITIES                                                            Societal Impacts
                           DEVELOPMENTAL
(Protective Factors)       NEEDS                  PROMOTING
Caring Relationships                              POSITIVE               THUS
                           Love
Positive Expectations                             DEVELOPMENTAL          PRODUCING
Meaningful Participation   Belonging
                                                  OUTCOMES
In                         Respect                                       POSITIVE
                           Power                  Social                 PREVENTION
Families
Schools                                                                  &
Organizations
                           Challenge              Emotional              SUCCESSFUL
Communities                Mastery                                       LIFE
Peers                                             Cognitive
                           Meaning                                       OUTCOMES
                           Safety                 Moral-Spiritual
         BELIEF
           in
       Resilience


                                               Voice
                                               Voice
                                                               Benard, 1991
Voice

Who gets to decide?
Who has a say?
Whose voice is included?
Whose voice is left out?
Choppin’ it Up – Talking about
relationships and resilience
                      www.choppinitup.org
This is a story of
                       one community’s
    Choppin’ it Up     commitment to
                       create change.
                 DPC



Engaging the
strengths of
their youth.

               Emerging Leaders
Youth and Community Dialogue
What  impact does abuse in relationships
 have on you?
What does healthy mean to you? What
 does a healthy relationship look like?
How do you navigate to health?
What do you need to support you?


        Key questions from a
        resilience perspective
Listening to stories of resilience

Multiplicity      of identities, voices and stories
Creative      resources and strengths
Sometimes          powerful hidden resilience




                                                          ity
                                                          x
                                                     mple
                                                  Co
(www.choppinitup.org to hear stories of strength and resilience.)
Our own experiences with resilience
Beliefs >>
Influence Language
  The beliefs we hold influence language

Language     we use
Stories   we tell
How   often we tell them
Voices    that are included
Voices    that are left out
Language and Images
Generate Action

    Language and images lead to action

Positive   images of our self and others
Images    of the future from action and
strengths in the present
We get to choose which images propel us
to resilience and thriving.

                     Cooperrider, D., Sorensen, P., Whitney, D., & Yaeger, T. (2001).
Statistics
Let’s talk about statistics. Apparently I’m supposed to be
pregnant, a drop out, disrespectful and have no morals.

I’m actually in school. I have a 3.5 grade point average.
I have goals and morals.

                   I plan on going to school and
                   majoring in pre law and criminal
                   justice.
The Amazing Brain:
          Risk and Resiliency

Neuroplasticity=
the ability of the
human brain to
adapt and change in
response to
experience and
environment.
What is Trauma?

“Overwhelming demands placed
 on the physiological system that
 result in a profound felt sense of
 vulnerability and/or loss of
 control.” (Robert Macy)


              Bassuk, Konnath & Volk, 2006
TRAUMA                        Brain always
                                   prioritizes survival
            BRAIN


           HPA Axis


       Stress hormones




Cascade of physical, mental,
cognitive and behavioral effects
Sequential Development of a Child ’s Brain


Abstract Thought
Problem solving
Affiliation




                                         NEUROPLASTICITY
Attachment
Emotional Reactivity
Motor Regulation
Sleep
Digestion
Blood Pressure
Heart Rate
Respiration
Body Temperature




  Peter Camburn
Sequential Vulnerability
Poor social skills
Reading decrement
Speech problems
Attention problems
Separation anxiety
Aggressive
behaviors
Hypervigilance
Failure to thrive
Stomach problems
Sleep problems
Low stress
tolerance
                                              Peter Camburn

What other effects does violence have on children?
Understanding         Developmental
               Experiences              Tasks

                              Healing
                                And
                              Recovery


                  Coping
                                    Environmental
                 Strategies
                                       Buffers




Adapted from diagram on promoting social & emotional well-being
To facilitate healing/recovery by Commissioner Bryan Samuels, ACYF
What Children Exposed to DV Need

      RESILIENCY                  NEUROPLASTICITY
     Feel physically and
      emotionally safe            Survival first!

     Strong bond to non-          Social connections build
      battering parent            brain connections

Express feelings & frustrations   Skill-building for impulse
   in non-destructive ways         control & self-soothing

    Have their strengths          Promote self-esteem and
   praised and called upon        competency to explore &
                                  experience the world
   Bancroft, 2004
What We Can Do
•Developmentally appropriate
experiences to heal the brain
•Babies learn best through social
interactions
    •Increase child-adult time
    •Reduce exposure to media
    violence and “media parenting”
•Active, experiential learning,
enrichment programs
    •Head Start
    •Home visitation                 Magic Trees of the Mind”
                                     by Dr. Marian Diamond
Shelter, INC          Foster Youth
Nurtured Heart   Parent Support      Health Collaborative
  Approach




                   SEL in Schools         Choppin’ it Up

  Head Start


                    WIC             Teen Dating Abuse
Discussion
www.familiesthrive.org
info@familiesthrive.org
NEUROPLASTICITY AND THE
IMPACT OF VIOLENCE ON CHILDREN:
      RISK AND RESILIENCY


      Linda Chamberlain PhD MPH
Alaska Family Violence Prevention Project
Best Practices to Promote
  Resiliency and Neuroplasticity

Healing   relationships
 ◦ Work with nonbattering parent &
   children
Social   emotional learning & skills
 ◦ Empathy
Social
      support
Trauma-informed parenting skills
Resource   www.instituteforsafefamilies.org
Resource: Strategies to Strengthen
 Non-battering Parent-Child Bond

  Reassurance

  Be     willing to talk about the violence
  Ask      how the violence made them feel
  Encourage           healthy coping strategies



Baker L, Cunningham A. Helping Children Thrive: Supporting Women
Abuse Survivors as Mothers. 2004. www.lfac.on.ca
Resource: A Kid is So Special (KISS)
  Series  of booklets developed by the
  Pennsylvania Coalition Against Domestic
  Violence
  These  interactive booklets are designed to
  strengthen mother-child bonds
   ◦“Growing Together” discusses child development
   ◦ “Playing Together” includes information on what a
   parent can do when there is hurting at home


       Pennsylvania Coalition Against Domestic Violence (PCADV) at 800-537-2238
Best Practices: Child-Parent Psychotherapy
  (CPP)
 Tailored     to age & development stage of child
 Considers      child in context of parental relationship
         - supporting mother as primary intervention
 Flexible     intervention model includes:
 Crisis   stabilization and advocacy
 Facilitatechild’s expression through play, verbalization,
  acting out fears, and anger
 Help mother to understand child’s behaviors and find
  protective ways to respond
 Modeling      appropriate protective behaviors

                      www.ncts.org; Lieberman et al, 1997; 2006
Child Parent Psychotherapy

At end of one-year treatment period (RCT
Lieberman et al,2005):
◦ Children had fewer behavioral problems, decreased
  trauma symptoms, and less likely to be diagnosed
  with PTSD
◦ Mothers have fewer postttraumatic stress avoidance
  symptoms
◦ Six months after intervention ended, children had
  fewer behavior problems and mothers had fewer
  psychiatric symptoms (RCT, Lieberman et al, 2006)
IQ and Exposure to DV
Dose  response relationship between level
 of severity of children’s cumulative
 exposure to DV and IQ scores (Koenen et
 al, 2003)
Trauma-specific treatment (CPP) improves
 IQ {performance, verbal, and full scale}
 scores (Lieberman et al, 2005)
Transformation

This is not about changing youth. It is
about unearthing what already exists,
transforming narratives about youth to
highlight their strengths, their hopes, and
their dreams.




                     (Whitney & Trosten-Bloom, 2010)
Beliefs >>
Support Resilience
         Resilience begins with beliefs

Resiliencebegins with a change in
consciousness,
beginning    with an act of belief,
often  in the face of accumulated evidence
to the contrary.


                          Gervase Bushe 2002 (Adapted)
Resilience >> Relational
We coordinate with the resources and people
around us,
•generating alternative ways,
•for “going on together” or living our lives,
•to survive and thrive in the face of challenge.



          Resilience is our ability
           to ‘go on together’.
Resilience >> Community

We develop capacity to support each other
through building relationships of:
  • trust,
  • reciprocity, and
  • caring.

     Resilience grows from our ability to
     support each other in community.
Resilience >> Systems
Negotiations between individuals and their
environments:
for the resources
to define themselves as healthy
amidst conditions collectively viewed as adverse.


Systems that are responsive, build resilience.

            Resilience is contextual,
        supported by responsive systems.
                                       Michael Ungar
Resilience>>
Responsive Systems
Community and Systems
Disintegration

Breakdown of community
                                                        Threat to those
 life                                                   most vulnerable:
Loss of social capital                                 •children
                                                        •youth
Loss of linkages that                                  •young families
 create sense of identity                               •elders
 and belonging
Increased disconnection
The forces of community disintegration have gained steadily and will prevail
unless we nurture community and reweave the social fabric. John Gardner
Resilience >>
  Building Community
     Quality of caring for each other
     Strong neighborhood, organizational

      and community networks
     Positive social dynamics in community
     High collective efficacy
     High         levels of trust and reciprocity
The social fabric is at the core for resilience along the lifespan.
While research shows us the absence of strong positive community contexts can be
devastating, the presence of strong positive community contexts can be transformational.
Resilience>>
Collaboration
Effective community and multisystem
collaboration depends on:
Responsive Systems>>
 Prototyping
Caring  – Reflexive and responsive to
 individuals, families and communities
Capacity & Competency – Increasing our
 knowledge and skills. Changing policies and
 practices.
Communication & Connection – Regular and
 ongoing communication. Creating shared
 language. Developing relationships.
Coordination & Collaboration – Developing
 partnerships.
Environmental Factors
Change  environmental policies and
 practices
Address    issues of social injustice
Reflect on beliefs, voice and language we
 use, stories we tell in systems.
Shift   relational norms

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Childhood Exposure to Domestic Violence and Health

  • 1. Children and youth exposed to domestic violence A responsive system grounded in resilience Linda Chamberlain Jordan Sizelove Devorah Levine Kristin Bodiford
  • 2. Introductions Please share one word that describes resilience to you
  • 3. Purpose Impact of exposure to domestic violence Introduction to resilience Research on neuroplasticity and resilience Building a responsive system with the lens of resilience
  • 4. Children’s Exposure Visual - as “eyewitness” Audio - hearing the violence Tool of Perpetrator - used in event Aftermath - the impact of violence “Seeing my mom get beat is worse than being beat myself.” (Teen)
  • 5. Impact Adverse health outcomes School health and performance Greater rates of antisocial behavior, substance abuse, suicide attempt, mental illness Linked to other forms of community violence
  • 6. Voices of Youth “Violence effects kids’ behavior because they think it’s ok to pick on women and those smaller than them.” (Teen) “Most of the times kids know domestic violence is wrong, but they are traumatized by seeing their mom get beat up. I hit my younger bothers and stole cars because I was so angry.” (Teen)
  • 7. Shifting Our View Increase capacity Build partnerships Small tests for change Strengths based framework No problem can be solved from the same level of consciousness that created it. We must learn to see the world anew.” Einstein
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  • 10. We get to choose
  • 11. Strengths-based view…. Does not ignore problems/difficulties or the critical need to ameliorate/prevent the harm caused. Key assumptions are: ◦ individuals, families, and communities are defined not by their difficulty, but rather by their multiple strengths, ◦ the amelioration of current difficulties or the prevention of future difficulties begins with the identification and marshaling of these strengths. Kenneth Maton
  • 12. Resilience … positive adaptation in the context of significant adversity
  • 13. Human Development Process >> Environmental Resilience in Action Inputs Individual Inputs DEVELOPMENTAL Individual SUPPORTS & THAT MEET Outputs OPPORTUNITIES Societal Impacts DEVELOPMENTAL (Protective Factors) NEEDS PROMOTING Caring Relationships POSITIVE THUS Love Positive Expectations DEVELOPMENTAL PRODUCING Meaningful Participation Belonging OUTCOMES In Respect POSITIVE Power Social PREVENTION Families Schools & Organizations Challenge Emotional SUCCESSFUL Communities Mastery LIFE Peers Cognitive Meaning OUTCOMES Safety Moral-Spiritual BELIEF in Resilience Voice Voice Benard, 1991
  • 14. Voice Who gets to decide? Who has a say? Whose voice is included? Whose voice is left out?
  • 15. Choppin’ it Up – Talking about relationships and resilience www.choppinitup.org
  • 16. This is a story of one community’s Choppin’ it Up commitment to create change. DPC Engaging the strengths of their youth. Emerging Leaders
  • 17. Youth and Community Dialogue What impact does abuse in relationships have on you? What does healthy mean to you? What does a healthy relationship look like? How do you navigate to health? What do you need to support you? Key questions from a resilience perspective
  • 18. Listening to stories of resilience Multiplicity of identities, voices and stories Creative resources and strengths Sometimes powerful hidden resilience ity x mple Co (www.choppinitup.org to hear stories of strength and resilience.)
  • 19. Our own experiences with resilience
  • 20. Beliefs >> Influence Language The beliefs we hold influence language Language we use Stories we tell How often we tell them Voices that are included Voices that are left out
  • 21. Language and Images Generate Action Language and images lead to action Positive images of our self and others Images of the future from action and strengths in the present We get to choose which images propel us to resilience and thriving. Cooperrider, D., Sorensen, P., Whitney, D., & Yaeger, T. (2001).
  • 22. Statistics Let’s talk about statistics. Apparently I’m supposed to be pregnant, a drop out, disrespectful and have no morals. I’m actually in school. I have a 3.5 grade point average. I have goals and morals. I plan on going to school and majoring in pre law and criminal justice.
  • 23. The Amazing Brain: Risk and Resiliency Neuroplasticity= the ability of the human brain to adapt and change in response to experience and environment.
  • 24. What is Trauma? “Overwhelming demands placed on the physiological system that result in a profound felt sense of vulnerability and/or loss of control.” (Robert Macy) Bassuk, Konnath & Volk, 2006
  • 25. TRAUMA Brain always prioritizes survival BRAIN HPA Axis Stress hormones Cascade of physical, mental, cognitive and behavioral effects
  • 26. Sequential Development of a Child ’s Brain Abstract Thought Problem solving Affiliation NEUROPLASTICITY Attachment Emotional Reactivity Motor Regulation Sleep Digestion Blood Pressure Heart Rate Respiration Body Temperature Peter Camburn
  • 27. Sequential Vulnerability Poor social skills Reading decrement Speech problems Attention problems Separation anxiety Aggressive behaviors Hypervigilance Failure to thrive Stomach problems Sleep problems Low stress tolerance Peter Camburn What other effects does violence have on children?
  • 28. Understanding Developmental Experiences  Tasks Healing And Recovery Coping Environmental Strategies Buffers Adapted from diagram on promoting social & emotional well-being To facilitate healing/recovery by Commissioner Bryan Samuels, ACYF
  • 29. What Children Exposed to DV Need RESILIENCY NEUROPLASTICITY Feel physically and emotionally safe Survival first! Strong bond to non- Social connections build battering parent brain connections Express feelings & frustrations Skill-building for impulse in non-destructive ways control & self-soothing Have their strengths Promote self-esteem and praised and called upon competency to explore & experience the world Bancroft, 2004
  • 30. What We Can Do •Developmentally appropriate experiences to heal the brain •Babies learn best through social interactions •Increase child-adult time •Reduce exposure to media violence and “media parenting” •Active, experiential learning, enrichment programs •Head Start •Home visitation Magic Trees of the Mind” by Dr. Marian Diamond
  • 31. Shelter, INC Foster Youth Nurtured Heart Parent Support Health Collaborative Approach SEL in Schools Choppin’ it Up Head Start WIC Teen Dating Abuse
  • 34. NEUROPLASTICITY AND THE IMPACT OF VIOLENCE ON CHILDREN: RISK AND RESILIENCY Linda Chamberlain PhD MPH Alaska Family Violence Prevention Project
  • 35. Best Practices to Promote Resiliency and Neuroplasticity Healing relationships ◦ Work with nonbattering parent & children Social emotional learning & skills ◦ Empathy Social support Trauma-informed parenting skills
  • 36. Resource www.instituteforsafefamilies.org
  • 37. Resource: Strategies to Strengthen Non-battering Parent-Child Bond Reassurance Be willing to talk about the violence Ask how the violence made them feel Encourage healthy coping strategies Baker L, Cunningham A. Helping Children Thrive: Supporting Women Abuse Survivors as Mothers. 2004. www.lfac.on.ca
  • 38. Resource: A Kid is So Special (KISS) Series of booklets developed by the Pennsylvania Coalition Against Domestic Violence These interactive booklets are designed to strengthen mother-child bonds ◦“Growing Together” discusses child development ◦ “Playing Together” includes information on what a parent can do when there is hurting at home Pennsylvania Coalition Against Domestic Violence (PCADV) at 800-537-2238
  • 39. Best Practices: Child-Parent Psychotherapy (CPP)  Tailored to age & development stage of child  Considers child in context of parental relationship - supporting mother as primary intervention  Flexible intervention model includes:  Crisis stabilization and advocacy  Facilitatechild’s expression through play, verbalization, acting out fears, and anger  Help mother to understand child’s behaviors and find protective ways to respond  Modeling appropriate protective behaviors www.ncts.org; Lieberman et al, 1997; 2006
  • 40. Child Parent Psychotherapy At end of one-year treatment period (RCT Lieberman et al,2005): ◦ Children had fewer behavioral problems, decreased trauma symptoms, and less likely to be diagnosed with PTSD ◦ Mothers have fewer postttraumatic stress avoidance symptoms ◦ Six months after intervention ended, children had fewer behavior problems and mothers had fewer psychiatric symptoms (RCT, Lieberman et al, 2006)
  • 41. IQ and Exposure to DV Dose response relationship between level of severity of children’s cumulative exposure to DV and IQ scores (Koenen et al, 2003) Trauma-specific treatment (CPP) improves IQ {performance, verbal, and full scale} scores (Lieberman et al, 2005)
  • 42. Transformation This is not about changing youth. It is about unearthing what already exists, transforming narratives about youth to highlight their strengths, their hopes, and their dreams. (Whitney & Trosten-Bloom, 2010)
  • 43. Beliefs >> Support Resilience Resilience begins with beliefs Resiliencebegins with a change in consciousness, beginning with an act of belief, often in the face of accumulated evidence to the contrary. Gervase Bushe 2002 (Adapted)
  • 44. Resilience >> Relational We coordinate with the resources and people around us, •generating alternative ways, •for “going on together” or living our lives, •to survive and thrive in the face of challenge. Resilience is our ability to ‘go on together’.
  • 45. Resilience >> Community We develop capacity to support each other through building relationships of: • trust, • reciprocity, and • caring. Resilience grows from our ability to support each other in community.
  • 46. Resilience >> Systems Negotiations between individuals and their environments: for the resources to define themselves as healthy amidst conditions collectively viewed as adverse. Systems that are responsive, build resilience. Resilience is contextual, supported by responsive systems. Michael Ungar
  • 48. Community and Systems Disintegration Breakdown of community Threat to those life most vulnerable: Loss of social capital •children •youth Loss of linkages that •young families create sense of identity •elders and belonging Increased disconnection The forces of community disintegration have gained steadily and will prevail unless we nurture community and reweave the social fabric. John Gardner
  • 49. Resilience >> Building Community Quality of caring for each other Strong neighborhood, organizational and community networks Positive social dynamics in community High collective efficacy High levels of trust and reciprocity The social fabric is at the core for resilience along the lifespan. While research shows us the absence of strong positive community contexts can be devastating, the presence of strong positive community contexts can be transformational.
  • 50. Resilience>> Collaboration Effective community and multisystem collaboration depends on:
  • 51. Responsive Systems>> Prototyping Caring – Reflexive and responsive to individuals, families and communities Capacity & Competency – Increasing our knowledge and skills. Changing policies and practices. Communication & Connection – Regular and ongoing communication. Creating shared language. Developing relationships. Coordination & Collaboration – Developing partnerships.
  • 52. Environmental Factors Change environmental policies and practices Address issues of social injustice Reflect on beliefs, voice and language we use, stories we tell in systems. Shift relational norms

Hinweis der Redaktion

  1. Resilience offers a useful framework to shift our thinking from a deficit view of children and youth to a strengths-based view. The theory of resilience is a lens that we can bring to our work that helps us to see how people navigate their way to what they define as healthy amidst even the most adverse conditions. In learning from how people marshal their strengths, resources and relationships in the midst of significant adversity, we can build responsive systems to help support, strengthen, and build upon these resources.
  2. A positive view of the strengths of "at-risk" individuals, families, and communities does not ignore their problems or difficulties or the critical need to ameliorate or prevent the harm caused by these difficulties. The key assumptions of this strengths-based approach is that individuals, families, and communities are defined not by their difficulty, but rather by their multiple strengths, and that the amelioration of current difficulties or the prevention of future difficulties begins with the identification and marshaling of these strengths.
  3. This representation takes into account that our expriences of helath and well being are socially constructed, complex and contextual. How we understand resilience is negotiated discursively and infuenced by the culture and context in which it is experienced/found. This means that all of this is local – up for definitng and contstruction locally. Broadly we will talk about Resilience nested in a social ecological model. Important point is how we coordinate together within these various relationships in ways that are meaningful and salient to us depending upon our experiences, our culture etc. Resilience is impacted by a child’s interaction and relationships with the various levels that influence their lives. Individual – positive adaptation in the context of significant adversity Relational –how we coordinate with the important relationships in our lives. For young children this is primarily our important caregivers and varies depending upon our culture etc. As we grow older the relationships we begin coordinating with start to include people outside of our families, teachers, coaches, faith community, peers. These relationships are embedded within our communities – the communities that we participate in – neighborhoods, schools, youth programs. All of this is influenced by the contextual view and impact that systems have on our lives – and might include cultural, historical influences, services, politics/policies, media. We are not only just talking about the ordinary magic of resilience but also the very gritty reality of families, communities, our programs, government, changing the opportunity structures around children to make positive adaptation more likely – locally and culturally determined.
  4. Framed within a positivist paradigm, proponents of an ecological model must necessarily choose arbitrary distinctions of what are to be accepted as evidences of healthy functioning. Such arbitrariness is more the result of ethnocentricism than cross-cultural study that questions the hegemony of Western middleclass norms. A constructionist interpretation encourages openness to a plurality of different contextually relevant definitions of health, offering a critical deconstruction of the power different health discourses carry. Each localized discourse that defines a group’s concept of resilience is privileged ,more or less depending on the power of those who articulate it. This understanding of resilience, based on discursive power rather than objective measures of health, has implications for the way researchers study resilience and intervene to promote health in at-risk populations. (UNGAR) Brings up the question – who gets to define, whose voice is included in defining what a caring relationship looks like or what safety, power and respect mean? And what positive prevention and successful life outcomes looks like? All of this depends on local definitions– Keeping in mind that all of this depends on local definitions definitions of what youth use – what is meaningful= =local interpretation of what safety and meaning look like – and what positive development – local meaning of what we define as healthy Youth voice – having a say in how things are defined.
  5. Share our story --- of hope, what we are doing. Committed to bulding the community capacity to support their youth
  6. When we share statistics and potential negative outcomes of childhood exposure to domestic violence we often create a dominant narrative or a single story about the impact of childhood exposure to family violence.   This dominant narrative can lead to assumptions about each other, influencing the beliefs we hold, the stories that are told, and how often they are told. These assumptions can get in our way and impact our relationships with youth. They block us from developing a deeper understanding of each other, what we experience in our lives, and ways we find to get along in life.
  7. HPA Axis (Hypothalamic-Pituitary-Adrenal) Glucosteroids (Cortisol) Chronic Activation
  8. Administration on Children, Youth, and Families
  9. What is possible within the work that you are doing Inspire with ideas of what this looks like in health sector What is the application Connecting it to actual examples of how this shows up
  10. Here we can either present the case study to work from or have people think of one thing they could do to bring one of these elements into their work – beliefs, language stories Including voices Building upon or integrating protective factors Build or strengthen partnerships Changing policies or practices Break out into small groups for discussion Provide protective factor cards for each table Large group reflection – What have we learned, what is one small thing we can change/strengthen now?
  11. Key characteristics of evidence-based interventions and what we understand about neuroplasticity
  12. PETER: please make the following changes to the title at the top of this slide: “ Amazing Brain Series: Educational Resource for Parents” “ The Amazing Brain” is a series of booklets designed to educate parents about early brain development, the impact of trauma on early brain development, and how a child’s brain continues to change during adolescence. The booklets are written at the 5 th grade level in a user-friendly format.
  13. Reassurance You will take care of them as best that you can You love them unconditionally You will help them to make a safety plan Be willing to talk about the violence Respect their feelings Acknowledge that these feelings are okay Help them to find the words to talk about their feelings Be prepared to hear things that may be painful Ask how the violence made them feel Encourage healthy coping strategies Talking with siblings, friends, safe adult Writing and journaling Drawing, music, arts Sports/exercise Counseling
  14. The KISS booklets are provided in PDF format on the DVD provided with this training resource manual. Copies can also be purchased by contacting Jo Sterner at the Pennsylvania Coalition Against Domestic Violence (PCADV) at 800-537-2238
  15. This is less a story of transforming others. It is more a story of transforming ourselves and developing a deeper understanding of each other.
  16. Reflexive, relatoinally and culturally responsive
  17. Definition that teakes into consideration a cultural and contextual view of how resiliecen is expressed by individuals families and communities relationship between risk and protective factors that is characteristically chaotic, complex, relative, and contextual RELATIONAL PROCESS of understanding how we define health, how we navigate for the resources to define ourselves as healthy, what resources are available to us those with the most power to control social discourse influence our definition of what is health and what is illness. Focus on discursive empowerment of resilience that are plagued by cultural hegemony,
  18. Building comAs we say resilient versus nonresilient we further pathologize. If we view health care of social services as a resource for people to draw upon - to navigate their lives and expressions of resilience - we might focus on how we increase access and cultural relevance as a measure of how responsive a system is. Does this change our view or definition of what a responsive system is? To make it easier and more relevant for people to navigate in ways they find meaningful to their self-definition of 'healthy'.munity capacity -
  19. "Resilience is not something you do alone," he says. "Social cohesion is vital to resilience. People need to feel that they're a part of something larger rather than just atoms in the universe." Economics not indicative - communities that are represented with lower income and other similar demographics but differing levels of collective efficacy had different outcomes. Collective efficacy provides critical protective factors . Carnegie Task Force on Youth Development/Community Programs A community characterized by mutually caring relationships, high expectations, positive beliefs and respect for all citizens (especially those on the margins), with abundant opportunities to participate and contribute. Working in partnership with each other to ensure young people, old people and all in between, receive the critical supports and opportunities necessary for healthy development throughout the lifespan.
  20. Building community capacity -
  21. As we developed prototypes to tbegin to learn about what it would take to build a responsive system here are some of the things we have learned and pthings in development. collaborative, coordinated, and accessible community response to children and youth exposed to domestic violence. The goal of the resilience framework is to strengthen and sustain the protective factors and responsive services in multiple environments within communities to nurture and support the positive life success, health, safety, and well-being of all. Here are some of our benchmarks How are activities coordined