Relationship-Based Social Work, Second Edition

updated

Gillian Ruch, Danielle Turney and Adrian Ward have updated and revised Relationship-Based Social Work – the highly successful guide to relationship-based practice in social work. Gillian Ruch is Professor of Social Work and works in the Department of Social Work and Social Care at the University of Sussex. Danielle Turney is Senior Lecturer in Social Work and Director of the MSc in Advanced Social Work with Children and Families at the University of Bristol. Formerly Consultant Social Worker at the Tavistock Clinic in London, Adrian Ward has written and edited several books in the fields of residential care and therapeutic communities, social work and professional education.

Relationship-Based Social Work, Second Edition communicates the theory using illustrative case studies and offers a model for practice. This book will be an invaluable textbook for social work students, practitioners on post-qualifying courses and all social work professionals. Updated and expanded, it now includes increased coverage of anti-oppressive and diversity issues, service user perspectives and systemic approaches in social work.

The book explores the ranges of emotions that practitioners may encounter with service users, and covers working in both short-term and long-term professional relationships. It also outlines key skills, such as how to establish rapport, and explores systemic issues, such as building appropriate support systems for practice, management and leadership.

To read the contents, see the contributors, read the foreword and introduction, click here.

Social Skills: Just a Spoonful of Sugar Helps the Medicine Go Down! by Shawn Amador

Shawn Amador, LCSW, is a school social worker who runs an after school comedy troupe, and is a part time therapist. Her new book, Teaching Social Skills Through Sketch Comedy and Improv Games, publishes this month.

 

Kids and teens with social cognitive deficits have difficulty seeing outside of themselves, which contributes back to having more social difficulty.  Due to their struggles, social skills training could possibly be a trigger or at the least, tap into insecurities.  We need to find ways to teach social skills in real time while interacting, thus also increasing ‘feel good’ brain chemicals which can increase positive feelings about interactions.

When adding theatre, improv skills, play-writing and sketch comedy to social skills training, it’s like adding spoonful of sugar to help the social skills go down!  Shawn Amador, LCSW, has created a program that adds all of these activities together, which makes “Social Theatre”™.  Participants in Shawn’s Social Theatre group therapy, say that it does not feel like therapy.  In fact, we make fun of ourselves through brainstorming socially awkward moments which we make into plays and correct with a more effective social skill  in the next scene.

In Teaching Social Skills through Sketch Comedy and Improv Games, there are activities that are adaptable to many social and intellectual levels from academically gifted, typical, to mild and moderate cognitive abilities.   Moreover, social skills sketch comedy scripts from the book can be utilized in teaching lessons or for performance.

If you would like to try some games that teach social skills, here are some popular games:

 

  • “Red Light Green Light” for Self Control
  • “Mother May I” for cognitive flexibility
  • “Yes, and” improv game for collaborative idea building
  • “Feelings Charades” for feelings recognition and expression
  • Acting out a familiar story, switching roles and acting it out again for perspectives

“Lap Therapy” Time by Beth Powell, LCSW

Beth Powell, LCSW, is owner of Beth Powell’s In-Family Services, an outpatient psychotherapy private practice specializing in trauma informed care. Her new book, Fun Games and Physical Activities to Help Heal Children Who Hurt publishes this month.

Bye-Bye Baby Bunting.

Daddy’s gone a hunting.

To catch a little rabbit skin,

To wrap his Baby Bunting in.

                                       Mother Goose

When I was a small child being cared for by my aunt, she sang this song while rocking me to a slow 60-beat-a-minute rhythm.  My aunt took over my care when my mother’s mental illness made it unsafe for my sister and me to be with her. What a contrast in care! My aunt’s rhythm, voice, words, touch, and smell were so much more soothing than my mother’s.  With my aunt, I could relax. I didn’t have to struggle to get away or dissociate into a floppy, non‑moving, barely breathing, pretending-to-be-dead little girl.  My aunt exuded safety and calm that soothed my restlessness.

Resting against my aunt’s chest, I felt the slow, consistent beat of her heart.  I relaxed into the protection of her arms wrapped gently around me.  Her voice, vibrating from her chest into my ears, awakened the proprioceptive neural impulses in my face that told me where I was in time and in space.  Grounding me with her body, she held me so I wouldn’t fall.  Wrapped in her loving arms, I felt safe enough to close my eyes.  The sweet smell of my aunt’s skin pleasured the lower, emotional center of my brain, enticing me to lie close and be still just a little bit longer.

The more my caregiver sang and rocked me, the more her song and her rhythm calmed and relaxed her.  As she calmed and relaxed, so did I.  We shared a pleasurable experience.  We connected in a happy, healing way.  My receptive language was developing.  Her words and touch assured me that there was someone much bigger and stronger than I was who had my best interests at heart.  She was unafraid and confident in her ability to nurture.  She put me first.  By her loving actions, she was forming a template in my brain of safety–security–protection–trust in a higher power through a concrete, much-bigger-than-myself human being.  The safety and security I felt in her arms paved the way for my future belief and faith in a loving, abstract, not-of-this-earth higher, heavenly power.

Adults create healthy, secure attachment in children through positive “real” non-virtual, physical interaction with them.  Caregivers are able to instill in children safety–security–protection–trust because loving, protective adults instilled it in them.  My birth mother couldn’t instill that in me.  But my aunt and uncle, my grandma, and my first‑grade teacher, Miss Beetles, could. They were the human caregiving angels God sent my way. Thus, in spite of the hard beginnings I had, the template was established, in childhood, for the “me” I am today because of caregivers like them who somehow understood what I needed and were able to provide it when I needed it.

Internalized safety–security–protection–trust is the base from which self-esteem, self-confidence, self-responsibility, self-strength, and altruism develop. It is the support upon which mature character or the internalized Fruit of the Spirit must build.  Without an internalized secure base, children develop anxiety and self-deception.  When a child has a secure base in childhood with positive attachment to a preferred, stable, protective, and physically present primary caregiver, then a healthy relationship with God, whom we cannot see, is much easier.

Insecurely attached and developmentally traumatized children often succumb to unhealthy control, anxiety, mistrust of those who love them, and abusive behaviors.  As adults they either become their own God (unhealthy narcissism) or they may find God in substances or toxic behaviors. Reversing unhealthy belief systems is difficult but not impossible. It’s work that is definitely not for the faint of heart, nor for parents who take a child’s antics personally, as if it is “them” whom the child is out to get by interpreting their“can’ts” as “won’ts.”

Therapeutic caregivers of hurting children seek the sources of the unpleasant symptoms that they see, and they address those sources from a psychological, neuro-behavioral, socio-emotional and spiritual growth perspective.  Children need to trust that adult caregivers can and will protect them.  This trumps any other socio-emotional need in childhood.  This is the base upon which the quality of the relationship with self, with others, and with God is built.  A child who has experienced significant neglect, abuse, loss, and chronic and acute stress has an even greater need for safety-security-protection-trust experiences with loving, mature, and stable adults.  They have a harder time developing trust because it has been broken, sometimes again and again.

Below is a therapeutic activity that caregivers can share and enjoy with the children in their care to help them establish an essential base of safety–security–protection–trust.

Caregiver–child rocking chair time to help calm brain and body

It’s not just about rocking infants any more.  Larger children who hurt can benefit from rocking, too.  And so can the caregiver.  This comforting act helps regulate children when they are fretting and need help regulating themselves.

It also provides caregiver–child quality “love and bonding” time.  How comforting rocking feels for both parties involved.  Caregivers can even rock themselves when they feel out of sorts, and it helps to re-set their brain.

Rocking caregivers should add a slowly-sung comforting song, hum something spiritually soothing, or just gently make a “shush” sound with their lips and tongue while taking slow, long, and deep breaths to not only better regulate themselves but to give the child something to match.   A regulated parent helps regulate a child.  The drawn out “shush” sound and the slow, rhythmic rocking replicates the sound and the movement the gestational infant at least should have received in utero.  This movement and sound helps the baby’s lower brain develop in a healthier way to better manage stress.  It also helps the older brain do the same.

Caregiver-initiated knee-bouncing games to help install rhythmic synchronicity and nurture trust in children

One of my favorite close times with the adults who loved and enjoyed me as a child was to “Go See Mr. Brown.”  I’m not sure where this knee-bouncing game originated, but it could have been passed down generationally through my South Mississippi maternal ancestors.

To perform this adult-activated activity, the child first sits, facing the adult, on the adult’s knees.  It’s important that the adult’s face and body language convey confidence and fun with lots of facial expression and eye contact.

The adult securely holds onto the child while the child securely holds onto the adult. Then the adult bounces the child slowly and consistently up and down on the knees in synchrony with the words and the 60-beat-a-minute rhythm of the following song:

Mr. Brown went to town

Riding a goat and leading a hound.

The hound barked; the goat jumped.

Threw Mr. Brown right down on a stump!

Surprise! The child does not tumble onto the floor.  Instead, the adult gently, slowly, and securely tilts the child backward as far as the child can comfortably tolerate without showing signs of anxiety and fear.  Then slowly, the adult returns the child to a sitting position on top of the knees.  The adult then asks the child, “Who kept you from falling on that stump?”  “You did!” is the desired answer.  “And I will every time!” can be the adult response.

As the child grows in trust that the adult performing the activity will keep him safe from falling, and will stop if the activity scares him, then the adult may gradually increase the speed and the depth to which the child is tilted back.  In the situation of a hyper-vestibular child (child fearful of too much movement), that may not be by much because the part of the brain which reads and adjusts to movement isn’t working as optimally as it should.  Heed the expression on the child’s face and take notice of resistance in the body to the tilting back movement.  Ask children if they are ready to tilt back.  Don’t force a child to tilt back farther than he or she is ready to go.  That doesn’t build safety-security-protection-trust.

“Lap therapy” time is supposed to be pleasurable and bonding.  It should be mutually enjoyable with lots of eye contact and joyful, loving facial expression on the part of the caregiver!

Nurturing Personal, Social and Emotional Development in Early Childhood

PSED

Read on for an extract from Debbie Garvey’s new book for Early Years professionals

Nurturing Personal, Social and Emotional Development in Early Childhood by Debbie Garvey is a practical and direct guide that supports practitioners in nurturing personal, social and emotional development (PSED) in young children by demystifying brain development research.

Condensing a wealth of recent research and theory around PSED into practical guidance, it gives professionals the knowledge and understanding they need to critically evaluate their own practice and find the best course of action to support PSED in young children. From the perspective of neuroscience, it explores what can help or hinder development, considers why some children bite and why toddlers have tantrums, and questions how well-intentioned actions, such as reward systems or putting new foods on a plate for children to ‘just try’, may be misguided.

Click here to read an extract from Chapter 1: ‘Brain Development, Neuroscience and PSED’


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Our bodies’ hidden strengths – Resilience and love

This blog was written by Hidden Strength’s Children’s Series co-author C.C. Alicia Hu. The books are available November 21, 2017 for therapeutic use with children ages 4-10 who have experienced trauma or a frightening situation. Read more about each title and pre-order below:

How Little Coyote Found His Secret Strength

Bomji and Spotty’s Frightening Adventure

How Sprinkle the Pig Escaped the River of Tears

by C.C. Alicia Hu

Before we can say “no,” our legs kick and set boundaries.

Before we can say “more,” our hands pull and grab for what we need.

Reclaiming our bodies’ hidden strengths empowers all of us.

Nevertheless, in our modern society, we are often disconnected from our bodies. We turn our body-mind into a machine, like a “car” or a “computer,” so we can control or manage our self for performance enhancement. Maybe we “perform” well, yet, we pay a price.

In the field of psychiatry and psychotherapy, for a long time, we labeled many of the body’s innate defense strategies as “symptoms” or “problems” – our capacity to disconnect and dull the pain, a symptom of “dissociation.” Our ability to quiver and shake to discharge the muscle intensity is a sign of weakness or anxiety.

Bring our bodies’ hidden strengths to enhance our resilience

In the Hidden Strengths Therapeutic Storybooks, three intertwined stories and four major animal characters show how our bodies’ possess the hidden strengths to protect our self. In addition, three adult-like characters demonstrate how to provide companionship that won’t overwhelm the major animal characters’ vulnerable nervous system that resulted from traumatic stress.

In each book, after the therapeutic story, there are two sections designed to provide structural prompts for adults to engage in dialogue and exploration with the child. This “expressive phase” is the key to facilitating the child in communicating their own feelings and creating their own stories. What makes our books unique is that we include embodied play activities to help the child process the stories on the basic sensory-motor level.

Using the metaphorical animal characters for teens and adults

These stories are not only therapeutic tools for children ages 4 to 10. These stories can also be used as metaphors to communicate with teens and adults.

Last week, I was presenting part of the story, “Bomji and Spotty’s Frightening Adventure” at a local grassroots, peer-support recovery center. Adult audiences in recovery from mental illness and substance abuse intuitively got the idea that, inside, we are Bomji the Rabbit, who tend to freeze, as well as Spotty the Cat, who tends to fight.

One participant shared that “sit on ready” is an important coping skill in African American culture. The capacity to be vigilant without moving helped her to survive her childhood.

The metaphorical animal characters made it easy for teens and adults to develop compassion toward their inner child. As children, we oftentimes act without thinking like Spotty the Cat. We are still and invisible to avoid danger like Bomji the Rabbit. We cry like Sprinkle the Pig and we overwhelm our caregivers. We submit like Wimpy the Coyote in order to fly under the radar.

Love: self-compassion toward our hidden strengths

From children to teens to adults, one key element in recovery is to cultivate self-compassion. In the Hidden Strengths Therapeutic Storybooks, we hope to help all readers embrace their bodies’ hidden strengths as a way to enhance self-compassion.

Once, I shared a draft of Bomji the Rabbit and Spotty the Cat with a Vietnam veteran who still suffered from the shame of freezing and wanting to run away in a major battle. In reality, he successfully executed his duty; however, he had a hard time forgiving the “weak” part of him. Understanding that motionless defense (e.g., freeze and collapse) is just as natural and valuable as active defense (e.g., fight and flight) brought him a tremendous sense of relief.

Another time, I shared the same story with a teen girl who engaged in self-cutting as a way to cope with inner turbulence. She was able to identify how she also froze when her external environment became too overwhelming and out of control. She was then able to find her own metaphor for her own fearful, vulnerable part without engaging in blaming.

Helping the reader to accept all the different parts of themselves is what we want these books to achieve, through revelation of the development of self-compassion. Before we can accept our angry fighting part as well as our frozen fearful part, it is helpful if we start seeing these natural capacities as our bodies’ hidden strengths. The act of self-compassion includes recognizing the diverse, creative survival strategies in our bodies. Yes, we are fundamentally resilient, even when we are young and small. Our bodies have always possessed these hidden strengths!

For more information, author events, and to follow the Hidden Strengths Series, check out the authors’ Facebook: https://www.facebook.com/AnneWestcottandAliciaHu/

 

 

 

 

A Best Practice Guide to Assessment and Intervention for Autism Spectrum Disorder in Schools

The number of children identified with autism has more than doubled over the last decade. School-based professionals are now asked to participate in the screening, assessment, and educational planning for children and youth on the spectrum more than at any other time in the recent past. Moreover, the call for greater use of evidence-based practice has increased demands that school personnel be prepared to recognize the presence of risk factors, engage in case finding, and be knowledgeable about “best practice” guidelines in assessment and intervention for autism spectrum disorder (ASD). Continue reading

What is Theraplay® and how does it help children with attachment difficulties to connect with their parents and carers?

TheraplayVivien Norris and Helen Rodwell discuss what Theraplay is, how it works and why it is such an easy yet powerful tool for helping children with attachment difficulties to emotionally connect with their parents and carers. This extract is taken from their new book, Parenting with Theraplay®, and is preceded by a foreword from Dafna Lender, Programme Director of The Theraplay® Institute. Their book is a simple guide for parents which explains everything you need to know about Theraplay, with practical tips to apply it to everyday family life.

Click here to read the extract

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What are the different forms of bullying and what strategies can be used to overcome the problem?

bullyingMichael Panckridge, co-author of Be Bully Free, takes a look at the different forms that bullying can take and suggests strategies that victims of bullying can adopt to overcome the problem.

Bullying is about power and the perceived need to gain dominance over another person either physically, intellectually, socially or emotionally. Research into the effect of bullying behaviour indicates that not only does it produce negative short-term psychological problems, but can also affect a person well into their adult life and even lay the foundations for significant and ongoing emotional health problems. Sometimes the bullying is overt and immediate. However, in many cases, the bullying is low-key and ‘hidden’, and the recipient may not be aware of it immediately.  Initially the recipient may think it is their own behaviour that is causing the bullying – that there is something wrong with them or what they do. When this happens, the recipient of the bullying tends to avoid being with other people and they use strategies to escape. This may include avoiding school, which can signal the start of school refusal. Continue reading

Counsellors working with young people often find it can feel like messy, complex work. What helps when counsellors are stuck?

counsellorNick Luxmoore, author of Practical Supervision for Counsellors who Work with Young People, explores the positive impact that good supervision sessions can have on counsellors who are struggling to break down barriers with young people in their care.

It’s Nikki’s first day as a counsellor and she’s about to see four young people. “Help!” she says, panicking. “What am I supposed to do?” Elsewhere, the girl Stephanie’s been seeing for counselling has ripped up a box of tissues and stormed out of the room, Marvin’s complaining that his counselling waiting list is getting longer and longer, and all the young people at Maggie’s school appear to be cutting themselves or feeling suicidal….

However experienced or inexperienced they may be, all professional counsellors are obliged to have regular meetings with a supervisor: someone with whom they can untangle the “stuckness” that develops in their thinking and relationships. Most are only too glad of the facility and most counsellors are able to choose their supervisor, someone who may or may not already have experience of working with young people. Continue reading

Tips for promoting young children’s wellbeing

Young children's wellbeing

Sonia Mainstone-Cotton, author of Promoting Young Children’s Emotional Health and Wellbeing, provides some very useful and easy tips for supporting young children’s happiness at this important stage in their development.

Wellbeing is a term we hear a lot about for adults and young people, but we don’t hear so much about it for young children. We know that the rates of teenage mental health problems are rising alarmingly, and we are aware that children and young people are feeling increasingly stressed and distressed. I passionately believe if we can help young children to have a good wellbeing then we are setting them off to a great start in life. But to help children have a good wellbeing, we need to be proactive about it.

One critical aspect of a child having good wellbeing is by them knowing that they are loved – that they are loved for the unique and precious individuals they are. Parents and grandparents clearly have a crucial role in letting children know that they are unconditionally loved, but I also believe that key workers, teaching assistants, children’s workers also have a role in showing children that they are loved and wanted. We show this through the words we use and the way we hold children. Part of my job is as a nurture consultant; I have seven children and schools that I support throughout the year. Every time I see one of my nurture children I ensure I show delight in seeing them that day. I smile at them, I look them in the eyes and tell them how lovely it is to see them today, how much I have been looking forward to our time together. Continue reading