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Children’s Relief Nursery www.crn4kids.org. The Dis-regulated Child: children who lose control of their emotions, behaviors and bodies. Leslie Brown, LCSW March 9 th , 2010. Children’s Relief Nursery www.crn4kids.org. Introduction. Agenda Introductions. Children’s Relief Nursery

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the dis regulated child children who lose control of their emotions behaviors and bodies

Children’s Relief Nursery

www.crn4kids.org

The Dis-regulated Child:children who lose control of their emotions, behaviors and bodies

Leslie Brown, LCSW

March 9th, 2010

introduction

Children’s Relief Nursery

www.crn4kids.org

Introduction

Agenda

Introductions

slide3

Children’s Relief Nursery

www.crn4kids.org

  • Course Goals
  • Participants will be able to
  • Understand the needs of overwhelmed children and be able to identify evidence based therapeutic prevention strategies.
  • 2. Recognize children who are in the peak phase of being out of control and be able to identify therapeutic intervention strategies including how to positively re-engage the child back into the classroom.
  • 3. Identify the importance of building positive relationships with children and their families to construct positive behavior supports.
definition of the traumatized child

Children’s Relief Nursery

www.crn4kids.org

Definition of the ‘Traumatized Child’

Has experienced a traumatic event

Shows signs of being overwhelmed

Shows distress through their words, behavior and play

Shows behaviors that seem out of control, fearful, disruptive, excessively aggressive.

Child becomes “flooded” with feelings of fear and anxiety.

Child cannot control these behaviors without help

traumatic stress as a cause of dis regulation

Children’s Relief Nursery

www.crn4kids.org

Traumatic stress as a cause of dis-regulation

Definition of a traumatized child

Early childhood trauma types

Rationale for prevention and early response to trauma

the impact of trauma

Children’s Relief Nursery

www.crn4kids.org

The impact of trauma
  • Body’s trauma response & the brain
  • Impact of early childhood development
  • Attachment & trauma
  • Culture & trauma
effects of trauma

Children’s Relief Nursery

www.crn4kids.org

Effects of trauma

Trauma reminders

Reenactment

Traumatic expectations

Projections

Difficulty differentiating past/present

Long term effects of untreated trauma

behaviors associated with trauma

Children’s Relief Nursery

www.crn4kids.org

Behaviors associated with trauma

How trauma impacts relationships

How it manifests in peer group settings

what you might observe in young traumatized children

Children’s Relief Nursery

www.crn4kids.org

What you might observe in young traumatized children

Signs & symptoms in children 0-3 years

Signs & symptoms in children 3-5 years

Behaviors that warrant concern

behaviors that warrant concern infants and toddlers 0 3 yrs

Children’s Relief Nursery

www.crn4kids.org

Behaviors that Warrant Concern (Infants and Toddlers 0-3 yrs.)

Chronic feeding or sleeping difficulties

Inconsolable “fussiness” or irritability

Incessant crying with little ability to be consoled

Extreme upset when left with another adult

Inability to adapt to new situations

Easily startled or alarmed by routine events

Inability to establish relationships with other children or adults

Excessive hitting, biting and pushing of other children or very withdrawn behavior

Flat affect

behaviors that warrant concern preschoolers ages 3 5 yrs

Children’s Relief Nursery

www.crn4kids.org

Behaviors that Warrant Concern (Preschoolers ages 3-5 yrs.)

Engages in compulsive activities (e.g. head banging)

Throws wild, despairing tantrums

Withdrawn; shows little interest in social interaction

Displays repeated aggressive or impulsive behavior

Difficulty playing with others

Little or no communication; lack of language

Loss of earlier developmental achievements

understanding what traumatized children need

Children’s Relief Nursery

www.crn4kids.org

Understanding what traumatized children need

Sensory body based prevention strategies

Feelings identification

Affect regulation/Tucker the Turtle

Safety planning

Therapeutic environment

Relaxation skill building

Building a narrative or story

setting up a therapeutic environment

Children’s Relief Nursery

www.crn4kids.org

Setting up a therapeutic environment

Planning ahead

Being proactive

Sound reduction

Reducing stimulation

Limiting transitions

Dividing children & sections in the room

Predictable classroom rules & routines

therapeutic environment

Children’s Relief Nursery

www.crn4kids.org

Therapeutic environment

Increasing levels of support: designating adults

anticipating difficult times: trauma reminders

Helping reduce or explain other children’s reactions to the child

Role playing

Giving words to use

Establishing teacher's as safe base

Coaching

Choices

Communication between teachers/emotional tone

prevention strategies

Children’s Relief Nursery

www.crn4kids.org

Prevention strategies

Find helping jobs

Use 3 minute warning & pre-warn children when doing something out of the ordinary

Describe when you see the child doing what you want

Scheduled one on one time

Feeding the meter

Avoiding problem situations

prevention strategies teaching emotional skills

Children’s Relief Nursery

www.crn4kids.org

Prevention strategies:teaching emotional skills

Feelings identification

Regulation activities

Relaxation games

Calming activities

Expressing feelings in words

Understanding triggers: child & caregivers

prevention strategies teaching social skills

Children’s Relief Nursery

www.crn4kids.org

Prevention strategies: teaching social skills

Role playing

Conflict resolution: use of humor

Story telling games

Boundary setting games

Teaching helping behaviors

work sheet prevention strategies

Children’s Relief Nursery

www.crn4kids.org

Work Sheet Prevention Strategies

Please follow along on activity sheet

responding when child is out of control

Children’s Relief Nursery

www.crn4kids.org

Responding: when child is out of control

Self check in/emotional environment

Cycles of a melt down

Resisting child’s efforts to draw you into “reenactments”

Containment: moving child or others out of harms way

Offering choices, reflecting child’s choice, choosing a choice for the child

Describing child’s need & intention

Empathic mirroring & body matching

when child is out of control

Children’s Relief Nursery

www.crn4kids.org

When Child is out of control

Use of the “skying down” area

Distraction: washing a table, chairs, scrub brush

Using sensory materials: soft & rough fabrics, tornado, egg timer, blowing a pretend candle, sensory tables

Soft Voice, slow body movements

positively re engaging the child back into the group

Children’s Relief Nursery

www.crn4kids.org

Positively re-engaging the child back into the group

Resolve unresolved issues

Provide ways for atonement

Make a plan for next time

Follow up with teaching team

coming full circle

Children’s Relief Nursery

www.crn4kids.org

Coming full circle

How to resolve the problem

Involving parents

Long term prevention planning

the magic box

Children’s Relief Nursery

www.crn4kids.org

The Magic Box

What do have in your box now?

What would you like in your box?

Suggestions