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Resilience in Action: Supporting Youth to THRIVE Even in the Context of Stress and Trauma

Resilience in Action: Supporting Youth to THRIVE Even in the Context of Stress and Trauma. Ken Ginsburg, MD, MS Ed Ken Ginsburg, MD, MS Ed. Objectives. To become familiar with the Seven C’s model of resilience.

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Resilience in Action: Supporting Youth to THRIVE Even in the Context of Stress and Trauma

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  1. Resilience in Action:Supporting Youth to THRIVE Even in the Context of Stress and Trauma Ken Ginsburg, MD, MS Ed Ken Ginsburg, MD, MS Ed

  2. Objectives • To become familiar with the Seven C’s model of resilience. • To understand what adverse childhood experiences do to the brain, body, and behavior. • To consider how a trauma-focused approach prepares us to better serve youth, and to have more appropriate boundaries that increase our career longevity.

  3. Objectives • To understand that risk-based interactions can engender shame, and that shame can undermine progress. • To understand that the typical adult approach to changing behavior – lecturing- does not work and may backfire. • To understand that stress drives many adolescent worrisome behaviors. To be able to implement a stress reduction plan with adolescents.

  4. How do we define success?

  5. The Balancing Act

  6. Core Principles of Positive Youth Development

  7. We matter . . .more than the buildings or the programs. Kids come for the content, but the context is what heals youth.

  8. Core Principles • Young people need to feel valued. When we see them as the experts on their own lives, youth learn to believe their opinions matter. • Youth are often the best teachers and role models for other young people.

  9. Core Principles • Adults can be instructive and supportive, but children should choose and carry out activities as independently as possible. Nothing discourages mastery more than an adult who steps in and says, “Let me do that for you.” • Adolescents are still capable of healing and do so best when caring adults trust in their capacity to right themselves while offering appropriate support and guidance.

  10. Core Principles • Most behaviors we fear serve as coping strategies that help youth manage uncomfortable stressors. If we help them (starting at very young ages) develop alternative coping strategies, we will diminish their need to turn to worrisome quick fixes. • Youth watch adult behaviors closely and how we model adaptive strategies to stress matters.

  11. Resilience

  12. Resilience • The Ability To Overcome Adversity • The Capacity to Bounce Back

  13. Resilience is a Mindset

  14. Resilience • is • NOT • Invulnerability

  15. Resilienceis NOTa temperament trait. • It is affected by supports and circumstances!!!

  16. The Bottom Line • Young People will be more resilient if the important adults in their lives believe in them unconditionally and hold them to high expectations • Young People live up or down to the expectations we set for them

  17. The 7 C’s of Resilience • Confidence • Competence • Connection • Character • Contribution • Coping • Control (Little, 1993; Pittman et al., 2003; Eccles and Gootman , 2002; Roth and Brooks-Gunn 2003; Lerner, 2004; Ginsburg, 2006; Frankowski, Leader & Duncan, 2009)

  18. Trauma Informed Care

  19. Felitti, V. J., Anda, R. F., Nordenberg, D. F., Williamson, D. F., Spitz, A. M., Edwards, V. J., Marks, J. S. (1998). Relationship of childhood abuse and household dysfunction to many of the leading causes of death in adults: the Adverse Childhood Experiences (ACE) study. American Journal of Preventive Medicine, 14(4), 245-258.

  20. UNLESS

  21. The Effect of ACEs on the Brain

  22. The Effect of ACEs on Behavior

  23. Being Trauma Informed is Healing (For Us and Youth)

  24. How Do We React to Behavior?

  25. Focusing on Trauma or Risk Holds the Potential to Re-traumatize

  26. Tying it Together: Addressing Risk, Acknowledging Trauma but Developing Strengths

  27. Since kids live up or down to our expectations, it means our attitude really matters

  28. Problem Free . . . • . . . is NOT Fully Prepared! • Karen Pittman

  29. And they can judge our attitude easily

  30. How do we portray youth?

  31. Youth atRisk?????

  32. Problemsor Problem-Solvers

  33. Again, they can judge our attitude easily

  34. It is more than the words we say . . .

  35. Finding your buttons

  36. Body Language

  37. The importance of Connection can not be overstated. . . • Family • School • Community • . . . and sometimes, the health clinician

  38. Why does it feel like our connection is challenged during adolescence?

  39. Listening

  40. Behavioral Change 101 • (What they’re missing)

  41. The Five Steps of Behavioral Change • Awareness • Motivation • Skills • Trial and error • Maintenance

  42. Confidence gets it started . . .. . . and shame paralyzes all efforts

  43. Finding Competence . . . . . . Building Confidence X X X

  44. Competence

  45. Learning Not to Undermine Competence • Allowing Mistakes • Talking in a way young people understand • Recognizing the cognitive development of adolescence • No more lectures!!!!!!

  46. Control

  47. How Much Control?

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