Dr. Allison Jackson, LCSW, CSOTP Integration Solutions, Inc. - - PowerPoint PPT Presentation

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Dr. Allison Jackson, LCSW, CSOTP Integration Solutions, Inc. - - PowerPoint PPT Presentation

Mar 05, 2023 149 likes •742 views

Dr. Allison Jackson, LCSW, CSOTP Integration Solutions, Inc. Adverse Childhood Experiences (ACEs) Neglect Abuse FamilyChallenges Graphic Credit: Robert Wood JohnsonFoundation The Higher the A C E Score the Greater the Risk of Domestic

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  • Dr. Allison Jackson, LCSW, CSOTP

Integration Solutions, Inc.

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Adverse Childhood Experiences (ACEs)

Neglect Abuse FamilyChallenges

Graphic Credit: Robert Wood JohnsonFoundation

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The Higher the A C E Score the Greater the Riskof…

Court Involvemen t Mental Health Delinquency Substance Abuse Child Welfare Domestic Violence Poor Health Drinking Smoking Obesity

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Creating the Virtuous Cycle

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Resilience has been shown to buffer the impact of suffering or stress. Resilience isn’t just a gift of nature or an exercise of will; resilience grows through positive experiences, supportive environments and the caring intervention of others. http://communityresiliencecookbook.org/whats-cooking-here-and-why/ 8

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https://dev.thebrainarchitecturegame.com/

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Step One: Educating the Client on Emotional Trauma and Resilience

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Interviewing Skills Stages of Change

NORMALIZING

Rationale: Normalizing is intended to communicate to clients that having difficulties while changing is not uncommon, that they are not alone in their experience, or in their ambivalence about changing. Normalizing is not intended to make clients feel comfortable with not changing; rather it is to help them understand that many people experience difficulty changing. Examples of Normalizing

“A lot of people are concerned about changing their [insert risky/problem behavior].”

“Most people report both good and less good things about their [insert risky/problem

behavior].”

“Many people report feeling like you do. They want to change their [insert risky/problem

behavior], but find it difficult.”

“That is not unusual, many people report having similar feelings when they learn about this information.”

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  • Dr. Siegel’s Handy Model (2012)

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BRAIN TEACHING

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STEP TWO: Gathering Resilience

 For this exercise, I want you to work with your

buddy and identify resilience skills that they have

 Get them to share 2-3 skills they have that they

see on the table with the cards

 Give a story that they used one of those skills in

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Showing Resilient Cards

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Practice

 What worked?  What was hard?

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STEP THREE: Process of Building a Behavior Wheel

 Interview your client  Build a behavior wheel with them  Now with the unhealthy behaviors  Again with new behaviors they can select

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Practice/Role Play

 What worked?  What was hard?

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Building Motivation

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STEP FOUR: Supplemental Info Sheet

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Hints at Skills and Connection to Trauma

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STEP FIVE: Review of Skills and Selection of Skills

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Action Planning with Client

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Making an Action Plan

 Co-create a goal/goals with your client

 What Resilience Skills/Replacement Coping Strategies

does your client want to build

 What Resources will they need?  What is their time line?

 If time, pick an intervention that will assist in

meeting that goal

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Expanding to Resilience

 Helps action planning  Approach vs Avoidance Action Planning

Goals

 Helps know services and activities to

link to

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Practice coming up with some action planning goals with resilience

 Give some examples  What worked?  What was hard?

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Social Support Network

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Closing with Resilience

 Talk me be about the best things that have ever

happened you

 Make the list of good things

 Time you felt happy  Time you felt excited  Time when you felt supported by a caring adult

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Practice

 What worked?  What was hard?

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So we are hoping we have created this …

What if this could work …

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But maybe when you think about implementation it feel like ….

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CHANGE/LEARNING/DEVELOPMENT CURVE + _

  • 1. Announcement/Introduction
  • 2b. Immediate Failure
  • 3. Setback: Abandonment
  • 4. Setback:

Abandonment

  • 5. Setback:

Abandonment

  • 6. Experience of

Mastery: Flow & Automaticity

  • 7. Steep,

Accelerated Curve TIME A D A P T A T I O N P E R F O R M A N C E

  • 2a. Immediate (Unsustainable) Success

Current Level

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Is it Possible?

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Where can we go together?

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WELCOME TO Fredericksburg

We are proud to be a TRAUMA INFORMED CITY

WELCOME TO Fredericksburg

We are proud to be a THRIVING AND RESILIENT CITY

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5 10 15 20 25 30 35

2016 2020 2024 2026

Children in the US with 2 or More ACEs

US Children with 2 or more ACEs

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10 20 30 40 50 60 70 80 2016 2020 2024 2026

Feeling Safe and Supported in Your Community can prevent and reduce ACEs

Percentage of Children who Fee Safe and Supported in Their Communities

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10 20 30 40 50 60 70 80 2016 2020 2024 2026

Having a Medical Home can prevent and reduce ACEs

Percentage of Children who Have a Medical Home

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ACES

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AVERAGE ACE SCORE A 2

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Depression Suicide

Depression Depression

Drug Use Alcoholism IV Drug Use Productivity Domestic Violence Disability Days

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  • Dr. Allison Sampson-Jackson,

LCSW, CSOTP Integration Solutions, Inc. www.integrationsolutions.org 804-432-0056

integration_solutions Like our page Integration Solutions

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WHAT IS SHAME AND WHY IS IT SO HARD TO TALK ABOUT IT?

  • 1. We all have it. Shame is universal and one of

the most primitive human emotions that we experience.

  • 2. We’re all afraid to talk about shame.
  • 3. The less we talk about shame, the more

control it has over our lives …shame is the fear of disconnection (68)

Brené Brown. Daring Greatly: How the Courage to Be Vulnerable Transforms the Way We Live, Love, Parent, and Lead. Gotham Books,

  • 2012. (287 pages)
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Defining Shame

  • Guilt = I did something bad
  • Shame = I am bad
  • Embarrassment = Fleeting, can laugh

about it later

  • Humiliation = “I didn’t deserve that”

Brené Brown. Daring Greatly: How the Courage to Be Vulnerable Transforms the Way We Live, Love, Parent, and Lead. Gotham Books,

  • 2012. (287 pages)
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12 Categories of Shame

  • Appearance and body image
  • Money and work
  • Motherhood/fatherhood
  • Family
  • Parenting
  • Mental and physical health
  • Addiction
  • Sex
  • Aging
  • Religion
  • Surviving trauma
  • Being stereotyped or labeled

Brené Brown. Daring Greatly: How the Courage to Be Vulnerable Transforms the Way We Live, Love, Parent, and Lead. Gotham Books,

  • 2012. (287 pages)
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Shame Resilience

  • 1. Recognizing Shame and Understanding Its Triggers. Shame is

biology and biography. Can you physically recognize when you’re in the grips of shame, feel your way through it, and figure out what messages and expectations triggered it?

  • 2. Practicing Critical Awareness.

Can you reality-check the messages and expectations that are driving your shame? Are they realistic? Attainable? Are they what you want to be or what you think others need/want from you?

  • 3. Reaching Out.

Are you owning and sharing your story? We can’t experience empathy if we’re not connecting.

  • 4. Speaking Shame.

Are you talking about how you feel and asking for what you need when you feel shame?

Brené Brown. Daring Greatly: How the Courage to Be Vulnerable Transforms the Way We Live, Love, Parent, and Lead. Gotham Books,

  • 2012. (287 pages)