Reaching Teens: Strategies to Build Youth Rather than (continue to) Pick Up the Pieces Ken Ginsburg, MD, MS Ed The Children s Hospital of Philadelphia Covenant House Pennsylvania The American Academy of Pediatrics Comprehensive What it is Introduction to a variety of brief intervention strategies Interdisciplinary Theoretically grounded, evidence informed Resilience-based, trauma-informed, rooted in positive youth development 1
What it is not A manualized approach to therapy Fully evidence based A deep dive into every concept A diagnostic manual Enough. We do not know your practice environment, your practice style, your client population. Just as teens are the experts in their lives, you are the expert in your practices. Content Section I - Orientation to a Strength- Based Approach CH 1 Introduction CH 2 The Journey From Risk-Focused Attention to Strength-Based Care CH 3 How a Strength-Based Approach Affects Behavioral Change *** CH 4 Who s the Expert? Terms of Engagement in Adolescent Care 2
Section I - Orientation to a Strength- Based Approach CH 5 The 7 C s Model of Resilience *** CH 6 The Impact of Trauma on Development and Well-Being CH 7 Wisdom From Model Strength-Based Programs That Work With Youth Who Are Traditionally Labeled At-Risk Section II - Understanding Adolescents and Their World CH 8 CH 9 CH 10 CH 11 Adolescent Development Stages, Statuses, and Stereotypes The Adolescent World Sex(uality) Happens: Fostering Healthy, Positive (Female) Sexuality Male Sexuality Section III: Connecting With Adolescents and Their Families CH 12 CH 13 Creating an Adolescent-Friendly Space and Service Creating a Male Adolescent-Friendly Space CH 14 Setting the Stage for a Trustworthy Relationship *** CH 15 Body Language *** 3
Section IV: Communicating With the Adolescent CH 16 CH 17 CH 18 CH 19 Core Principles on Communicating With Adolescents Integrating the 7 C s of Resilience Into Your Clinical Practice The SSHADESS Screen: A Strength-Based Psychosocial Assessment *** Cultural Humility CH 20 Boundaries *** Section IV: Communicating With the Adolescent CH 21 Examining Our Own Unconscious Biases CH 22 Trauma Informed Practice: Working with Youth Who Have Suffered Adverse *** CH 23 De-escalation and Crisis Management When a Youth Is Acting Out *** CH 24 Delivering Bad News to Adolescents Section V: Empowering Adolescents to Change CH 25 CH 26 CH 27 Addressing Demoralization: Eliciting and Reflecting Strengths *** Motivational Interviewing Health Realization Accessing a Higher State of Mind No Matter What CH 28 Helping Adolescents Own Their Solutions *** CH 29 Gaining a Sense of Control One Step at a Time 4
Section V: Empowering Adolescents to Change CH 30 Strength-Based Interviewing: The Circle of Courage CH 31 Stress Management and Coping *** CH 32 CH 33 Mindfulness Practice for Resilience and Managing Stress and Pain Helping Youth Overcome Shame and Stigma (and Doing Our Best to Not Be a Part of the Problem) Section VI: Supporting Effective Parenting CH 34 CH 35 CH 36 CH 37 CH 38 CH 39 The Professional-Parent-Teen Partnership Preparing Parents for Their Children s Adolescence Promoting Balanced Parenting: Warmth, Clear Boundaries and Effective Monitoring *** Delivering Upsetting News to Parents: Recognizing Their Strengths First When Parents Resilience Reaches Its Limits The Importance of Self Care for Parents Section VII: Mental, Emotional, and Behavioral Health CH 40 CH 41 The Role of Lifestyle in Mental Health Promotion Friendship and Peers CH 42 Depression *** CH 43 CH 44 Anxiety Somatic Symptoms 5
Section VII: Mental, Emotional, and Behavioral Health CH 45 CH 46 CH 47 CH 48 CH 49 Grief ADHD in Adolescents Learning Differences Perfectionism Eating Disorders Section VII: Mental, Emotional, and Behavioral Health CH 50 CH 51 CH 52 CH 53 CH 54 Talking to Teens Who Are Using or Abusing Substances Teen Pregnancy and Parenting Teen Driving Managing Electronic Media Use in the Lives of Adolescents Working to Help Teens Cope With Divorce Section VII: Mental, Emotional, and Behavioral Health CH 55 CH 56 CH 57 CH 58 Bullying Unhealthy Relationships Emotional, Physical, and Sexual Abuse Youth Violence 6
Section VIII: Serving Special Populations CH 59 CH 60 Teens With Chronic Illness and Special Health Care Needs: A Person-Centered Approach to Communication Transitioning From Pediatric to Adult Care CH 61 Sexual and Gender Minority Youth *** CH 62 Reaching Immigrant Youth Section VIII: Serving Special Populations CH 63 CH 64 CH 65 CH 66 America s Children: The Unique Needs and Culture of Military Youth Foster Care Youth: Engaging Foster Care Youth Into Care HIV-Infected Youth Serving Homeless and Unstably Housed Youth Section IX: Self Care for Providers CH 67 CH 68 CH 69 Healer, Heal Thyself: Self-care for the Caregiver Getting Out of the Fast Lane More Miles to the Gallon Have I Really Made a Difference? Trusting That Our Presence Matters *** 7
Why this Matters Navigating Reaching Teens Written Content Group Film Viewing (optional) (After a Champion Review) Group Learning and Discussion (Revise!!!!) Individual Film Viewing 8
Burnout Prevention Track 9
Something We Who Serve Others Rarely Speak About Us We are the role models that... Display resilience Choose to cope in healthy ways Admit vulnerability and personal limits Reject stigma See strength in seeking help How do we define success? 10
To touch many lives over a lifetime of service and connection with others Burnout Prevention Caring professionals are at increased risk because of the intensity of their work and the emotional bonds they form with the people they serve. Burnout is Not Inevitable First, we must have appropriate boundaries both to serve young people in a way that assures they remain in control of their lives AND to protect us emotionally. Part of this is also about understanding when their behavior is about us, and when it is not. When we are trauma-informed, we know both how to serve youth respectfully and effectively, and to intuitively understand when their behaviors do not reflect on us. 11
Burnout is Not Inevitable Second, we must know that what we do matters. We are positioned to produce effective interactions when we view youth through a positive lens, removing shame or stigma from our interactions. We learn that what we do makes a difference when our interactions are effective. We produce effective interactions when we have the skills to facilitate youth to arrive at their own wise decisions. We must also know that we will not always see the fruits of the seeds we plant, but that planting them was indeed meaningful Burnout is Not Inevitable Third, we must be as committed to self-care as we are to teaching others to care for themselves. Unit 1- Boundaries This effort should begin by highlighting the importance of appropriate boundaries and bringing to light unintended, inappropriate boundaries (Chapter 20 Boundaries). 12
Finding your buttons Boundaries The Rescue Fantasy Love without boundaries is not safe for anyone How much can you give each person? Unit 2 - More on Boundaries: Trauma Informed Care Teaches Us What is About Us and What is Not About Us 13
Unit 3- What We Do Matters: Forging Effective Relationships Setting the Stage Body Language 14
Behavioral Change 101 (What they re missing) The Five Steps of Behavioral Change 1. Awareness 2. Motivation 3. Skills 4. Trial and error 5. Maintenance Confidence gets it started...... and shame paralyzes all efforts 15
Finding Competence...... Building Confidence Unit 4 - What We Do Matters: Helping Youth Generate Solutions Motivational Interviewing Helping Adolescents Own their Solutions Gaining a Sense of Control One Step at a time 16
Unit 5 What We Do Matters: Trusting That We are Planting Seeds Unit 6 Learning Self Care While Paying Attention To Teaching Youth to Care for Themselves Mindfulness 17
Coping Resilience Is about learning to cope, in a positive way with life s inevitable stressors We might do our greatest good by raising youth with a wide repertoire of positive coping strategies Relief Positive Coping Strategies Stress You Feel Awful!!! Discomfort Negative Coping Strategies 18
Relief Positive Coping Strategies Stress You Feel Awful!!! Discomfort Negative Coping Strategies Distinguishing Paper Tigers from Real tigers Knowing When Bad Things are Temporary Knowing When Good Things are Permanent Coping Engagement vs. Disengagement Emotion Focused vs. Problem Focused 19
A Stress Management Plan for Teenagers (But that starts in childhood, and might even apply to us) Stress Management : Tackling The Problem 1) Making the problem manageable 2) Active Avoidance 3) Let Some things go Serenity Prayer Grant me the serenity to accept the things I cannot change; courage to change the things I can; and wisdom to know the difference 20
Stress Management : Taking Care of My Body 4)Exercise o Fear o Anger Stress Management : Managing Emotions 8) Instant Vacations Stress Management : Managing Emotions 9) Emotional Releases 21
Stress Management Plan : Making the World Better 10) Contributing to the world Unit 7 - Prioritizing Self Care Just Because You Deserve It!! The Worst thing is not to be stressed... it is to be NUMB The Tupperware Box 22
Now, let s go change the world!! 23