Key Treatment Principles Flashcards
attuned, safe relationships with caregivers
- trauma significantly impacts development
- 1 in 7 children in the US experience maltreatment, abuse, or neglect
trauma significantly impacts development
- pervasive effects on the brain
- toxic stress derails healthy development
- (severe) neglect impacts language development more than abuse
statistics
- 1 in 100 children have had a TBI
- 1 in 44 children are autistic
- 1 in 13 children have developmental language disorder
- 1 in 11 children have ADHD
- 1 in 7 children have experience maltreatment
trauma-informed therapist
- have greater awareness and understandinng of the potential signs of traumatic stress in the people around them
- have a deeper understanding of their own past adverse experiences, and how they have impacted their thoughts and interpersonal interactions in life
- gain skills that allow them to thoughtfully respond to trauma in others
what we can do
- mandated reporters
- strengthen child/caregiver interactions and attachment
attachment styles
- secure
- ambivalent-anxious
- avoidant
- disorganized
secure attachment style: positive model of others with low avoidance, positive model of self with low anxiety
- healthy communication and emotional awareness
- asks for help when needed
- able to self-regulate
- may have a history of caregivers who are responsive, but allow for exploration
ambivalent-anxious attachment style: positive model of others with low avoidance, negative model of self, high anxiety
- needs frequent reassurance and close relationships
- has fears of abandonment
- asks for help indirectly or not at all
- struggles with anxiety or jealousy
- may have a history of caregivers who were inconsistently responsive
avoidant attachment style: negative model of others with high avoidance, positive model of self with low anxiety
- difficulty expressing feelings
- withdraws emotionally to regulate
- struggles to ask for help
- very self-reliant
- may have a history of absent or emotionally neglectful caregivers
disorganized attachment style: negative model of others with high avoidance, negative model of self with high anxiety
- has qualifies of both the avoidant and the ambivalent-anxious styles
- afraid of rejection, but doesn’t trust easily
- unpredictable behavior, alternating between acting out, and pulling people in
- may have a history of abuse or childhood trauma
responsiveness, engaging interactions
- kids learn best when they’re actively engaged in activities that they enjoy
- “serve and return” interaction aka: communication catch
- reduces cognitive and processing demands by not asking them to switch their attention to align with ours
- follow child’s lead
reduces cognitive and processing demands by not asking them to switch their attention to align with ours
allows them to better absorb information, like new vocab!
follow child’s lead: notice what a child is interested in, and use that to provide opportunities for communication
- if you child likes to skip pages, that is okay; follow your child’s lead and enjoy your time together
- allow babies to play with board books, bang them, and chew on them
- rather than expecting your child to listen quietly, talk about the story, pictures, characters, and whatever your child is interested in
5 steps
- notice the serve and share the child’s focus attention
- return the serve by supporting and encouraging
- give it a name
- take turns and wait
- practice endings and beginnings
contextual variety
- variety of words
- variety of sentences and settings
- components of a routine
- family guided routines
- first steps in building routines and outcomes