ARC Framework Co-Developers The ARC Framework A Practical Toolkit - PDF document

4/18/2013 1 ARC Framework Co-Developers The ARC Framework A Practical Toolkit For Parents ARC Rick Simon, M.Ed., LCPC Kristine Kinniburgh, LICSW Margaret Blaustein, PHD Clinical Therapist Director of Training & Education Trauma Center at JRI Trauma Center at JRI

4/18/2013 2 Available At Amazon.com Based On Work Of… UCLA Medical School Child Trauma Institute Trauma Center at Justice Research Institute Daniel Siegel, MD Bruce Perry, MD Bessel Van Der Kolk, MD

4/18/2013 3 ARC Stands For… ARC Stands For… A ttachment

4/18/2013 4 ARC Stands For… A ttachment R egulation ARC Stands For… A ttachment R egulation C ompetency

4/18/2013 5 ARC Assumes ARC Assumes A ttachment R egulation C ompetency A ttachment R egulation C ompetency

4/18/2013 6 The ARC Framework The ARC Framework Multisystemic Context Individual + Caregiver + School + Clinical Setting + Community

4/18/2013 7 The ARC Framework The ARC Framework Attachment Caregiver Multisystemic Context Individual + Caregiver + School + Clinical Setting + Community Regulation Child Attachment Caregiver Multisystemic Context Individual + Caregiver + School + Clinical Setting + Community

4/18/2013 8 Relatively Permanent Influence ”Wiring” Use­Dependent Attachment: Assumptions Behaving, Learning The ARC Framework Competency Child Regulation Child Attachment Caregiver Multisystemic Context Individual + Caregiver + School + Clinical Setting + Community � The Human Brain is � Early Experiences � Wiring Patterns Are � Default Styles of Relating,

4/18/2013 The ARC Framework Attachment: Basics Safety, Trust, Nurture, Connection Fear, Anger, Mistrust, Action, Vigilance,Disconnection 9 Secure Attachment Insecure Attachment Wired For Temperament Traits Competency Child Regulation Child Attachment Affect Caregiver Management Multisystemic Context Individual + Caregiver + School + Clinical Setting + Community

4/18/2013 10 Affect Management “Before a caregiver can help a child tolerate and modulate affect, the caregiver must also be able to tolerate, modulate, and cope with his or her own emotional responses.” Mirror Neurons Blaustein & Kinniburgh � Modeling � Coregulation

4/18/2013 11 Skills: Affect Management Tools: Affect Management � Identify Difficult Situations � Monitor Own Reactions � Process and Control Emotions � Improve Self­Care & Support � “Tuning In To Yourself

4/18/2013 12 The ARC Framework Tools: Affect Management � “Tuning In To Yourself � It’s Not About Me � Deep Breathing � Muscle Relaxation � Distraction � Self­Soothing � Caregiver “Time Out” � Regularly Scheduled Free Time Competency Child Regulation Child Attachment Affect Attunement Caregiver Management Multisystemic Context Individual + Caregiver + School + Clinical Setting + Community

4/18/2013 13 Attunement “Attunement is the capacity of caregivers and children to accurately read each others’ cues and respond appropriately. The capacity requires that the caregiver be attuned on many levels: cognitive, emotional, behavioral, physiological.” Skills: Attunement Blaustein & Kinniburgh � Build Active Curiosity � Become a “Feelings Detective” � Observe, Validate Youth Experience � Support Youth Regulation � Build Fluidity, Plasticity

4/18/2013 14 Tools: Attunement Tools: Attunement � “Identifying Your Child’s Triggers” � “Identify Your Child’s Triggers” � “Signs of Being Triggered” � “Steps Towards Modulation” � Feelings Charades � Follow the Leader � Parent/Child Parallel Journals

4/18/2013 Consistent Response The ARC Framework tasks of normative development.” vigilance and control and to invest their energy into 15 children begin to be able to relax some of their “As predictable responses continue over time, Competency Child Regulation Child Attachment Affect Attunement Consistent Caregiver Management Response Multisystemic Context Individual + Caregiver + School + Clinical Setting + Community Blaustein & Kinniburgh

4/18/2013 Skills: Consistent Response Consistent Response Means… 16 Appropriate, and Sensitive into Response to the Behavior � Rules � Routines � Impartiality � Consequences � Expectations � Boundaries � Safe Caregiver Behavior � Predictable Caregiver Affect � Incorporate Understanding of Youth Behavior � Build Responses that are Consistent, � Self­Monitor Responses to Ensure Consistency

4/18/2013 17 Tools: Consistent Response Behavior Planning Websites goalforit.com kidzpoints.co m � Posted Values Statement � Posted House Rules � Child Behavior Plan � Written Caregiver Response Plan � Caregiver Response Log � Praise as Reinforcement � Reflection Time (Time Out) For Child

4/18/2013 The ARC Framework relationships and in the environment.” Predictability can increase a sense of safety in vulnerability carried by traumatized youth. helpful in decreasing the insecurity and feeling of “Consistent routines and predictability are often Routines & Rituals 18 Competency Child Regulation Child Attachment Affect Attunement Consistent Routines & Caregiver Management Response Rituals Multisystemic Context Individual + Caregiver + School + Clinical Setting + Community Blaustein & Kinniburgh

4/18/2013 Homework Kwanzaa Christmas Thanksgiving Fourth of July Valentines Day Anniversary Birthday Family Tradition Returning Home Traveling Greetings Chores Sundays 19 Bedtime Dinnertime Morning Tools: Routines & Rituals Skills: Routines & Rituals Chinese New Year � Be Sensitive to Culture, History, Temperament � Create Routines Appropriate to Child & Family. � Incorporate Routines into Daily Life � Explore & Plan Rituals � Celebrate Child, Family, Culture, Community � Routines Rituals

4/18/2013 The ARC Framework emotional, physiological, behavioral.” manage experience on many levels: cognitive, “Self­regulation involves the capacity to effectively Regulation 20 Competency Child Regulation Child Attachment Affect Attunement Consistent Routines & Caregiver Management Response Rituals Multisystemic Context Individual + Caregiver + School + Clinical Setting + Community Blaustein & Kinniburgh

4/18/2013 Positive Self­Worth, Positive Successful Regulation Behavior Problems Problems, Social Problems, Problems,Relationship People Pleasing, Learning Others, Tantrums, Fighting, Negative Thoughts About Negative Self­Worth, Positive Ways Learn, Ability to Relate in 21 Skills for Coping, Ability to Thoughts About Others, Self­Regulate, Ability to Regulation: Basics Dysregulated, Disorganized, Relational, Confident Regulated, Organized, Vigilance,Disconnection Fear, Anger, Mistrust, Action, Connection Safety, Trust, Nurture, Avoidant, Defiant Secure Attachment Insecure Attachment Wired For Temperament Traits � Awareness of Own Internal States � Recognize Emotional States of Others � Tolerate a Range of Arousal � Modulate Arousal � Control Emotionality, Behavior � Understand Connected Internal Experiences � Recognize Own Triggers and Responses � Understand Errors of Interpretation – e.g., Blame � Communicate Own Experience Effectively

4/18/2013 22 The ARC Framework own emotional experience.” frequently disconnected from or unaware of their “Children who have experienced trauma are Affect Identification Competency Child Regulation Affect Child Identification Attachment Affect Attunement Consistent Routines & Caregiver Management Response Rituals Multisystemic Context Individual + Caregiver + School + Clinical Setting + Community Blaustein & Kinniburgh

4/18/2013 23 Skills: Affect Identification Naming Feelings � Identify Own Emotions � Identify States Associated with Own Emotions � Identify Behaviors Associated with Own Emotions � Identify Emotions in Others

4/18/2013 24 Tools: Affect Identification Tools: Affect Identification � Where Do I Feel? � Where Do I Feel? � About My Feelings � What Are They Feeling> � Tuning Into Feelings � Noticing My Feelings

4/18/2013 25 The ARC Framework key challenge for traumatized children.” emotional and physiological experience is often a “The ability to safely and effectiely modulate Affect Modulation Competency Child Regulation Affect Affect Child Identification Modulation Attachment Affect Attunement Consistent Routines & Caregiver Management Response Rituals Multisystemic Context Individual + Caregiver + School + Clinical Setting + Community Blaustein & Kinniburgh

4/18/2013 26 Skills: Affect Modulation Body States Tools: Affect Modulation � Understand Degrees of Feelings, Energy, � Understand How Regulates States Feel � Understand how Unregulated States Feel � Learn to Manage Unregulated States � My Body’s Alarm System?