1. Hillside Family Finding Family Finding: Opening the Door for Trauma Intervention…. Children’s Mental Health Services Staff Development Training Forum December 1-2, 2015

2. Hillside Family Finding Facilitator Information Michelle M. Belge, LMSW Director, Institute for Family Connections™ 315-703-8720 mbelge@hillside.com 2

3. Hillside Family Finding Agenda 3 Family Finding Values Overview of Model Trauma Brief Overview Why Family Finding? Connection and Disconnection

4. Hillside Family Finding Family Finding Values 4

5. Hillside Family Finding Safety

6. Hillside Family Finding Connections 6

7. Hillside Family Finding Rethinking Family 7

8. Hillside Family Finding Permanency 8

9. Hillside Family Finding Dignity

10. Hillside Family Finding Collaboration 10

11. Hillside Family Finding Attention to trauma, grief and loss 11

12. Hillside Family Finding Family Finding Model 12

13. Hillside Family Finding Family Finding Model 13

14. Hillside Family Finding Discovery 14

15. Hillside Family Finding Natural Supports CBS News Story 15

16. Hillside Family Finding Engagement 16

17. Hillside Family Finding Blended Perspective 17

18. Hillside Family Finding Decision Making 18

19. Hillside Family Finding Evaluation 19

20. Hillside Family Finding Follow-up Supports 20

21. Hillside Family Finding Simple concept... 21

22. Hillside Family Finding Nick and Noelle Video 22

23. Hillside Family Finding What is Trauma? 23

24. Hillside Family Finding Trauma The word “Trauma” is a Greek word meaning “a wound, a hurt, a defeat” 24

25. Hillside Family Finding Common Causes of Trauma for Youth Abuse Neglect Domestic Violence Being placed in out of home care Multiple Placements Rejection May be a single event, repeated or chronic 25

26. Hillside Family Finding Emotional Trauma “Emotional Trauma at a young age may cause changes to the brain that are similar to head trauma” Journal of Psychiatric Research 26 How early Severity Duration

27. Hillside Family Finding Early Trauma Early trauma is particularly significant 27

28. Hillside Family Finding Typical Development versus Developmental Trauma 28

29. Hillside Family Finding Nurturing and stable attachments with adults versus Basic mistrust of adults and inability to depend on others 29

30. Hillside Family Finding Belief in a predictable world and that good things happen versus Belief that the world is an unsafe place, bad things happen and they are usually my fault 30

31. Hillside Family Finding Feelings of positive self-worth, others see my strengths versus Assumptions that others will not like me 31

32. Hillside Family Finding Optimistic about the future—belief that I can have a positive impact on the world versus Fear and Pessimism about the future— feelings of hopelessness and lack of control 32

33. Hillside Family Finding Trauma’s Impact on Behavior 33

34. Hillside Family Finding Traumatized Youth : Stuck in Survival Mode 34

35. Hillside Family Finding Question to Ask Instead of asking “What’s wrong with you?” Ask: “What happened to you?” 35

36. Hillside Family Finding Behaviors Inability to concentrate or regulate feelings Intrusive thoughts and visual images Dissociation 36

37. Hillside Family Finding Behaviors Anger and Aggression If you are afraid of me, I am safe…. 37

38. Hillside Family Finding Behaviors Fear and anxiety - panic attacks 38

39. Hillside Family Finding Trauma Behaviors An innate belief that they are bad, worthless, without value or importance 39

40. Hillside Family Finding Behaviors Self Blame Take on inappropriate responsibility as if everything is their fault 40

41. Hillside Family Finding Behaviors Chronic depression Repeated suicidal thoughts and feelings Self-harm, self-mutilation, self-injury 41

42. Hillside Family Finding Behaviors Serial Relationships Short-lived, superficial relationships with those around them. 42

43. Hillside Family Finding Symptoms and Behaviors of Trauma Self-destructive behaviors Addiction Eating Disorders 43

44. Hillside Family Finding Foster Care and PTSD Youth who have spent years in the foster care system often suffer from PTSD 44

45. Hillside Family Finding Trauma’s impact on Relationships 45

46. Hillside Family Finding Trauma Behaviors – Relational Inability to tolerate conflict with others An inability to tolerate intense feelings Black and white thinking…..all or nothing thinking Pushing others away with behaviors 46

47. Hillside Family Finding Trauma impacts relationships Trauma drives children to not want relationships. We are having to build relationships around children who are scared of them…..it’s a long road 47

48. Hillside Family Finding Hard to love and Be loved The hurt that some children have experienced make it hard for them to let themselves love and be loved. 48

49. Hillside Family Finding Trauma Impacts Relationships 49

50. Hillside Family Finding How can Family Finding Help? 50

51. Hillside Family Finding Trauma Focus in Family Finding Attending to the trauma and grief related to painful experiences from the past Parallel focus on helping to resolve the trauma from disconnections that have occurred 51

52. Hillside Family Finding Understanding the behaviors 52

53. Hillside Family Finding Unacknowledged Losses Need to validate and grieve the losses in their lives 53

54. Hillside Family Finding Trauma in Relationships Often, trauma happens in relationships, but it is also in relationships that the healing occurs 54

55. Hillside Family Finding

56. Connectedness Map - average 16 yr old 56

57. Hillside Family Finding Connectedness Map – 16 yr old in care 57

58. Hillside Family Finding Relationship is the Key to Healing Family Finding can help the youth to connect with or re-connect with family and/or natural supports 58

59. Hillside Family Finding Lifetime Network 59

60. Hillside Family Finding Understanding Trauma 60

61. Hillside Family Finding Waiver Family 61

62. Hillside Family Finding

63. Questions