Presentation on theme: "School of Social Work, Dalhousie University"— Presentation transcript:
1 School of Social Work, Dalhousie University Counselling Children and Families with Complex Needs: Building Resilience Across Cultures and Contexts CCPA, Halifax, 2013Michael Ungar, Ph.D.Killam Professor,School of Social Work, Dalhousie University@MichaelUngarPhD
2 High Well-beingLow “Disorder”High “Disorder”Low Well-being
3 Hidden Resilience Level of Functioning Time ‘Hidden Resilience’ Actual Expected‘Hidden Resilience’Acute Stressor/traumaChronic StressorsTime
4 Three DefinitionsStrengths are population-wide internal and external assetsAssociated with prosocial behaviour and outcomesA ‘thin description’ of success: lacks contextResilience is positive outcomes/strengths shown under adversityContext sensitiveHidden resilience is socially marginalized adaptation in stressful environments where resources are few or solutions devalued
5 Five things we know about Resilience: #1-For the most disadvantaged children, facilitative environments (like good schools and safe streets) can be more influential to the processes associated with resilience than individual factors (like personality or self-esteem)“Nurture trumps nature”The challenge is to know which protective factor is best suited to which type of problem for which person in which context
7 Five things we know about Resilience: #2-The environments that are most facilitative of resilience are those that help individuals, families, and communities to navigate to the resources that are the most meaningful to them
8 Five things we know about Resilience: #3-The greater a child’s exposure to adversity, the more likely the child is to benefit from protective factors (like a mentor or extra-curricular activities)Differential impactExamples: Conduct disorder, obesity, demobilizing gang members
9 Five things we know about Resilience: #4-An adaptive coping strategy that works well at one point in time may have long-term negative consequences.
10 Five things we know about Resilience: #5-Culture and context matter.
12 Resilience is…In the context of exposure to significant adversity, resilience is both the capacity of individuals to navigate their way to the psychological, social, cultural, and physical resources that sustain their well being, and their capacity individually and collectively to negotiate for these resources to be provided and experienced in culturally meaningful ways.
13 A Social Ecological Approach (S.E.A.) to Counseling S.E.A. is a model of clinical intervention that integrates case management and advocacy into direct practice with individuals and familiesS.E.A. nurtures people’s abilities to navigate towards, and negotiate for, the health promoting resources that are meaningful to them
14 S.E.A.:Broadens the scope of clinical practice for counselors working from other approaches (CBT; Solution-focused Therapy; EFT; FFT; Narrative Therapy, etc.)Focuses on individual, relational and social determinants of health (mental and physical)
18 Theory of ChangePeople living in challenging contexts change when their natural supports, programs and interventions, and social policies help them:Navigate effectivelyNegotiate effectivelyFind resources that are culturally and contextually meaningful
19 Service Use Experience Contextual RiskIndividual RiskService Use ExperienceResilienceFunctional Outcomes.37*-.30*-.17*-.38*.33*.07-.03-.21*.53*.18*-.14.13Life timeService Use Accumulation
20 Service Use Experience .33*Resilience.37*Functional Outcomes
22 External Resources Cultural spaces, diverse curriculum, etc. Mentors, teachers, extended family, etc.Experiences at School, Religious Institutions, etc.culturaladherencerelationshipscohesionOpportunities to use talents, experience respect, etc.identityEmployment, housing, clothes, etc.access tomaterialresourcessocial justicepower &controlOpportunities to participate, make a contribution, etc.Laws, anti-discrimination efforts, etc.
23 Internal Resources Cultural identification, cultural practices Quality of attachment to peers and caregiversSense of engagement with others, attitudes towards belonging, spiritualityculturaladherencerelationshipscohesionSelf-worth, self-esteem, assessment of strengthsidentityAwareness of resources such as educational opportunities and health careaccess tomaterialresourcessocial justicepower &controlAttribution style (internality/externality), efficacyKnowledge and experience of one’s rights