1. BETHANY QUEEN SAMANTHA HAHN ELLIE GALLOWAY Establishing Child Life in Behavioral Health

2. Ice Breaker…

3. Role in Behavioral Health Check in with unit upon arrival for daily needs Provide procedural prep and support Meet with behavioral health patients/families prior to transfer to BH unit from medical unit Prepare patient, sibling and family for transfer to behavioral health Gain rapport and promote normalization prior to transfer Therapeutic activities for individual patients as well as in group settings Behavioral health unit consults Meet with siblings to provide understanding of the behavioral health unit and what it provides for patients

4. Population Inpatient unit: Accommodates patients who are a threat to themselves or others or have other behavior issues or problems. Suicidal ideation Homicidal ideation Suicide attempt Ingestion Overdose Schizophrenia Psychosis Bi-polar Depressive disorder Explosive mood disorder Outpatient unit: A partial hospitalization program for patient’s directly admitted for therapy or step down from inpatient unit

5. Voluntary: No threat to harm themselves or others 72 hour holding period in which they are required to stay in hospital with 1 on 1 supervision. Patients are allowed to leave Involuntary: Patient has attempted to harm themselves or others. Patients will be transferred to behavioral health or another facility will admit the patient for further review and treatment Baker Acted Patients

6. Inpatient Outpatient Tuesday- Friday 11am- 12pm Saturday 1pm-3pm Group Schedule Tuesday- Friday 2pm-3pm Therapeutic groups include focusing on coping skills, self esteem, self control, enhancing positive thinking. As well as an opportunity for open discussion among peers led by CCLS.

7. Therapeutic group activity research Child life specialists collaborated with various disciplines to learn more about the population to best suite the therapeutic needs of all patients. We were able to utilize our special education and psychology backgrounds to create group activities. 5 main categories of research Self image Self esteem Coping skills Self awareness Normalization of clinical/medical environment Sources of research: Therapeutic Activities for Children and Teens Coping with Health Issues Hope at Hand Inc.- Steffani Fletcher (Power of Poetry: Workshop) Pinterest

8. Weekly Plans

9. We begin each group with an icebreaker, allowing each patient to become familiar with their peers and staff leading the group. Icebreakers Therapeutic Icebreakers:  Affirmations  I Am poem  Compliment bucket  All About Me poster Non-Therapeutic Ice breakers  Question Jar  2 Truths and a lie  Mad Libs  Would you rather…

10. Self Care Plan

11. Strengths and Struggles

12. Letter to my future self

13. Healthy vs. Unhealthy relationships

14. Interdisciplinary Collaboration: Baker Act Baker acted patients when first admitted will be consulted to child life services. Introduction is provided Activities/books are offered o Provided materials are the same as those in the inpatient behavioral health unit o Once patient care plan is established, child life will prepare patients for transition to behavioral health unit

15. Interdisciplinary Collaboration: Patient, sibling and parent support Child life will provide patient and family with the basic understanding of what will take place in the upcoming transition to behavioral health. Siblings are addressed individually based on developmental level Education about patient’s diagnosis is provided

16. Transition to Behavioral Health Unit Child life will provide continuity of care by following patient from the inpatient medical unit to the inpatient behavioral unit. Once the patient is assessed by behavioral health, they may begin attending groups, dependent on their level on Focus.

17. Questions???