1. Center for Development of Human Services Approved by the New York State Office of Children and Family Services 2009, through a training and administrative agreement with the Research Foundation for SUNY/BSC/CDHS

2. Core Issues 1.Understanding and discussing child sexual abuse 2.Identifying signs and effects of child sexual abuse 3.Understanding and managing behaviors to meet child’s needs Approved by the New York State Office of Children and Family Services 2009, through a training and administrative agreement with the Research Foundation for SUNY/BSC/CDHS

3. Trainer’s Expectations Maintain confidentiality Demonstrate respect Actively participate – use text chat or raise hand Take some risks Use the right to pass Approved by the New York State Office of Children and Family Services 2009, through a training and administrative agreement with the Research Foundation for SUNY/BSC/CDHS

4. Trainer’s Offers Keep this a safe place to share and practice Begin/end on time Provide information and coach Maintain confidentiality Enjoy! Approved by the New York State Office of Children and Family Services 2009, through a training and administrative agreement with the Research Foundation SUNY/BSC/CDHS

5. Session 1: Understanding and Discussing Child Sexual Abuse (CSA) Foster parents need to build relationships that free children from adult roles. This session explores family member’s emotions, needs and behaviors in families where CSA occurs. It also provides a safe forum to vent feelings about CSA so new information can be integrated. Approved by the New York State Office of Children and Family Services 2009, through a training and administrative agreement with the Research Foundation for SUNY/BSC/CDHS

6. TRAUMA Approved by the New York State Office of Children and Family Services 2009, through a training and administrative agreement with the Research Foundation for SUNY/BSC/CDHS

7. Trauma is contagious. When we listen to stories of pain, suffering and fear, we can experience pain, suffering and fearWhen we listen to stories of pain, suffering and fear, we can experience pain, suffering and fear ….because we care. ….because we care. Approved by the New York State Office of Children and Family Services 2009, through a training and administrative agreement with the Research Foundation for SUNY/BSC/CDHS

8. Child Sexual Abuse: Definitions Sexual touching or fondling Exposing children to adult sexual activity or pornographic materials Having children pose, undress, or perform in a sexual fashion “Peeping” into bathroom or bedroom to spy on child Raping/attempting rape Approved by the New York State Office of Children and Family Services 2009, through a training and administrative agreement with the Research Foundation for SUNY/BSC/CDHS

9. The Sculpture: When CSA occurs in families… Approved by the New York State Office of Children and Family Services 2009, through a training and administrative agreement with the Research Foundation for SUNY/BSC/CDHS

10. Roadwork for Session 3 Complete worksheet on Handout 11: The Double Trauma of Sexual Abuse and Placement. Be prepared to identify the child’s needs and strategies to meet the needs for each issue. Approved by the New York State Office of Children and Family Services 2009, through a training and administrative agreement with the Research Foundation for SUNY/BSC/CDHS

11. Session 2: Identifying Signs and Effects of Child Sexual Abuse This class also examines family relationships where CSA has occurred and the role reversals which children and adults often experience. Foster parents need to see children’s behavior as an expression of underlying needs and they need to identify the range of behaviors related to CSA. Approved by the New York State Office of Children and Family Services 2005, through a training and administrative agreement with the Research Foundation for SUNY/BSC/CDHS

12. Myths About Child Sexual Abuse Girls are regularly sexually abused while boys are rarely sexually abused The person who abuses is “sick” and beyond help A parent who doesn’t abuse and misses the hints is equally at fault Approved by the New York State Office of Children and Family Services 2009, through a training and administrative agreement with the Research Foundation for SUNY/BSC/CDHS

13. Small Group Directions - Case Models - 1.Select recorder/reporter 2.Individually read case model 3.Review Handout 5 Case Studies: Signs of Sexual Abuse, and Handout 6, Sexual and Nonsexual Behavioral Signs of Abuse 4.Answer questions on worksheet 5.Be prepared to report back in 15 min. Approved by the New York State Office of Children and Family Services 2009, through a training and administrative agreement with the Research Foundation for SUNY/BSC/CDHS

14. Definition of Needs Conditions that require relief within an individual or a family and which, when relieved or met, enable the person or group to be responsible to each other Approved by the New York State Office of Children and Family Services 2009, through a training and administrative agreement with the Research Foundation for SUNY/BSC/CDHS

15. Five Human Needs 1. Survival (physiological) 2. Safety 3. Love and belonging 4. Self-esteem 5. Making some dreams come true (self-actualization) Approved by the New York State Office of Children and Family Services 2009, through a training and administrative agreement with the Research Foundation for SUNY/BSC/CDHS

16. Maslow’s Hierachy of Human Needs Self Actualiztion Self-Esteem Love and Belonging Safety Survival Approved by the New York State Office of Children and Family Services 2009, through a training and administrative agreement with the Research Foundation for SUNY/BSC/CDHS

17. Safety Needs Shelter Security Stability Dependency Freedom from fear, anxiety, chaos Structure Order Law Limits Protection Approved by the New York State Office of Children and Family Services 2009, through a training and administrative agreement with the Research Foundation for SUNY/BSC/CDHS

18. Love and Belonging Needs Giving love Receiving love Affection Affiliation Being liked Being accepted Approved by the New York State Office of Children and Family Services 2009, through a training and administrative agreement with the Research Foundation for SUNY/BSC/CDHS

19. Self-Esteem Needs Strength Achievement Adequacy Mastery Competence Confidence Independence Freedom Respect from others Status Recognition Attention Importance Dignity Appreciation Approved by the New York State Office of Children and Family Services 2009, through a training and administrative agreement with the Research Foundation for SUNY/BSC/CDHS

20. Components of Self-Concept Lovable Worthwhile Capable Responsible Approved by the New York State Office of Children and Family Services 2009, through a training and administrative agreement with the Research Foundation for SUNY/BSC/CDHS

21. Making Dreams Come True… Approved by the New York State Office of Children and Family Services 2009, through a training and administrative agreement with the Research Foundation for SUNY/BSC/CDHS

22. Cycle of Need Expression (Crying) Need is Met (Parental Response) Relaxation Need (Survival or Safety) Approved by the New York State Office of Children and Family Services 2009, through a training and administrative agreement with the Research Foundation for SUNY/BSC/CDHS

23. Cycle of Unmet Need Expression (Crying) Response Doesn’t Meet Need Scared Restless Angry Need (Survival/Safety) Approved by the New York State Office of Children and Family Services 2009, through a training and administrative agreement with the Research Foundation for SUNY/BSC/CDHS

24. Cycle of Need in Child Sexual Abuse Expression (Eager to please Asks for hugs) Need is Met by Sexual Abuse Afraid Confused Angry Need (Affection) Approved by the New York State Office of Children and Family Services 2009, through a training and administrative agreement with the Research Foundation for SUNY/BSC/CDHS

25. Effects of Sexual Abuse Guilt Fear –Separation and abandonment –Physical damage or injury –Retaliation –Betrayal Low self-esteem Being shocked by sex (traumatic sexualization) Acting older (pseudomaturity) Not being able to grow up and develop as most children do (failure to complete developmental tasks) Having poor social skills Approved by the New York State Office of Children and Family Services 2009, through a training and administrative agreement with the Research Foundation for SUNY/BSC/CDHS

26. Small-Group Directions: Practice Activity 1. Use Handout 9: Case Study: Cathy Jones 2. List Cathy’s Emotions Behaviors Underlying needs Strengths 3. Be prepared to report back in 15 minutes Approved by the New York State Office of Children and Family Services 2009, through a training and administrative agreement with the Research Foundation for SUNY/BSC/CDHS

27. 14 Guidelines 1.Offer support in clear way 2.Develop and stick to daily routine 3.Provide child privacy 4.Help child label feelings 5.Help child express feelings 6.Help child state needs clearly 7.Catch child behaving well 8.Encourage creative expression 9.Help child have fun 10.Provide child with information 11.Provide child with physical outlets 12.Encourage creative expression 13.Be aware of increased risk to child of more abuse/take steps to prevent it 14.Don’t take another placement if you’re having trouble managing those in your care Approved by the New York State Office of Children and Family Services 2009, through a training and administrative agreement with the Research Foundation for SUNY/BSC/CDHS

28. Three Phases of Adjustment to Placement 1. Early 2. Acute 3. Integration Approved by the New York State Office of Children and Family Services 2009, through a training and administrative agreement with the Research Foundation for SUNY/BSC/CDHS

29. Session 3: Understanding and Managing the Child’s Behavior Children who’ve suffered CSA experience a double trauma: that of the abuse and, secondly, that of placement. This class helps foster parents plan ways to meet needs, while managing challenging behaviors related to the traumas of CSA and adjustment to foster care. Approved by the New York State Office of Children and Family Services 2009, through a training and administrative agreement with the Research Foundation for SUNY/BSC/CDHS

30. Small-Group Practice Directions: Portia and Jason 1. Select reporter/recorder 2. Read Handout 13 and assigned case 3. Practice applying concepts: Meeting underlying needs Stages of adjustment placement 11 issues of dual trauma 4. Be ready to report back in 15 min. Approved by the New York State Office of Children and Family Services 2009, through a training and administrative agreement with the Research Foundation for SUNY/BSC/CDHS

31. Most Frequent and Bothersome Behaviors Seductive behavior Angry, aggressive behavior Alcohol and substance use Suicide attempts Running away Approved by the New York State Office of Children and Family Services 2009, through a training and administrative agreement with the Research Foundation for SUNY/BSC/CDHS

32. Small-Group Directions: Laura, Stephen, and Susan 1. Select recorder/reporter 2. Review assigned case 3. Use Handout 16, Handling Challenging Behaviors and Handout 17, Expressing Needs and Ways to Meet Needs 4. Answer questions 5. Be ready to report back in 15 minutes Approved by the New York State Office of Children and Family Services 2005, through a training and administrative agreement with the Research Foundation for SUNY/BSC/CDHS

33. Involving a Child in Managing Behaviors 1.Begin with positives 2.Validate the underlying needs 3.Use simple words to describe the inappropriate behaviors 4.Describe behaviors for meeting needs in simple terms Approved by the New York State Office of Children and Family Services 2009, through a training and administrative agreement with the Research Foundation for SUNY/BSC/CDHS

34. Small-Group Practice: Laura, Stephen, and Susan 1. Read Handout 18 and review assigned case 2. Assign a role to each in group: Foster Parent Child Observer 3. Act out roles for 2 minutes and give feedback 4. Switch roles 5. Repeat process until each has experienced every role Approved by the New York State Office of Children and Family Services 2009, through a training and administrative agreement with the Research Foundation for SUNY/BSC/CDHS

35. Practice Applying Concepts Meeting underlying needs Recognizing stages of adjustment to placement Identifying the 11 issues of dual trauma Approved by the New York State Office of Children and Family Services 2009, through a training and administrative agreement with the Research Foundation for SUNY/BSC/CDHS

36. That’s all folks. Thank you! You’ll receive an email link to the course’s post-test. Once this is completed and submitted, your certificate will be generated and emailed to you. We hope to see you in another iLinc class soon!

37. Unregistered and want training credit? Before class ends, enter the following into (private) text chat to Matthew Fildes (in his absence, to the instructor): Full legal name Male or female Home address (no P.O. boxes) Area code and phone number Email address (2 on same computer must list 2 email addresses) Foster care agency address (e.g., Harlem Dowling, Westside Center, 2090 7 th Ave, NY, NY 10027) Thank you.