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Applying Resilience Across the School Setting: Developing Strength-Based Strategies Moving From Research to Action

Applying Resilience Across the School Setting: Developing Strength-Based Strategies Moving From Research to Action. Mona M. Johnson MA, CPP, CDP Director , School Behavioral Health. Dr . Ken Ginsburg, MD, MS, Ed The Children’s Hospital of Philadelphia

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Applying Resilience Across the School Setting: Developing Strength-Based Strategies Moving From Research to Action

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  1. Applying Resilience Across the School Setting: Developing Strength-Based Strategies Moving From Research to Action Mona M. Johnson MA, CPP, CDP Director, School Behavioral Health Dr. Ken Ginsburg, MD, MS, Ed The Children’s Hospital of Philadelphia June 2012 MCEC National Training Seminar UNCLASSIFIED

  2. Child, Adolescent & Family Behavioral Health Office (CAF-BHO) Disclaimer • The views expressed are those of the author and do not reflect the official policy of the Department of the Army, the Department of Defense or the U.S. Government. Mona Johnson/ MCHO-CL-C (BHO) / (253) 968-4723 (DSN 782) / mona.m.johnson1@us.army.mil UNCLASSIFIED Slide 2 of 35 June 2012

  3. Child, Adolescent & Family Behavioral Health Office (CAF-BHO) Agenda • Welcome and Brief Introductions • Overview of Resilience • The 7 C’s of Resilience • Classroom & School-Wide Strategies for Fostering Resilience • Self Care: An Ethical Obligation • An Opportunity to Apply Learning • Additional Resources Mona Johnson/ MCHO-CL-C (BHO) / (253) 968-4723 (DSN 782) / mona.m.johnson1@us.army.mil UNCLASSIFIED Slide 3 of 35 June 2012

  4. Child, Adolescent & Family Behavioral Health Office (CAF-BHO) Resilience Defined • The capacity to spring back, rebound, successfully adapt in the face of adversity, and develop social, academic, and vocational competence despite exposure to severe stress or simply the stress that is inherent in today’s world. (Nan Henderson) • The capacity to rise above adversity and to forge lasting strengths in the struggle. It is the means by which children/adults can rebound from hardship and emerge as strong, healthy individuals, able to lead gratifying lives, albeit with some scars to show for their experiences. (Stephen and Sybil Wolin) Mona Johnson/ MCHO-CL-C (BHO) / (253) 968-4723 (DSN 782) / mona.m.johnson1@us.army.mil UNCLASSIFIED Slide 4 of 35 June 2012

  5. Child, Adolescent & Family Behavioral Health Office (CAF-BHO) Resilience • The ability to overcome adversity • The capacity to bounce back Mona Johnson/ MCHO-CL-C (BHO) / (253) 968-4723 (DSN 782) / mona.m.johnson1@us.army.mil UNCLASSIFIED Slide 5 of 35 June 2012

  6. Child, Adolescent & Family Behavioral Health Office (CAF-BHO) Resilience is a Mindset Mona Johnson/ MCHO-CL-C (BHO) / (253) 968-4723 (DSN 782) / mona.m.johnson1@us.army.mil UNCLASSIFIED Slide 6 of 35 June 2012

  7. Child, Adolescent & Family Behavioral Health Office (CAF-BHO) Resilience is Uneven Mona Johnson/ MCHO-CL-C (BHO) / (253) 968-4723 (DSN 782) / mona.m.johnson1@us.army.mil UNCLASSIFIED Slide 7 of 35 June 2012

  8. Child, Adolescent & Family Behavioral Health Office (CAF-BHO) Resilience is NOT Invulnerability Mona Johnson/ MCHO-CL-C (BHO) / (253) 968-4723 (DSN 782) / mona.m.johnson1@us.army.mil UNCLASSIFIED Slide 8 of 35 June 2012

  9. Child, Adolescent & Family Behavioral Health Office (CAF-BHO) Resilience is NOT a character trait. It is affected by supports and circumstances!!!! Mona Johnson/ MCHO-CL-C (BHO) / (253) 968-4723 (DSN 782) / mona.m.johnson1@us.army.mil UNCLASSIFIED Slide 9 of 35 June 2012

  10. Child, Adolescent & Family Behavioral Health Office (CAF-BHO) Resilience is About… Caring and support High expectations Opportunities for involvement Identifying and building on strengths Mona Johnson/ MCHO-CL-C (BHO) / (253) 968-4723 (DSN 782) / mona.m.johnson1@us.army.mil UNCLASSIFIED Slide 10 of 35 June 2012

  11. Child, Adolescent & Family Behavioral Health Office (CAF-BHO) The 7 C’s of Resilience (Dr. Ginsburg) • Confidence • Competence • Connection • Character • Contribution • Coping • Control (Little, 1993; Pittman et al., 2003; Eccles and Gootman , 2002; Roth and Brooks-Gunn 2003; Lerner, 2004; Ginsburg, 2006; Frankowski, Leader & Duncan, 2009) Mona Johnson/ MCHO-CL-C (BHO) / (253) 968-4723 (DSN 782) / mona.m.johnson1@us.army.mil UNCLASSIFIED Slide 11 of 35 June 2012

  12. Child, Adolescent & Family Behavioral Health Office (CAF-BHO) Ingredients of Resilience: 7 Crucial C’s (Dr. Ken Ginsburg) • Competence: Ability to know how to handle situations effectively; developing set of skills to trust own judgment, make responsible choices and face difficult situations; • Confidence: Demonstrating competence in real life situations that is in turn affirmed by caring adults; grounded in deep sense of safety, protection & security; • Connection: Close ties to family, friends, school & community; produces strong values and prevents seeking destructive alternatives; fosters safety and trust; Mona Johnson/ MCHO-CL-C (BHO) / (253) 968-4723 (DSN 782) / mona.m.johnson1@us.army.mil UNCLASSIFIED Slide 12 of 35 June 2012

  13. Child, Adolescent & Family Behavioral Health Office (CAF-BHO) Ingredients of Resilience: 7 Crucial C’s (Dr. Ken Ginsburg) • Character: Fundamental sense of right & wrong to ensure children are prepared to make wise choices & contribute positively to the world; • Contribution: Realizing “the world is a better place because I am in it”; consciously taking action and making choices to improve the world that are seen, heard & affirmed by caring adults; • Coping: A wide repertoire of positive, adaptive coping strategies learned most often from caring, healthy adults; • Control: Knowing that own choices, decisions and actions determine positive or challenging outcomes in life. Mona Johnson/ MCHO-CL-C (BHO) / (253) 968-4723 (DSN 782) / mona.m.johnson1@us.army.mil UNCLASSIFIED Slide 13 of 35 June 2012

  14. Child, Adolescent & Family Behavioral Health Office (CAF-BHO) Core Principles • Young people need to feel valued. When we see them as the experts on their own lives, youth learn to believe their opinions matter. • Youth are often the best teachers and role models for other young people. Mona Johnson/ MCHO-CL-C (BHO) / (253) 968-4723 (DSN 782) / mona.m.johnson1@us.army.mil UNCLASSIFIED Slide 14 of 35 June 2012

  15. Child, Adolescent & Family Behavioral Health Office (CAF-BHO) Core Principles • Most behaviors we fear serve as coping strategies that help youth manage uncomfortable stressors. If we help them (starting at very young ages) develop alternative coping strategies, we will diminish their need to turn to worrisome quick fixes. • Youth watch adult behaviors closely and how we model adaptive strategies to stress matters. Mona Johnson/ MCHO-CL-C (BHO) / (253) 968-4723 (DSN 782) / mona.m.johnson1@us.army.mil UNCLASSIFIED Slide 15 of 35 June 2012

  16. Discomfort Child, Adolescent & Family Behavioral Health Office (CAF-BHO) Relief Relief Positive Coping Strategies You Feel Awful!!! You Feel Awful!!! Stress Discomfort Discomfort Negative Coping Strategies Mona Johnson/ MCHO-CL-C (BHO) / (253) 968-4723 (DSN 782) / mona.m.johnson1@us.army.mil UNCLASSIFIED Slide 16 of 35 June 2012

  17. Child, Adolescent & Family Behavioral Health Office (CAF-BHO) Relief Relief Positive Coping Strategies You Feel Awful!!! You Feel Awful!!! Stress Discomfort Discomfort Discomfort Negative Coping Strategies Mona Johnson/ MCHO-CL-C (BHO) / (253) 968-4723 (DSN 782) / mona.m.johnson1@us.army.mil UNCLASSIFIED Slide 17 of 35 June 2012

  18. Classroom & School-Wide Strategies for Fostering Resilience The Heart of Learning and Teaching: Compassion, Resilience, and Academic Success www.k12.wa.us/CompassionateSchools/HeartofLearning.aspx Child, Adolescent & Family Behavioral Health Office (CAF-BHO) Mona Johnson/ MCHO-CL-C (BHO) / (253) 968-4723 (DSN 782) / mona.m.johnson1@us.army.mil UNCLASSIFIED Slide 18 of 35 June 2012

  19. Child, Adolescent & Family Behavioral Health Office (CAF-BHO) Classroom & School-Wide Strategies for Fostering Resilience The Heart of Learning and Teaching: Compassion, Resilience and Academic Success, 2009 www.k12.wa.us/CompassionateSchools/HeartofLearning.aspx Mona Johnson/ MCHO-CL-C (BHO) / (253) 968-4723 (DSN 782) / mona.m.johnson1@us.army.mil UNCLASSIFIED Slide 19 of 35 June 2012

  20. Child, Adolescent & Family Behavioral Health Office (CAF-BHO) “How” We Teach, Counsel, Interact The Heart of Learning and Teaching: Compassion, Resilience and Academic Success, 2009 www.k12.wa.us/CompassionateSchools/HeartofLearning.aspx Mona Johnson/ MCHO-CL-C (BHO) / (253) 968-4723 (DSN 782) / mona.m.johnson1@us.army.mil UNCLASSIFIED Slide 20 of 35 June 2012

  21. Child, Adolescent & Family Behavioral Health Office (CAF-BHO) Always Empower,Never Disempower Provide Unconditional, Positive Regard Show genuine respect for students as people Treat them with simple sustained kindness especially when discipline is involved Be a “turn around person” in language and deed • Hold students accountable for their behavior in compassionate ways • Avoid battles for control • Understand the origins of traumatized behavior • Avoid yelling, threats and sarcasm • Be consistent, respectful, non-violent in responses Mona Johnson/ MCHO-CL-C (BHO) / (253) 968-4723 (DSN 782) / mona.m.johnson1@us.army.mil UNCLASSIFIED Slide 21 of 35 June 2012

  22. Child, Adolescent & Family Behavioral Health Office (CAF-BHO) Maintain High Expectations Check Assumptions, Observe, & Question Understand the many cultures that may impact your students Observe and question directly in relevant ways Identify your own biases, assumptions, life areas needing further understanding Stay open to learning • Set clear boundaries, expectations and limits • Expect students to succeed academically, socially, emotionally • Believe in students even when they don’t believe in themselves • Be honest, encourage and support Mona Johnson/ MCHO-CL-C (BHO) / (253) 968-4723 (DSN 782) / mona.m.johnson1@us.army.mil UNCLASSIFIED Slide 22 of 35 June 2012

  23. Child, Adolescent & Family Behavioral Health Office (CAF-BHO) Be a Relationship Coach Provide Guided Opportunities for Helpful Participation Engage students to help them feel they belong Offer supervised opportunities for students to lead, follow, initiate and contribute strengths and talents Remember they are often watching you • Remember relationships established with students influence the tone and demeanor of entire school environment • Assist in managing student-to-student relationships in healthy ways • Help students feel safe and supported • “See” and “hear” students – even when they aren’t talking Mona Johnson/ MCHO-CL-C (BHO) / (253) 968-4723 (DSN 782) / mona.m.johnson1@us.army.mil UNCLASSIFIED Slide 23 of 35 June 2012

  24. “What” We Teach, Counsel, Offer: Child, Adolescent & Family Behavioral Health Office (CAF-BHO) Three Domains Domain One Safety Connection & Assurance Domain Two Emotional & Behavioral Self Regulation Domain Three Competences of Personal Agency, Social & Academic Skills The Heart of Learning and Teaching: Compassion, Resilience and Academic Success, 2009 www.k12.wa.us/CompassionateSchools/HeartofLearning.aspx Mona Johnson/ MCHO-CL-C (BHO) / (253) 968-4723 (DSN 782) / mona.m.johnson1@us.army.mil UNCLASSIFIED Slide 24 of 35 June 2012

  25. Child, Adolescent & Family Behavioral Health Office (CAF-BHO) Domain One: Safety, Connection, and Assurance • Have understanding of the adversities faced by students in your classroom/school • Be attuned to student’s unique needs • Recognize “flight of fight” responses of students – Help them understand their own “triggers” and offer alternative structures to help them react in healthy ways • Know yourself well. Maintain consistency and integrity in your own emotional and behavioral responses Mona Johnson/ MCHO-CL-C (BHO) / (253) 968-4723 (DSN 782) / mona.m.johnson1@us.army.mil UNCLASSIFIED Slide 25 of 35 June 2012

  26. Child, Adolescent & Family Behavioral Health Office (CAF-BHO) Domain Two: Improving Emotional and Behavioral Self-Regulation • Remember students who have experienced adversity often detach from their feelings and behave in ways that are not appropriate • Be proactive in big and small ways to teach students about their own and others emotions/feelings (i.e. mad, sad, glad, scared) • Be compassionate and patient when holding students accountable for their behavior • Offer alternative structures to help students respond emotionally and behaviorally in healthy ways Mona Johnson/ MCHO-CL-C (BHO) / (253) 968-4723 (DSN 782) / mona.m.johnson1@us.army.mil UNCLASSIFIED Slide 26 of 35 June 2012

  27. Child, Adolescent & Family Behavioral Health Office (CAF-BHO) Domain Three: Build/Re-Build Competencies of Personal Agency, Social & Academic Skills • Personal Agency – Helping students to believe in themselves; increasing pro-social bonding • Social Skills – Teaching basic life skills (i.e. communication, problem-solving, decision making, goal setting, consequences, generating alternatives/choice-making, fair fighting) • Academic Skills – Teaching students the curriculum content and information needed to succeed academically Mona Johnson/ MCHO-CL-C (BHO) / (253) 968-4723 (DSN 782) / mona.m.johnson1@us.army.mil UNCLASSIFIED Slide 27 of 35 June 2012

  28. Child, Adolescent & Family Behavioral Health Office (CAF-BHO) The Heart of Learning and Teaching: Compassion, Resilience and Academic Success, 2009 www.k12.wa.us/CompassionateSchools/HeartofLearning.aspx Mona Johnson/ MCHO-CL-C (BHO) / (253) 968-4723 (DSN 782) / mona.m.johnson1@us.army.mil UNCLASSIFIED Slide 28 of 35 June 2012

  29. Child, Adolescent & Family Behavioral Health Office (CAF-BHO) Self-Care: An Ethical Obligation for Those Who Care The Heart of Learning and Teaching: Compassion, Resilience and Academic Success, 2009 www.k12.wa.us/CompassionateSchools/HeartofLearning.aspx • Compassion Fatigue, Secondary (Vicarious) Trauma and Burnout • Practicing professional and personal self-care • Physical • Emotional • Social • Intellectual • Occupational • Financial • Spiritual • Compassion Satisfaction Mona Johnson/ MCHO-CL-C (BHO) / (253) 968-4723 (DSN 782) / mona.m.johnson1@us.army.mil UNCLASSIFIED Slide 29 of 35 June 2012

  30. Child, Adolescent & Family Behavioral Health Office (CAF-BHO) • Activity Mona Johnson/ MCHO-CL-C (BHO) / (253) 968-4723 (DSN 782) / mona.m.johnson1@us.army.mil UNCLASSIFIED Slide 30 of 35 June 2012

  31. Child, Adolescent & Family Behavioral Health Office (CAF-BHO) Mona Johnson/ MCHO-CL-C (BHO) / (253) 968-4723 (DSN 782) / mona.m.johnson1@us.army.mil UNCLASSIFIED Slide 31 of 35 June 2012

  32. We matter . . .more than the buildings or the programs. Kids come for the content, but the context is what heals youth. Child, Adolescent & Family Behavioral Health Office (CAF-BHO) Mona Johnson/ MCHO-CL-C (BHO) / (253) 968-4723 (DSN 782) / mona.m.johnson1@us.army.mil UNCLASSIFIED Slide 32 of 35 June 2012

  33. Child, Adolescent & Family Behavioral Health Office (CAF-BHO) Additional Resources • www.FosteringResilience.com • Building Resilience in Children and Teens (2nd Edition), K. Ginsburg, 2011 • American Academy of Pediatrics, www.aap.org • The Heart of Learning and Teaching: Compassion, Resilience & Academic Success, 2009 www.k12.wa.us/CompassionateSchools/HeartofLearning.aspx • Resilience in Schools, N. Henderson, M. Milstein, 1996 • Professional Quality of Life Scale, www.proqol.org Mona Johnson/ MCHO-CL-C (BHO) / (253) 968-4723 (DSN 782) / mona.m.johnson1@us.army.mil UNCLASSIFIED Slide 33 of 35 June 2012

  34. Child, Adolescent & Family Behavioral Health Office (CAF-BHO) Contact Information Dr. Ken Ginsburg, MD, MS, Ed The Children’s Hospital of Philadelphia www.fosteringresilience.com Mona M. Johnson, MA, CPP, CDP MEDCOM Child, Adolescent and Family Behavioral Health Office Mona.m.johnson1@us.army.mil Mona Johnson/ MCHO-CL-C (BHO) / (253) 968-4723 (DSN 782) / mona.m.johnson1@us.army.mil UNCLASSIFIED Slide 34 of 35 June 2012

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