El ArtE dE SobrEvivir
Transcription
El ArtE dE SobrEvivir
MHP Salud El Arte de Sobrevivir Support Group Facilitator’s Guide MHP Salud El Arte de Sobrevivir Support Group Facilitator’s Guide 1 MHP Salud El Arte de Sobrevivir Support Group Facilitator’s Guide I understand that all content found in MHP Salud materials, including websites, printed materials, photos, graphics or electronic content, unless otherwise cited, credited or referenced, were created by MHP Salud and are the organization’s intellectual property. As such, they are not to be used without the permission of MHP Salud and, if permission is granted, is to becited appropriately with name and/ or logo as designated by the permission granted by MHP Salud in addition to any other condition listed in permission. RECOGNITION: MHP Salud would like to sincerely thank our partners that have collaborated and continue to collaborate with our organization in order to support our objective to provide culturally-appropriate outreach and health education, sustainable community development to underserved communities. We thank the Office on Violence Against Women of the United States Department of Justice who has provided us the financial resources to continue this important work. We would also like to thank Mujeres Unidas, Family Crisis Center (FCC), ARISE, Arte Sana, and many others who have contributed their support and encouragement to our efforts. This project was supported by Grant No. 2011-UW-AX-0008 awarded by the Office on Violence Against Women, U.S. Department of Justice. The opinions, findings, conclusions, and recommendations expressed in this publication/program/exhibition are those of the author(s) and do not necessarily reflect the views of the Department of Justice, Office on Violence Against Women. 22 MHP Salud El Arte de Sobrevivir Support Group Facilitator’s Guide TABLE OF CONTENTS Overview: The Arte de Sobrevivir Support Group.................. 4 Session 1: Who Am I......................................................... 8 Session 2: Dynamics of Family Violence............................. 16 Session 3: Healthy Relationships....................................... 22 Session 4: Safety within Intimate Partner Relationships ..... 26 Session 5: Emotional Wellbeing......................................... 29 Session 6: Stress............................................................. 36 Session 7: Self-Care......................................................... 43 Session 8: Looking Forward.............................................. 50 Appendix: A. Session Handouts................................................ 55 B. Materials List....................................................... 73 3 MHP Salud El Arte de Sobrevivir Support Group Facilitator’s Guide Overview: The Arte de Sobrevivir Support Group Purpose of the Support Group The Arte de Sobrevivir support group aims to promote healing among women who are primary or secondary survivors of sexual assault, domestic violence, dating violence and/or stalking. This guide builds on the existing strengths of Latina women and utilizes culturally informed tools and approaches. Participants are not only provided with information and form supportive networks with other women in their community, but they also engage in arts and craft projects, which can open space for discussion and healing. How to Use this Guide This guide contains information and suggestions that will be useful to Promotores(as) de Salud, Community Health Workers, or directors of programs that provide support and education around sexual assault, domestic violence, dating violence and/or stalking. Although the participants for the Arte de Sobrevivir Support Group are Latina women who are primarily Spanishspeaking (some materials referenced in the guide may only be available in Spanish), the activities, materials and handouts in this guide may be adapted, changed and/or tailored to the needs of a specific group or community. Each support group session includes session objectives, materials, handouts, activities (with its goals, materials, and instructions), and journal prompts. Additionally, the following may be found in the sessions: Content found in the yellow boxes is supplemental, didactic information that the Facilitator can share with participants. 4 MHP Salud El Arte de Sobrevivir Support Group Facilitator’s Guide Content found after the question mark symbol indicates discussion questions Content found after the star symbol indicates notes for the Facilitator Content found after the sun symbol indicates discussion questions on cultural considerations. It is suggested the Facilitator review all the sessions before beginning a support group, as well as review each session beforehand, so that she may be able to collect the necessary materials, handouts and invite any appropriate guest speakers for the sessions. Referenced handouts from each session and a materials list can be found at the end of the guide in the Appendix. Group Session Format The support group consists of a total of eight sessions, each lasting approximately two hours. It is recommended that the support group meet once a week, covering one session per week. Each session focuses on a different topic and ends with an arts and craft activity. The support group can range in size, but the suggested group size is 10 to 15 people. A Facilitator guides each session and encourages participants to share their experiences and points of view through questions, comments, and observations that relate to each topic. The principle role of the Facilitator is not to “teach” necessarily, but rather to guide various conversations to support the survivors as they analyze their thoughts and feelings. This requires the facilitator to be mindful of the themes of cultural identity, gender roles, perceptions of family support, cultural values, leaving the relationship and community that may direct the conversations and activities. It is important to plan the support group sessions at a convenient time and in a safe and comfortable location that participants can access relatively easily. Churches and community centers typically support sessions of this format and may offer space for meetings. 5 MHP Salud El Arte de Sobrevivir Support Group Facilitator’s Guide Recruitment of Participants Having an active presence and strong network in the community of interest is key to the identification of potential participants, the creation of interest in the support group and encouragement to participate. One of the benefits of having a Promotor(a) de Salud or Community Health Worker facilitate the support group is that she is a trusted member of the community being served, knows the strengths and challenges of the community and can provide culturally and linguistically appropriate services. Some suggested places to recruit participants include at community centers, churches, school districts and Head Start centers. Contact with participants of the target audience or with people who may know women who could benefit from the support group can be made here. Confidentiality A key characteristic of the support group is that it provides participants with a space where they can share their thoughts without fear or judgment. Therefore, confidentiality is extremely important in the support group. Additionally, having the support group establish its own rules is important to promote ownership of the group, as well as reinforce trust and confidentiality. The Facilitator cannot share any information that is discussed during the group sessions. The only exception to this is if a participant expresses a serious desire to harm herself or another person. Any participant information collected during the course of the support group, such as attendance sheets should contain as little personably identifiable information as possible and be kept in a secure, protected, and locked location, and/or adhering to agency policy on addressing survivor safety and autonomy. 6 MHP Salud El Arte de Sobrevivir Support Group Facilitator’s Guide 7 MHP Salud El Arte de Sobrevivir Support Group Facilitator’s Guide Session 1 Who am i? Session Objectives 1. Discuss MHP Salud services. 2. Provide information about the Arte de Sobrevivir support group structure. 3. Promote and share practices for personal growth. 4. Utilize arts and crafts as a means for healing. MHP Salud Introduction MHP Salud has worked for over 30 years to help farmworker, border and other isolated communities live healthy lives. We train Community Health Workers and/or Promotores(as) de Salud, to provide health education and referrals to care, making them even stronger leaders in their communities. MHP Salud is unique in that it trains Promotores(as) and Community Health Workers at a national level through its Training and Technical Assistance programs, but also maintains direct service work through local, community-based programs. Promotores(as) do not replace doctors and nurses. With resources, training and support, they improve health by linking their neighbors with health and social services, by educating their peers about disease and injury prevention, by working to make services more accessible, and by mobilizing their communities to create positive change. 8 MHP Salud El Arte de Sobrevivir Support Group Facilitator’s Guide Materials �Poster Board (2) �Marker �Pen �Paper �Glue �Scissors �Magazines �Crafting Items (e.g., craft letters, buttons, wax strips, etc.) � Ice breaker that explains confidentiality Handouts • Recordando lo Bueno de la Vida 1 Activity 1: Introduction Time: 10 minutes Goal: Explain who MHP Salud is and introduce services provided within the community. Introduce and understand the role of the facilitator as well as their own role, the goal of the support group, and the general format of the sessions. Handouts: None Instructions: 9 1. Give participants a brief description of the purpose of the program: To provide a community-based support network and information for primary or secondary survivors of domestic violence, sexual assault, and/or stalking. 2. Explain to participants that in order to help them to get to know each other, each one will introduce herself in front of the group and say her name, where she is from, and a fact about herself. 3. Share a bit about yourself in order to encourage participants to share information as well. 4. Explain the following information about the roles of each individual in the group: a. Inform participants the group meets for eight (8) sessions, each lasting approximately two hours. b. The role of the facilitator is not to provide all of the answers. c. The role of the facilitator is to build trust amongst the women so that they can share their concerns without fear of rejection. MHP Salud El Arte de Sobrevivir Support Group Facilitator’s Guide 2 d. Participants have the right to express themselves without fear of criticism from others. This is because everyone, in some way or another, has had similar experiences. e. The support groups benefit greatly from the trusting and supportive network the participants build with each other. f. The sessions are designed to utilize the shared knowledge and experience of the participants. The participants are not to be viewed as passive students but rather active members of the group, each with their own strengths and knowledge. g. The final session will be a celebration in which each participant will receive a Certificate of Completion for her participation in the support group. Activity 2: Group Agreements Time: 15 minutes Goal: To develop some basic group agreements that allow open and sincere conversation which allow all to feel more comfortable. Materials: Poster Board, Marker Handouts: None Instructions: 1. Ask the participants for suggestions about what types of rules they would like to implement as group agreements. 2. Write the suggested agreements on the poster. 3. The facilitator can suggest the following agreements if not mentioned by the participants: 10 •Treat each person in the group with respect. •Respect the confidentiality of all the participants. •Be active listeners when another participant is speaking. • Do not judge or criticize the other participants’ comments. MHP Salud El Arte de Sobrevivir Support Group Facilitator’s Guide 3 Activity 3: Confidentiality Time: 10 minutes Goal: Engage participants in discussion on defining and maintaining confidentiality. Materials: Ice breaker that explains confidentiality. Handouts: None Instructions: 1. Emphasize the following to the participants: • In the group, many things will be discussed that are confidential and important for all of the participants. Whenever possible, reiterate the importance of maintaining confidentiality of each participant to the group. • This is a safe space where people are comfortable speaking about personal themes. • Confidentiality will not be maintained in the following situations: o Situations in which someone has expressed serious plans to hurt him/herself or harm someone else. o When a participant has talked about an abuse that could be harmful toward a child or a vulnerable adult. 2. Engage participants in a conversation on confidentiality. 4 Activity 4: Self-Reflection Collage Time: 25 minutes Goal: To explore the how the participants self-identify. Materials: Paper, Glue, Scissors, Magazines Handouts: None Instructions: 1. Have participants use the materials to make a collage that answers the question: Who am I? 2. After everyone has completed making their collage, have the participants explain to the group what they put in their collage and why. 11 MHP Salud El Arte de Sobrevivir Support Group Facilitator’s Guide 3. • • • 5 Discussion Questions: Why did you choose what you chose to put in your collage? Are there participants that have common perspectives as you? How difficult or easy has it been to create a visual idea of who you are? Activity 5: Self-Esteem 101 Time: 20 minutes Goal: To discuss the concept of self-esteem and reflect on their own self-esteem. Materials: Poster Board, Marker Handouts: None Instructions: 1.Discussion Questions • What comes up for you when you hear the words “selfesteem”? Note: The facilitator will write on a flipchart what participants share. • What are some things you do to take care of yourself? Note: Write the participants’ responses to the above question on the poster. See the box below for a list of possible answers to write on the poster if the participants do not mention them themselves: Things You Can Do for Your Self-Esteem 1. Take care of yourself 2. Think positively 3. Get to know yourself, think about your strengths 4. Be mindful of your posture 5. Set small, realistic goals and try to complete them 6. Concentrate on solutions to problems, not just the problems themselves 7. Smile 8. Volunteer 9. Practice generosity 10. Be grateful for what you do have 11.Do some type of physical activity 12.Do something that you have been procrastinating on 13.Pace yourself Source: Adapted from Carrión Vermiglio, A. (2009). 22 actividades que mejorarán tu autoestima. Retrieved June 20, 2014, from http://lgtbmagazine.com/2009/09/22actividades-que-mejoraran-tu-autoestima/ 12 MHP Salud El Arte de Sobrevivir Support Group Facilitator’s Guide 6 Activity 6: Strengthening Your Self-Esteem Time: 10 minutes Goal: To recognize and vocalize our qualities/strengths to help strengthen our self-esteem. Materials: None Handouts: None Instructions: 1. Have each participant say at least two positive things that they like about themselves. 2. Remind participants: This is a strength-based process that is dynamic and requires long-term engagement towards a healthy life informed by their unique experiences, skills and knowledge. Be aware that self-sacrifice is a cultural concept that is prominently socialized among Latinos, and “self-esteem” may be viewed as being selfish, which is one of the tactics an abusive partner may use to maintain control. 3. Discussion Questions • What makes a good Latina? • What were some of the messages you received as a girl from your mother/father/family that may have influenced who you are as an adult? Example: “You need to find a husband to support you.” 7 Activity 7: Reflection Time: 10 minutes Goal: To discuss methods that help improve self-esteem. Materials: None Handouts: Recordando lo Bueno de la Vida Instructions: 1. Pass out, read, and discuss the handout Recordando lo Bueno de la Vida. 2.Discussion Questions • What was the main message behind this reading? • What can we learn from it? 13 MHP Salud El Arte de Sobrevivir Support Group Facilitator’s Guide 8 Activity 8: Handicraft: Journal Decoration Time: 20 minutes Goal: To decorate a journal in which the participants will be writing throughout the program. Materials: Crafting Items (e.g. craft letters, stickers, patterned paper, buttons, wax strips, etc.) Handouts: None Instructions: 1. Pass out the notebooks and other necessary materials for the journal decoration. 2. Explain that there will be a journal prompt at the end of each session. At the beginning of each session, participants may volunteer to read a part from their previous week’s journal prompt. 3. Emphasize the following about the journals: • They are PRIVATE. If they do not want to share with anyone else, they do not have to. • They can write WHATEVER they want, there are no rules. The weekly prompts are just ideas of what they can write, but they can choose to write whatever they want. The participants can write the prompt down in their journals each week if they want, so that they do not forget it. • If they are nervous about someone finding what they have written, they can write an entry, rip it out, tear it up, and throw it away. Remind them that the act of writing their feelings can be therapeutic. • If they would like to share their journal entry with the group, they should bring their journal with them to the next session. • If a participant is uncomfortable with writing for any reason, s/he can use the journal for other purposes, such as drawing or scrapbooking. Ask the participants to bring a shoe box to the next session. 14 MHP Salud El Arte de Sobrevivir Support Group Facilitator’s Guide JOURNAL PROMPT SESSION 1 What are your thoughts after Session 1? What do you hope to gain from participating in the Arte de Sobrevivir support group? Is there anything that needs to be addressed? 15 MHP Salud El Arte de Sobrevivir Support Group Facilitator’s Guide Session 2 Dynamics of Family Violence Session Objectives 1. To learn about family violence and its different forms. 2. To make a memento box. Materials �Notebook Paper �Crafting Items (e.g., glue, synthetic flowers, ribbon, wrapping paper, lace, etc.) Handouts • Tú Vales Mucho 16 16 MHP Salud El Arte de Sobrevivir Support Group Facilitator’s Guide 1 Activity 1: Introduction Time: 15 minutes Goal: To welcome participants to Session 2 and discuss journal entries from Session 1. Materials: None Handouts: None Instructions: 1. Welcome everyone, especially the new participants. 2. Take attendance. 3. Review the importance of maintaining confidentiality to any new participants. 4. Ask if there are any volunteers who would like to read their journal entry. 5. Present topic: Dynamics of Family Violence. 2 Activity 2: What We Have in Common Time: 15 minutes Goal: To recognize the shared characteristics the participants have with one another. Materials: Notebook Paper Handouts: None Instructions: 1. Break into groups of 3-5 people. 2. Have each group write 10 things they have in common on a piece of paper. Note: This cannot include physical characteristics or clothing, such as “We all have two feet” or “We are all wearing sandals.” 3. Come back together as a group, and have the participants share what they found. 4.Discussion Questions • How is this activity applicable to last week’s session about selfesteem? • How can recognizing what we share in common with each other help us? 17 MHP Salud El Arte de Sobrevivir Support Group Facilitator’s Guide 3 Activity 3: What is domestic violence? Time: 20 minutes Goal: To gain a deeper understanding of what domestic violence is. Materials: None Handouts: None Instructions: 1. Use the following questions and definitions as a way to guide group dialogue. 2.Discussion Questions • How do you define family violence? • What are the different forms of family violence? • What are some examples of the following types of violence: oPhysical oSexual oEmotional oEconomic oPsychological 3. Use the following as a source of formal definitions of domestic violence and its various form: Domestic Violence: A Pattern of abusive behavior in any relationship that is used by one partner to gain or maintain power and control over another intimate partner. Physical Abuse: Hitting, slapping, shoving, grabbing, pinching, biting, hair pulling, etc. are types of physical abuse. This type of abuse also includes denying a partner medical care or forcing alcohol and/or drug use upon him or her. Sexual Abuse: Coercing or attempting to coerce any sexual contact or behavior without consent. Sexual abuse includes, but is certainly not limited to, marital rape, attacks on sexual parts of the body, forcing sex after physical violence has occurred, or treating one in a sexually demeaning manner. Emotional Abuse: Undermining an individual’s sense of self-worth and/ or self-esteem is abusive. This may include, but is not limited to constant criticism, diminishing one’s abilities, name-calling, or damaging one’s relationship with his or her children. Economic Abuse: Is defined as making or attempting to make an individual financially dependent by maintaining total control over financial resources, withholding one’s access to money, or forbidding one’s attendance at school or employment. 18 MHP Salud El Arte de Sobrevivir Support Group Facilitator’s Guide Psychological Abuse: Elements of psychological abuse include - but are not limited to - causing fear by intimidation; threatening physical harm to self, partner, children, or partner’s family or friends; destruction of pets and property; and forcing isolation from family, friends, or school and/or work. Source: United States Department of Justice Office on Violence Against Women (OVW). (March 2013). What is Domestic Violence? Retrieved June 20, 2014, from http://www. libraries.psu.edu/psul/researchguides/citationstyles/APA_citation.html#WebSites 4 Activity 4: Discussion: Different Types of Abuse Time: 10 minutes Goal: To discuss and reflect on some of the statistics about domestic violence. Materials: None Handouts: None Instructions: 1. Read the following statistics: • One in every four women will experience domestic violence in her lifetime. • Females are often victimized by someone they knew. • Most cases of domestic violence are never reported to the police. • About 20-25% of Latinas will experience Intimate Partner Violence (IPV) during her lifetime- See more at: http://www.nationallatinonetwork.org/learn-more/facts-andstatistics#sthash.WhqsmKZK.dpuf Source: National Coalition Against Domestic Violence (NCADV). (n.d.). Domestic Violence Facts. Washington, DC: NCADV Public Policy Office. Retrieved June 20, 2014, from http:// www.ncadv.org/files/DomesticViolenceFactSheet(National).pdf 2. • • 3. Discussion Questions What are your reactions to these statistics? Are you surprised? Explain to the participants: One thing that is important to remember: YOU ARE NOT ALONE National statistics about the experience of IPV among women in the United States and throughout represent estimates that may vary by different methods of data collection. The various strategies used by researchers to collect data (e.g., phone vs. in-person surveys), the specific questions asked (e.g., number of acts of 19 MHP Salud El Arte de Sobrevivir Support Group Facilitator’s Guide physical violence vs. the context of the violence), and the social/ community conditions where the study is conducted (e.g., new immigration laws) all impact the results of the study. For Latin@s, the language in which the study is conducted (including the use of variations in the Spanish language) can also affect the results. Below we present some of the most recent prevalence information published on Latin@ populations. It is important to remember, however, that these findings must be considered within the context of the issues outlined above and may be limited in their representations. - See more at: http://www.nationallatinonetwork. org/learn-more/facts-and-statistics#sthash.sXYiUV3e.dpuf 5 Activity 5: True or False? Time: 20 minutes Goal: To review some concepts related to domestic violence. Materials: None Handouts: None Instructions: 1. Read the following statements to the group, and decide if they are true or false. The correct answer is written at the end of the sentence. 2.Discussion Questions • Domestic violence can happen to anyone regardless of race, age, gender, religion, or sexual orientation. (True) • Domestic violence happens to very few women. (False) • Domestic violence affects only those who are abused. (False) • Domestic violence refers only to physical abuse. (False) Family is a core component and Latinas tend to have a strong identification in connection with their family and a family orientation that pervades all aspects of their lives. 6 Activity 6: Reflection Time: 10 minutes Goal: To discuss a reading designed to motivate and instill a sense of positive self-esteem. Materials: None Handouts: Tú Vales Mucho 20 MHP Salud El Arte de Sobrevivir Support Group Facilitator’s Guide Instructions: 1. Pass out, read, and discuss the handout Tú Vales Mucho. 2.Discussion Questions • What are your reactions to this poem? • How can we relate this poem to what we have talked about today, so far? 7 Activity 7: Momento Box Time: 30 minutes Goal: To make a memento or gift box from a shoe box. Materials: Crafting Items (e.g., glue, synthetic flowers, ribbon, wrapping paper, lace, etc.) Handouts: None Instructions: 1. Pass out the materials. 2. Show participants how to make and decorate the shoe boxes. 3. Explain to participants that they can use the boxes to keep mementos or to use as a gift box. JOURNAL PROMPT SESSION 2 Reflect on the information about family violence we reviewed today, and write anything about the topic you wish. 21 MHP Salud El Arte de Sobrevivir Support Group Facilitator’s Guide Session 3 Healthy relationships Session Objectives 1. To discuss the qualities of healthy relationships. 2. To understand the Immigrant Survivors Wheel and the Maze of Coercion. 3. To create a collage depicting the differences between healthy and unhealthy relationships. Materials �Magazines �Scissors �Card Stock �Glue �Markers Handouts • Immigrant Power and Control Wheel • Maze of Coersive Control • Remember My Name 22 22 MHP Salud El Arte de Sobrevivir Support Group Facilitator’s Guide 1 Activity 1: Introduction Time: 15 minutes Goal: To welcome participants to Session 3 and discuss journal entries from Session 2. Handouts: None Instructions: 1. Welcome everyone, especially the new participants. 2. Review the importance of maintaining confidentiality to any new participants. 3. Ask if there are any volunteers who would like to read their journal entry. 4. Present the topic: Healthy Relationships. 2 Activity 2: What makes a healthy relationship? Time: 15 minutes Goal: To discuss how the participants describe a healthy relationship. Materials: None Handouts: None Instructions: 1. Ask the participants to think of ONE word that describes a healthy relationship. 2. Have each participant say their word, and why they chose it. 3.Discussion Question • What were the similarities or differences among the words? 3 Activity 3: Discussion Time: 20 minutes Goal: To understand the cycle of power and control and how it differs from patterns of equality and respect in healthy relationships. Materials: None Handouts: Immigrant Power and Control Wheel and Maze of Coersize Control 23 MHP Salud El Arte de Sobrevivir Support Group Facilitator’s Guide Instructions: 1. Pass out the handout Immigrant Power and Control. 2. Review the examples of abuse and control using the information from the handout. 3. Pass out the handout Maze of Coersize Control. 4. Use the handouts to guide the discussion about what sincere and respectful collaboration means in a relationship. 4 Activity 4: Reflection Time: 20 minutes Goal: To discuss and reflect on a poem about a victim of domestic violence. Materials: None Handout: Remember My Name Instructions: 1. Pass out, read, and discuss the handout Remember My Name. 5 Activity 5: Relationship Collage Time: 50 minutes Goal: To create a collage to compare and contrast what makes up a good relationship and a bad relationship. Materials: Magazines, Scissors, Card Stock, Glue, Markers Handouts: None Instructions: 1. Pass out materials. 2. On each side of the card stock, each participant will write “Healthy Relationships” or “Unhealthy Relationships.” 3. Using magazines, each participant will select images, words, or visual ideas that belong to or could represent each of the two types of relationships. 4. The participants will cut out the images into various shapes. Using the glue, each participant will create a collage to show both ideas on the poster. 24 MHP Salud El Arte de Sobrevivir Support Group Facilitator’s Guide 5. Once everyone has finished his or her collage, the group can begin talking about the topic amongst them. 6. Encourage the group members to share their points of view and why they chose each image for their collage. JOURNAL PROMPT SESSION 3 What are some things you could do to ensure you have “healthy relationships” in your life? How did this session make you reflect on your own relationships? 25 MHP Salud El Arte de Sobrevivir Support Group Facilitator’s Guide Session 4 Safety within Intimate Partner Relationships Session Objectives 1. To learn about the concepts of personal safety and help seeking. 2. To engage participants in discussion on specific dynamics of violence within intimate partner relationships, such as stalking and sexual assault. 3. To identify barriers that prevent people from seeking help and escaping an abusive relationship. 4. To use drawing as a way to discuss safety. Materials None Handouts • Personal Safety Plan Worksheet • Domestic Violence Personal Safety Plan* *The handouts provided are from Texas-based agencies on Texas Association Against Sexual Assault (TAASA). They may be substituted with handouts and/or brochures from local agencies in your area. 26 26 MHP Salud El Arte de Sobrevivir Support Group Facilitator’s Guide 1 Activity 1: Introduction Time: 15 minutes Goal: To welcome participants to Session 4 and discuss journal entries from Session 3. Handouts: None Instructions: 1. Welcome everyone, especially the new participants. 2. Review the importance of maintaining confidentiality to any new participants. 3. Ask if there are any volunteers who would like to share their journal entry. 4. Present the topic: Safety within Initmate Partner Relationships. 2 Activity 2: Defining the Issues Time: 20 minutes Goal: To learn about, and discuss, the issues of sexual voilence and stalking. Materials: None Handouts: None Instructions: 1. • • 2. Discussion Questions How do you define sexual assault? How do you define stalking? Provide the following definitions: Sexual violence: Any type of unwanted sexual contact, ranging from sexist attitudes and actions to rape and murder. Sexual violence can include words and actions of a sexual nature against a person’s will. A person may use force, threats, manipulation, or coercion to commit sexual violence. Stalking: A course of conduct directed at a specific person that would cause a reasonable person to feel fear. Stalking is serious, often violent, and can escalate over time. Some things stalkers do: 27 MHP Salud El Arte de Sobrevivir Support Group Facilitator’s Guide • • • • • • • • • • Follow you and show up wherever you are. Send unwanted gifts, letters, cards, or e-mails. Damage your home, car, or other property. Monitor your phone calls or computer use. Use technology, like hidden cameras or global positioning systems (GPS), to track where you go. Drive by or hang out at your home, school, or work. Threaten to hurt you, your family, friends, or pets. Find out about you by using public records or online search services, hiring investigators, going through your garbage, or contacting friends, family, neighbors, or co-workers. Posting information or spreading rumors about you on the Internet, in a public place, or by word of mouth. Other actions that control, track, or frighten you. Source: National Stalking Resource Center. http://www.victimsofcrime.org/our-programs/ stalking-resource-center/stalking-information#what userfiles/file/Consensus.pdf 3. Have the participants discuss definitions. 4. Read and discuss the following statistic: It is estimated that between 20 and 30% of women in the United States have been physically and/or sexually abused by an intimate partner at some point in their lives. Source: Family Violence Prevention Fund. (2004, February). National Consensus Guidelines on Identifying and Responding to Domestic Violence Victimization in Health Care Settings. Retrieved June 20, 2014, from http://www.futureswithoutviolence.org/userfiles/file/ Consensus.pdf 5. Emphasize an important point that was touched on in an earlier session: YOU ARE NOT ALONE. Remember, the issue of sex and sexuality can be taboo, and sexual violence in a monogamous relationship may not be perceived as such. Sexual assault is also a common reality for immigrant women trying to gain access to the United States. The following are some issues to consider when engaging the participants in this discussion: • Latina girls reported that they were likely to stop attending school activities and sports to avoid sexual harassment (American Association of University Women, 2001). • Married Latinas were less likely than other women to immediately define their experiences of forced sex by their spouses as “rape” and terminate their relationships; some viewed sex as a marital obligation (Bergen, 1996). 28 MHP Salud El Arte de Sobrevivir Support Group Facilitator’s Guide • For the increasing numbers of women who make the journey across the Mexico-U.S. border, rape has become so prevalent that many women take birth control pills or get shots before setting out to ensure that they won’t get pregnant (Watson, 2006). Source: Existe Ayuda Fact Sheet: http://www.ovc.gov/pubs/existeayuda/tools/pdf/ factsheet_eng.pdf 3 Activity 3: Creating a Personal Safety Plan Time: 60 minutes Goal 1: To further discuss sexual assault and stalking and prevention strategies. Goal 2: To discuss personal safety tips and introduce the concept of having a personal safety plan. Materials: None Handouts: Personal Safety Plan Worksheet Instructions: 1. Divide the participants into three small groups. 2. Each participant will receive the handouts: Personal Safety Plan Worksheet. 3. Have the participants read aloud and discuss the handouts in their group for 15 minutes. 4. Have the groups come back together into one large group. 5. Have a member from each group discuss to the whole group the main takeaway messages of the topic from each brochure. 6. Tell the participants: You have a right to be safe! 7. Explain the following to the participants: Avoiding any type of violence is often harder when the perpetrator is someone that you know and love. Creating a personal safety plan can be a helpful tool. 8. Pass out, read aloud, and discuss handouts Domestic Violence Personal Safety Plan. 9. Tell the participants that they can use the Personal Safety Plan Worksheet if they are currently experiencing violence at home. 29 MHP Salud El Arte de Sobrevivir Support Group Facilitator’s Guide It is recommended that the Facilitator gather information on local resources for domestic violence, sexual assault, personal safety and stalking to distribute to the participants. Be sure to have enough copies to pass out to each participant at the end of the activity or the end of the session. National Sexual Assault Hotline: 1.800.656.HOPE Latina survivors’ help-seeking behaviors are closely tied to their level of acculturation and other cultural factors. • More recent immigrant Latinas are usually unaware of the laws, options, and possibilities regarding their experience of abuse. • Latina survivors who have been in the United States for a longer period of time or were born in this country have had the opportunity to learn about resources and are more likely to use them. However, where they seek help varies from other ethnic/ racial groups. Latina survivors are more likely to depend on family members and friends, rather than health care workers, clergy, and police. See more at: http://www.nationallatinonetwork.org/learn-more/ facts-and-statistics#sthash.sXYiUV3e.dpuf Ask participants to bring in personal photos for the next handicraft. JOURNAL PROMPT SESSION 4 We have discussed some very difficult topics so far, including sexual violence and stalking. What are some of your feelings and reactions from what we have talked about? What have you learned? Do you feel you have grown from the sessions? 30 MHP Salud El Arte de Sobrevivir Support Group Facilitator’s Guide Session 5 Emotional Wellbeing Session Objectives 1. To understand the importance of emotional wellbeing in our lives. 2. To recognize the impact of unhealthy expression of emotions. 3. To learn how to communicate feelings in a healthy way. 4. To create a photo-accordion to display personal pictures. Materials �Poster �Marker �Personal Photographs �Crafting Items (e.g. card stock, glitter, pens, ribbon, markers, scissors, glue) �Card Stock Handouts • Expresándote con Firmeza y Ternura • Anger Management Skills 31 31 MHP Salud El Arte de Sobrevivir Support Group Facilitator’s Guide 1 Activity 1: Introduction Time: 15 minutes Goal: To welcome participants to Session 5 and discuss journal entries from Session 4. Handouts: None Instructions: 1. Welcome everyone, especially the new participants. 2. Review the importance of maintaining confidentiality to any new participants. 3. Ask if there are any volunteers who would like to read their journal entry. 4. Present the topic: Emotional Wellbeing. 2 Activity 2: What is Emotional Wellbeing? Time: 10 minutes Goal: Engage participants in discussion of the expression of emotions, the role unhealthy emotions play in their lives and the importance of communicating feelings. Materials: None Handouts: None Instructions: 1.Discussion Questions •How do you define emotional wellbeing? • Do emotions and feeling play a big role in your lives? •How could you improve your emotional wellbeing? 2.Present the following definition of emotional wellbeing: A positive sense of wellbeing which enables an individual to be able to function in society and meet the demands of everyday life; people in good mental health have the ability to recover effectively from illness, change or misfortune. Source: Emotional Wellbeing. Retrieved December 12, 2014, from http://www.belongto. org/resource.aspx?contentid=4574 3 Activity 3: Expressing Feelings and Emotions Time: 20 minutes Goal: To discuss the concept of expressing feelings and both positive and negative ways to express emotions. Materials: Poster, Marker Handouts: Anger Management Skills 32 MHP Salud El Arte de Sobrevivir Support Group Facilitator’s Guide Instructions: 1. On a poster, draw a line down the middle. On the top left write Positive, on the top left, write Negative. 2. Have the participants brainstorm both positive and negative ways to express feelings and emotions. Write their answers on the poster. 3. Pass out the handout, Anger Management Skills, as an additional resource for the participants. 4 Activity 4: Deep Breathing Time: 10 minutes Goal: To practice a structured deep breathing activity to develop a skill that can be utilized to manage anger and stress. Materials: None Handouts: None Instructions: 1. Have the participants sit with their backs straight. 2. Ask all participants to sit still and refrain from talking or making noise. 3. Exhale completely through your mouth. 4. Close your mouth and inhale quietly through your nose to the count of four (facilitator will count in a low voice to four). 5. Hold your breath for a count of seven (facilitator will count in a low voice to seven). 6. Exhale completely through your mouth, making a whoosh sound to the count of eight (facilitator will count in a low voice to eight). This is one breath. 7. Repeat this cycle three more times. 8.Discussion Questions • How did the deep breathing exercise make you feel? • How do you think this exercise is related to today’s session? 5 Activity 5: Reflection Time: 15 minutes Goal: To read and reflect on the handout Expresándote con Firmeza y Ternura. Materials: None Handouts: Expresándote con Firmeza y Ternura. 33 MHP Salud El Arte de Sobrevivir Support Group Facilitator’s Guide Instructions: 1. Pass out, read and discuss the handout Expresándote con Firmeza y Ternura. 6 Activity 6: Photo Accordian Time: 30 minutes Goal: To create a photo accordion for displaying personal photographs. Materials: Personal Photographs, Crafting Items (e.g. card stock, glitter, pens, ribbon, markers, scissors, glue) Handouts: None Instructions: 1. Take one sheet of card stock, fold it in half and cut it. 2. Fold the half in half again. 3. Tape the two parts together to make the accordion. 4. Attach photos with glue and decorate as desired. 5. Use the photo below as a reference: 34 MHP Salud El Arte de Sobrevivir Support Group Facilitator’s Guide JOURNAL PROMPT SESSION 5 Think about what makes you angry or what has made you angry in the past. Reflect upon how you usually manage your emotions. 35 MHP Salud El Arte de Sobrevivir Support Group Facilitator’s Guide Session 6 STRESS Session Objectives 1. To understand the causes of stress. 2. To learn how to recognize stress and its consequences more easily. 3. To learn about stress management. 4. To create a stress ball that can be used during stressful moments. Materials �Balloons �Flour �Piece of Construction Paper (or Funnel) �Tape �Scissors �Markers Handouts • 50 Things You Should Know About Stress • Manejando las Situaciones 36 36 MHP Salud El Arte de Sobrevivir Support Group Facilitator’s Guide 1 Activity 1: Introduction Time: 15 minutes Goal: To welcome participants to Session 6 and discuss journal entries from Session 5. Handouts: None Instructions: 1. Welcome everyone, especially the new participants. 2. Review the importance of maintaining confidentiality to any new participants. 3. Ask if there are any volunteers who would like to read their journal entry. 4. Present the topic: Stress. 2 Activity 2: Define what is stress to you Time: 20 minutes Goal: To discuss the participants’ major stressors. Materials: None Handouts: None Instructions: 1. Engage participants to define what is stress as a group. 2. Facilitate discussion on identifying stressors and how this might impact their lives. 3. Have each participant think of something in their life that causes them a lot of stress. 4.Discussion Questions • Was there a common theme among what stressors people have, or were they very different? • How is stress reflected in your family? Relationship? 3 Activity 3: Discussion Goal: To discuss the concept of stress. Materials: None Handouts: None Instructions: 1.Discussion Question 37 Time: 20 minutes MHP Salud El Arte de Sobrevivir Support Group Facilitator’s Guide • How do you define stress? What causes stress? 2. Provide a current definition: Stress is an emotion caused by tension or pressure. It is a normal part of everyday life. Some stress is good, and it can help people get things done. It can make life exciting. Too much stress is unhealthy, and can make a person feel tired, anxious, and angry. It is important to know how to relieve stress. Remember that it is possible to manage stress. However, we need to know how it begins, and how it reveals itself. Adapted from: Centers for Disease Control and Prevention. (2014). Coping with Stress. Retrieved June 20, 2014, from http://www.cdc.gov/violenceprevention/pub/coping_with_ stress_tips.html 3. During the discussion, explain to participants what the three principle characteristics of stress are (physical, emotional/ psychological and behavioral) and some behaviors of each one. 4. Use the following discussion question and informational boxes as a guide for a discussion about stress. 5. Discussion Question • Have you ever felt any of the following with high frequency or with great intensity? They can all be caused by stress. Some Manifestations of Stress Physical Level • Pressure in your chest • Tingling or butterflies in your stomach • Sweating in the palms of your hands • Fluttering of your heart • Difficulty swallowing or breathing Emotional/Psychological Level • Concern, nervousness, anxiety, fear or anguish • Desire to cry and/or sensation of having a knot in your throat • Constant or uncontrollable irritability, fear, or anger • Desire to scream, hit something, or insult someone • Fear or panic that ends up being so intense that it leaves a person “paralyzed” Behavioral Level •Nervous tics •Sexual problems 38 MHP Salud El Arte de Sobrevivir Support Group Facilitator’s Guide •Excessive eating or not eating •More frequent drinking or smoking •Excessive sleeping or suffering from insomnia Often we deny stress, but only if we recognize the problem and begin to think about how we can solve it can we fix the stress. • There are different types of stressors, or things that cause us stress. Can you think of examples of the different types of stress? Environmental Stressors • Poor housing conditions • Pollution and noise • Conflict in the community • Violence • Moving to a new place Family-related Stressors • Family separations • Marital conflicts • Illness of death of a family member • Parenting and child care challenges Workplace Stressors • Conflict • Challenging workload • Difficult schedule • Issues with supervisor Physical Stressors • Illnesses • Physical injuries (e.g. back pain) • Headaches • Can you name some of the health concerns related to stress? • • • • • • • • Anxiety Tiredness Exhaustion / lack of energy Back pain Depression Headache High blood pressure Flu • • • • • • • Stomach inflammation Diarrhea Ulcers Migraines Muscular tears Heart attack Cancer Note that these symptoms / illnesses can be caused by other things as well. • What are some things that we can do to reduce or avoid stress? 39 MHP Salud El Arte de Sobrevivir Support Group Facilitator’s Guide • Strengthen your body with food, relaxation, and adequate exercise to confront your problem and have a better attitude to overcome your problem. • Choose an activity that you love and do it as often as you can. • Consult with your doctor to determine if you have any physical problems. This way, you can eliminate possible medical issues. The following are healthy ways that the CDC recommends we cope with stress: • Take care of yourself • Get plenty of sleep • Eat healthy, well-balanced • Give yourself a break if you meals feel stressed • Exercise • Talk to others for support • Avoid drug and alcohol consumption Source: Centers for Disease Control and Prevention. (2014). Coping with Stress. Retrieved June 20, 2014, from http://www.cdc.gov/violenceprevention/pub/coping_with_ stress_tips.html 4 Activity 4: Discussion Goal: To discuss ways to manage stress. Time: 25 minutes Materials: None Handouts: 50 Things You Should Know About Stress Instructions: 1. Pass out, read, and discuss the handout 50 Things You Should Know About Stress. 2.Discussion Question • What have you learned about stress that you did not previously know? 5 Activity 5:Reflection Time: 20 minutes Goal: To read and reflect on the handout Manejando las Situaciones. Materials: None Handouts: Manejando las Situaciones. 40 MHP Salud El Arte de Sobrevivir Support Group Facilitator’s Guide 1. Pass out, read, and discuss the handout Manejando las Situaciones. 6 Activity 6: Stress Ball Time: 30 minutes Goal: The participants will make a stress ball to use when they are feeling stressed. Materials: Balloons, Flour, Piece of Construction Paper (or Funnel), Tape, Scissors, Markers Handouts: None Instructions: 1. If Facilitator does not have access to funnel, use construction paper and tape to make one. 2. Pass out two balloons to each participant. 3. Stretch out one of the balloons by inflating it and then letting the air out of the balloon. Have the participants do so gently so that the balloon does not fly everywhere. 4. Using a funnel, fill each balloon with flour. Do not fill the neck of the balloon with flour. 5. Tie a knot in the neck of the balloon. 6. Cut most of the neck off of the second balloon, and use this balloon to wrap the balloon that has been filled with flour. This will help prevent the flour from the spilling out of the first balloon. 7. If desired, the participants can decorate their stress balls with markers. 8. Explain how the stress balls can be used to alleviate stress when one is feeling extremely overwhelmed. 41 MHP Salud El Arte de Sobrevivir Support Group Facilitator’s Guide JOURNAL PROMPT SESSION 6 Make a list of what stresses you most. For each item, determine if there is an option that might help minimize the health concern associated with the stressor. 42 MHP Salud El Arte de Sobrevivir Support Group Facilitator’s Guide Session 7 Self-Care Session Objectives 1. Engage participants to define and explain the importance of self-care. 2. To learn ways to overcome emotional pain and to come out stronger and with the desire to heal one’s life. 3. To make bracelets of stones or beads. Materials �Poster �Marker �Song: Color Esperanza - Diego Torres �Stones and/or Beads �Ruler or Measuring Tape �Scissors or Wire Cutters � Wire to string beads �Glue �Needle Handouts • Cada Minuto es Especial • Lyrics: Color Esperanza 43 43 MHP Salud El Arte de Sobrevivir Support Group Facilitator’s Guide 1 Activity 1: Introduction Time: 15 minutes Goal: To welcome participants to Session 7 and discuss journal entries from Session 6. Materials: None Handouts: None Instructions: 1. Welcome everyone, especially the new participants. 2. Review the importance of maintaining confidentiality to any new participants. 3. Ask if there are any volunteers who would like to read their journal entry. 4. Present the topic: Self-Care. 2 Activity 2: What is Self-Care? I Wish That... Time: 15 minutes Goal: To verbalize a desire that the participants have. Materials: None Handouts: None Instructions: 1. Separate the participants into groups or maintain the group as a whole. 2. Explain to the participants that they cannot talk amongst themselves during the activity. 3. Ask each participant to define “self-care” and what it means to them. 4. Ask that each participant say a brief statement beginning with the words “I wish that…” 5. If there is time, the participants can repeat the activity. 3 Activity 3:Discussion Time: 15 minutes Goal: To discuss and elaborate on the topic of Self Care and Spiritual Health. Materials: None Handouts: None 44 MHP Salud El Arte de Sobrevivir Support Group Facilitator’s Guide Instructions: 1. As part of working with a community, and especially within the context of domestic violence, sexual violence and trauma, it can be difficult for anyone (whether or not they experienced abuse) to process and deal with what they may share or listen to during the sessions. During this session participants will identify their concerns and develop plans for how to take care of themselves. 2.Discussion Question • What is self-care? o Self care includes any intentional actions that care for the physical, mental, emotional and spiritual health. This could involve activities as a group (family/friends) or engaging in activities by themselves such as walking or keeping a journal. • Components of self-care: o Physical Health: food, exercise, sleep, medical care o Emotional Health: counseling, keeping a journal, meditation o Intellectual Health: learning a new skill, having stimulating conversations o Spiritual Health: engaging in a faith community, develop a spiritual practice, etc. The Importance of Spiritual Health: Regardless of their particular faith or religious affiliation, alongside the trauma of violence, many survivors of domestic violence will be dealing with some aspect of religious beliefs and teachings that will serve either as a resource or a roadblock to freeing themselves from abuse. Source: Fortune, M. & Enger, C. (2006, March). Violence Against Women and the Role of Religion. Harrisburg, PA: VAWnet, a project of the National Resource Center on Domestic Violence. For someone who has experienced abuse in their life, selfcare may seem like a foreign concept, exhausting, or pointless to consider and question how it could be of any use. It is also helpful to remember that self-care maybe interpreted as being selfish or self-indulgent. At first, doing self-care might not feel “normal” to the person, and that’s okay. It’s important to reiterate to participants to start by making small, gradual changes and focus on being gentle with themselves. 45 MHP Salud El Arte de Sobrevivir Support Group Facilitator’s Guide 4 Activity 4: Discussion Time: 15 minutes Goal: To discuss and elaborate on the activity, I Wish That... Materials: None Handouts: None Instructions: 1. Encourage the participants to share their thoughts about the activity: I Wish That... 2.Discussion Questions • How difficult or easy was it to think about wishes to share with others? • Why are these wishes or desires important? • Are there common wishes amongst the group members? • How well did the participants listen to the desires of the rest of the group? • How did each participant know whether the group members were listening or not? • From what we learned in previous sessions, how can we modify some of our immediate actions when it seems like others aren’t paying attention to our dreams and wishes? • What are some things that we can do to overcome negative thoughts? • What is the importance of constantly practicing to keep to ourselves our thoughts and feelings that we have about ourselves? 5 Activity 5: Reflection Time: 20 minutes Goal: To read and reflect on the handout Cada Minuto es Especial. Materials: None Handouts: Cada Minuto es Especial Instructions: 1. Pass out, read, and discuss the handout Cada Minuto es Especial. 46 MHP Salud El Arte de Sobrevivir Support Group Facilitator’s Guide 6 Activity 6: Positive Affirmations Time: 20 minutes Goal: To learn about the concept of positive affirmations and how it can be helpful. Materials: Poster, Marker Handouts: None Instructions: 1. Introduce the concept of positive affirmations. Positive affirmations are positive thoughts that we can tell ourselves to try and replace the negative thoughts that often are very present in our consciousness. They help us think positively and define what we want. Guidelines for making a positive affirmation: • Be clear about what it is that you want. • Is the affirmation really something that will be of value to you? • Visualize your affirmation. Develop a clear picture in your mind of what you want. • Write them down, and then refer to them. It also helps to note the date of the affirmation when you write it. • Refer to your affirmations regularly and edit them as necessary. Source: Dealing with Stress and Grief. (n.d.) Retrieved June 20, 2014, from http://www. libraries.psu.edu/psul/researchguides/citationstyles/APA_citation.html#WebSites 2. Share as a group some positive affirmations on a poster. Note that this session’s journal prompt will be an opportunity to write your own personal positive affirmations. The following are some examples of positive affirmations: • • • • • • • • • • • • • 47 I chose to fill my life with peace and joy. I choose to be focused and clear thinking. I believe in, trust and have confidence in myself. I learn from my mistakes. I forgive myself for not being perfect because I know I’m human. I never give up. I accept what I cannot change. I make the best of every situation. I stand up for my beliefs, values, and morals. I treat others with respect and appreciate their individuality. I make difference whenever I can. I practice patience, understanding and compassion with others as well as with myself. I commit to learning new things, remain open-minded and am the best I can be. MHP Salud El Arte de Sobrevivir Support Group Facilitator’s Guide • I live in the moment while learning from the past and preparing for the future. • I practice patience, understanding and compassion with others as well as with myself. • I commit to learning new things, remain open-minded and am the best I can be. • I live in the moment while learning from the past and preparing for the future. Source: Examples of Positive Affirmations. (n.d.). Retrieved June 20, 2014, from http:// www.essentiallifeskills.net/positiveaffirmations.html 7 Activity 7: Song Time: 10 minutes Goal: To listen to and discuss the lyrics of a motivational song. Materials: Song: Color Esperanza - Diego Torres Handouts: Lyrics: Color Esperanza Instructions: 1. Pass out Handout: Lyrics: Color Esperanza. 2. Play song Color Esperanza - Diego Torres. 3.Discussion Questions • What did you like about the song? • What was the main message of the song? 8 Activity 8: Jewelry Making Goal: To make an artisanal jewelry piece. Time: 30 minutes Materials: Stones and/or Beads, Ruler or Measuring Tape, Scissors or Wire Cutters, Wire to string beads, Glue, Needle. Handouts: None Instructions: 1. Pass out materials to group. 2. Have the participants use the materials to make bracelets. 48 MHP Salud El Arte de Sobrevivir Support Group Facilitator’s Guide JOURNAL PROMPT SESSION 7 Think of a list of your own personal positive affirmations and write them in your journal. Then refer to them periodically to practice incorporating them into your everyday thinking patterns. 49 MHP Salud El Arte de Sobrevivir Support Group Facilitator’s Guide Session 8 Looking Forward Session Objectives 1. To learn skills and receive advice related to professional development. 2. To receive certificates of completion from the Arte de Sobrevivir support group. 3. To celebrate as a group the completion of the Arte de Sobrevivir support group. Materials �Items for celebration (e.g. food, balloons, etc.) Handouts • Certificate of Completion 50 MHP Salud El Arte de Sobrevivir Support Group Facilitator’s Guide 1 Activity 1: Introduction Time: 15 minutes Goal: To welcome participants to Session 8 and discuss journal entries from Session 7. Materials: None Handouts: None Instructions: 1. Welcome everyone, especially the new participants. 2. Review the importance of maintaining confidentiality to any new participants. 3. Ask if there are any volunteers who would like to read their journal entry. 4. Present the topic: Looking Forward. 2 Activity 2: Building Each Other’s Self-Esteem Time: 15 minutes Goal: To build each other’s self-esteems by highlighting each other’s strengths. Materials: None Handouts: None Instructions: 1. Have the participants think back to the activity where they shared something positive about themselves. 2. Explain that now every participant will be invited to share something positive about each of the other participants. 3. Examples may include: • Stephanie was really good at the handicrafts. • Jessica had very insightful comments during the group discussion. 51 MHP Salud El Arte de Sobrevivir Support Group Facilitator’s Guide 3 Activity 3: Goal Setting Time: 15 minutes Goal: The participants will learn about the concept of goal setting Materials: None Handouts: None Instructions: 1.Discussion Questions • Have any of you heard of the concept of goal setting? If so, what have you heard? • Have any of you used the concept of goal setting? 2. Provide the following guidelines for setting a goal. You may write these qualities on a poster for the participants to see: Specific: Concrete, detailed, and well defined; What exactly do you want to do? What exactly do you want to happen? Measurable: Contains a number that you will be able to measure so that you know when the goal is achieved. How many minutes do you want to work out each week? What is the maximum amount of Coca-Colas will you allow yourself to drink each week? Achievable: The goal is something is that is easy to put into action. Is it possible to work out four hours a day, 7 days a week? Is it possible to work out 20 minutes a day, 4 days a week? Realistic: The goal is something that can actually be done. Is it possible that you will make 7 million dollars this year? Time-Bound: The goal has a deadline to establish a timeline When do you want to reach this goal by? Source: Centers for Disease Control and Prevention. (November 2, 2012). Develop SMART Objectives. Retrieved June 20, 2014, from http://www.cdc.gov/phcommunities/ resourcekit/evaluate/smart_objectives.html 52 MHP Salud El Arte de Sobrevivir Support Group Facilitator’s Guide 3. Read the following two goals, and discuss the differences. Decide as a group which is the best goal: Goal 1: I want to walk 10 miles every day. Goal 2: I want to walk at least 20 minutes a day, three days a week, for the entire month of April. 4 Activity 4:Goal Setting, continued Time: 15 minutes Goal: The participants will work in small groups to develop a specific, measurable, achievable, realistic, and time-bound goal. Materials: None Handouts: None Instruction: 1. Break the participants into small groups (2-3 individuals). 2. Ask them to brainstorm as a group to develop a goal that is: specific, measurable, achievable, realistic, and time-bound. 3. Have the small groups present the goals they develop, and discuss these goals together as one group. JOURNAL PROMPT SESSION 8 Think of some goals (2-3) that you would like to set for yourself, and write them down. Refer to them periodically to track your progress. 53 MHP Salud El Arte de Sobrevivir Support Group Facilitator’s Guide 5 Activity 4: Presentation of Certificates Time: 10 minutes Goal: Present each participant with a certificate of completion. Materials: None Handouts: Certificate of Completion Instructions: 1. Present each participant with a Certificate of Completion. 2. Encourage the group to applaud for each participant. 6 Activity 6: Final Thoughts Time: 20 minutes Goal: The participants will reflect on their experience in the Arte de Sobrevivir support group Materials: None Handouts: None Instructions: 1. • • • Discussion Questions What did you like most about the program? What did you learn in the program? How do you think you will use what you learned in the program in the future? • What would you change about the program? 7 Activity 7: Celebration Time: 30 minutes Goal: The participants will celebrate their successful completion of the Arte de Sobrevivir support group. Materials: Items for celebration (e.g.: food, balloons, etc.). Handouts: None Instruction: 1. Take this time to celebrate the participants’ accomplishments. 2. The specifics of the celebration are to be determined by your agency. 54 MHP Salud El Arte de Sobrevivir Support Group Facilitator’s Guide Appendix Session Handouts Recordando lo Bueno de la Vida (Session 1, Activity 7).............................. 56 Tú Vales Mucho (Session 2, Activity 6)........................................................ 57 The Immigrant Power and Control Wheel (Session 3, Activity 3)............... 58 Maze of Coercion Wheel (Session 3, Activity 3)........................................... 59 Remember My Name (Session 3, Activity 4)................................................ 60 Domestic Violence Personal Safety Plan (Session 4, Activity 3).................. 61 Personal Safety Plan Worksheet (Session 4, Activity 3).............................. 63 Anger Management Skills (Session 5, Activity 3)......................................... 65 Expresándote con Firmeza y Ternura (Session 5, Activity 5)........................66 50 Things You Should Know About Stress (Session 6, Activity 4)............... 67 Manejando las Situaciones (Session 6, Activity 5)....................................... 69 Cada Minuto es Especial (Session 7, Activity 5)........................................... 70 Lyrics: Color Esperanza (Session 7, Activity 7)............................................ 71 Certificate of Participation (Session 8, Activity 5)....................................... 72 Materials List............................................................................................. 73 55 MHP Salud El Arte de Sobrevivir Support Group Facilitator’s Guide Session 1, Activity 7 Recordando lo Bueno de la Vida Es más fácil dar conejos que practicarlos. Toma mucho tiempo cambiar de actitud ante ciertas situaciones, y más aún cuando la autoestima está baja. Cuando desees cambiar tu forma de actuar, debes hacerlo con entusiasmo, con empeño, con insistencia y dedicación. Entonces, y sólo entonces, tendrás resultados positivos. Para que logres tener una autoestima alta es indispensable que aprendas a reconocer tus habilidades y debilidades. A veces cuesta mucho trabajo reflexionar sobre nosotras mismas, cómo somos realmente y cuáles son las metas que hemos logrado. Pues bien, comienza a pensar sobre ti misma y anota en tu diario las cosas que más admiras en ti. ¿Te has dado cuenta lo valiosa qué eres? ¿Cómo lograste sobrevivir entre dos culturas y quizás hablando dos idiomas? ¿Cómo te esfuerzas trabajando, criando a tus hijos y luchando por tu familia? ¿Sabes cuáles son tus cualidades? ¿Sabes cuáles son tus fortalezas? Te aseguro que después de practicar estos ejercicios te sentirás mucho mejor. Siempre acuérdate de cuántas cosas buenas han pasado en tu vida y de cuánto amor has entregado a tus hijos y familia. Créeme, estos ejercicios te ayudarán a amarte y admirarte a ti misma. Source: U.S. Department of Health and Human Services Substance Abuse and Mental Health Services Administration. (n.d.). Los Consejos de la Abuelita. Retrieved on June 20, 2014, from http://www.vitalibros.cl/catalogo_web/colecciones/100/150/155/consejos. pdf 56 MHP Salud El Arte de Sobrevivir Support Group Facilitator’s Guide Session 2, Activity 6 ¡Tú Vales Mucho! No minimices tu valor comparándote con otros. Nuestras diferencias son precisamente lo que nos hacen especiales. No cambies tus metas para complacer otras personas. Eres la única persona que sabe lo que es mejor para ti. Nunca tomes en vano las cosas que para ti son importantes. Aférrate a sus sueños porque sin los sueños la vida no tiene mucho sentido. No permitas que tu vida se resbale por tus dedos mientras vives solamente en el pasado o en el futuro. Vive tu vida un día a la vez con confianza en ti mismo y esperanza para el futuro y vas a disfrutar más la vida. ¡No te rindas! Aún tiene algo a ofrecer. Nada es inútil hasta que túdecides rendir. No tengas miedo de tomar riesgos. A menudo logramos gran triunfos al tomar ciertos riesgos. La manera más rápido de sentir rechazo es aferrarse muy fuerte al objeto de nuestros cariños. No corras tan rápido por la vida que olvides donde has estado y a dónde vas. La vida no es una carrera sino un viaje que debes saborear sea lo que sea para madurar como ser humano. Source: Gustavo Er Cura. (2005, April 27). Tu Vales Mucho [Weblog Post]. Retrieved June 20, 2014 from http://gusjud.blogspot.com/2005_04_01_archive.html 57 MHP Salud El Arte de Sobrevivir Support Group Facilitator’s Guide Session 3, Activity 3 58 MHP Salud El Arte de Sobrevivir Support Group Facilitator’s Guide Session 3, Activity 3 59 MHP Salud El Arte de Sobrevivir Support Group Facilitator’s Guide Session 3, Activity 4 “REMEMBER MY NAME” When you remember my walk upon this earth, look not into my steps with pity. When you taste the tears of my journey, notice how they fill my foot prints Not my spirit, for that remains with me. My story must be told, must remain in conscious memory So my daughters won’t cry my tears, or follow my tortured legacy. Lovin’ is a tricky thing, if it doesn’t come from a healthy place, If Lovin’ Doesn’t FIRST practice on self it will act like a stray bullet not caring what it hits You may say: Maybe I should’ve loved him a little less Maybe I should’ve loved me a little more, Maybe I should’ve not believed he’d never hit me again. All those maybes will not bring me back– not right his wrong. My life was not his to take. As your eyes glance my name, understand once I breathed, Walked, Loved just like you. I wish for all who glance my name, to know love turned fear – kept me there, loved twisted to fear, kept me in a chokehold, cut off my air, blurred my vision I couldn’t see how to break free. I shoulda told my family I shoulda told my friends I shoulda got that CPO Before the police let him go But all those shoulda’s can’t bring me back when I lied so well To cover the shame To hide the signs. If my death had to show what love isn’t If my death had to show that love shouldn’t hurt If my death had to make sure another woman told a friend instead of holding it in. If my death reminds you how beautiful, how worthy you really are, if my death reminds you to honor all you are daily, then remember my name. Shout it from the center of your soul, wake me in my grave. Let ME know, My LIVING was not in vain. Source: Collins, K. A. (2016, 01 09). A Woman’s Place Blog. Retrieved from A Woman’s Place Blog: https://awomansplaceblog.wordpress.com/2010/10/23/remember-myname-by-kimberly-a-collins/ 60 MHP Salud El Arte de Sobrevivir Support Group Facilitator’s Guide Session 4, Activity 3 61 MHP Salud El Arte de Sobrevivir Support Group Facilitator’s Guide Session 4, Activity 3 62 MHP Salud El Arte de Sobrevivir Support Group Facilitator’s Guide Session 4, Activity 3 Personal Safety Plan Worksheet Step 1: Safety during a violent incident. I can use some or all of the following strategies: A.If I have/decide to leave my home, I will go to___________________. B.I can tell (neighbors) ___________________ about the violence and request they call the police if they hear suspicious noises coming from my house. C. I can teach my children how to use the telephone to contact the police. D.I will use ______________________ as my code word so someone can call for help. E.I can keep my purse/car keys ready at (place)_______________, in order to leave quickly. F. I will use my judgment and intuition. If the situation is very serious, I can give my partner what he/she want to calm him/her down. I have to protect myself until I/we are out of danger. Step 2: Safety when preparing to leave. I can use some or all of the following safety strategies: A. I will keep copies of important documents, keys, clothes and money at ________________________. B.I will open a savings account by (date)_____________, to increase my independence. C.Other things I can do to increase my include:_________________________________________________. independence D. I can keep change for my phone calls on me at all times. I understand that if I use my telephone credit card, the telephone bill will show my partner those numbers that I called after I left. E.I will check with ________________________ and my advocate to see who would be able to let me stay with them or lend me some money. 63 MHP Salud El Arte de Sobrevivir Support Group Facilitator’s Guide F. If I plan to leave, I won’t tell my abuser in advance face-to-face, but I will call or leave a note from a safe place. Step 3: Safety in my own residence. Safety measures I can use include: A. I can change the locks on my doors and windows as soon as possible. B.I can replace wooden doors with steel/metal doors. C. I can install additional locks, window bars, poles to wedge against doors, and electronic systems etc. D. I can install motion lights outside. E. I will teach my children how to make a collect _______________________________ if my partner takes the children. call to F. I will tell people who take care of my children that my partner is not permitted to pick up my children. G.I can inform (neighbor) ______________________that my partner no longer resides with me and they should call the police if he is observed near my residence. Step 4: Safety with a protection order. The following are steps that help the enforcement of my protection order. A. Always carry a certified copy with me and keep a photocopy. B. I will give my protection order to police departments in the community where I work and live. C. I can get my protection order to specify and describe all guns my partner may own and authorize a search for removal. Source: Family Violence Prevention Fund. (2004, February). National Consensus Guidelines on Identifying and Responding to Domestic Violence Victimization in Health Care Settings. Retrieved June 20, 2014, from http://www.futureswithoutviolence.org/ userfiles/file/Consensus.pdf 64 MHP Salud El Arte de Sobrevivir Support Group Facilitator’s Guide Session 5, Activity 3 recognize you’re anger early Anger Management Skills If you’re yelling, it’s probably too late. Learn the warning signs that you’re getting angry so you can change the situation quickly. Some common signs are feeling hot, raising voices, balling of fists, shaking, and arguing. Take a timeout Temporarily leave the situation that is making you angry. If other people are involved, explain to them that you need a few minutes alone to calm down. Problems usually aren’t solved when one or more people are angry. Deep breathing Take a minute to just breathe. Count your breaths—four seconds inhaling, four seconds holding your breath, and four seconds exhaling. Really keep track of time, or you might cheat yourself! The counting helps take your mind off the situation as well. Exercise Exercise serves as an emotional release. Chemicals released in your brain during the course of exercise create a sense of relaxation and happiness. Express your anger Once you’ve calmed down, express your frustration. Try to be assertive, but not confrontational. Expressing your anger will help you avoid the same problems in the future. What will be the outcome of your next anger-fueled action? Will arguing convince the other person that you’re right? Will you be happier after the fight? think of the consequences Visualization Imagine a relaxing experience. Think of every sense. What do you see, smell, hear, feel, and taste? Maybe you’re on a beach with sand between your toes and waves crashing in the distance. Spend a few minutes imaging every detail of your relaxing scene. Source: Anger Management Skills (2012). Retrieved June 20, 2014, from http://www. therapistaid.com/therapy-worksheet/anger-management-skills/none/none 65 MHP Salud El Arte de Sobrevivir Support Group Facilitator’s Guide Session 5, Activity 5 Expresándote con Firmeza y Ternura Sabemos que en esta vida nadie es perfecto. Por lo tanto, cuando los planes no te resulten tan perfectos como esperabas, no te desesperes. Aprende la lección de cómo hacerlo mejor la próxima vez. De la misma forma que analizamos nuestras acciones, debemos Convencernos que nadie es culpable de las acciones de los demás. Cuando tenemos dudas de que algo no resultó como queríamos o nos sentimos culpables de haber causado algún conflicto, lo más saludable es tratar de expresar cuidadosamente nuestras frustraciones o temores. Te recomiendo que lo hagas de una manera civilizada y respetuosa hacia los demás. Cuando nos sentimos culpables, por lo general reprochamos y acusamos a los demás. Muchas veces nos sentimos avergonzadas, lo cual nos lleva a hacernos daños a nosotros mismas y a los demás. Seguramente te encontrarás en situaciones donde te sentirás responsable de todo lo que ocurre a tu alrededor. Otras veces te atemorizará enfrentar tus propios errores. Te contaré que me he encontrado en estas situaciones difíciles muchas veces. Me he sentido llena de miedo y toda confundida, pero dicen que después de la tormenta viene el arco iris…y es verdad, porque en cuanto se me pasaba la ira, comenzaba a comunicar mis emociones con más sinceridad y claridad. Recuerda que tanto la ira como la tristeza son emociones naturales y normales. Debemos aprender cómo manejarlas, de tal forma que no perjudiquen nuestra salud. No obtenemos nada con una actitud negativa plagada de resentimientos. La vida me ha enseñado que podemos solucionar problemas enormes cuando estamos dispuestas a perdonar. Aquí me viene a la menta lo que mi abuelita me decía: “Mijita, tráguese el orgullo porque no engorda.” Es necesario que comuniques tus sentimientos y que aprendas a perdonarte. Cuando te equivoques y pide perdón, y no te critiques tanto. Sobre todo, sé bondadosa contigo misma, así te aliviarás y volverás a sentirte feliz. Source: U.S. Department of Health and Human Services Substance Abuse and Mental Health Services Administration. (n.d.). Los Consejos de la Abuelita. Retrieved on June 20, 2014, from http://www.vitalibros.cl/catalogo_web/colecciones/100/150/155/consejos. pdf 66 MHP Salud El Arte de Sobrevivir Support Group Facilitator’s Guide Session 6, Activity 4 67 MHP Salud El Arte de Sobrevivir Support Group Facilitator’s Guide 68 MHP Salud El Arte de Sobrevivir Support Group Facilitator’s Guide Session 6, Activity 5 Manejando las Situaciones Yo creo que mi alma, corazón y mente estarán siempre ligados a mi tierra, mi cultura y mis costumbres. Allí aprendí que hay que gozar el momento y los pequeños detalles. Recuerdo aquellas largas noches de invierno, cuando con mamá nos sentábamos a tomar leche caliente frente a la estufa y hablábamos por horas. Por eso me molesto cuando escucho tantas quejas de la gente joven que se sienten apesumbradas por el estrés. Trata de recordar que la vida para ellos es mucho más compleja de lo que fue para ti o para mí. Desde que comienza el día nos encontramos con algunas situaciones desagradables, las cuales nos ponen tensas y nerviosas. A su vez, esto se refleja en nuestro cuerpo y mente acumulando un tremendo estrés. Para evitar estas tensiones te recomiendo que entre medio de toda tus obligaciones incorpores, cada día, una forma acogedora de descanso como; leer un libro, escuchar música, tomar un baño de hierbas de manzanilla con hojitas de naranja o una simple caminata. Para reducir la ansiedad emocional o el estrés existen dos técnicas que a mí me han dado buenos resultados. Cuando me vienen pensamientos negativos los cambio por positivos diciéndome BASTA. Te puede parecer totalmente simple, pero la verdad es que cualquier pensamiento tiene 20 segundos para grabarse en tu cerebro. Sé más rápida y aléjalo. No es fácil pero, tiene que practicarlo a diario. La segunda técnica es la visualización. Esta consiste en imaginarse situaciones agradables para hacer los cambios que deseamos. Para eso trata de relajarte respirando profunda y lentamente por algunos minutos. Luego imagina algunas situaciones en una forma más agradable. Esto te relajará y ayudará a reducir el estrés. Los síntomas más comunes del estrés son: • la palpitaciones • la sequedad en la boca o la garganta • el dolor de cabeza • la dificultad al hablar • el sudor en las palmas de las manos, el cuello o en otras partes del cuerpo • el dolor de estómago, la diarrea o el vómito • la ansiedad, el nerviosismo y el desvelo. En caso que alguna vez tengas estos síntomas, acuérdate de practicar las técnicas que te indiqué. Si tiene estos síntomas, por mucho tiempo, busca ayuda profesional. Source: U.S. Department of Health and Human Services Substance Abuse and Mental Health Services Administration. (n.d.). Los Consejos de la Abuelita. Retrieved on June 20, 2014, from http://www. vitalibros.cl/catalogo_web/colecciones/100/150/155/consejos.pdf 69 MHP Salud El Arte de Sobrevivir Support Group Facilitator’s Guide Session 7, Activity 4 Cada Minuto es Especial Tenemos casas más grandes, pero familias más chicas. Tenemos más compromisos, pero menos tiempo. Tenemos más medicinas, pero menos salud. Hemos multiplicado nuestras fortunas, pero hemos reducido nuestros valores. Hablamos mucho, amamos poco y odiamos demasiado. Hemos llegado a la Luna y regresamos, pero tenemos problemas para cruzar la calle y conocer a nuestro vecino. Hemos conquistado el espacio exterior pero no el interior. Tenemos mayores ingresos, pero menos moral. Estos son tiempos con más libertad, pero menos alegría. Estos son tiempos con más comida pero menos nutrición. Estos son días en los que llegan dos sueldos a casa, pero aumentan los divorcios. Estos son tiempos de casas más lindas, pero más hogares rotos. No guardes nada “Para una ocasión especial”, porque cada día que vives es una ocasión especial. Lee más, siéntate en la terraza y admira la vista sin fijarte en las mala hierbas; pasa más tiempo con tu familia y con tus amigos; como tu comida preferida; visita los sitios que ames. La vida es una sucesión de momentos para disfrutar, no es solo para sobrevivir. Usa tus copas de cristal; no guardes tu mejor perfume, úsalo cada vez que te den ganas de hacerlo. Las frases “Uno de estos días” , “Algun día” quítalas de tu vocabulario. Escribamos aquella carta que pensábamos escribir “Unos de estos días. Digamos hoy a nuestros familiares y amigos, cuanto los queremos. Por eso no retardes nada que agregue risa y alegría en tu vida. Cada día, hora, minuto, es especial. Si estás tan ocupado y no puedes tomarte unos minutes para mandar un mensaje a alguien que te quieras, y te dices a ti mismo que lo enviaras “Uno de estos días”, piensa que “Uno de estos días” puede estar muy lejano, o puede que Tú no llegues nunca a ese día. Adapted from: Para Pensarl.o (n.d.). Retrieved June 20, 2014, from http://www. enbuenasmanos.com/articulos/muestra.asp?art=378 70 MHP Salud El Arte de Sobrevivir Support Group Facilitator’s Guide Session 7, Activity 6 Lyrics: Color Esperanza - Diego Torres Sé que hay en tus ojos con solo mirar Que estás cansado de andar y de andar Y caminar, girando siempre en un lugar. Sé que las ventanas se pueden abrir Cambiar el aire depende de ti Te ayudará, vale la pena una vez más. Saber que se puede, querer que se pueda Quitarse los miedos sacarlos afuera Pintarse la cara color esperanza Entrar al futuro con el corazón. Es, mejor perderse que nunca embarcar Mejor tentarse a dejar de intentar Aunque ya ves que no es tan fácil empezar. Sé que lo imposible se puede lograr Que la tristeza algún día se irá Y así será la vida cambia y cambiará. Sentirás que el alma vuela Por cantar una vez más Saber que se puede, querer que se pueda Quitarse los miedos sacarlos afuera Pintarse la cara color esperanza Entrar al futuro con el corazón (2x) Vale más poder brillar Que sólo buscar ver el sol Pintarse la cara color esperanza Entrar al futuro con el corazón Saber que se puede , querer que se pueda Pintarse la cara color esperanza Entrar al futuro con el corazón Saber que se puede , querer que se pueda Quitarse los miedos sacarlos afuera Pintarse la cara color esperanza Entrar al futuro con el corazón Saber que se puede querer que se pueda Pintarse la cara color esperanza Entrar al futuro con el corazón...(2x) Source: Letra ‘Color Esperanza’ . (n.d.). Retrieved June 20, 2014, from http://www.musica.com/ letras.asp?letra=1412307 71 MHP Salud El Arte de Sobrevivir Support Group Facilitator’s Guide Session 8, Activity 5 72 MHP Salud El Arte de Sobrevivir Support Group Facilitator’s Guide Session Materials List 1 • • • • • 2 • Notebook Paper 3 • Magazines • Scissors • Card Stock 4 5 6 7 8 73 Poster Board (2) Marker Pen Paper Glue • Poster • Marker • Personal Photographs • Balloons • Flour • Piece of Construction Paper (or Funnel) • Poster • Marker • Song: Color Esperanza Diego Torres • Stones and/or Beads • Items for celebration (e.g. food, balloons, etc.) • Scissors • Magazines • Crafting Items (e.g. craft letters, stickers, patterned paper, buttons, wax strips, etc.) • Crafting Items (e.g. glue, synthetic flowers, ribbon, wrapping paper, lace, etc.) • Glue • Markers • Crafting Items (e.g. card stock, glitter, pens, ribbon, markers, scissors, glue) • Card Stock • Tape • Scissors • Markers • • • • • Ruler or Measuring Tape Scissors or Wire Cutters Wire to string beads Glue Needle MHP Salud El Arte de Sobrevivir Support Group Facilitator’s Guide MHP Salud Offices in: Florida, Ohio, Michigan, Texas and Washington 800.461.8394 mhpsalud.org 74 7