Sanctuary Psycho-Education Manual
Transcription
Sanctuary Psycho-Education Manual
Sanctuary Psycho-Education Manual Andrus drus Center for Learning and Innovation SELF Psycho Psycho-Education Curriculum urriculum Adapted from the SELF Curriculum written by Sandra Bloom, M.D., Ruthann Ryan, CNS and Joseph Foderaro CSW Developed by Jennifer L. Daily, LMSW, Mosaka Henry, BA, Leslie Zeller, LMSW, LMSW Siobhan Masterson, CSWR CSWR, and Landa C. Harrison, LPC 2008 Written by Siobhan Masterson, CSW-R Contact Siobhan Masterson, CSWR Sanctuary Coordinator Andrus Children’s Center 914-965-3701 ext. 1255 [email protected] Sanctuary Psycho-Education Education Manual: Introduction Page i Sanctuary Psycho-Education Manual Psycho-Education ducation and SELF Group Safety Loss Future Emotions Overview T his curriculum teaches core Sanctuary concepts in the language of SELF – safety, emotions, loss and future – with the goal of helping children recover from the effects of trauma and chronic stress. The curriculum teaches our children why what happened to them effects the way they act in everyday life and emphasizes education on as well as the processing of feelings feelings.. It is our belief that if children are to make progress in treatment, they must shift their understanding of what has happened to them and the role they must play in their own recovery. This manual can provide you will the basic information and suggested topics and activities for communicating this to the many populations that your program serves. The primary task of reeducation involves a change in the person’s self perception. We believe eve that increasing awareness, emphasizing safety, and teaching skills to manage feelings are crucial steps to take in creating an environment that can handle the crucial work of processing feelings, past trauma, grief and loss. Alone, changes in knowledge, dge, values and beliefs won’t result in changes hanges in behavior unless they are grounded in a changed perception of the self and situations. Educators, parents, and policy makers have established that children need a certain set of skills to be successful in n the world – the ability to read and write well, to have a good understanding of math and science, and the ability to use critical thinking skills. But there is a whole other set of skills that children need, not just to get a good job but to have a good life. This set of skills is often taught to children, consciously or not, by their family members. In the best of situations, these concepts are taught during “teachable moments” throughout a day. Unfortunately, sometimes children do not learn all the skills they need or are taught negative and destructive ways to live. All children need to learn the skills that will help them to succeed Sanctuary Psycho-Education Education Manual: Introduction Page ii Sanctuary Psycho-Education Manual in the world – the ability to care for themselves and others, the ability to manage their emotions, the ability to envision a positive future, and the ability to cope with adversity and loss. We hope this curriculum encourages a more conscious conversation about how we plan to teach these crucial social and emotional skills to children. This curriculum supports the teaching of this knowledge, and we encourage you to develop your own creative means of teaching children emotional intelligence skills. Teaching these skills in a variety of settings at your agency, such as the classroom, the residence, and individual therapy sessions, encourages a shared language from which we can all draw upon to create Sanctuary. This language can help when the community is struggling or experiencing any concerns related to Safety, Emotion management, Loss and Future. We hope your approach in sharing these exercises with the children is one of collaboration -- a primary Sanctuary principle. The more you collaborate with the children and with your colleagues, we believe the more successful you will be. Please feel free to modify, change, or develop your own approaches to teach these concepts to your group, since creativity and flexibility are also important skills to model for the children. General Information The overall frame of this curriculum follows the SELF model – Safety, Emotions, Loss and Future. Each domain has at least two modules. It follows a natural progression though the modules can stand alone as well. Ongoing adaptations can be made to target your specific group and their needs. The goal is to first work with the group to build a basic understanding of the concepts of SELF and then explore topics pertinent to the group’s needs. The order in which the activities are present is not meant to be addressed in a fully systematic way. For example, one group may need to spend 4 weeks on Safety to build an awareness of the multiple safety needs within the group. Another group may need to target emotional awareness thereby learning how to identify and negotiate more complex emotional experiences. As a group facilitator, the task is to monitor the group’s needs, collaborate with members, and to facilitate learning through the psycho-education groups. Sanctuary Psycho-Education Manual: Introduction The goal of the first group is to build a basic understanding of SELF Page iii Sanctuary Psycho-Education Manual Lessons- Key Points, Discussion Topics, Activities Each Section will provide information on the topic and concepts that are vital to try to teach and process through the following lessons. Sample lessons will be explained. These lessons are guidelines to use as a base to be built upon. Group dynamics are frequently changing and therefore, lessons will need to be adapted to suit the needs of the group. Each lesson will include Key Points that designate the concepts that are to be taught to group members. These will be followed by an Activity Description. Activities may use art, multimedia or interactive tasks and materials. Adaptations for Various Populations As there are multiple populations being taught the Sanctuary Model, there will be adaptations and explanations for these. Suggested Resources and Tools Each lesson will have Resource Suggestions following it. These may include workbooks, movies, music, websites and items in the appendix. As this is a working document, if group leaders discover additional resources, these will be included. It is important to recognize that movies and music and other pop-culture items are frequently changing and may not apply to all populations. Resources will be marked as to which population they apply. Additional Group Structuring Tools At the start of this manual, there are materials to help to structure groups such as check in activities, check out activities and other suggestions. Some lessons may have different structuring options and tools. Sanctuary Psycho-Education Manual: Introduction Page iv Sanctuary Psycho-Education Manual Facilitator Points to Remember 1. Most of the children are here because of what’s happened to them, not what’s “wrong” with them. 2. We can either help or hurt each other. Be aware of the power of your words and actions to create safety together. 3. Everyone must feel safe to do the hard work of growing and healing. 4. Most children and adults react to being afraid and stressed by fighting, running away, or “freezing.” Those are normal reactions to what we call “trauma.” 5. Feelings are not the enemy -- feelings are natural human reactions designed to protect and help you. Unfortunately, when people go through a lot of stress or pain, feelings can become very painful and we learn to avoid them. 6. Teaching children about boundaries is essential-- when to say no, yes, ouch, uh-oh or oops. 7. Part of healing is learning what your feelings are, how to manage them, and how to share them with yourself and others. 8. Learning how to trust and whom to trust (and not to trust) is an important part of teaching and healing. 9. Remember that as a facilitator, children will follow your lead! Be sure to role model that you deserve to be kind to yourself. 10. Triggers are things that remind children of old pain and they react to them with old feelings such anger, rage, grief, or fear. Help children learn their triggers. 11. Teach group members that there are ways to stay centered and grounded to help them through the times that they are triggered or when things are especially rough. Remind them that they can do it! 12. Remember to always BREATHE! 13. Children who have gone through hard things have many losses. It is important to find ways to honor and respect all the loss they have experienced. 14. Teach members how to manage re-enactment. Help them understand that sometimes any of us can “reenact” bad things, events, or painful feelings that happened to us. Teach them that they can stop this from happening by learning about reenactment and by telling their story to a safe person. 15. Remember that CHANGE is hard and can be terrifying. Change = Loss. Members must feel safe enough and hopeful enough to take the risk of change. Help them identify what they need to feel safe enough to take the risks that we will be asking them to take during their participation in this group. 16. Remember that Power means being responsible for our thoughts and actions. You have great power to make change, but at the same time you cannot control or change another human being. 17. One person has the ability to make this world a better place. Each child around you has experienced significant trauma and loss and has been exposed to many other helpers before you. Be mindful of this and of their influence on you. Learn about your members, find hopeful stories that will help them heal and remember that you must also take care of yourself. 18. Never forget that Play is healing! 19. And that you can be the change that you want to see in the world! Sanctuary Psycho-Education Manual: Introduction Page v Sanctuary Psycho-Education Manual Safety Module 1: Group Safety Objective: Group members will identify basic group expectations and rules in efforts of developing group cohesion. Activity Directions: Key Points • Go Slow! • Model safe group behavior. • Create “safe” group norms. • Having Safety and respect may be the only necessary rule for the group. Materials 1. Flip Chart and Markers 2. Art materials for large group collage (paper, craft materials, glue, etc.) 3. Points To Remember Handout Resources Silver Bullets: Bullets A Guide to Initiative Problems, Adventure Games, and Trust Activities by Karl Rohnke *Icebreaker Icebreaker Activities will help a new group feel safer and develop safety from the first group! Sanctuary Psycho-Education Manual- Safety 1. Go slow. The respect you offer the children will go a long way toward modeling what you hope from them. Asking them what they want from the group is essential. An important statement is that “I commit to treating you with respect, and ask that you do the same for me and for each other.” This will be tested but lays the groundwork for modeling healthy authority, shared governance, open communication and trust. An important message for them to hear will be that “many of the children are here not because of what is “wrong” with them but because of what has happened to them. 2. Ask the group some ideas of what people will need to make this a group where people feel comfortable enough to talk about their ideas and feelings. Make sure to emphasize that there is no wrong answer and that the group leaders take what they say seriously. 3. Write down their answers on a piece of flip chart paper so everyone can see. If possible, ask a student to write down the ideas. 4. After the group has identified what they need to feel safe: some responses might include no cursing, no making fun of others, listen to one another, no hitting, etc), put up the definitions of the four types of safety: physical, emotional, social and moral. Make sure the definitions are understood by everyone in the room (see handout for examples). 5. Ask the group to match up their answers to what kind of safety it identifies (no hitting=physical safety). 6. Now ask the group, if we were to make up rules for our group, what should they be? Identify rules. Make sure they are in the positive as well as in the negative (Keep hands to self instead of no hitting). Page 1 Sanctuary Psycho-Education Manual 7. The group can make a group collage or art project on a large piece of thick paper. This is an opportunity to observe the group process. Make sure that everyone has room and time to draw. This project can take several sessions. The group can have their picture taken together and added to the display. 8. Have group members and adults sign the rules. Keep rules visible for remainder of the group. Group Variations For older groups of children: The activity will remain very similar. Process with the group what kinds of behaviors are necessary to ensure safety and group cohesion. Be sure to develop group rules that target respect for others, self-worth, and emotional safety with peers. Ask for member volunteers to write on flip charts and project development. Take Home Message: We all need to feel protected. Together, we can create a space that feels safe. End with a Go-Around: How was Group? What did I learn from Group? How do I think I did in Group? Sanctuary Psycho-Education Manual- Safety Page 2 Sanctuary Psycho-Education Manual 1. We must all feel safe to do the hard work of growing and healing. 2. Feelings are not the enemy -- feelings are natural human reactions designed to protect and help you. 3. It is “Ok” to tell others when you are afraid and stressed. Sometimes you can end up fighting, running away, or “freezing.” These are normal reactions to what we call “trauma. 4. We all will need to learn about boundaries-- when to say no, yes, ouch, uh-oh or oops -- is important! 5. An important part of this group and of healing is learning how to trust and whom to trust. We will work on this together. 6. You deserve to feel better and to be kind to yourself. 7. Remember to always BREATHE. 8. It is hard work to work out a conflict with someone else, but you can learn how to do it. 9. Sometimes even good change can feel frightening. Change = Loss and we have to feel safe enough and hopeful enough to take the risk of change. What do you need to feel safe enough? 10. Play is healing! 11. You can heal. Sanctuary Psycho-Education Manual- Safety Group #1- Resource Handout Page 3 Sanctuary Psycho-Education Manual Safety Module 2: What is SELF? Objective: Have group identify basic group expectations and rules and develop some beginning group cohesion. Activity Directions: 1. Let the group know that you want to each them about SELF. State that SELF is something that you and others have discovered helps you figure things out. Key Points • SELF is a compass that helps you manage life in a healthy way • Future is what guides us! • Safety and kindness toward others is essential! Materials 1. SELF Compass handout or paper to create unique compass. 2. Markers, colored pencils, crayons, etc. Resource: Resource: Icebreakers are an especially important component of a positive group experience. Take the time to review various icebreaker activities and select some that will suit the needs of your group during the first few meetings and when a new member joins the community. 2. Show them a compass. Ask them about it – what is it? What does it do? How does it help you? Where does it point to? Why do people use it? What happens when you need one and you don’t have one? 3. State that SELF is a compass in a lot of ways, a compass for how you can manage life in a healthy way. 4. Draw the SELF compass for them on a sheet of big paper. Explore with the group what each letter is and what it might mean to them. Why do we say safety is important? Why is learning about feelings and how to manage them important? What about Loss? Do they know how loss might be important to explore? And end with Future – Future is to self as north is to the compass – it’s where it guides you to. 5. Ask the group where they would want to go to in their future if the SELF compass could lead them to wherever they wanted to go —happiness? Playing baseball on a team? Safety in their family? Home? 6. Invite the group to draw their compass. Give them time and various art materials (colored pencils, crayons, markers, No 2. pencils, etc). You can use the attached handout or have them design their own SELF compass. They can draw a picture at each letter or do whatever they’d like to do. 7. Take some time before the end of group to have the children show their work to each other, strongly emphasizing safety and kindness toward one another’s work. Sanctuary Psycho-Education Manual- Safety Page 4 Sanctuary Psycho-Education Manual Group Variations For older groups of children: The activity will remain very similar. Ask the Group to draw or journal about where they would like the SELF compass to lead them- in their life; how they would act differently, what would be the best possible place to be two years from now? One year? Six months? Tomorrow? Quick Stories Variation: Create a deck of “SELF” and emotion cards that contain one SELF or emotion word per card (i.e.: physical safety, silly, frightened, Emotions Management=anger; Future=college etc.). You will want to have at least 5 cards per group member. Pass out five cards to each group member, plus a blank index card and pencils. Members are to take two-three minutes to create a story about themselves using all the words on the cards. Then, read or tell these stories to the group. Take Home Message: We all need people and tools to guide us toward a positive future. End with a Go-Around: How was Group? What did I learn from Group? How do I think I did in Group? Sanctuary Psycho-Education Manual- Safety Page 5 Sanctuary Psycho-Education Manual Safety Module 2 Handout: SELF Compass S F E L Using SELF as my compass, my ideal destination would be….. Sanctuary Psycho-Education Manual- Safety Page 6 Sanctuary Psycho-Education Manual Safety Module 2: SELF Compass Objective: Key Points • SELF is a model to guide us through through LIFE! • Future is what guides us! • Safety and kindness toward others is essential! Materials 1. Flip Chart and bold markers 2. Map examples 3. Markers, colored pencils, crayons, construction or drawing paper, etc. Resources: Icebreakers can also benefit the group and become “warm-up: activities during future meetings. World History Text Books: A great resource to demonstrate how explorers mapped out their journeys. Look specifically for Columbus, Magellan, Amerigo Vespucci etc. To teach how the SELF model can help guide group members through life. To provide a concrete example of how life without the SELF model has been difficult, and ways in which the SELF model can help for the future. Activity Directions: 1. Engage group members in a brief discussion. State that a lot has happened to them in their lives and their work here at in the program is to learn how to how to cope with all they’ve been through. The SELF model is how we teach children to cope and get better. 2. Hand out paper and pencils to each group member. Explain to them that they will have ten minutes to draw a brief map of their life. Remind the children that they need not go into specifics, but to put general things that happened in their life or events they remember. Be sure to make supportive statements during the exercise about how this might be frustrating or confusing, but to try their best. 3. After the group is completed with the drawing, show an example of what a life map might look like once they have come to placement, and how the SELF model can help them to navigate through the healing process. 4. Help the group to identify skills that may be important to learn related to Safety, Emotions, Loss, and Future. Make a chart on the board or on a flipchart listing these skills. 5. State how this group will be one way to learn and practice these skills. Sanctuary Psycho-Education Manual- Safety Page 7 Sanctuary Psycho-Education Manual Safety Module 3: Different types of Safety Objective: Teach the four different types of safety. Activity Directions: 1. Ask group if they remember what SELF stands for. Tell them that they’ll be learning about four different kinds of safety and playing a game about it. Key Points • Review concept of SELF • Define the four SAFETY . types of Materials 1. Definitions of Safety handout 2. Scenarios Handout Resources Consider learning about and incorporating the 5 B’s of the Full Value Contract used in experiential groups. The contract is key to insuring that the group meets their goals. Books Creating the Teachable Moment: An Innovative Approach to Teaching and Learning by Darlene L. Stewart 2. Have group members work in pairs, teams, or as a whole depending on what you are trying to accomplish. Ask the group members to work together and that it’s more important to try and work together than to get the “right” answer. 3. Read (or have a comfortable reader help you) the definitions of the four types of safety. You can make visual props of these to put up as well. 4. Now, you or a reader can read the scenarios one at a time. After each scenario, try to have a pop-corn discussion about what type of safety they think the scenario is about and why. Encourage participation. 5. Facilitate the exploration what could happen differently in the scenario to create more safety. 6. Teachable Moment: Use this opportunity to describe general scenarios that are happening in your community, school, or residence. Make them general so as not to target (and shame) one particular child. Adventure Play: Adventure Activities for Early Elementary Age Children by Nancy MacPhee Bower Website Project Adventure: www.pa.org Sanctuary Psycho-Education Manual- Safety Page 8 Sanctuary Psycho-Education Manual Group Variations For older groups of children: Directions: 1. Have a group member read the four definitions. Ask the group for their reactions -- do they agree, disagree? Which one do they think is the most important? Which one do they think is the most overlooked? Did any of these definitions surprise them? How are we as a group with these four? As a school? As a community? What about in our own families? In our home communities? You can invite group discussion or individual journaling as some ways to encourage reflection about this topic. 2. State that the more we learn and practice all four of these forms of safety, the better off as a community we will be. 3. Ask the group to discuss different scenarios on the attached sheet -- ask them which forms of safety or lack of safety do they see present in the scenario? How might the people in the scenario come up with a safer solution? 4. Ask the group which safety do they need to work on the most as a group? 5. Have the group come up with one thing they can do in the next week to help the group feel safer in one way. Make sure to leave a big piece of paper up or some other recorder for the ways they helped build safety. Take Home Message: Safety is not just about being safe physically -- there are lots of different ways we all need to feel safe. If we don’t feel safe with our feelings, it often leads to being unsafe with our End with a Go-Around: How was Group? What did I learn from Group? How do I think I did in Group? Sanctuary Psycho-Education Manual- Safety Page 9 Sanctuary Psycho-Education Manual Four Types of Safety Handout Physical Safety: Being safe in your body. Non-violence is part of physical safety. Emotional/Psychological Safety: Being safe with feelings and knowing how to take care of yourself when feelings get big. Social Safety: Feeling safe and cared about within a group. Emotional non-violence is part of social safety. Moral Safety: Knowing right from wrong. Trusting that the people around you know right from wrong. Sanctuary Psycho-Education Manual- Safety Page 10 Sanctuary Psycho-Education Manual Self Module 3: Handouts Scenarios 1. Jon hit Tyrone after Tyrone called him a name. What kinds of safety were hurt by those actions? 2. Melissa saw her friends whispering about her and when she said no whispering they said mind your own business, you’re so nosy. 3. Melissa saw someone steal someone else’s candy. 4. Billy keeps on using Dylan’s things even when Dylan said please don’t touch my stuff. 5. Mrs. Redstone’s class tries to help each other when one person is upset, and they know the rules in the class are to be kind and safe. 6. Deb lost her temper and when Anjali tried to help Deb screamed at her. 7. Anjali cried but then Sarah comforted her and then Anjali said thank you. Then they decided to ask the teacher to help them all work it out. Feel free to make up your own scenarios based on what you know about your group. Pay attention to the scenarios that the group members come up with on their own, they are telling you a lot about what they might be struggling with themselves. Sanctuary Psycho-Education Manual- Safety Page 11 Sanctuary Psycho-Education Manual Different Types of Safety Physical Safety: Knowing that your body will not be hurt by others, nor will you hurt you body yourself. Non-violence is part of physical safety. Examples: Emotional/Psychological Safety: Emotional safety is being safe with feelings and knowing how to take care of yourself when your feelings get “big”. Examples: Social Safety: Social safety is feeling safe and cared about within the group. Emotional nonviolence is a part of social safety. Examples: Moral Safety: Moral safety is knowing right from wrong. It is important for both the person and the community to feel morally safe. Examples: Mod #3 Handout of older variation Sanctuary Psycho-Education Manual- Safety Page 12 Sanctuary Psycho-Education Manual Safety Module 4: Effects of Stress and Trauma Objective: Teach the fight/flight/freeze response and introduce group to idea of triggers Activity Directions: 1. Tell the group that we’re going to talk about normal reactions to fear and stress and how stress can affect the way we act, think and feel. Key Points • Stress is Normal! • Fight, Flight, Freeze concept • Stress causes physiological responses from our body 2. State that most of the children you have worked with have had hard things happen to them. When stressful or scary things happen to children, it makes them act in certain ways. 3. Tell the group we’re going to talk about what happens to humans when they are stressed. We will use our imagination to help learn these ideas. Ask them to pretend that as we are sitting here, all of a sudden, a gigantic saber tooth tiger leaps through the door, growling and drooling. Create a strong visualization. Once they can imagine it ask them: Materials 1. Written Visualization of gigantic saber tooth tiger (if necessary) 2. SaberTooth Handout 3. Drawing materials: Paper, markers, pencils etc. Resources Cowtails and Cobras by Karl Rohnke: Various Tag game adaptations and enrichment ideas. • What would be happening in your body? • What would you be doing? • What would you be thinking? 4. Many common responses to the above questions include: “I’d be running for the door,” or “I’d be running for my life.” Try to draw out for them what would be their major focus and look around the room for doors or windows that they might be running toward if there really were a saber tooth. 5. Ask the group if they couldn’t run, what would be other responses? Identify the fight, flight and freeze responses as normal reactions of the body when it thinks you are in danger. 6. State that many kids with have been through very stressful situations. When that happens, many kids feel like there is a saber tooth tiger lurking. 7. State that kids and grownups have an alarm bell inside Sanctuary Psycho-Education Manual- Safety Page 13 Sanctuary Psycho-Education Manual their brain that’s supposed to go off only when we are in real danger. But when you are really stressed, the alarm bell goes off all the time. 8. Take out your alarm bell. Tell the group you will ring the bell. Pretend that when the bell rings, you jump and are ready to go. Explore this with them: ask them what will happen to you (or them) if the alarm bell is ringing all day long? You can play it out through role play, demonstration, pretending, or discussion depending on the group. 9. State that we all have things that make our alarm bell go off, especially when we don’t feel safe physically or with feelings. Do they have any idea what makes their alarm bell go off? What helps to shut it off? When does it not go off? Explore. It helps to use your own reactions as an example (use examples that are not too personal). 10. Be cognizant that children in the group might be triggered by the topic itself. Let everyone know that if they feel their alarm bell going off right in the room they can take a time out or go sit next to the co-teacher. 11. Tell the group that there are ways to feel better when we are stressed that you will be teaching throughout the year. Ask them to share, draw or write one way they feel better when they are upset. You can use the handout attached. 12. If you haven’t already, this is a good time to talk about safety plans and to establish a class safety plan as well as individual safety plans. These should be reviewed monthly to update and explore what worked and what didn’t. 13. ADDITIONAL Teaching Tool: You can follow up this lesson with a game of freeze tag, saying that when we get frozen by that alarm, we need each other sometimes to help us get unstuck. Group Variations For older groups of children: 1. Ask them if they think kids their age sometimes feel stressed or feel attacked. Ask the group to name some of those situations. 2. Conduct the same Saber Tooth activity (keeping in mind that these are older youngsters) 3. Explore with the group about their tendencies for fight, flight or freeze? Which ones do they use in school? At home? With friends? In real danger? Be cognizant that children in that room have trauma histories. This conversation might be a trigger for them, so acknowledge that as long they stay safe, they can simply listen without talking. 4. Tell the group that there are helpful ways to cope with stress that you will be teaching throughout the year. Ask them to share or write one way they cope with stress that they’d like to keep as a tool and one that they’d like to change. 5. If you haven’t already, this is a good time to talk about safety plans and to establish a class safety plan as well as individual safety plans. These should be reviewed monthly to update and explore what worked and what didn’t. Sanctuary Psycho-Education Manual- Safety Page 14 Sanctuary Psycho-Education Manual Take Home Message: Our bodies are set up to fight, flee, or freeze when we feel threatened. But sometimes we feel like that Sabertooth is always there, which makes it hard to think and make good choices. You can learn ways to feel better and safer! End with a Go-Around: How was Group? What did I learn from Group? How do I think I did in Group? Sanctuary Psycho-Education Manual- Safety Page 15 Sanctuary Psycho-Education Manual Self Module 4: Handouts When I feel like there’s a Sabertooth (I get stressed): …and my alarm bell goes off, it helps me to… Sanctuary Psycho-Education Manual- Safety Page 16 Sanctuary Psycho-Education Manual Emotions Module 1: Feelings: Mad, Sad, Glad, Scared, Ashamed. Objective: Explore and learn that feelings aren’t bad but things to help us. It’s what we do with our feelings that can cause pain or positive change. Activity Directions: 1. Ask the group what they think about feelings – are they good? Bad? Helpful? Annoying? All of the above? 2. State that our feelings can hurt or feel good, but they are definitely in our bodies to try to tell us what we need. But sometimes the feelings can feel too big and they can get in the way or, sometimes we don’t listen to our feelings enough. 3. Teach participants the basic message that feelings are part of having a human body. They are things we can’t control, but are used to tell us what we need, what we like, what hurts us, what makes us afraid. A lot of kids we work with sometimes struggle with anger, but anger can be the cover for a lot of other feelings, such as hurt, sadness, feeling “bad,” (shame), fear and so on. The key is learning about your feelings and learning how to express them in ways that are safe. 4. There are many ways to explore feelings and make the conversation more experiential and creative. Here are some suggestions you can do over the course of several weeks: Key Points • All humans have feelings • Feelings tell us what we need. • Knowing how to describe your feelings is important. Materials 1. Koosh ball 2. Candy – M&Ms 3. Art supplies for collage or stories you may have that demonstrate feeling states. Resources: o Do the attached feeling sheet, throwing a Koosh ball or passing it from one person to the next when they answer the questions o Hand out M&Ms and ask them to pick a candy color that represents a feeling to them, and talk about one thing that makes or made them feel that way (for example, red is angry; I picked this red candy, one time when I felt angry it was when my father yelled at me for coming home late) 1) Creative Counseling Techniques: Techniques An Illustrated Guide by Ed Jacobs Sanctuary Psycho-Education Manual- Emotions Page 1 Sanctuary Psycho-Education Manual o Ask them to draw or create a collage that represents a feeling, and ask the group if they can then create a group collage with the individual work. o Give the group different scenarios, and ask them to guess what the person in the story might be feeling and why. See if they can relate to that experience, and encourage them to guess more than one feeling. Group Variations For older groups of children: The activity will remain very similar. Feelings are not the enemy -- feelings are natural human reactions designed to protect you and help you. Unfortunately, when people go through a lot of stress or pain, feelings can become very painful and we learn to avoid them. Take Home Message: End with a Go-Around: How was Group? What did I learn from Group? How do I think I did in Group? Sanctuary Psycho-Education Manual- Emotions Page 2 Sanctuary Psycho-Education Manual Handout: Feeling Sheet If my anger were an animal, what would it be? When I am happy, I feel like… I get embarrassed when… The feeling I like to feel the most is…. The feeling I do NOT like is….. When I am angry I wish…. When I am scared, I sometimes… One thing that makes me laugh is… One thing that seems to make me sad is… When I am sad, I feel it in my …. When I get frustrated it helps to … My anger is the color of…. My sadness is the color of … When my friend is sad it helps her to … I can sometimes make people smile by … Sanctuary Psycho-Education Manual- Emotions Page 3 Sanctuary Psycho-Education Manual Emotions Module 2: My Feelings Objective: Learn about your own feelings. Activity Directions: 1. State that we have been learning about our feelings. There are basic feelings, mad, sad, scared, glad and ashamed and other feelings too. Everyone has their own feelings and their own way of expressing feelings. Sometimes we don’t even realize that you definitely can feel more than one feeling at once. 2. Feeling Person: Invite them to do a feeling gingerbread person with the attached sheet. Let them know that the sheet lists the five basic feelings, but they can also add one or two extra feelings. 3. Invite them to pick a color they think best fits that feeling – DO NOT assign colors for feelings, since everyone has very different associations with colors. Ask them to color the line next to the feeling word, like a color key. 4. Invite them to draw where they feel that feeling in their body, or draw how they are feeling right now. For example: I feel glad sometimes in my foot- it feels like dancing! 5. As the group leader, you will notice many things, but be mindful of the following: no colors or feelings, where they experience fear and anger -- sometimes the anger is in certain places or is hidden -- what feelings they chose on their own, whether or not they are satisfied with their work or whether they get frustrated, etc. 6. They can share the work with each other or not, but ask them what that process was like for them. Interesting? Fun? Annoying? Boring? Model for them that all feeling reactions are acceptable. (Hint: option is to keep all of their drawings in a special folder and give them all their work at the end of the year. However, if a child really wants his/her drawing it is important to explore that with them and use your best judgment.) Key Points • Basic feelings are: mad, sad, scared, glad and ashamed. • We may experience different feelings in different parts of our bodies. • There are many ways to describe feelings. Materials 1. Crayons and copies gingerbread handout following page. 2. Colored chalk to draw a rainbow 3. Puzzles Resources: 1) Play Therapy Resources: The Feelings Company www.feelingscompany.com of on Sanctuary Psycho-Education Manual- Emotions Page 4 Sanctuary Psycho-Education Manual Additional Activities: 7. Feeling Rainbow: Draw a picture of a rainbow on the board. State that sometimes we feel more than one feeling at once, and often some feelings cover up other feelings. You can be happy, and underneath is fear, and maybe underneath fear is a little excitement. 8. Draw anger on the top of a rainbow. Ask them what is sometimes underneath anger? Answers might be sadness, fear. If it isn’t mentioned, make sure to mention feeling embarrassed, since shame is a key feeling underneath anger. 9. Feeling Puzzle: Use generic puzzle kits. You can do five feelings at once, or two feeling puzzles at a time to be more manageable. Each puzzle is the primary feelings (mad, sad, scared, glad, and ashamed), but on individual puzzle pieces is written another word that fits in that category. A great site to find words is www.cnvc.org. For example, written on the anger puzzle pieces could be rageful, frustrated, annoyed, impatient, irritated, furious, not pleased, and so on. 10. The children can pick up a feeling piece, and figure out which puzzle it’s in by the word on the piece. The adults can coach them and help with the puzzle connecting, but the goal is simply to teach the more subtle words that belong to each primary feeling category. 11. Feeling Charades: You can model for the group first, acting out a feeling and having them guess which one it is. Then have feeling cards ready to hand out to each child, who can role play the feeling and have the group guess it. 12. Feeling Poetry: Have the group work on a feeling poetry over the course of several sessions. If you have a digital camera, you can take a picture of children pretending to be sad, mad, scared, ashamed, and scared (and add their own feelings) and post it in the classroom. See poetry handout. Group Variations For older groups of children: The activities will remain very similar, though it will be necessary to adapt the activities to match the developmental level of your group. Additional ideas for teaching emotions to older groups of children include: 1- Use Music: • Play a song that speaks about joy, sadness, anger etc. Explore the group’s reaction to the song. Song recommendations are included in the Reference section at the end of this module. • Play loud, angry music. Check the physical reactions of the group members’ bodies. Now, play calm music and note if there is a change in the physical reactions. Discuss the implication of music on our emotions and how this might be important information for us to be aware of in the future. Sanctuary Psycho-Education Manual- Emotions Page 5 Sanctuary Psycho-Education Manual Take Home Message: It’s important to learn about feelings -- the more words you have for them, the better you can express and figure out what you are feelings and what you might need. End with a Go-Around: How was Group? What did I learn from Group? How do I think I did in Group? Sanctuary Psycho-Education Manual- Emotions Page 6 Sanctuary Psycho-Education Manual Handout: Gingerbread Person Ashamed: _________________ Sad: _______________________ Mad: _____________________ Scared: _____________________ Glad: _____________________ ___________:________________ ___________:______________ Sanctuary Psycho-Education Manual- Emotions Page 7 Sanctuary Psycho-Education Manual Emotions Module 3: Volume Control of Feelings Objective: Learn about intensity of feelings and how to notice when you’re volume control is either too low or too high. Activity Directions: Needed: TV or radio in the room 1. State that everyone in this room has feelings. We’re talking about being more aware of what the feelings are that we have, but feelings are also sometimes loud or quiet. 2. Ask the group about something they felt just a tiny bit of feeling about. You can play the radio as an example of “low volume feeling.” As you play the radio at volume 1 or 2, ask the group if they can hear the music. Explore the metaphor: What are the kinds of noises or music they wouldn’t want to be too loud? What are feelings that they don’t want too loud either? What’s music you like to be louder? What feelings do you like to turn up? 3. Now ask the group if there is something they felt very big feelings about. Put the volume on ten. Ask the group their reaction to the music being so loud -- did it jolt them? Did they cover their ears? What is it about putting the music on volume 10 that makes us want to cover our ears? (It hurts, you can’t think, etc). You can make a connection to that alarm talked about earlier. 4. State that feelings are like the music. Sometimes kids turn their feelings down too low so they can’t listen to them, or too high so that they are overwhelmed by them. Explore with the group whether they have ever experienced this -- are they a person who turns down or turns up? What feelings are they more likely to turn up too high (anger is common) and what feelings are they more likely to turn down too low (happiness and hurt might be some). Ask group members to give examples of times when they have experienced the “highs and lows”. 5. Facilitators may also describe scenarios in which they are aware during daily experience that may trigger Key Points • We can think about feelings as loud or quiet. • When we turn the volume up too high or too low, it may affect our behaviors. • It is important to have strategies that help you turn your feelings up or down. Materials 1. Radio or TV 2. Volume control handout 3. “How Full am I?” handout Resources: Creative Counseling Techniques: An Illustrated Guide by Ed Jacobs Sanctuary Psycho-Education Manual- Emotions Page 8 Sanctuary Psycho-Education Manual loud or quiet feelings. Additionally, the facilitator may want to have each member describe what their behaviors look like when one of their feelings is up too high or too low 6. Ask the group if they can help you make a list of things to do when a person is either feeling too overwhelmed or too numb. Use the attached sheet as an example. Group Variations For older groups of children: The activity will remain very similar. Take Home Message: Feelings are important but they have to be at the right volume for us to be able to listen to them. Learn about your own volume control panel and practice these skills. End with a Go-Around: How was Group? What did I learn from Group? How do I think I did in Group? Sanctuary Psycho-Education Manual- Emotions Page 9 Sanctuary Psycho-Education Manual Handout: Volume Control Volume 1 Numb When I can’t feel my feelings, I can: Volume 10 Overwhelmed When I feel overwhelmed, I can: Journal Use my safety plan Draw Breathe Talk to someone Color my feelings Use grounding Imagine turning the volume control down! Move & exercise Focus on my senses Play Set boundaries Sanctuary Psycho-Education Manual- Emotions Page 10 Sanctuary Psycho-Education Manual Handout: “How Full Am I” Sanctuary Psycho-Education Manual- Emotions Page 11 Sanctuary Psycho-Education Manual Emotions Module 4: Safe Place Objective: Teach safe place visualization skill. Activity Directions: Key Points • We can sometimes feel feelings just by remembering events. • Imagining or remembering things can also make us feel better. • Sometimes visualizing a safe place can help manage feelings. 1. Start by telling the group that you want to teach them a skill that some children have found helpful when they are experiencing difficult feelings. Praise them for trying a new skill, and encourage them to tell you their reactions, both positive and negative. Ways to calm down are like sports -- they are all good, but some people like and are good at different ones. 2. Ask the group if they can remember a time when they were upset or angry. Ask them if you asked them to really go back there in their minds, would they be able to? Use example of something common (peer calling them a name, getting into fight with parents, being frustrated at school). Ask them if imagining that situation would make them feel better or worse? Explore that topic if appropriate. This can be a chance to be playful, such as imagining disgusting food or a rainy day (keeping the negative visualization mild). 3. State that when we imagine something in our minds, we can often feel the physical and emotional feeling that connects to that image or situation. But sometimes we don’t stop to think about what people, images, places can make us feel better when we imagine them or even be aware of how often we think about things that make us feel worse. 4. Tell them that the more you know about what makes you feel better, the more choice you have about what you visualize. State that we will explore what image or “place” can make us feel happier when we picture it. Materials 1. Visualization Questions 2. Quiet Space for group Resources: 1) Guided Imagery for Groups: Fifty Visualizations that promote Problem –Solving, Creativity, and Well-Being. By Andrew Schwartz Visualization: Ask the group to get comfortable. Invite them to close their eyes BUT they don’t have to! Ask them to remember a moment or time in their life (it doesn’t have to have been a long time, can be a small or short moment) when they felt happy, proud, protected or cared about. Sanctuary Psycho-Education Manual- Emotions Page 12 Sanctuary Psycho-Education Manual Once they have a moment in their minds, ask them to stay with it a moment, and when they are ready, open their eyes. Explore with the Group, either as a pair and share or as a large group, using some of the following questions: 1. Where were you? 2. What were you doing? 3. Who was with you? 4. What was the best feeling that you had? 5. What did you think to yourself? 6. Where did you feel the happiness in your body? 7. Did they notice any changes at all I the way they feel right now because of this positive memory? 5. Now ask the group to imagine that they have the power to create a place that would be the perfect place for them to feel happy, protected from harm, content, and it was filled with everything they loved that is good for them. It could be a beach house, a playground, a room filled with music, your favorite place. 1. What would this place be like? 2. Would it be outside or inside? 3. What would the temperature be like? Sounds? Smells? 4. Who would you allow in this safe place? How would you let them in? 5. What would be in there? What would you enjoy doing? 6. What kind of food would you want to have in it? 7. If they were to name this place, what would they call it? When you have a place in mind that you feel is a perfect place for you, just wander in your mind in this place for a while. Enjoy the sounds, sights, smells that you can imagine. And when you are ready, slowly open your eyes. When the group members have opened their eyes, ask them what that was like. State that they can dislike or like the exercise, you want to hear their opinions. Ask the group if this is something that they would want to try in the future. Recommend to them that they should try it when they are feeling calm at first; because if they wait until they are feeling stressed their thinking brain won’t be working. Sanctuary Psycho-Education Manual- Emotions Page 13 Sanctuary Psycho-Education Manual Again, you can ask them if they’d want to add this to their safety plans. Encourage them to practice this exercise at least once during the week, and let you know the experience. Make sure that if you are asking them to practice, you do it too. Group Variations For older groups of children: The activity will remain very similar. visualizations that are developmentally appropriate for the group. Utilize varied Take Home Message: Be aware of what you’re thinking –it affects your feelings. Visualization can be a great way to change your feeling state by using your imagination and turn down the volume if you are overwhelmed. End with a Go-Around: How was Group? What did I learn from Group? How do I think I did in Group? Sanctuary Psycho-Education Manual- Emotions Page 14 Sanctuary Psycho-Education Manual Emotions Module 5: Being Grounded In Your Body Objective: Learn grounding technique. Activity Directions: 1. Remind the group about the lesson we covered that showed us how we might have our feelings turned up to very loud or very quiet Ask group if they noticed a time they were at volume 10 or 1 lately. See if group can identify times when they were at a high volume. What did they do? Did it work? What happens when it is that high a volume? 2. Tell them that you want to teach them another technique they can like or dislike, it can work or not work for them but it is something many people use when they get overwhelmed. 3. Explain that when we get overwhelmed we aren’t totally present to what is going on (the music hurts our ears). At the end of learning it we’ll play a game. 4. One way to turn the volume lower is to do a five senses check - 5. To do this you ask yourself to name three things for each of the five senses (ask the group to name the senses of smell, sight, hearing, touch and taste). 6. Ask for one or two volunteers to name one or two things from a sense. An example might be I hear loud noises in the hall, but if I listen closely I can also hear the humming of the air conditioner, I hear the bird outside, I can smell the dusty room, the smell of my shirt, etc. 7. Encourage them to pay close attention to stimuli that is not obvious. 8. After everyone does a grounding technique, ask them about any changes in their body or thinking -- do they feel calmer or not? More attentive or not? Would they consider trying it again? Key Points • • • Grounding is essential for emotions management and/ or “volume control” Using our five senses can help us “turn down” the volume and increase our ability to negotiate intense feelings. Opening our eyes and noticing the things around us can help us reorient to the here and now. Materials • None required Resources: 1) Mosaic Minds: Staying Safe: Grounding Grounding techniques for children: http://www.mosaicminds.org/safe -ground-new.shtml Sanctuary Psycho-Education Manual- Emotions Page 15 Sanctuary Psycho-Education Manual 9. You can end the group by playing “I-Spy.” Group Variations For older groups of children: The activity will remain very similar. Ending the group with a fun group game or initiative will enhance group cohesion and help model and teach children how to manage intense emotional reactions. Take Home Message: Practice using grounding when you are calm so that when you start to get overwhelmed you can use it to calm down. End with a Go-Around: How was Group? What did I learn from Group? How do I think I did in Group? Sanctuary Psycho-Education Manual- Emotions Page 16 Sanctuary Psycho-Education Manual Future Module 1: Empowerment and Healthy Power Objective: Use real example of one person’s ability to effect change and use power in a healthy way. Activity Directions: Key Points • People see the world different ways. • People can have power in many different ways. • Being empowered means using power to create positive things. 1. Explore group’s ideas about what they like about the world and what they would like to change. Introduce the idea of power and how as they grow older they will discover that they can do things create change for themselves. 2. Ask the group about what they think power is: Is it the power to do things, just physical strength, when do they feel powerful and proud? Who has it? Who doesn’t? 3. State that power can be used over people, some people don’t feel powerful at all even though they do have some power, but power when it is used properly can be used to create positive things. Empowered means using your own power but not stealing and squashing anyone else’s. 4. ART PROJECT: Encourage them to imagine how they would use their power to create the perfect world -what would the group’s perfect world be like -- have them talk about it, imagine it, talk about what would not be in it. When they have a list of components, put up mural paper, and invite them to draw their world together. Consider discussing how planning is determined and by what means, how space is used, and by what means decisions are made regarding the project. Allow for plenty of time to create their art work. 5. VOTING PROJECT: Introduce the idea of democracy and how they will have the ability to cast their vote when they get older. One person can have an impact on the world. Ask them to participate in a class vote. Ask them to vote on what games they want to play next week in the group. Explain that they can all “nominate” a game, and then when the nominations are in they can vote on the games. They can vote for in Materials 1. Mural paper and art supplies 2. Games that are ageappropriate for group members Resources: 1) Boundary Power: Power How I Treat You, How I Let You Treat Me, How I Treat Myself by O’Neil & Newbold Sanctuary Psycho-Education Manual- Emotions Page 1 Sanctuary Psycho-Education Manual one or two games, and the games with the most votes wins. Group Variations The activity will remain very similar. Utilize varied activities that are developmentally appropriate for the group. Take Home Message: Using one’s power to make the world a better place is one example of empowerment. Many kids have seen power used to control or threaten others, but there are healthy uses of power as well. End with a Go-Around: How was Group? What did I learn from Group? How do I think I did in Group? Sanctuary Psycho-Education Manual- Emotions Page 2 Sanctuary Psycho-Education Manual Future Module 2: One Step at a Time Objective: Explore how change happens in small steps and it’s easy to forget to notice our successes over time. Activity Directions: 1. Ask the group how far they think they have come since the beginning of the group. Explore what they have learned and practiced and remember for them where they were at the beginning and where they are now. 2. Talk about small successes and small steps. Some examples might include: “it used to take us 10 minutes to settle into group and begin community meeting, but now we get started right away.” Or “in order to create our mural in the last group, we had to talk about what we wanted to do, gather our materials, agree on how we were going to make it, then create our mural. In order to successfully create the product, we had to take lots of small steps to get there.” 3. Use the metaphor of steps: draw feet, do a mold of a foot, do feet painting, use your imagination. 4. After they have their own artistic image of a foot, ask the group to write on it one thing they have done, learned or accomplished since the beginning of the year. Encourage them to write more than one of they can. 5. If the person cannot come up with anything, ask the group to help. 6. Explore with group what that process was like -- did they notice anything new? How do they feel at the moment they started celebrating their successes? Afraid? Negative? Proud? 7. Decide as a group what they want to do with the footprints. Some groups decide to display, glue on walls like a journey, bring home. Key Points • • • Achieving success takes effort and small steps. It is important to notice the small gains we make on the way to bigger goals! Recognizing small steps can help keep us motivated! Materials 1. Molding clay or plaster of Paris 2. Art supplies Resources: 1) Making aking It: The HipHip-Hop Guide to True Survival by Edward Dejesus Sanctuary Psycho-Education Manual- Emotions Page 3 Sanctuary Psycho-Education Manual Group Variations The activity will remain very similar. Utilize varied art activities that are developmentally appropriate for the group. Take Home Message: It is very important to notice all the growth you’ve made and to support each other in our healing process. End with a Go-Around: How was Group? What did I learn from Group? How do I think I did in Group? Sanctuary Psycho-Education Manual- Emotions Page 4 Sanctuary Psycho-Education Manual Future Module 3: Play is Healing Objective: Have fun as a group and talk about the importance of fun and play in their lives. Activity Directions: Key Points • Play and fun are part of feeling better. • We need to remember what it feels like to have fun so that we can bring up that feeling when we need to. • There are many ways to remember feelings so we can bring them back up when we need them. 1. Remind the group that they voted last week on games to play for this group. 2. State that learning how to enjoy life is definitely about learning how to laugh and have fun. Sometimes the children you have worked with have a lot of worries and sad times, but sometimes it is really important to learn how to play. 3. Play all the games that the group voted on. If there’s time, play the other games as well, or play them next week. Make sure the group members know that all the games nominated will be played, but the games that won the most votes will be played first. 4. After playing, ask the group how we should remember this feeling – should we draw it? Take a picture? How can we remind each other how much fun we had together? Be sure to have the materials necessary to complete the project identified by the group. Playing games teaches children it is ok to: Materials 1. Age appropriate games for members 2. Art supplies Live Love Laugh! Resources: Play Therapy Therapy Primer by Kevin J. O'Connor Sanctuary Psycho-Education Manual- Emotions Page 5 Sanctuary Psycho-Education Manual Group Variations The activity will remain very similar. Utilize varied art and creative activities that are developmentally appropriate for the group. Take Home Message: Play is good for us and playing together is a good way to remember that we care about each other. End with a Go-Around: How was Group? What did I learn from Group? How do I think I did in Group? Sanctuary Psycho-Education Manual- Emotions Page 6 Sanctuary Psycho-Education Manual Future Module 4: Making the World a Better Place Objective: Explore how our group can make a small difference in our community. Activity Directions: 1. Remind the group about the discussion they had during Module 1 referring to Power. Review with group members what they liked about the world when they talked about power Explore with the group their vision for how to make the world a better place talked about in the module about power. Talk about how to create a safer, more peaceful place. 2. When the children identify a particular issue or act that they see as important, explore this. For example, if it is recycling, talk about ways the group might be able to help with recycling. Is there a recycling program already established at your program? If the issue is peace, is there a local community group that is addressing safety and non-violence? 3. When you’ve identified what the group might want to do, ask the group members if they would be willing to do one thing to help. For example, host a bake sale for a group that’s working on their identified issue. As the group decides, you may want to comment on the way that they work together democratically, or make suggestions about how to be more democratic if they struggle to come to consensus. 4. The group members can write a letter to the local group, invite a local spokesperson to come talk to them or the program, etc. Be creative! 5. Work with the group to do this project and make sure they are as empowered as possible. Share their accomplishments with your larger therapeutic community in the manner the children decide. Key Points • Anyone can make the world better! • When people come together to make the world better, they can achieve even more. • Even a small group of students can reach out to a larger community to make positive change. Materials 1. Lists of local groups or projects to which group members can contribute Resources: Why Community Matters By Nicholas V. Longo Sanctuary Psycho-Education Manual- Emotions Page 7 Sanctuary Psycho-Education Manual Group Variations Utilize varied civic minded activities that are developmentally appropriate for the group. Consider things like volunteer work at a retirement community or at the local animal shelter. Take Home Message: We can make the world a safe, peaceful place by just being in it. End with a Go-Around: How was Group? What did I learn from Group? How do I think I did in Group? Sanctuary Psycho-Education Manual- Emotions Page 8 Sanctuary Psycho-Education Manual Loss Module 1: Tangible, Intangible Loss Collage Objective: Acknowledge and explore loss as an inevitable part of life, and as something that many children have suffered from and experienced. Activity Directions: 1. Define what loss is and discuss the different types of loss: tangible and intangible. Note that loss is a very difficult experience that many children have had to go through. Loss brings about painful feelings. Sometimes the children you’ve worked with have lost what feels like everything – family, a parent, a home. Some have lost things that you don’t always notice – their hope of having a “normal” childhood, lost old friends, feel loss about not doing well in school. 2. It’s so important to find a place, a place, a way and a person to whom to express your losses, but to also do it in a way that you don’t feel overwhelmed by the feelings. You can say, for example, “Today we’re going to explore the issue of loss a bit, and to also encourage you to explore it with people that you trust outside the group as well.” 3. Ask them to think about one loss that they have experienced. Encourage them that safety is first, so if they begin to feel intense feelings in the group, they can always take a break. 4. Sometimes drawing, poetry, music and other art helps us to express feelings of loss. 5. Collage: Let them know today they’ll be doing a collage or drawing about one loss in their life. It doesn’t have to be their biggest loss, but perhaps a smaller more manageable one. 6. Give them the time they need to draw, glue pictures, and create something around loss. Make sure they know you will ask them about it at the end, but they don’t have to share what it’s about. 7. Drawing: You can invite them to draw on two separate Key Points • Some losses involve things we can see or touch, like the loss of a person or pet when he or she dies. • Some losses that are harder to see but still create strong feelings, like the loss of trust when someone is hurt by another person. • Sharing losses through art or drawing can help with painful feelings and even negative behaviors. Materials Materials 1. Magazines from which to cut pictures and words 2. Butcher Paper or Large Construction Paper 3. Crayons, Markers, Glue Resources: Sanctuary Psycho-Education Manual- Loss Page 1 Sanctuary Psycho-Education Manual papers. On the first paper it can say, “Sometimes my heart hurts when...” and on the other side or the other piece of paper it can read, “Sometimes my heart feels light and happy when...” Invite them to write and draw about their feelings and experiences for both of those and encourage them to share it with the group after. 8. At the end of the process ask the group members what this was like for them -- easier or more difficult than they expected? Positive or negative? 9. End the group by reviewing their safety plans and asking how they can help each other feel safe the rest of the day. Group Variations The activity will remain very similar. Utilize varied activities that are developmentally appropriate for the group. Sometimes drawing, poetry, music, and other art helps us to express feelings of loss. Consider asking group members to bring in music that “speaks” to the issue of loss. Take Home Message: Loss is a part of life. Loss often brings up painful feelings so it’s important and healing to find ways to express your feelings about loss using art, music, poetry and other creative means. End with a Go-Around: How was Group? What did I learn from Group? How do I think I did in Group? Sanctuary Psycho-Education Manual- Loss Page 2 Sanctuary Psycho-Education Manual Loss Module 2: Coping with Loss Objective: Explore with group what helps them cope with loss and what we can do for the community to support each other during a loss. Activity Directions: 1. State that loss is a very difficult experience -- it brings up grief, sadness, despair, a “hole in the heart.” 2. 1. People may have different feelings when they have a loss. Ask the group if there was anything that helped them or helps them cope with loss. Write down all the responses. 3. 2. People cope with loss in different ways. Offer to the group that they can write a poem, write a letter, or draw about what they need when they are sad. Remind group members that Safety Plans can be a tool to help them manage their feels around a loss. 4. When they have created their poems or art projects, ask the group if they are able to share with each other. Ask them to pay attention to the fact that we need each other, especially at times of loss. 5. This exercise can be used when there has been a loss in your community -- a death, a beloved staff person or child leaving the community. 6. When a loss is current, it’s important to state that loss is a part of life and it’s important to give us time to process it. But for some kids, saying goodbye also brings up old feelings (Past vs. Present). 7. If there is a current loss affecting the group, you can ask the group members to do something creative to say good bye to this person and to share what this person meant to them. Some ideas are audio tapes, goodbye mural, letters, poems, taking a picture of them to send to the person, writing stories and sharing, using ritual such as letting something go into the wind, etc. Key Points 3. Sharing with others through words or art can help people cope with loss. Materials 1. Crayons, markers, paper, Paint, glue, pens, pencils. 2. Other art materials as needed Resources: Poetry: Poetry The Duration of Grief by Liane Ellison Norman Sanctuary Psycho-Education Manual- Loss Page 3 Sanctuary Psycho-Education Manual Group Variations The activity will remain very similar. Utilize varied activities focused around saying “good-bye” that are developmentally appropriate for the group. Take Home Message: Find what helps you to cope with loss. End with a Go-Around: How was Group? What did I learn from Group? How do I think I did in Group? Sanctuary Psycho-Education Manual- Loss Page 4 Sanctuary Psycho-Education Manual Loss Module 3: Reenactment Objective: Teach concept of reenactment triangle and roles in order to use throughout the year as this dynamic arises. Use role plays, stories, movies, etc to demonstrate concept. Finally, goal is to teach children how to increase awareness regarding what reenactment scenarios they play out and how to be more aware of their feelings a reactivity toward others. Activity Directions: 1. Share with the group that children who have gone through difficult things sometimes play those things out over and over again, but not realizing that they are doing it. These “bad replays” are normal for children who have gone through stressful experiences or trauma. Give them an example or two, such as someone who gets beaten up by their older brother and then gets in to fights at school all the time. Or someone who has to stop fights at home who always breaks up fights in school. 2. Ask them of they ever do anything over and over again that they enjoy doing? This is replaying good things. 3. But then there are things we play out over and over again that are negative or painful, especially connected to power and abuse. Ask the group to if they see friends who do things that seem crazy but they do it anyway? Do they ever do something they wish they could stop? 4. Point out the triangle to them, roles can be explained as bully, victim, and rescuer. See if group can identify all the various roles people played in the dynamic, pointing out that we can all get pulled into all the roles quickly. 5. Ask the group to help you with an exercise. Take out a scarf or another object that can be tugged. You and your co-leader or another child will pretend to do tugof-war, with neither side winning but stuck. 6. Ask the group for ideas about how to get out of the struggle. After a child suggests letting go, talk about that. How hard is it to let go when we’re arguing? Key Points 1. People tend to repeat what we know. 2. We don’t always realize that we are repeating things in behaviors or interactions! 3. When repeating traumatic experiences, people usually fall into one of three categories: bully, rescuer or victim. Materials 1. Chalk Board or handout of the roles in the reenactment triangle 2. Large scarf Sanctuary Psycho-Education Manual- Loss Page 5 Sanctuary Psycho-Education Manual What would have happened if you didn’t let go? Have you ever gotten into this kind of “tug-ofwar”? Have arguments you have had with others felt similar to this tug-of-war. 7. Talk about ways to be more aware, make choices, and get out of the tug-of-war. Rescuer Perpetrator Victim Take Home Message: Reenactment is never having to say goodbye and reliving very old pain. We can all get pulled into each other’s reenactments, so it is so important to know your feelings, take responsibility for yourself, and be mindful. End with a Go-Around: How was Group? What did I learn from Group? How do I think I did in Group? Sanctuary Psycho-Education Manual- Loss Page 6 Sanctuary Psycho-Education Manual Loss Module 4: Fear of Change Objective: Increase awareness of the fear of change and the tendency of humans to gravitate to the familiar even if it’s not healthy for them. Activity Directions: Key Points • What we don’t know can seem scary, even it if is safer than what is familiar! • Many things may seem scary when we do them for the first time. • People react in different ways to change. Materials 1. Paper and art supplies for drawing exercise if used. 2. Toys or pictures of a caterpillar and a butterfly. Resources: 1. Fear of change can be addressed in many different ways: It’s important to use real examples and examples that can be drawn upon as metaphors throughout the group. 2. Storytelling: Tell the following story: Once there was a woman who lived in an apartment. She had a cat. One day she came home and went into the kitchen, and what do you think was there? A mouse! It was crouched in the corner, staring at the cat that had it cornered. There was the cat, ready to pounce, and the mouse, frozen and staring at its enemy. So the woman ran and got a shoebox so she could try and save the mouse, and bring it outside to the woods outside and let it free. She knelt down and held out the shoebox exactly where the mouse was so that it could climb in. There sat the mouse. It was panicked – it stared at the cat, something it knew but was clearly dangerous and then it stared at that box, something it didn’t know or understand. It continued to stare, eyes darting back and forth between the cat and the box. Its eyes went back and forth, staring at the cat and the unknown box. Finally, it made its decision – it went for it. What do you think it ran toward? Why? Once the group processes a bit, you can tell them that this originated from a true story and in this story the mouse did indeed run toward the cat (but thankfully was able to get away). 3. Metaphors for Living By Jackie Gerstein, EdD., LPCC Sanctuary Psycho-Education Manual- Loss This story can be replaced or added to with your own stories. After telling the story or stories, ask the group to explore their own fears about change. As much as possible speak in the metaphors of the story – who or what is the cat in your life? Who or what is the shoebox? Has change been a bad experience for you in the past? Have you ever run toward the cat? Why do Page 7 Sanctuary Psycho-Education Manual we feel so comfortable doing the same old same old, even though it’s dangerous? 4. Drawing: Explore with the group about things that were scary for them to try but they did anyway. Examples can include coming to the new school, riding a bike. Have the group draw a picture of a time they were afraid but tried something new anyway. The group can choose to display the pictures. 5. Enactments: Rearrange a few things in the room. Sit with the changes without commenting for a couple of minutes. Explore members’ reactions to the changes: how did it make them feel in their bodies? What did they wonder? Did they notice? How did they react? Make the analogy that change happens often without us being prepared for it. If we react strongly to small changes, how have we reacted to larger changes? 6. Metaphors: Bring in a toy caterpillar and a toy butterfly. Talk about the transition from caterpillar to pupa to butterfly. Where did the caterpillar go? Is it gone? Has it just changed? Was the butterfly there all along? 7. End with a go-around with how people are feeling. Take Home Message: Everyone is afraid to change sometimes. For many children who have experienced losses, change often reminds them of pain. But with change comes growth, possibilities and hope for a better future. It’s important to express our fears about change but to change anyway. End with a Go-Around: How was Group? What did I learn from Group? How do I think I did in Group? Sanctuary Psycho-Education Manual- Loss Page 8