OBJECTIVES:
If I were starting an adolescent treatment center what would I want to make sure adolescents and families learn?
Identify and Describe How Families Arrive at your door.
To Demonstrate the Power of Family Mapping and the Art and Science of Portraiture.
Clinical and Reverse Interventions - what are these and how to do?
Share Standard Vocabulary Families need to know Family Change Agreements - What are these - when to use?
2. Meet Dr. Louise
Author- Falling Up-A Memoir of Renewal &
Learn To Thrive- An Intervention Guidebook
Educator - Former Faculty SDSU, School of
Social Work, SDSU Interwork Institute
Director -All About Interventions and Past
Director Alcohol and Other Drug Services USD
Clinician -LCSW , CDWF -Candidate
Principal Investigator Dept. of Ed & NI-
NIAAA and other grants
Woman-Widow- Wife-Mother-Stepmother-
Grandmother - Step Grandmother
3. Objectives
If I were starting an adolescent treatment center what would I want to make sure
adolescents and families learn
Identify and Describe How Families Arrive at your door ?
To Demonstrate the Power of Family Mapping and the Art and Science of Portraiture
Clinical and Reverse Interventions-what are these and how to do
Share Standard Vocabulary Families need to know Family Change Agreements-
What are these- when to use ?
4.
5. How did you arrive today ?
Hungry-hope they have good food
Worried about Family
Energized after exercise
Thinking I have soon much work to do
Happy
Traffic was awful-
Grateful I work at Paradigm
6. How Do Your Clients arrive ?
Substance Abuse
Mental Health
Legal Issues
School Problems -Bullying
Relationship Failures
Physical Maladies -Pain etc
Sexual Identity
Gambling, Gaming,Digital
Intergenerational Wounds
7. What Kind Of Families do You
Meet
AGREEABLE
ANALYSIS
INVISIBLE
QUESTIONER
KNOW IT ALL
COMPLAINER
TALKER
WORRIER
MICO-MANAGER
BOOMERRANG
Emotionally intense
8.
9.
10.
11. Attributes of Healthy Families
McMannis PHD & MacMcMannis MSW
Talking and Loving Balancing Closeness & Difference
Expressing Language Accepting Difference
Adapting to Change Seeing The Positive
Sharing Time together Effective Problem Solving
Who’s in Charge Parenting Together
12.
13. Lets do a Family Map
Salvador Minuchin
Flip Chart
Colored Pens for Key
14.
15. Keeping The Status Quo
SA. MH, CP etc .
Organizing structure
Unconscious and
Consciously Gratification
Strategies must be
employed that change
usual ways of relating,
categorizing , and thinking
17. ASSUMPTIONS ABOUT FAMILIES
THAT SEEK OUR HELP
HURTING EXPERTS
MOTIVATED
SEEKING SOLUTIONS
WOUNDED FAMILY OF ORIGIN
BEEN UNSUCCESSFUL IN SEEKING
SOLUTIONS
THEY MAY NOT SEE THEIR PART IN THE
PROBLEM -want you to FIX LOVE ONE
AUTHENTIC- VULNERABLE-
COURAGEOUS
21. BRAVING - Brown
Am I clear in helping client accept own
boundaries ?
Am I reliable ? Do I do what I say I will do?
Do I hold myself accountable-Ethics,
professional standards &, seek
collaboration when necessary
Confidentiality
Nonjudgemental
Am I generous in my interpretation of self
and others ?
26. History
DR. RUTH R
Pronounced a Disease like Heart Disease
&Diabetes
Describable, Predictable and Progressive
If Left Untreated Fatal
1954 American Society on Alcoholism
27. Dr. Seabrook
Hypersensitivity to alcohol
Insatiable cravings
Excited by the smallest experience
“TO AVOID an attack of alcoholism one
had to experience a complete and
enduring abstinence”
28. Dr. Tiebot
Recognized the impact of Spiritual
Transformation
Roadblocks
-Fear of Change
Fear of the Unknown
Shame
Anger and Rage
Defiance & Defenses
Impulsivity - Tramua Repetition
29. What is Addiction
Addiction is a primary , chronic disease
of brain reward, motivation, memory
and related circuity
Dysfunction in these circuits leads to
characteristics biological,
psychological,social,
spiritual,manifestations
This is reflected in an individual
pathology pursing reward and/or reflex
by substances and other behaviors
March 2011
30.
31. Learn Your ABCs
A = Age of First Use
B= Big Changes
C-Co-Existing Mental
Health /Behavioral Heath
Issues
DNA= Family History
35. The Adolescent Brain
Brain Maturation-age 25 nIMH
longitude study 1991
Lag between prefrontal cortex-and
growth of limbic system when emotions
originate and prefrontal that manages
Limbic system explodes at puberty while
it takes 10 plus years for prefrontal
cortex
Cerebellum Higher level Cognition
42. Shame
Shame is the intensely
painful feeling or experience
of believing we are flawed
and therefore unworthy of
love and belonging
I am Not Good Enough
Brene Brown
43. Who Stole The Cookie From The
Cookie Jar?
The Difference between
Shame is Guilt
I am bad versus I did
something bad
44. Humiliation
The act of making someone
feel inferior or foolish
Someone Telling You , You
aren’t Smart Enough, Good
Enough …Stupid
Or you have negative self
talk…
46. Grief and Loss
Loss-something of Value is
gone
Grief-Total response to
emotional experience
Bereavement- Subjective
Response by loved ones
Mourning-Behavioral
Response
52. On a Scale of 1-4
I am able to adapt to change easily
I feel in control of my Life
I tend to bounce back after a hardship or an illness
I have close dependable relationships
I remain optimistic, even if things seem hopeless
I can think clearly and logically under stress
I see humor in situations, even stress
53. Resiliency in Recovery
The ability to overcome
challenges of all kinds,
trauma, tragedy, addiction,
personal crisis , plain ole life
problems and bounce back ,
stronger wiser and more
personally powerful
54. Whats ok - Whats Not ok
What was ok before Treatment?
Whats not ok today ?
What gets confusing ?
Boundary Exercise
55.
56.
57. Self Compassion - Dr. Kristen
Neff
Self Kindness versus Self
Judgement
Common Humanity vs
Shared Isolation -suffering
and personal inadequacy is
part of the human experience
Mindfulness vs. Over
Identification which leads to
negativity
58.
59. Self Compassion Exercise
1 First, think about times when a loved one feels really bad about him or herself or is really struggling in
some way. How would you respond to your l oved in this situation (especially when you’re at your
best)? Please write down what you typically do, what you say, and note the tone in which you typically
talk to your friends.
2 Now think about times when you feel bad about yourself or are struggling. How do you typically
respond to yourself in these situations? Please write down what you typically do, what you say, and
note the tone in which you talk to yourself.
3 Did you notice a difference? If so, ask yourself why. What factors or fears come into play that lead you
to treat yourself and others so differently?
4 Please write down how you think things might change if you responded to yourself in the same way you
typically respond to a close friend when you’re suffering.
Why not try treating yourself like a good friend and see what happens? close friend or loved one is
struggling and feels really bad about himself
70. Modalities USED
MI- Rolling With Resistance
SFT- In A Perfect World what would life
look like
CBT
Brown- You Can Write Your Own Story
Family MAPPING
Parallel Processes
You Can ALL FALL UP
73. Lets Brain Storm
Pre -Admit
Upon Entry into Treatment
During Treatment
During Clinical Interventions
After Care plan
OutPatient
Home Care
74.
75.
76. Resources
The Daring WAY & Rising Strong- Brown
Crucial Conversations -Patterson et al
Parallel Processes- Prozatek
Journey of The Heroic Parent-Reedy
Motivational Interviewing- Miller & Rollnick
http:www.motivationalinterviewing.org
Solution Focused Therapy - Young & Berg
Dr. Louise Stanger http://www.allaboutinterventions.com
Are You A Helicopter or Submarine ? Sober World -, Spring 2016 Stanger
77. Resources
Brene Brown-Daring Way & Rising Strong
Kristen Neff- www.self-compassion.org
William Martin & Phillip Hemphill- Taming Disruptive Behavior
Joe Newman -Raising Lions
McMannis & McMannis -Family Therapy Institute of Santa Barbara
http://ftisb.org
82. Meet Dr. Louise
Author- Falling Up-A Memoir of Renewal &
Learn To Thrive- An Intervention Guidebook
Educator - Former Faculty SDSU, School of
Social Work, SDSU Interwork Institute
Director -All About Interventions and Past
Director Alcohol and Other Drug Services USD
Clinician -LCSW , CDWF -Candidate
Principal Investigator Dept. of Ed & NI-
NIAAA and other grants
Woman-Widow- Wife-Mother-Stepmother-
Grandmother - Step Grandmother
83. Objectives
If I were starting an adolescent treatment center what would I want to make sure
adolescents and families learn
Identify and Describe How Families Arrive at your door ?
To Demonstrate the Power of Family Mapping and the Art and Science of Portraiture
Clinical and Reverse Interventions-what are these and how to do
Share Standard Vocabulary Families need to know Family Change Agreements-
What are these- when to use ?
84.
85. How did you arrive today ?
Hungry-hope they have good food
Worried about Family
Energized after exercise
Thinking I have soon much work to do
Happy
Traffic was awful-
Grateful I work at Paradigm
86. How Do Your Clients arrive ?
Substance Abuse
Mental Health
Legal Issues
School Problems -Bullying
Relationship Failures
Physical Maladies -Pain etc
Sexual Identity
Gambling, Gaming,Digital
Intergenerational Wounds
87. What Kind Of Families do You
Meet
AGREEABLE
ANALYSIS
INVISIBLE
QUESTIONER
KNOW IT ALL
COMPLAINER
TALKER
WORRIER
MICO-MANAGER
BOOMERRANG
Emotionally intense
88.
89.
90.
91. Attributes of Healthy Families
McMannis PHD & MacMcMannis MSW
Talking and Loving Balancing Closeness & Difference
Expressing Language Accepting Difference
Adapting to Change Seeing The Positive
Sharing Time together Effective Problem Solving
Who’s in Charge Parenting Together
92.
93. Lets do a Family Map
Salvador Minuchin
Flip Chart
Colored Pens for Key
94.
95. Keeping The Status Quo
SA. MH, CP etc .
Organizing structure
Unconscious and
Consciously Gratification
Strategies must be
employed that change
usual ways of relating,
categorizing , and thinking
97. ASSUMPTIONS ABOUT FAMILIES
THAT SEEK OUR HELP
HURTING EXPERTS
MOTIVATED
SEEKING SOLUTIONS
WOUNDED FAMILY OF ORIGIN
BEEN UNSUCCESSFUL IN SEEKING
SOLUTIONS
THEY MAY NOT SEE THEIR PART IN THE
PROBLEM -want you to FIX LOVE ONE
AUTHENTIC- VULNERABLE-
COURAGEOUS
101. BRAVING - Brown
Am I clear in helping client accept own
boundaries ?
Am I reliable ? Do I do what I say I will do?
Do I hold myself accountable-Ethics,
professional standards &, seek
collaboration when necessary
Confidentiality
Nonjudgemental
Am I generous in my interpretation of self
and others ?
106. History
DR. RUTH R
Pronounced a Disease like Heart Disease
&Diabetes
Describable, Predictable and Progressive
If Left Untreated Fatal
1954 American socity on Alcoholism
107. Dr. Seabrook
Hypersensitivity to alcohol
Insatiable cravings
Excited by the smallest experience
“TO AVOID an attack of alcoholism one
had to experience a complete and
enduring abstinence”
108. Dr. Tiebot
Recognized the impact of Spiritual
Transformation
Roadblocks
-Fear of Change
Fear of the Unknown
Shame
Anger and Rage
Defiance & Defenses
Impulsivity - Tramua Repetition
109. What is Addiction
Addiction is a primary , chronic disease
of brain reward, motivation, memory
and related circuity
Dysfunction in these circuits leads to
characteristics biological,
psychological,social,
spiritual,manifestations
This is reflected in an individual
pathology pursing reward and/or reflex
by substances and other behaviors
110.
111. Learn Your ABCs
A = Age of First Use
B= Big Changes
C-Co-Existing Mental
Health /Behavioral Heath
Issues
DNA= Family History
114. The Adolescent Brain
Brain Maturation-age 25 nIMH
longitude study 1991
Lag between prefrontal cortex-and
growth of limbic system when emotions
originate and prefrontal that manages
Limbic system explodes at puberty while
it takes 10 plus years for prefrontal
cortex
Cerebellum Higher level Cognition
121. Shame
Shame is the intensely
painful feeling or experience
of believing we are flawed
and therefore unworthy of
love and belonging
I am Not Good Enough
Brene Brown
122. Who Stole The Cookie From The
Cookie Jar?
The Difference between
Shame is Guilt
I am bad versus I did
something bad
123. Humiliation
The act of making someone
feel inferior or foolish
Someone Telling You , You
aren’t Smart Enough, Good
Enough …Stupid
Or you have negative self
talk…
125. Grief and Loss
Loss-something of Value is
gone
Grief-Total response to
emotional experience
Bereavement- Subjective
Response by loved ones
Mourning-Behavioral
Response
131. Resilience Quotient
Mayo clinic
0= Not at all Accurate
1=Somewhat Accurate
2=Moderately Accurate
3= Very Accurate
4= Extremely Accurate
132. On a Scale of 1-4
I am able to adapt to change easily
I feel in control of my Life
I tend to bounce back after a hardship or an illness
I have close dependable relationships
I remain optimistic, even if things seem hopeless
I can think clearly and logically under stress
I see humor in situations, even stress
133. Resiliency in Recovery
The ability to overcome
challenges of all kinds,
trauma, tragedy, addiction,
personal crisis , plain ole life
problems and bounce back ,
stronger wiser and more
personally powerful
134. Whats ok - Whats Not ok
What was ok before Treatment?
Whats not ok today ?
What gets confusing ?
Boundary Exercise
135.
136.
137. Self Compassion - Dr. Kristen
Neff
Self Kindness versus Self
Judgement
Common Humanity vs
Shared Isolation -suffering
and personal inadequacy is
part of the human experience
Mindfulness vs. Over
Identification which leads to
negativity
138.
139. Self Compassion Exercise
1 First, think about times when a loved one feels really bad about him or herself or is really struggling in
some way. How would you respond to your l oved in this situation (especially when you’re at your
best)? Please write down what you typically do, what you say, and note the tone in which you typically
talk to your friends.
2 Now think about times when you feel bad about yourself or are struggling. How do you typically
respond to yourself in these situations? Please write down what you typically do, what you say, and
note the tone in which you talk to yourself.
3 Did you notice a difference? If so, ask yourself why. What factors or fears come into play that lead you
to treat yourself and others so differently?
4 Please write down how you think things might change if you responded to yourself in the same way you
typically respond to a close friend when you’re suffering.
Why not try treating yourself like a good friend and see what happens? close friend or loved one is
struggling and feels really bad about himself
150. Modalities USED
MI- Rolling With Resistance
SFT- In A Perfect World what would life
look like
CBT
Brown- You Can Write Your Own Story
Family MAPPING
Parallel Processes
You Can ALL FALL UP
153. Lets Brain Storm
Pre -Admit
Upon Entry into Treatment
During Treatment
During Clinical Interventions
After Care plan
OutPatient
Home Care
154.
155.
156. Resources
The Daring WAY & Rising Strong- Brown
Crucial Conversations -Patterson et al
Parallel Processes- Prozatek
Journey of The Heroic Parent-Reedy
Motivational Interviewing- Miller & Rollnick
http:www.motivationalinterviewing.org
Solution Focused Therapy - Young & Berg
Dr. Louise Stanger http://www.allaboutinterventions.com
Are You A Helicopter or Submarine ? Sober World -, Spring 2016 Stanger
157. Resources
Brene Brown-Daring Way & Rising Strong
Kristen Neff- www.self-compassion.org
William Martin & Phillip Hemphill- Taming Disruptive Behavior
Joe Newman -Raising Lions
McMannis & McMannis -Family Therapy Institute of Santa Barbara
http://ftisb.org