The Community Resiliency Model - UNC Gillings School of ...

1 9/29/20161 The CommunityResiliency ModelA Program of The Trauma Resource InstituteSlides adapted from the work ofElaine Miller Karas and Laurie Leitch by theAsheville Area Community Resiliency Model Skills Trainers A set of six wellness skills Resets the natural balance of our mind, body, and spirit Can be used by individuals for self care or by peer helpers We call it CRM for short What is the CommunityResiliency Model ?9/29/20162 CRM skills are easy to learn You don t have to be a professional helper You don t have to talk about the past Even if reading and writing are difficult Can be used with different ages from children to elders Useful for people of different cultures and ethnic backgrounds Can be used in an endless number of contexts inside classrooms, offices, homes.

2 Outside on the playground and on class trips Educational materials are available that reinforce the wellness skills, the iChill app, wristbands, pocket cardsCRM is relevant Trauma informed Resiliency focused Strengths based Can be used by School staff for self care Can support the development of healthy Community climate/ culture Can be used for prevention and intervention Biologically grounded, non stigmatizing Can be taught to and by all School staff, not only counselors/health care professionals Uses sensory based mindfulness techniquesIn line with The Heart of Learning and Teaching: Compassion, Resiliency , and Academic SuccessCRM is: 9/29/20163 CRM seeks to create trauma informed, Resiliency focusedcommunities CRM places appropriate, open source technology in the hands of the peopleone Community at a time.

3 Buncombe County Schools, Mission, criminal justice system, mental Goal and Vision of CRMHow is CRM Serving Communities?BIOLOGYNOTM ental WeaknessThe Primary Focus of CRM is9/29/20164 The Resilient Zone Regulated admin, regulated teachers, regulated classrooms! ChargeReleaseChargeThe Resilient ZoneRegulate for optimal learning!9/29/20165 Traumatic or Stressful EventStuck onLOWHypo arousalHyperactivityHyper vigilanceManiaAnxietyPanicRagePainDepres sionIsolationExhaustionFatigueNumbnessTh e Resilient ZoneStuck on HIGHH yper arousalAdapted from an original graphic by Levine/HellerNatural DisastersMan Made DisastersWar Zone ExperiencesActs of TerrorismSexual AssaultsChild AbuseActs of ViolenceDeath of Loved One(s)Car AccidentsCatastrophic Illness Vicarious Trauma (Witnessing)

4 Dog BitesRoutine SurgeriesFallsInvasive Dental orMedical ProceduresMinor Car accidentsWhen the nervous system becomes overwhelmed, people can lose the capacity to stabilize and regulate in MediaDomestic ViolenceChild AbuseMultiple DeploymentsVicarious Trauma (Witnessing)Big T TraumaLittle T Trauma C Trauma9/29/20166 AcuteStress or Trauma =Too Much and Too FastThe nervous system becomes dysregulatedPerception is the keyCumulative Stress or Trauma = Too Little or Too Much for Too LongThe nervous system becomes dysregulatedPerception is the key9/29/20167 The adverse childhood Experiences (ACE) Study One of the largest investigations ever conducted to assess associations between chronic stressors in childhood and later life health and wellbeing.

5 What is the ACE Study?Many chronic illnesses of adults are determined decades earlier, in childhood not by disease, but by life childhood Experiences StudyAsked the Following:Indicators of abuse and neglect:1) Emotional abuse2) Physical abuse3) Sexual abuse4) Physical neglect5) Emotional neglectIndicators of family dysfunction:6) Domestic violence7) Parental mental illness8) Parental substance abuse9) Loss of parent due to divorce, separation, abandonment10) Incarceration of a household member9/29/20168 The ACE Pyramid 67% reported at least one ACE 22% reported three or more As # of ACEs increase.

6 The risk for major health problems increases exponentiallyDisrupted NeurodevelopmentChildren with 3+ ACEs are 32x more likely to have learning/ behavior problemsHarvard Center for the Developing ChildACEs Effect Learning9/29/20169 Students with 3+ x more likely to fail a grade Score lower on standardized tests Have language difficulties Are suspended or expelled more Are designated to special education more frequently Have poorer health18 ACEs & School Effect School Performance199/29/201610 HINDBRAINS ensation Regulates autonomic functions, digestion, respiration, circulation, reproductionInitiates Survival Strategies: fight or flight, freeze.

7 Tend and befriend. HINDBRAINS ensation Regulates autonomic functions, digestion, respiration, circulation, reproductionInitiates Survival Strategies: fight or flight, freeze. tend and befriend. NEOCORTEXC ritical Thinking Problem solving, planning, creativity, language, symbols, beliefs, inhibition of impulsesIntegrates Input: from all 3 partsNEOCORTEXC ritical Thinking Problem solving, planning, creativity, language, symbols, beliefs, inhibition of impulsesIntegrates Input: from all 3 partsLIMBIC SYSTEME motion Expression and mediation of feelings; motivation; interaction and relationship.

8 Memories, especially linked to emotionally charged experiencesAssesses Risk:especially the Amygdala, like a Smoke Alarm LIMBIC SYSTEME motion Expression and mediation of feelings; motivation; interaction and relationship; memories, especially linked to emotionally charged experiencesAssesses Risk:especially the Amygdala, like a Smoke Alarm THE TRIUNE BRAINA dapted from the work of Paul MacLeanSympathetic (SNS)Prepares for ActionParasympathetic (PSNS)Prepares for RestAutonomic NervousSystemThe SNS controls organs during times of stressBreathing rateHeart ratePupils DilateBlood PressureSweatingStress HormonesDigestionSalivaThe PSNS controls the bodyduring restBreathing rateHeart ratePupils DilateBlood PressureSweatingStress HormonesDigestionSaliva229/29/201611 Fight or Flight FreezeHINDBRAINA utomatic Defensive Responses PhysicalPhysical PainNumbSleep ProblemsStomach UpsetTight

9 MusclesFatigueHypervigilanceEmotionShame DepressionAnxietyGuiltApathyRageAvoidanc eFearGriefBehaviorAddictionsAbusive BehaviorsSelf InjuryIsolationEating DisordersSpiritualLoss/Increase of BeliefHopelessnessDeconstruction of SelfThinkingDistorted ThoughtsNightmaresParanoidPoor DecisionsForgetfulnessSuicidal/Homicidal Dissociation9/29/201612In order to get CRM we have to get this:The mind, body, and spirit return to balance based on THE HINDBRAIN onlyunderstandsThe Language of SensationSENSORY INPUTTHE CRM SKILLSRESOURCING and RESOURCE INTENSIFICATION GROUNDINGHELP NOWSHIFT AND STAYTRACKING9/29/201613 A sensation is a physical feelingin the body.

10 Sensation originates in billions of receptorsdistributed in every cell and system of the body. We are most familiar with the language of sensation based on the five senses taste, touch, smell, sound, sight. These are sometimes called elementalsensations. Especially important for CRM are the organic or visceralsensationsin our guts, bones, joints, and muscles. These are also called felt sense. Sensation Speak 101 Building a New Neural Pathwaythrough SensationTwitchDullSharpAchyJaggedFrozen AiryThickTremblingShiverySmoothChillsVib ratingItchyBumpySolidNumbEmptyBlockedMov ingStuffyExpandingTightPuffyBubblyTingli ngShakyStickySweatySparklySensation WordsUse sensory-based language rather than feelings-based words like happy, sad, angry.