34. Residential Counselor 101 pt. 1 - Science, Art, and Craft
Release Date: 03/20/2024
Becoming Centered
In residential treatment programs by far the most effective way to train direct-care staff in how to effectively care for the kids and to provide counseling is through on-the-job coaching and individual supervision. However, there's a lot of very real barriers to providing quality supervision. The nature of the work, especially at more intensive programs, means that there is a high frequency of behavior-problems on the residential unit. This drives staff toward a short-term focus on getting through the shift, or perhaps through the week, with as few safety issues as possible. ...
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Episode 44 of the Becoming Centered podcast presents the third installment of the Processing Pathway, covering the technique known as "chaining." Chaining is a great way to add a visual element to cognitive processing. It lays out a series of links representing a chain of behaviors and feelings that led to a child or youth having to be separated from their peers. Once the sequence of links has been clarified, the key link that represents a realistic "choice point" is identified. This link represents the point in the sequence where the client could have made a different...
info_outlineBecoming Centered
Episode 43 of The Becoming Centered Podcast is the second episode in the Processing Pathway series. This episode introduces a 4-question outline for formal cognitive processing. Basically, the four parts include helping the child or youth to take responsibility for the behaviors that resulted in their being separated from their peers; identify at least some of the feelings that drove the probelm-behaviors; identify how those behaviors might have impacted peers and staff around them; and identify a possible plan for how to handle things better in the future. One size doesn't...
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Episode 42 of the Becoming Centered Podcast is the first episode on the Processing Pathway. Processing involves a structured approach to helping children and youth to mentally process their incidents of problem-behaviors. This episode introduces the concept of there being different ways that different parts of the brain process sensory data, personal experience, and the communications received from the other parts of the brain. This can result in various parts of the brain experiencing different types of confusion after a significant incident of problem-behaviors. ...
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Episode 41 of the Becoming Centered Podcast kicks off season 2 of this effort to spread knowledge about professional residential treatment of children and youth. This season is organized into two different educational pathways, mirroring consulting work being done. The Processing pathway is all about how to help kids process their own use of problem-behaviors. Typically, their own incidents and experiences leave parts of their brains confused about what has happened. They will come up with some way to understand, but often times their framing of what led to their misbehaviors...
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Psychological Debriefing is a technique for reducing the impact of traumatic stress after a neurologically intense experience. On a neuropsychological level that experience could be anything that triggers a release of certain hormones such as cortisol (known as “the stress hormone”) and adrenaline. On a behavioral level that typically includes situations such as being involved in a physical intervention, being exposed to aggressive posturing, being yelled at, or really any situation that triggers significant danger signals in your body. Exactly what moves a person...
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Coping Activities Diversions – any hobby or activity that engages your attention. Writing, drawing, painting, crafts Listening to music, playing an instrument, singing, dancing, acting Gardening Taking a walk, or going for a drive Watching television or a movie Guided Imagery Meditations Playing a game Shopping Reading ...
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The Aspect Compass, part of the Meta-Compass Model, divides areas of the brain and aspects of the psyche into four parts called: The Artist, The Scout, The Warrior, and The Chief. The Artist represents those parts of the brain and psyche that understand the world in terms of emotions. The Artist communicates, in terms of feelings and moods, to the rest of the brain. Helping The Artist feel centered involves making The Artist feel heard and seen. Creative arts activities can be emotionally centering activities. Co-Regulating with others and Experiencing empathy...
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Executive Skills are abilities that part of the brain can develop that used to regulate other parts of the brain. There’s two Executive Skills that describe ways that the emotional parts of the brain are regulated. Reaction Inhibition is the ability to stop yourself from automatically reacting. More specifically, it’s the ability to stop the action-focused parts of the brain, what I call the inner Warrior, from mindlessly reacting to the emotions being communicated by the parts of the brain I call the inner Artist. Your body will have internal behaviors in reaction to...
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Posture: The parts of the brain that control the physical body (the inner Warrior) and the parts of the brain that operate in terms of emotions (the inner Artist) are tightly linked in the brain. Changes in one automatically trigger changes in the other. So, getting kids to become more aware of their posture, and to habitually adopt good posture, supports being in a positive emotionally state-of-mind. The art is being able to frequently help kids improve their posture without it becoming obnoxious. Co-Regulation: When you synchronize your nervous system...
info_outlineThe Role of a Residential Counselor: Care and Treatment
CARE:
Relationships: A core responsibility is to attend to the care, well-being, and safety of the clients. This requires caring and respectful relationships between staff and clients.
Self: In order to take care of the clients, you have to be able to take care of yourself. This work is very stressful and your ability to become centered will strongly effect your ability to help the kids become centered.
Task Responsibilities: A Residential Counselor has numerous core tasks related to the implementation of program structures, care of the facility, and reporting requirements.
TREATMENT:
Emotions: In the East cardinal position of the treatment compass, this domain represents the parts of the brain, and the parts of the mind or psyche, that understand the world and communicate in terms of emotions. Part of a counselor’s treatment role is to help clients become emotionally centered when their feelings and moods become too extreme, too intense, too unstable, or too restricted.
Cognitions: In the South, this domain represents the parts of the brain and psyche that understand the world and communicate in terms of thinking. Part of a counselor’s treatment role is to help clients become cognitively centered when their thinking is disorganized.
Behaviors: In the West, this domain represents the parts of the brain and psyche that understand the world and communicate in terms of both external actions and internal physiological activity. Part of a counselor’s treatment role is to help clients become behaviorally and physiologically centered when their actions and bodies become too extreme or chaotic.
Executive Skills: In the North, this domain represents the parts of the brain and psyche that regulate the other parts of the brain and body. Part of a counselor’s treatment role is to serve as the kids’ executive skills, support their emerging skills, and inspire the development of their executive skills so that they can successfully self-regulate and no longer need residential treatment.
Self: At the center of the treatment compass is the self. In addition to needing to take care of themselves, so that they can care effectively for the kids, from a treatment perspective residential counselors need to be skilled at becoming centered themselves. Those abilities, to be highly resilient and to set the tone, will help the kids learn how to become centered.
Other Key Concepts
Counseling: Where therapy is has a strong interest in helping people make connections between their past and present, and tends to directly focus on issues related to grief and trauma; counseling tends to be more focused on the present – on how the client is functioning in-the-moment.
Neuropsychology: Neurology is the study of the brain and nervous system. Psychology is the study of the mind or psyche. Neuropsychology studies and explains the connections between neurology and psychology.
The Human Brain: This complex organ is made up of different parts that have unique shapes, functions, and ways of processing sensory data. Likewise, different parts of the brain have different ways of communicating to rest of the brain. Via the spine, nerve pathways, and blood vessels, the brain is connected to all the other parts of the body. There are glands throughout the body that produce various chemicals that change how the brain functions. Although only a metaphor, you can think of these chemicals as corresponding with feelings and moods, while the electrical system of the brain corresponds with thinking.
The Practice Effect: Anything you practice, your brain gets better at doing. This not only applies to actions, like bouncing a ball, but to feelings and moods. Practice getting angry and you’ll more easily be able to get into that state-of-mind. Practice being happy and you’ll ore easily be able to get into that state-of-mind.
Co-Regulating: This term refers to how two people who are doing the same activity, side-by-side, will start to synchronize their nervous systems. Human Beings start out life dependent on co-regulation to manage their infant feelings, thoughts, and behaviors. As those parts of the brain get used, the practice effect kicks in, and a person starts being able to better self-regulate.
The Artist: This is what I call the parts of the brain, and the parts of the psyche, that only understand the world and communicate in terms of emotions. The Artist wants to be seen, and the artist wants to be heard. The Artist communicates, via feelings and moods, to get its needs met, using the only “language” it has – emotions.