Clinical Strategies to form Secure Connections: Interventions for Oppositional Defiant, Reactive Attachment, Conduct, & Other Disruptive Disorders – Janene M. Donarski

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Positive Strategies for Attachment Issues that Build Trust and Connection:

Many children temporarily or permanently lose connection with their parents through foster care or adoption, death, separation, divorce, parental imprisonment, or even military tours of duty. 

In the short run, emotional dysregulation can lead to behavior problems and school issues, and in the long run disrupted attachment can leave children and teens at risk for substance abuse, criminality, homelessness, poor physical and psychological health, and even early mortality. Parental loss and the trauma associated with it can make it difficult for youth to form bonds in a new relationship.

Dr. Janene Donarski, PhD, LP, LMSW, will help you learn how to identify and work with attachment, reaction, meaning, bonding, and support, (ARMBandS), a strategy she developed to address the emotional difficulties of many foster and adopted children, as well as other youth who have endured parental separation and who are unable to form secure attachments. Dr. Donarski will lead you in an in-depth exploration of ways to help children and youth experience and accept affective attunement, in an effort to encourage a secure attachment that can lead to emotional connectedness and behavioral change.

This recording is a must for all mental health professionals who want to learn clinically tried-and-true approaches for facilitating emotional reparation and recovery from trauma, as well as strategies for working with children and youth who have been diagnosed with Oppositional Defiant Disorder, Conduct Disorder, Reactive Attachment Disorder, Disinhibited Social Engagement Disorder, Post-Traumatic Stress Disorder, and/or Adjustment Disorder. Dr. Donarski will explore the topics of parental loss, trauma, building trust, self-regulation, resilience, and post-traumatic growth in an interactive hands-on workshop that will prepare you to promote secure attachments between caregivers and the children and teens that you serve. 

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1. Examine the relationship between trauma and parental loss, trust, self-regulation, attachment, bonding, resilience, and post-traumatic growth in young clients
2. Explore clincial interventions that help child and adolescent clients experience and accept affective attunement that leads to attachment with caregivers
3. Identify client reactions or behaviors that indicate the success of clinical attachment strategies
4. Discuss developmentally-appropriate clinical intervention strategies for helping children and youth to build trust with caregivers including foster parents, parents, and grandparents, and develop a positive view of self
5. Use clincial intervention approaches that facilitate child and adolescent emotional reparation and resilience, while building self-regulation skills that are applicable with children, families, and groups

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ARMB and S: STRATEGY TO HELP YOUTH WHO HAVE EXPERIENCED TRAUMA AND LOSS

• Attachment
• Reaction
• Meaning
• Bonding
• Support

HOW ARMB and S CAN HELP CHILDREN AND YOUTH DEVELOP:

• Trust
• Self-regulation
• Bonding (interpersonal connectedness)
• Resilience
• Post-traumatic growth

ATTACHMENT: HEALTHY vs UNHEALTHY

• What is attachment?
• How do attachment and emotional development intersect?
• Secure attachment
• Disrupted attachment
  • Loss and trauma
  • Abandonment
• Techniques that empower caregivers to set the stage for attunement and attachment
• Interactive attachment skill builder

REACTION: WHAT DO THEIR BEHAVIORS TELL US?

• The Skinner box
• Consistency
• Re-visit the developmental milestones
• Accessibility
• Responsiveness
• Emotional connectedness and bonding
• Evidence of care technique success
• Interactive skill builder

MEANING: CREATING/RECREATING POSITIVE SELF

• Assessment – effective, comprehensive, reliable
• What’s the meaning of life (and why does it matter)?
  • Elementary age youth
  • Middle school age youth
  • High school age youth
• How to demonstrate that they have meaning to you
• Interactive skill builder: empowering caregivers to demonstrate meaning

BONDING: DEVELOPMENT OF INTERPERSONAL CONNECTEDNESS

• Setting the stage to build trust
• Need fulfillment
• Developmentally appropriate strategies for bonding
  • 0-3
  • 3 years and older
  • Adolescents

SUPPORT: DEVELOPING RESILIANCE AND GROWTH

• Parental loss and grief
• Trauma
• Preventing PTSD in children
• Self-regulation skills and emotional reparation
• Resilience
• Developmentally targeted post-traumatic growth
• Strategy for youth with: 
  • Oppositional Defiant Disorder
  • Post-Traumatic Stress Disorder
  • Reactive Attachment Disorder
  • Disinhibited Social Engagement Disorder
  • Conduct Disorder
  • Adjustment Disorder
  • How to support ongoing attachment and post-traumatic growth

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