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Somerset Emotional Wellbeing programme

Projected for 2015
by

Sarah Temple

on 9 January 2016

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Transcript of Somerset Emotional Wellbeing programme

Questions?

Children and Young People Emotional Wellbeing programme- building resilience through training and resources.


Dr Janet Rose
Richard Parker
Louise Gilbert
Dr Sarah Temple


Tuning in to Kids , Sophie Havighurst and Ann Harley www.tuningintokids.org.au Mindful,
Department Psychiatry, the University of Melbourne

John Gottman,(1997). Raising an Emotionally Intelligent Child: The Heart of Parenting. Simon and Schuster: New York.

Adele Faber, and Elaine Mazlish (1980, 2000). How To Talk So Kids Will Listen & Listen So Kids will Talk., Avon Books: New York.

Adele Faber, and Elaine Mazlish, (1987, 1998) Siblings Without Rivalry. Avon Books: New York.
The Gottman Institute http://www.gottman.com

Emotionally Intelligent Parenting (EQParenting) http://www.eqparenting.com

Dan Siegel , Handmodel of the brain; The whole brain child (with Tina Bryson)

www.emotioncoaching.gottman.com


www.remember-to-breathe.org/

www.headspace.com

Dr Sarah Temple MRCGP
sarah@ehcap.co.uk





Resources

Children who are emotion coached are more likely to:

Have better cognitive abilities
Stronger social skills
Display more pro-social behaviour
Have fewer physical illnesses
Lower behaviour problems and lower anxiety or depressive symptoms

Eisenberg et al, 1998; Havighurst et al 2009, 2010, 2012; Kehoe et al 2014


Greatest benefit for children with higher levels of Emotional negative reactivity
Externalising behaviour (particularly at a young age)
Anxiety or depressive symptoms


Denham et al, 2000; Duncombe et al 2012; Kehoe et al 2014


Research evidence

Be aware of your own feelings – emotions are contagious

Manage your own feelings of anxiety/frustration/etc

Sharing your own worries can make things worse for them

Acceptance is crucial- show respect and empathise

‘Name it to tame it’ – labeling fear can help to calm

But avoid labeling the child

Avoid saying ‘Don’t worry/don’t think about it’

Help the child face their fear by scaffolding gently- be creative

Externalise the problem and work together with your child






Other helpful pointers

Responding to low level emotions

Emotions are noticed, the child does not have to escalate to have feelings noticed

Emotions are accepted, conflicts are not escalated

More optimal time to teach about emotions (frontal lobes are still engaged)

Can work pro-actively to lower stress chemicals (e.g., check sleep, food, calming/letting off steam activities; be more mindful during high risk times)

Clear limits are set early while emotions are recognised and respected

All feelings are OK – behaviours can be OK or not OK

Children learn to self-soothe, stay calm

Bond between child and parent is strengthened– power struggles less likely


John Gottman, 1997

Why does emotion coaching work?

You might be warm and concerned but do not respond to the child’s emotions.

Or you might:

Jump straight to problem-solving (e.g., offer advice “You should have…”)
Ask ‘why...’
Tell the child not to worry
Immediately offer distractions or reassurance
Moralise (the parental agenda, values)
Take another person’s side instead of the child’s perspective
Immediately explain why...... (defensive responding)


Emotion dismissing responses

It allows you to have awareness and control over what you do

It results in lower levels of stress, which are associated with better health

Enables more satisfying friendships and lasting intimate relationships

You can sooth yourself and are therefore able to calmly focus, concentrate
and think when faced with a challenging situation

It makes you more resilient (better able to deal with change and stress).



Tuning in to Kids, Sophie Havighurst and Ann Harley

The function of anxiety and worry

Role of temperament

Most children experience worry/fear

Different presentations - many parents don’t recognise anxiety

Clues: Somatic complaints, play, questions, avoidance

Parents may model worry/fear responses

Punitive, overprotective parenting, perfectionism

Emotional competence – a protective factor


Anxiety and Worry

All people working regularly with children and young people are well equipped to understand and respond appropriately to their emotional needs and know when and how to refer for specialist support.

Four programmes :

-Building resilience through training and
resources
-Young Person's Engagement Programme
-Primary Mental Health Link Workers
-Web based Mental Health Tool kit
There are five key steps to Emotion Coaching (John Gottman, 1997)
Become aware of the child’s emotion, especially noticing lower intensity emotions (e.g., disappointment, frustration).
View these emotions as an opportunity for connecting and teaching.
Communicate understanding and acceptance of the emotion (i.e., show empathy).
Help the child identify and put words to the emotion – verbally label feelings.
Set limits while helping children to problem-solve. Communicate that all wishes and feelings are OK but not all behaviours are OK.

Tuning in to Kids, Sophie Havighurst and Ann Harley (2007)
Gottman, J. M. and J. DeClaire (1997). The heart of parenting: How to raise an emotionally intelligent child. London, Bloomsbury


Emotion coaching

Dan Siegel: Hand model of the brain


Brain Regions and Functions


Four patterns of responding to children’s emotions

Emotion Disapproving
: disapproves or is critical of emotions being expressed (particularly uncomfortable emotions)

Emotion Dismissing
: ignores uncomfortable emotions.

Laissez Faire
: accepts all emotions but fails to place guidance around behaviour.

Emotion Coaching
: values all emotions and helps understand feelings while also guiding behaviour.


Eisenberg et al, 1998;Gottman et al 1997

Temperament

Parental modelling, parental reactions to emotion expression, discussion of emotions

Family emotional climate

Parental Meta-emotion philosophy (MEP)

the way we think and feel about emotions
comes from our family of origin experience


How does emotional competence develop?

Brainstem (instinctive brain)

breathing, heartbeat, temperature


Midbrain (survival brain)

survival functions such as safety and responses to threats (reflexes, sleep)

Limbic Area (emotional brain)


helps generate feelings and emotions
works together with Brainstem to process the experience of fear, danger and threat in the environment

Cortical Area (thinking brain)

reasoning, planning, anticipating, and predicting, impulse control, Meta-cognition, Meta-emotion

John Gottman's work has informed the
Tuning in to Kids
programme and Emotion Coaching at Bath Spa.

Tuning in to Kids
comes out of a team based in the Mindful Centre for Training and Development in Health, Melbourne University.

Mindfulness or pausing and being in the moment is a core part of this tool.

We integrate mindful sessions from www.Headspace.com into the Emotion Coaching programme.






Exercise

In pairs think of a time when you had a really tough time parenting your child
Try and describe what happened and what you think went wrong and how you felt afterwards

Feed back to the group




Exercise

In pairs think of a time when you had a good experience of parenting
Try and describe what happened and why you think it went well
Describe how you felt afterwards

Feed back to the group


Skill Set

As a group discuss the skills you feel you
need to have more of the positive parenting experiences

We will look at this again



The Five Steps of Emotion Coaching

CARE

1.
Tuning in
: notice or become aware of emotions

2.
Connect
and teach: it's an opportunity

3.
Accept
and listen: show understanding and empathy

4.

Reflect
: what you hear and see. Name the emotions

5.
End with problem solving and setting limits if necessary
Professor John Gottman, Washington University
Lets look
together
at the two key outcomes

-
develop a network of skilled professionals throughout the children and young people workforce who are champions for the emotional health and wellbeing for children and young people across Somerset

- network and establish a group of 20 champions within each of the 5 Somerset Districts




-
more children and young people know where and how to seek help with their emotional problems
Mindful Emotion Coaching



-Learn from the experience of Dr Janet Rose and colleagues at Bath Spa University - Emotion Coaching - a strategy for promoting behavioural self regulation in children/ young people in schools -3 pilot studies

-Work with the tool 'Tuning in to Kids' - see research evaluation within The California Evidence Base Clearing House
http://www.cebc4cw.org/program/tuning-in-to-kids-tik/



'
helping children and young people to understand the different emotions they experience, why they occur and how to handle them' (Gottman 2007)
What does Emotion Coaching do?
Dissemination of Emotion Coaching techniques to community groups- professionals, young people and parents (Resilience pilot and Wootton Basset pilot)

Rose, McGuire-Snieckus, Gilbert 2014
improved understanding of meta emotion philosophy and adult self- regulation

successful resolution of incidents


improved social and emotional behavior


improvements in collaborative working

Secondary School Teacher

'
gives a structure which stops staff being drawn in to an emotional situation and teaches the pupil about emotions and helps pupils become gradually more analytical and independent'

Head Teacher- Primary School

' a lot less children are being sent to me because the staff are all working together and using the same approach and it's empowered them to feel like they can deal with the situation as it's not escalating. It seems a lot calmer'

13 year old boy

'When people, like , take the mick out of me, like, in class I'd just get angry and I just hit'em. Now the teacher talks to me and it calms me down - the other kids don't really pick on me now 'cos they know that I don't react.
Reduction in call outs
Reduction in exclusions
Reduction in consequences
Vignettes from an Educational Psychologist

Male student in Year One
- Toby became upset after putting on waterproof trousers. Lindsey tuned in to Toby's emotions and connected. She reflected by saying that he was probably scared because once he had put the trousers on and tried to put his hands in his pockets he wasn't able to which meant he couldn't touch his cars which make him feel better.
Lindsey explained that to go outside with Commando he needs waterproofs.
They worked together to find a solution that would work and Toby slowly one by one put his cars in his jacket pocket
Vignette from an Educational Psychologist
15 year old girl in the Pupil Referral Unit

Rosy is having home tuition because she is too disruptive to learn in school. She is in Foster Care and the placement is stable at present. She has highly sexualised behavior and is emotionally immature. Her SENCo says she can only manage 20 minutes then needs a cigarette
Lindsey tuned in and connected, empathised and validated - together they discussed her feelings about not sleeping well and being tired. They worked together for 2 and a half hours without a break doing some productive educational work around phonation
Outcome Two

More children and young people know where and how to seek help

- information about specialist services is widely available in different and appropriate formats

- analyse children and young people engagement data (Peer mentoring, In Care In School)
- work with
MindEd
- work with Young Minds
- further develop the Mental Health Toolkit

- Promote Mental Health Toolkit within services eg Get Set, Schools, Voluntary Sector, Youth Services


Lets look at mapping this bid
Time Line for Bath Spa University Pilot Projects

2010-2011:
Melksham 0-19 Resilience Project
3 primary, 1 secondary, 1 youth centre, 1 children's centre
including accredited peer mentoring with young people
2011-2012:
Wootton Bassett Emotion Coaching
with 1 secondary, 8 primary schools, 3 children's centres

2012- :
Attachment Aware Schools
- Bath and North East Somerset (B&NES)/ Kate Cairns Associates/
Bath Spa University / Fosse Way Teaching School
First Phase :1 secondary and 5 primary schools
Second Phase: 19 schools including 1 special school and 1 further education college and one
youth organisation.


In each of these projects a community multi agency approach has been taken. Emotion coaching is based fundamentally on how we all relate with each other therefore
it works across services
.

Bath Spa University have pioneered the application of Emotion Coaching
across professional groups in the UK.

Bath Spa University
work with children and young people on empowerment projects
such as Peer Mentoring and In Care,In School (2012)
Professor Sir Al Aynsley-Green
– Paediatrician and first Children’s Commissioner for England and President elect of the British Medical Association

'I am fascinated by the Melksham project since it seeks to achieve much of what I was trying to articulate in my speech ‘Should the nurture of children be everybody’s business?’ and this model is one that I can see has immense implications, if successful, for rolling out into other places.'

(January 2011)

Professor John Gottman
– originator of the concept of Emotion Coaching

Please know that you have my total support. I am deeply moved by your work. Let me know if there is anything I can do to help you.'

(February 2012)

Introducing Bath Spa University

Does every child still matter?

-
Disadvantaged groups and communities
eg ethnic minorities, service families, local areas of deprivation

-
Voice and agency for children and young people
eg children in care, lesbian and gay young people

-
Partnership with local agencies and communities
eg emotion coaching, attachment aware schools

-
Influencing national policies
eg NICE, Institute for Recovery from Childhood Trauma, National College for Teaching and Leadership



r.parker@bathspa.ac.uk

Introducing EHCAP

Innovative Solutions for
Education, Health, Care and Prison Services
- public services that offer
better value
, early interventions that
reduce long term social cost

Working with National Change Programmes
- new SEN Code of Practice
- Working Together 2013
- Person Centred Practice

Dr Sarah Temple
: GP with experience working in CAMHS
Shoba Manro Holly
: Social Worker working in child protection

sarah@ehcap.co.uk


Children and Young People Emotional Wellbeing programme- building resilience through training and resources.



Your pack:

Bath Spa data
Overarching strategy
Tuning in to Kids data


Key Performance
Indicators
Review Meetings
Full transcript