bigfoot 2006 -icctc-ccan- ouhsc indian country child trauma center (icctc) dolores subia bigfoot,...
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BigFoot 2006 -ICCTC-CCAN-OUHSC
Indian Country Child Trauma Center (ICCTC)
Dolores Subia BigFoot, PhDCenter on Child Abuse and Neglect
University of Oklahoma Health Sciences Center
BigFoot 2006 -ICCTC-CCAN-OUHSC
National Child Traumatic Stress Network
http://www.nctsn.org
University of Oklahoma Health Sciences Center
Indian Country Child Trauma Center (Category II Development Center)
[email protected]://www.icctc.org
BigFoot 2006 -ICCTC-CCAN-OUHSC
Indian Country Child Trauma Center
• Adapt evidence based treatments for American Indian/Alaskan Native children who have experienced traumatic events– Parent Child Interaction Therapy– Treatment of Children with Sexual Behavior
Problems– Trauma-Focused Cognitive Behavioral
Treatment
BigFoot 2006 -ICCTC-CCAN-OUHSC
Common Theoretical Conceptsof PCIT and Native Teachings
Combines external andinternal determinants ofbehavior
Teaching to understandplace in the world
Moves child from external control to voluntary self control
Teaching of self-discipline
Child learns techniques to mediate their own behavior
Teaching of way to cope
BigFoot 2006 -ICCTC-CCAN-OUHSC
Adaptation of PCIT for Indian Country
• Identification of Core Concepts of PCIT
• Identification of Minimum Skills of Trainees
• Recognition of Cultural Competency Application
• Identification of Native Traditional Teachings and Concepts
BigFoot 2006 -ICCTC-CCAN-OUHSC
Adaptation of PCIT for Indian Country
• Explore use of words, language, timing, interpretations, and belief system to use as a foundation
• Willingness to receive feedback from Native Therapists and Families
• Live Remote Internet Coaching
BigFoot 2006 -ICCTC-CCAN-OUHSC
Native Concepts of Parenting
• Honoring Children
• Indirect Discipline
• Modeling
• Storytelling
• Extended Family
BigFoot 2006 -ICCTC-CCAN-OUHSC
Native Concepts of Learning
• Watch
• Listen
• Told what to do
• Ask questions
• Practice
• Teach
BigFoot 2006 -ICCTC-CCAN-OUHSC
Native PCIT
Theoretical Orientation
Circle• How the world works• Spiritual teachings
•Behavior• Social learning• Cognitive
Assumptions/ Goals
•Build on relationships• Everyone is a relative• Respect• Acknowledgement• Learning• Consistency• Repetition• Non- interference • Honoring
•Enhance relationship between child and parent• Reduce frustration and anger• Improve social skills• Improve self-esteem• Improve organization/ attention• Improve consistent use of PCIT parenting skills
Assessments •Scouts• Council• How view Relationship• Showing
•Child Behavior checklists (ECBI)• Direct Parent-Child Observation (DPICS)
Cultural Incentives
• Food basket• Toys
• Toys
BigFoot 2006 -ICCTC-CCAN-OUHSC
Native PCIT
Practices/ Techniques
• Honoring children• Repetition• Acknowledgement• Shunning/Ignoring• Teachings/directions- “Do it this way”• Mentoring• Storytelling• Chanting• Modeling• Humor• Respect
• PRIDE Skills
Praise
Reflection
Imitation
Description
Enthusiasm• Timeout•Giving good directions• Coaching• Modeling• Discipline• Consistency
Relationship/ Interaction
• Name giving• Structure• Ceremony• Ritual
•Guided Play• Structure time• Present with child
Outcomes/ Expectations/ Measures of Success
• Giveaway• Ceremony• Practice• Competition/ outcome• Home visit
• Parent reports• Teacher reports• Child Reports• Direct observation measures• Homework
BigFoot 2006 -ICCTC-CCAN-OUHSC
Storytelling
Modeling
Ritual Shunning/Ignoring
Honor
Improve Consistent use of PCIT Parenting Skills
Behavior
Improve Social Skills
Enhance relationship between child and parent
Social Learning
PRIDE skills
Parent
Child
Naming
Ceremony
Giveaway
CircleImprove Organization and attention
Coaching
Modeling
Guided Play
Direct observation measures
Everyone is a relative