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Friday, June 19 • 10:30am - 12:00pm
Resilience of Mind and Spirit - Holly Richardson, Martha Holden, Rocío Rodríguez-Rey

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Resilience of Mind and Spirit:

Abstract #73
Resilience and Spiritual Health: Intersections and Understandings
Presenter: Holly Richardson
Abstract:
Resilience in the context of life-threatening illness among children is tied to the spiritual. This presentation will include an exploration of the intersections between suffering, the spiritual, and resilience and the unique ways that ill children express hidden capacities and wisdom. It will offer suggestions for engaging children in conversations about illness meanings and the spiritual that recognize the complexity in language, and provide insight into how children make sense of and live well despite being seriously ill. Because the spiritual does not always wait for experts to arrive, findings are relevant to all healthcare providers and caregivers of ill children who are interested in nurturing resilience. Implications for interprofessional research, education, and practice will also be explored.


Abstract #106
Providing Relationship-Based and Trauma-Sensitive Care: Lessons From The TCI System and Care Practice Model
Presenter: Martha Holden Co-presenter: Jack Holden
Abstract:
There is substantial evidence that children and adolescents placed in therapeutic residential settings, group care, foster care, psychiatric hospitals, or juvenile justice settings have experienced significant trauma such as abuse, neglect, domestic and community violence. A consequence of placing these high needs and often aggressive children in out of home care is that many of these settings use behavior management practices that are overly controlling and punitive, and often trigger increased dysregulation and reactivity, sometimes resulting in increased risk of violence and injury. Some child welfare, mental health and juvenile justice communities have responded by implementing crisis and management systems and program models with therapeutic principles that meet the trauma sensitivity needs of these children by employing relationship based, non-coercive, non-confrontational, strength-based strategies to enhance resiliency and improve their well-being. This presentation will present results on the frequency and rate of restraints in one multi-faceted child and family services agency using the combination of the research informed Therapeutic Crisis Intervention (TCI) system and Children and Residential Experiences (CARE), a principle based residential program model.  In addition, results from the implementation of the CARE model on aggressive incidents, youth perceptions of staff behaviors (including attachment behaviors) will be presented and discussed.

Abstract #131
Prediction Of Mental Health From Resilience After Having A Child Under Intensive Care
Presenter: Rocío Rodríguez-Rey Co-presenter: Jesús Alonso-Tapia
Abstract:
It is broadly assumed that having a child severely ill is a potentially traumatic experience for parents, which can lead to long term adverse effects. The aim of this study was to elaborate a predictive model of parental mental health that included their reported pre-crisis level of resilience. We used a prospective longitudinal cohort design. A total of 196 parents whose children had been recently discharged from intensive care were assessed resilience, severity of the child’s condition, social risk and stress. Three (N=158) and six (N=143) months later parents answered anxiety, depression and posttraumatic stress disorder questionnaires. Confirmatory regression analyses and multiple-group analyses using structural equation modeling were conducted. Results showed that 74% of the total variance in psychopathology three months after the child’s discharge, and 49% of the total variance six months after the child’s discharge could be predicted by resilience, social risk, and severity of the child’s condition mediated by stress and emotions (X2/df =1.56; GFI=.80; CFI=.88; IFI=.88; RMSEA=.06). These results showed that resilience is a protective factor against psychopathology after critical events. Gender differences were found, being resilience more predictive for women. Implications for intervention to prevent distress and nurture well-being among these families will be discussed.

Presenters
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Holly Richardson

Assistant Professor, Dalhousie University
Dr. Richardson is a registered nurse with 13 years of experience caring for children who have cancer and their families and 13 years of university teaching experience. Her recent research focuses on holistic child and youth health, specifically with regard to understanding how young... Read More →
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Martha Holden

Martha J. Holden is a Senior Extension Associate with the Bronfenbrenner Center for Translational Research and the Director of the Residential Child Care Project at Cornell University. She provides technical assistance and training to residential child caring agencies, schools, juvenile... Read More →
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Rocío Rodríguez-Rey

Rocío Rodríguez-Rey is a Health Psychologist and a Ph.D candidate in the Department of Biological and Health Psychology at the Universidad Autónoma de Madrid, Spain. Her field of interest is resilience, mental health, and posttraumatic growth in children who suffer from severe... Read More →

Co-Presenters
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Jesús Alonso-Tapia

Professor at Universidad Autónoma de Madrid Jesús Alonso-Tapia is a full-time Professor in Psychological and Educational Assessment at the Universidad Autónoma de Madrid. Specialized in Motivation, self-regulation, resilience and learning assessment, he received the First National... Read More →
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Jack C Holden

Project Consultant at Cornell University Jack C. Holden, Ph.D. provides training, technical assistance, research, and curriculum development for residential care agencies, foster care, and schools nationally and internationally. He has published in the Journal of Child and Youth... Read More →


Friday June 19, 2015 10:30am - 12:00pm
Shatford Room A&A 2nd Floor, King's College

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