CONTENTS PAGE DIVERSITY ISSUES IN THE TRAINING SETTING ................................................... 2 DIRECT WORK WITH CHILDREN ............................................................................. 3 CREATING A SAFE SPACE ....................................................................................... 6 CHECKLIST OF ASSESSMENT OF NEEDS OF BLACK CLIENTS ......................... 8 GOOD PRACTICE POINTS FOR IMPROVING COMMUNICATION WITH REFUGEE CHILDREN ................................................................................................................... 9 GOOD LISTENERS…................................................................................................ 10 NON-LISTENING RESPONSES ............................................................................... 11 LISTENING MORE HELPFULLY .............................................................................. 12 SOME POSITIVES OF USING ART ......................................................................... 13 EXAMPLES OF USING ART..................................................................................... 14 THE ANTI-COLOURING BOOK ................................................................................ 15 USING WRITING IN DIRECT WORK ....................................................................... 16 ENCOURAGING CHILDREN AND YOUNG PEOPLE TO WRITE.......................... 17 USING POETRY IN DIRECT WORK ........................................................................ 18 USING NARRATIVES TO CONNECT WITH A CHILD ............................................ 21 STORY TELLING ....................................................................................................... 23 WORKING WITH GRIEF ........................................................................................... 25 MAKING A MAP TO CONTAIN ANGER ................................................................... 27 LIFE STORY WORK .................................................................................................. 28 GENOGRAMS............................................................................................................ 32 GENOGRAM SYMBOLS ........................................................................................... 33 ECOMAPS.................................................................................................................. 34 COMMUNICATING WITH CHILDREN...................................................................... 35 BIBLIOGRAPHY......................................................................................................... 38 SUGGESTED FURTHER READING & RESOURCES ............................................ 39 PAGE 1 DIVERSITY ISSUES IN THE TRAINING SETTING People who present courses for Reconstruct make some assumptions, even though we’re supposed not to, about participants. These are that the group will contain people from a diverse range of backgrounds, some visible some less visible, some personal some professional. This diversity will cover gender, race, sexual orientation, disability and a lot more including personal experiences, class and religious persuasion. So this means that the course will • • be presented using variety because people have different learning styles, describe concepts using a variety of examples. The presenters will • • • • • avoid jargon (or at least explain it), be aware of individual differences within the group and respect these, avoid the stereotyping of particular groups in society, be aware of the effect of language, accept that everyone has the right and the responsibility to challenge. Additionally the facilitators hope that participants will • • • • • • • arrive punctually and stay (but explain unavoidable absences), respect each other, maintain the confidentiality of sensitive information, recognise and value difference, share experiences, ask questions, challenge views constructively. We hope that this will provide a useful framework within which learning and development can take place. The Direct Work Resource Book The resource book is provided to compliment the training. It should be used in the context of an ongoing learning process. This resource book will be used for the following courses: • • • Communicating with Children Direct Work Lifestory Work Every attempt has been made to ensure that all information and quotes have been accurately referenced. PAGE 2 DIRECT WORK WITH CHILDREN A Definition “..a means of intervening directly in the lives of children and young people so as to enable them to understand significant events in their past, to confront feelings engendered by these events and to become more fully involved in the future planning of their lives.”1 Children tend to blame themselves for the events which led to their leaving home and this is especially so if they have been abused. They are likely to need reinforcement about their worth, self esteem may need to be boosted by therapeutic or supportive services.2 Marinetto3 refers to Romaine who is of the opinion that the purpose of direct work with all children and young people is to communicate ‘you are an important person. The more I know about you, the better I can act on your behalf’. Communicating … can help minimise the trauma of transitions. Romaine refers to the aims of direct work with 4 different age groups. Children aged 2 – 4 years Direct work (through play) can help develop the emerging self, and can extend engagement with the world and others through senses work can strengthen relationships, can help assuage fears and anxieties and help the child feel safe in transition. Children aged 4 – 8 years (In play) children can understand the concept of learning a new skill. Many of the skills learnt through play can involve interaction with others. Story play can help us understand the child’s perceptions of past events, present circumstances and ideas about the future. The child’s perceptions, different from those of adults, can be explored. Children can be helped to understand routines and how things may be done in different settings. (Through play) relationships can be built and improved. Strategies for working through problem behaviours can be developed. 1 Hapgood (1988). Creative Work with Adolescents in Direct Work with Children. Ed. J. Aldgate and J. Simmonds. Batsford Books 2 Thoburn.J. (1994). Child Placement: Principles and Practice. Aldershot Arena. 3 Marinetto, D. (2000) Social Work with Children and Young People who are looked after. A Reader and Study Guide, Swansea: University of Wales. PAGE 3 Children aged 7 – 10 years Having made a leap in cognitive abilities, children may have increased understanding of early years experiences, resulting in behavioural changes. Discovering children’s wishes and feelings can be a goal. Children may need assistance to disengage from people (and experiences) from their early years. Through play, children can explore difficult feelings and memories and share their worries and anxieties. Forming identity, building up self-esteem and learning to apply social rules and boundaries can take place. Children in transition can be helped to build bridges. Children aged 9 years onwards With the development of hypothetical and abstract thought, young people can be helped to see situations from a broader perspective. Continuing to develop a sense of self, building self-esteem, dealing with post traumas, present hurts and starting to take more adult responsibilities are all important. Children can be helped to plan ahead, identify strategies for dealing with times when the effects of the past may surface. Developing and practising a ‘cover story’ (a shortened, not too revealing, version of their life / circumstances) may be of great help. Communicating with children is not only a technique but involves rapport and empathy, working at the children’s level and sharing an understanding of communication. Different forms of communicating with children: • • • • • • • • Spoken word Written word Drawing Using models, puppets and toys Shared activities Being together Observation Discussion Fahlberg4 is of the opinion that a major aspect of direct work is listening to children. Children at different ages respond differently to different forms of communication and it will also depend on the environment i.e. young children will feel more at ease in their home surroundings and with an adult that they trust. Whereas school-aged children might respond better while undertaking a structured activity i.e. driving along in the car, engaged in an activity. With adolescents on the other hand it is important to build up an alliance, share information, allowing them to make choices and to be responsible for their actions. 4 Fahlberg, V (1994). A Childs Journey Through Placement. London: BAAF PAGE 4 So what communication tools can be useful? • • • • • • • • • • • Telephones. Puppets. Dolls. Story telling. Art activities. Doing an eco map, life path. Life storybook. This is the most common method used with children in the looked after children system. It is a collection of words, pictures, photographs and documents relating to the child. Use books that talk about events common to the Childs situation. I.e. the Jacqueline Wilson books – Tracy Beaker. Activities and games. Art, music and drama. And many, many more! Marinetto refers to the work done by Barnardos in developing a Memory Store. Marinetto quotes Neville p119: ‘Hanging on to important memories can be particularly difficult for children who lose contact with their families through illness, death or other separations. The memory store was initially developed for work with families affected by HIV, but has proved equally valuable in adoption work and other instances of separation and loss. (It is) a brightly coloured box, inside are drawers where the precious belongings of family life and childhood can be stored…tapes, letters, writing, objects…unique boxes which reflect love, hope, dreams.’ Augmentative and Alternative Communication (AAC) AAC compliments or replaces spoken language. It “may range from any movement or behaviour that is observed and interpreted by another person as meaningful, to the use of a code agreed upon between people where items have specific meanings i.e. a language… It is appropriate for individuals who have difficulty with receptive and expressive language due to physical, sensory or learning disability. It provides an opportunity to attain emotional, social, educational and vocational goals.”5 Communicating with children who do not use verbal communication can pose particular difficulties for workers, parents and carers. There are many barriers to communication for some disabled children. There is a wide range of resources available to aid working with children with AAC. Observation is a key skill in working with children, particularly those who may use the slightest eye movement to indicate a ‘yes’ or a ‘no’. Recommended Reading: Morris, J. (2002). A Lot to Say. SCOPE: A guide for social workers and others working with children and young people with communication impairments. 5 ACE Centre Advisory Trust (2001). PAGE 5 CREATING A SAFE SPACE Anne Bannister6 identifies the following elements that need to be considered in creating a safe space: setting, unconditional regard, body language, therapeutic role and family relationships and social networks. Within each of these elements, some considerations have been identified below: Setting Consider where the interview or work takes place. For example: • • • • • • • • • • • • • Does it need to be somewhere familiar, on neutral ground? Accessibility Is there privacy? Who else will be in the building – health and safety? Is it comfortable, bright and welcoming? Will it make a child feel at ease? Where would the child prefer to be? Are there any associations that the child could make with the location e.g. past experiences? What facilities are there e.g. drinks, play equipment, materials etc? Health and safety issues such as fire exits. Is there enough space? Not too large (imposing) and not too small (oppressive). Space to move away from the activity/worker if required. Is it suitable for work that might be messy (e.g. painting, play doh)! How will the child get there? Time of day? Unconditional Regard Workers need to be able to help the child feel safe enough to be able to share their views, wishes and feelings. Children need to be able to express their opinions without feeling judged by the worker. Children need to know that they will not be punished for what they say or treated differently. They need to feel that they are accepted by the worker. • • • • • • Ensure that negative statements or insinuations are not made about the child, their experiences or their family. Be honest and open. Set boundaries, especially relating to unacceptable behaviour. Be clear that it is the behaviour that is unacceptable not the child. Consider your tone of voice and reactions when responding to comments or statements made by the child. Demonstrate that you value and respect the child for who they are. Do not focus only on weaknesses; explore and build on strengths. 6 Bannister, A. (1998). From Hearing to Healing: Working with the Aftermath of Child Sexual Abuse. Chichester: Wiley. PAGE 6 • • Be aware of the power dynamics that exist. Demonstrate that you are actively listening. Body Language Workers need to be aware of their own and the child’s body language and what messages it might portray. • • • • • • Be aware of your body language. Adopt an ‘open’ stance. Notice the child’s body language and comment on it appropriately. For example, ‘it looks to me that you are feeling really angry about that…’. Check this out and explain why you might have thought that: ‘when I am angry, I notice that I sometimes raise my voice or talk a bit faster or clench my fists…’ Allow opportunities for cultural differences to be explored. For example, Native Americans may show a sign of respect by avoiding direct eye contact. Copying or mirroring body language can assist in demonstrating respect, equality, trust and listening. Have an awareness of how misperceptions of body language can be made. For example, sitting forward may be perceived as intimidating or it may be perceived as demonstrating listening. Therapeutic Role Workers need to be aware of the boundaries of their role and the need for containment. It is important to ‘close down’ before the end of session. ‘Opening a can of worms’ and then not exploring or containing this can be very damaging. • • • • • • • • Be clear about your role and its boundaries. Establish a contract with the child or young person identifying the parameters of your role, confidentiality, the purpose of the sessions, expectations etc. Ensure that you have adequate support through supervision and other relevant sources. Have a beginning, middle and end to a session to pull things together. Explore with the child how ‘opened up’ issues can be contained e.g. followed up in next session, support from foster carer or other person e.g. therapist. Allow space for the child to be able to talk about anything. Ensure clarity for the child regarding confidentiality. Show respect for the child and take what they say seriously. The Individual Needs of the Child When undertaking any work with a child, it is crucial that adequate consideration is given to the needs of the child. These should be integral to all work with children, young people and their families. • Accessibility • Communication methods/chosen language • Culture/race/ethnicity • Age and understanding. PAGE 7 CHECKLIST OF ASSESSMENT OF NEEDS OF BLACK CLIENTS The following checklist was established by Ahmad Bandana7: • Have you acknowledged the fact that all assessments of black clients require recognition of racism and its effects whether covert or overt? • What steps have you taken to critically examine your values and perception of black families? • How do you ensure that your assessment is not based on negative stereotypes of black families? • Are you able to identify the root cause of your anxiety in the application of your assessment methods and skills without blaming black clients? • How do you respond to black clients challenging or criticising your assessment – constructively or defensively? • Are you confident to openly share your assessment with black clients and their families? • Do you usually define the needs of black clients or ensure your assessment is based on their experience and reality? How do you ensure your assessment is based on their experience and reality? • Do you assess the strengths of black clients, their families and communities as well as their weaknesses, problems and needs? • What have you done to ensure your assessment responds to different and specific needs of black clients, not just ‘special needs’? • Can your assessment make clear distinctions between clients’ possible control of personal problems and external constraints beyond their control? What are the distinctions? • Is your assessment sensitive to cultural implications, expectations and aspirations? Make a list of cultural implications, expectations and aspirations. • Are you restricting your assessment because you think there are no resources, which justifies partial account of black clients’ needs? • Do you fit black clients’ needs in your assessment or vice versa? • Have you made passing and/or irrelevant comments that may distort your assessment and misguide social work action? • Is your assessment capable of incorporating effective short and long term planning and evaluation? • Do you challenge and include critical assessments of racist procedures and practices of other institutions and professionals involved with black clients you assess? • What steps have you taken to check whether your assessment is influenced by pathological, liberal or safe approach? • Are you fully aware of racist outcomes your assessment may have on black clients? Identify and list any possible outcomes that may be racist. • Do you actively seek and/or use advice and guidance from black expertise? • Can your assessment advocate for change and race equality? How? • Can your assessment empower black clients? How? • How do you evaluate your assessment of black clients and outcome of your assessment on black clients? 7 Bandana, A. (1990). Black Perspectives in Social Work. Venture Press PAGE 8 GOOD PRACTICE POINTS FOR IMPROVING COMMUNICATION WITH REFUGEE CHILDREN The following has been adapted from Naomi Richman8: • • • • • • • • Ensure regular contact with the child. Show that you understand their reasons for distrust. Give practical advice and information where possible. Have a good interpreter. Find activities that you can enjoy together. Communicate through non-verbal activities like art and mime. Learn about the history and culture of their country. Get to know the parents if they are here. Blocks in Communication Blocks may result in communication due to the following situations: • • • • • • • There is no common language and no interpreter, or the worker imagines that the other person understands more English than he or she actually does. The worker becomes upset or overwhelmed when faced with the refugee’s difficulties. Other strong emotions such as anger, irritation or distrust can also arise when faced with stories of atrocities and misfortune. The worker cannot understand other cultures or points of view. Some social workers cannot accept that parents do not inform their children about the deaths of relatives, or that some children who are living with relatives have been told specifically not to talk about the death of their parents because of the fear that it may affect their asylum status. Preconceptions block free communication e.g. being afraid to ask straightforward questions because all refugees are thought to be traumatised. Not respecting refugees. The worker does not create trust, or realise the importance of confidentiality. Work with refugees is not valued in the organisation and pressure of time makes contacts too hurried and there is limited support and supervision for workers. 8 Richman, N. (1998). In the Midst of the Whirlwind. A Manual for Helping Refugee Children. Trentham Books. PAGE 9 GOOD LISTENERS… • Give space and time for people to say how they feel. • Are not afraid of ‘silences’ to give time to think and reflect. • Do not show their ‘judgement’ . • Listeners are human! Of course they have opinions….but the important thing is that their opinion does not become a barrier to listening. • Acknowledges that thoughts, opinions and feelings are valid – and doesn’t try to convince the other person that is not how they feel. • Respect others, and empathize with them. • Listen ‘actively’ – watch out for things that are said and not said and RESPOND to these. • • Ask for clarification or explanation when they do not understand something ‘I don’t quite understand what you mean; could you help me by saying some more about this?’ • Do not ‘give’ emotions, thoughts and feelings, but offer space to explore them. For example, not, ‘You MUST have been very angry’ but instead ‘I expect that made you feel very angry’, or ‘How did you feel when that happened?’ • When making suggestions, give ideas and not INSTRUCTIONS. For example, not, ‘You SHOULD / MUST…………’, but instead ‘Have you thought about?’, ‘I wonder if………’, ‘Perhaps a good idea……..’ • Are not frightened of feelings. • Are clear about what they can offer, and do not make ‘empty promises’ or false reassurances to pacify the other person, and make themselves feel better. • Know when, and how, to get support for themselves. • Do not think that they have the 'answers' or 'solutions' to everything PAGE 10 NON-LISTENING RESPONSES • Diverting the conversation away from what they child / young person is saying • Changing the subject to suit your own agenda • Taking over, so that you become the focus for the conversation • Assuming you know everything about the child / young person’s situation • Being falsely positive, for example, by telling the child / young person that “things aren’t as bad as they seem” or that “everything will be better in the morning” • Asking questions to satisfy your own curiosity but which don’t help the child/young person to clarify their situation or tell their story • Implying that the problem the young person/child is coping with is all his/her fault • Belittling the child/young person, e.g. saying making a fuss about nothing that they are • Telling the child/young person that you or other people have coped with far worse difficulties than the one they are facing • Saying that the situation is coping with is hopeless • Telling the child / young person what to do (if advice giving is not your role) or without listening to what the child/young person wants to do PAGE 11 LISTENING MORE HELPFULLY • IDENTIFICATION This is the “I’ve been there too feeling”. In other words, “I understand this because it happened to me too – I know how it feels for me”. Responses based on identification are really about saying to the child/young person that they must feel like you do. These responses usually begin with “I” and are about you and your feelings rather than the child / young person, for example: “I know what that’s like”, “I know exactly what you mean” or “that happened to me too” • SYMPATHY The message behind sympathy is “This is what I think/feel about what is happening for you” We tend to feel sympathetic when we feel that someone is a victim, either of another person’s actions or of fate. We feel sorry for them because they are suffering and while that in itself is not such a bad thing, it can make people feel even more helpless or worthless. Sympathy typically involves personal judgements, for example: “I thinks that’s terrible” or “ I don’t think it’s as bad as all that”. • EMPATHY EMPATHY Empathy is often understood as putting yourself in another person’s shoes. This is a useful way of understanding empathy, but only up to a point. The problem with this idea is that we sometimes imagine we are the other person and expect them to think and feel what we would think and feel – the temptation then is to take over or draw conclusions based on what you would do in the child/young person’s place. An important aspect of empathy is “non-possessive warmth”. This is about remaining warm and accepting towards a child / young person, regardless of what they are saying. “Non-possessive warmth” is not dependent on whether or not we feel sympathy towards the child/young person, but should be offered regardless of our own feelings and judgements. This is really important because, if a child/young person feels rejected by us they will probably then find it very hard to talk to us about the things that really matter to them. PAGE 12 SOME POSITIVES OF USING ART • Everyone can join in at their own pace, and all contributions from a doodle to a completed painting are equal. • Art can be a vital way of communicating when words fail, or when feelings have been covered over by words. • A less challenging approach to challenging issues. • The spatial nature of pictures means that many things can be shown at once. • Art encourages and develops creativity. • Art is a useful tool to explore fantasy and imagination. • Art creates an end “product” that can be kept and returned to. • Art can provide a connection with others, within self and with the medium. • Art is portable and cheap. • Art can be fun, relaxing and pleasurable. PAGE 13 EXAMPLES OF USING ART These are simple yet effective exercises that can be used when working 1:1 with a child and with a group. The exercises can be built upon and developed; they can be used to ‘open up’ discussion. Self Image This is an exercise to help young people to start talking about how they see themselves and receive encouraging feedback from others enabling discussion. • • • • • Ask young person to draw two images of themself. The first is an image of how they see themselves. When this image is complete, ask them to do a second image, this time of how they think other people see them. Note how long is taken on each image and which feels most important to the young person. Ask them which image they like best and why. Ask them what the differences are between the two images. Are there any things that are the same, and if so, what are they? Where appropriate, offer comments on how you see the young person and ask others for any positive comments (if conducting in a group session). My Strengths • • • • • • • Ask the young person to fill the page with pictures of the things that they feel are good at or like about themselves. If this proves to be too difficult, it could be broadened to include the things that they are good at and the things they like doing. For example, one image could depict that the young person feels that they are kind, funny or good at drawing. Another could depict that they have a nice smile and like horse riding. Help the young person by prompting them with the things that you might put in your own picture (if necessary and make sure that you do not lead the young person’s thinking). When the image is complete ask them to tell you about it and the things they like best about it. Then ask the young person to make a second image of the things that they would like to be good at. What are the differences and similarities between the two? Ask them how they might go about getting better at the things that they would like to be good at. Ask the young person how they feel about the pictures and what they enjoyed and didn’t enjoy about the exercise. [With thanks to Tanya Chowdhury, Art Therapist. July 2005]. PAGE 14 THE ANTI-COLOURING BOOK PAGE 15 USING WRITING IN DIRECT WORK YOU CAN hate writing Be ungrammatical e **!!*CURSE**!!** paste in whatever you want YOU CAN BE………. very, very neat Organised HAVE BIG WRITING HAVE LITTLE WRITING PAGE 16 ENCOURAGING CHILDREN AND YOUNG PEOPLE TO WRITE Children and young people may have been deprived or disadvantaged by their life experiences, but their imaginations and potential for creativity remain intact. They are often powerfully inhibited by the following: • Feeling that writing is like school work, and that they will fail. • Worrying about spelling and handwriting. • Fearing that they will be criticised or ridiculed. • Having their work corrected by an adult, and altered so that it looks “right”. • Having their work interpreted, to explore their personal feeling or make guesses about their life experience. PAGE 17 USING POETRY IN DIRECT WORK “I am able to order my thoughts and feelings more eloquently and directly, almost as if the poetry comes from the deepest part of my being.” 9 “Poetry is very like string. Its comparative thinness and quickness enables it to reach the parts that prose cannot, leaping straight to the heart of the matter.” 10 Poetry can be used in variety of different ways when working with children and young people. As a worker, you can support a child to create their own poems. You can combine different mediums with developing poetry such as art. Poetry can be used regardless of literacy levels. Workers can act as a ‘scribe’ if requested by children. Using a computer to write the poems can be another way of engaging a child as well as supporting the development of other skills. Here are a few ideas of how poetry can be used: Anacrostic Poems Identify a word such as ‘mummy’, ‘school’ or ‘future’. It could be a word that the child has used a number of times such as ‘frightening’. Write the word vertically and encourage the child to write something on the first line using the word identified (e.g. ‘mummy’). The second line will then begin using the letter ‘u’. For example: Mummy makes me laugh Understands me Makes me cry Makes me scared but You still need your mummy. Feelings Poems 9 Allen, Lee (2004). The Power of Poetry in CPJ. 15(6):45-47. Bolton, G. (1999). The Therapeutic Potential of Creative Writing. Jessica Kingsley Publishers. 10 PAGE 18 Identify a feeling (e.g. anger) or situation (e.g. foster placement) and encourage the child to explore it using questions such as: What is it? What does it look like? What colour is it? What does it smell like? What is it like for you? And so forth. Then ask the child to prefix the answers with the word. For example: Happiness is what I really want. Happiness is bright and colourful, reds and yellows and orange. It’s like the sun. Happiness smells sweet and yummy. Happiness is a song that you can’t help singing. Happiness is something that everyone should have all of the time. Happiness is a dream and a nightmare that I always have. Begin the first line Start the poem for the child. For example: One frightening thought I have is…. Or One thing I am looking forward to is... Or One worry I have is… Read a selection of poems You can identify poems that relate to a child’s situation. For example, Lemn Sissay has written a lot of poems about his experience of being in care. Encourage a child to think of themes about what it feels like to be in care and then write them in the form of a poem. Here is one of Lemn’s poems: PAGE 19 Suitcases & Muddy Parks You say I am a lying child I say I'm not you say there you go again You say I am a rebellious child I say no I'm not you say there you go again Quite frankly mum I've never seen a rebellious child before and when my mates said jump in that puddle and race you through the park (y'know, the muddy one) I didn't think about the mud. When you said why you are dirty! I could feel the anger in your voice I still don't know why. I said I raced my mates through the park. You said it was deliberate. I said I didn't I mean I did but it wasn't. You said I was lying, I said no I am not. You said there you go again. Later in the dawn of adolescence it was time for my leave I with my suitcase, social worker, you with your husband, walked our sliced ways. Sometimes I run back to you like a child through a muddy park, adult achievements tucked under each arm, I explain them with a child-like twinkle, thinking any mother would be proud... Your eyes, desperately trying hard to be wise and unrevealing, reveal all. Still you fall back into the heart of the same rocking chair saying There you go again. And I did. And I have. PAGE 20 USING NARRATIVES TO CONNECT WITH A CHILD “Words have the ability to shape our thoughts, feelings, beliefs, actions and relationships. When placed together in a cohesive form such as a story, the effect can be more powerful. Stories instruct us and help us to make sense of our experience of the world. Stories allow readers to see themselves connected to the past, present, and future.”11 The following is summarised from Lacher et al (2005) on their work regarding developing attachment in adopted children. The model provided can be adapted for a range of situations and used with children through direct work. Narratives can be used in a variety of ways and can be a powerful mechanism for working directly with both children and adults. Stories can be used to help us make sense of our lives; they grow and develop over time and with new experiences. They can be helpful as they can create a sense of ‘distance’ which can make it feel safer to explore issues and emotions. Lacher et al (2005) believe that the use of narratives by adoptive parents can support the child to develop a new inner working model or life perspective. It is important that parents/carers are attuned to the child. Emotional attunement is central to secure attachment. Constructing a Narrative Lacher et al (2005)12 identify three common themes that are apparent from the narrative work that they have undertaken: 1. Claiming: “From the first, you deserved to be loved and cared for by parents you could trust.” 2. Trauma: “Even though you experienced abuse, abandonment, or neglect you deserved to be loved and cared for by responsible parents.” 3. Developmental: “Your behaviour does not define your value and I (we) will be there to love and support you as you make changes.” 11 (Siegel and Hartzell, 2003, cited in Lacher et al, 2005, pg 49 Lacher, D., Nichols, T. and May, J. (2005) Connecting with Kids through Stories – Using Narratives to Facilitate Attachment in Adopted Children. Jessica Kingsley Publishers. 12 PAGE 21 Components of Narratives 1. The perspective: • • • Need to choose the perspective from which the story is told. The first person (I, my, me) is often used in claiming or developmental narratives. The third person perspective (she, he, it) are more commonly used in trauma narratives. 2. The hero: • • • • Used as someone the child can relate to thus more open to receiving the story’s message. Successful use can communicate that the child has been understood. Can assist internalising the message. Can be anything that the child may identify with or are fascinated by. 3. The message: • • • • • Content is specific to the child and determined by the child’s unique inner working model. The message underpins the basis and structure of the story. A beginning, middle and an end. Attention is required to detail, actions, thoughts, feelings and so forth. Sequencing of events can also teach children about planning and form. Story Construction Guide • • • • • • • • • What would you like to work on with your child? What is the message you would like the story to convey? What perspective (first or third person) seems most appropriate for your situation and message? In the first person perspective, you may use your own experience or story that your child may identify with to communicate the message to your child. Describe the events of the experience… Think about the emotional content: how can you convey the emotions both verbally and non-verbally? If you are considering the third person perspective, with what character might your child identify? Describe the appearance of the character; describe the setting in which the story takes place. Referring back to the message you would like to convey, what plot would capture your child’s interest while communicating the message? What are the character’s thoughts, feelings, and actions as the plot unfolds? Would any story aides be helpful? If so, what? PAGE 22 STORY TELLING • In every part of the world, stories were once a central part of culture. Folk tales had an enormous range of meaning. A story could contain the history and wisdom of a society, reinforce the importance of tradition and custom, be used to teach skills, explain the mysteries of the universe and how people fitted into the world, offer solutions to personal and practical problems, amuse and entertain. • Stories can be used in all kinds of work with children and young people, as a safe and creative way of making sense of their world. They can be used to work with children and young people who have been abused, and they can be used to help children and young people feel powerful against oppression. • Stories are flexible. They can be “tailored” to the needs of individual children, and children can take charge of what happens in the story. • Stories can convey positive messages that reinforce anti-discriminatory practice. They can celebrate difference and emphasise the strength and beauty of all children. • Stories can change. They can be told again and again in different ways. They can develop, have different possibilities and endings. • Stories can form the centre for a number of creative activities, including using art, music and drama. • Stories can be used to work with individuals and groups. PAGE 23 THE STORY FRAMEWORK Once upon a time, there was a young woman who woke up just as the night was turning into day, knowing she must set out on a long, long journey, with no certainty of return to the place she started from. The house where she began was on the edge of a great wilderness, a landscape of stony mountains, and fierce rivers which ran down to the far distant sea. She knew the journey would be hard, so she only took three things with her; a token to remind her of the safe place in her heart where she could always be herself, a self that was strong and feared nothing, her favourite garment and a photograph of someone who was dear to her. Then she set off on her journey across the wilderness. She took great comfort from knowing that many people had travelled before her, and reached their destination, although the way was so hard, and sometimes so difficult to find that sometimes travellers despaired that they would ever reach journey’s end. She had travelled only a few miles along the path that ran through the wilderness, when she met a magical animal. The animal could speak and understand the language of humans, and it had often accompanied women through the wilderness, so it held great wisdom about the journey. They decided to travel together, to help each other if they needed to and to be company for each other. They had many adventures, and found two special things as they travelled along the path. One was a map of the way they should take, the other was an object of great power. One day, they came to the edge of a great forest, and when they looked at the map, they saw there was no way round it. They would have to travel through the very heart of the forest to reach their destination. The animal knew, from certain signs that travellers had left, that something evil lived in the forest and preyed on anyone who dared to enter its boundaries. When night fell, the young woman and her animal companion were surrounded by great trees that hid the moon’s shine, and it was hard to follow the path which wandered and faded and sometimes seemed to altogether disappear. Out of the darkness, came the terrible monster they had dreaded meeting and carried the young woman off to a tower in the darkest part of the wood. The young woman was very brave and resourceful, and with the help of her animal companion, the object of great power, and her own strength and wisdom, she was able to defeat the monster, to take away his power and escape. She travelled on with her companion, until one day they came to the other side of the wilderness, and reached their destination. She had learnt some very special things about herself. And she lived well ever after. PAGE 24 WORKING WITH GRIEF Bereavement is the experience of loss and grief accompanies bereavement. Grief is defined as acute mental suffering13. It is sometimes seen as an emotion, but grief is usually made up of several complex strands that will probably include: • • • • • A physical response An emotional response A social response An intellectual response A spiritual response The intensity of grief and its persistence is enormously variable. Burrows and Keenan identify six responses that people have to loss: • • • • • • Shock. Denial and panic. Anger. Guilt. Yearning and pining. Searching. Children and young people who are grieving usually travel through some characteristic stages. Denial Denial is the immediate rejection of loss. Where there has been preparation and support, denial can be less intense and shorter lived. Some children and young people, particularly those who have been abused, can only survive by using denial as an anaesthetic to hold the pain at bay. Emotional Anguish Emotional pain will almost certainly include anger and guilt. Other forceful grief reactions may include anxiety, dismay, longing, shame and vivid, sometimes obsessive memories. Partial Adjustment Resolving grief alongside the often painful process of growing up can prolong the period of anguish for a very long time. This can be a period when children and young people brood, are depressed and feel physically apathetic and lacking in energy. 13 Burrows, R. and Keenan, B. (2004). Considering Children and Parents/Carers. Barnardo’s PAGE 25 Acceptance Resolving grief comes when the acceptance of the loss is incorporated into the present. The “scars” of pain will remain, but the pain no longer dominates all life experience. In adults, this is a time when new relationships become possible, old relationships are reconsidered and it is possible to have positive feelings about the future. For children and young people who are dependent on adults and very much less powerful, acceptance can be forced upon them. And Remember… While these characteristics are set out in sequence, it is important to stress there is no set time scale or convenient pattern in real life. Children and young people need to be helped to resolve loss, or they will experience new loss and change as activating old grief and adding to their pain. This sad process will inevitably lead to great difficulties in their adult life. When planning Direct Work it is crucial to think about loss. Helping young people to feel optimistic about themselves and their future will be impossible if they are trapped in feelings of unresolved grief. PAGE 26 MAKING A MAP TO CONTAIN ANGER Physical Signs • What happens to your body when you become angry? You might feel cold, sweaty, tense your muscles, find it difficult to breathe evenly. • Do you ever experience physical pain? You might get a head-ache, a stomach-ache. Behavioural Signs • How do you behave when you’re angry? You might giggle, not be able to eat, weep. What Lessons Have You Learnt About Being Angry? • When you were growing up, what did you learn about being angry? • What did your parents, carers, brothers and sisters, teachers do when they were angry? • What messages did you get when you were angry? • You might have been told you were bad, stupid, unfeminine, comical. Anger Expressed as Violence • Have you ever suffered violence because someone was angry with you, or done anything violent because you were angry? • What are safe ways for you to express and release your own anger? • Are there people who can help and support you when you are really angry? Anger as a Positive Force • Can you find positive energy in your own anger? • Has your anger helped you to achieve or overcome? PAGE 27 LIFE STORY WORK The following is information regarding Life Story Work provided by the British Association for Fostering and Adoption (BAAF). The Purpose • Life story work can be an invaluable tool in helping children and young people who have become separated from their birth family, or experienced many moves and changes in their lives, make sense of their life experience and history. • As well as preserving past history, it is also a helpful way of enabling children and young people to think about their present situation, and what their wishes and feelings might be for the future. • The ideal time for the work to be carried out, is when a child is in a safe and stable placement. Principles • Take into account the child’s age, development, preferred method of communication, cultural background and any disabilities or communication differences. • Be honest with the child about the reasons for the work and what you know – which may well be limited – about their past. • It will be an enormous task for everyone involved and they will need to be committed. • Work at the child’s pace, helping them to overcome blocks, which may prevent them from moving on. If the child rejects the work, it may be the wrong time, you may not be the right person, or there may be the need for other work with the child before life story work can be successfully managed. • Respect the child as an individual. Life story work can be a vital part of working with children on their identity and self-esteem. Preparation • Allow sufficient time for the work. • Research the child’s history as thoroughly as you possibly can. The questions you will ask when you find gaps and confusions will be the same questions the child will ask, if not now, then in ten or twenty years time. PAGE 28 • Gather together your information from as many sources and perspectives as possible. • Be as creative as you can in gathering information – use photographs, videos, mementoes – anything you think will have significance in conveying the child’s history. • Ensure there is support for the child, and for yourself as a worker. The work will inevitably raise painful issues. Materials and Methods • The following suggestions may be helpful, in creating a basic “tool box” for sessions: - Large sheets of paper in a variety of colours. Pens and crayons. Magazines and newspapers for collage and headlines. Photographs of places and people connected to the child. Glue and sellotape. General collage material – sequins, glitter, stickers. Telephones. Dolls houses and small dolls. Cars, ambulances and police cars. Magic wand. Outlines of faces to represent feelings Dough or clay. A special box for “dumping” feelings, putting secrets etc. Tactile objects and objects that smell. Video camera and tapes. Polaroid camera. CARRYING OUT THE WORK • For very young children, life story work will have been begun by professionals, without the active participation of the child. • For children and young people who can be active participants in the work, workers should encourage and enable them to chose where they wish to begin. • Contributions to the work can include visits to significant places or people, and photographs can be taken and mementoes collected from these visits. • Sometimes sessions will be very difficult and painful, and it is useful to establish a method of “leaving behind the pain”, that will feel genuine and acceptable. That might include making a “dump” box to contain those feelings or using a “graffiti wall” sheet of paper to immediately scribble and draw on, and then tear up. PAGE 29 Endings • When the work reaches a point that feels as far as it can go in terms of “here and now” it is important to acknowledge this, and prepare the child or young person to move on with their future. The book can be integrated into work in their new situation if that feels appropriate. Possible Issues That Workers May Arise for Children, Young People and • Workers will need to deal as honestly and openly as they can with questions that may be concerned with painful issues. It is essential that the worker prepares their responses, so that they are clear as possible about the facts and circumstances, and that they think about the best way to support the child. • Many children and young people will be dissatisfied and angry about their experience of the social work system. Workers will need to support them in working through their feelings. Unresolved or suppressed feelings will impact on the work to be done. • Children and young people are likely to disclose abuse, or, if professionals already know about incidents of abuse, make further disclosures when they begin to feel secure and safe, and it is essential that workers are clear about the policies they must follow and helpful ways to support and enable children and young people, so they do not become powerless. • While life story work can be a creative and positive experience, it will inevitably be extremely painful. Workers will need appropriate time, support, supervision and consultation while undertaking the work. • The future, following the completion of the work, can be a very sensitive area. Children and young people may yearn for reassurances and guarantees that workers will be unable to make. Workers will need to find a comfortable and sincere way to express their best hopes for the future. Life Story Work and Internalisation Rose and Philpot14 use a method of life story work that goes beyond ‘telling the child’s story’ and discuss the way in which life story work can be used therapeutically to help traumatised children. They state: “Let us be quite clear about what a life story book is. It is not a life story in the accepted, conventional autobiographical sense, although it is an autobiography and it will be roughly chronological… a life story book of the type described her is, first and foremost, a clear account of what happened during the process of internalization. It is where the child has reached at the 14 Rose, R. & Philpot, T. (2005). The Child’s Own Story: Life Story Work with Traumatized Children. Jessica Kingsley Publis-hers. PAGE 30 end of that process; it is much more than a factual account a series of dates, a chronology. Through it the child needs to recognise what she has done and achieved, what she has come to understand about herself and her life. Even if the book is not always literally true, it is the child’s story, where – importantly – misconceptions, which should now find no place between the book’s covers, are dissolved.” (p. 119-120) Rose and Philpot stress the importance of gathering information prior to commencing the life story work through researching public records, files and newspapers, for example. Interviewing relevant family, friends, past carers and others is also an important part of the preparatory work. They advocate the use of wallpaper as a mechanism for building up the information and story with the child before the book itself is written for the following reasons: • It’s cheap and easily obtainable. • It can be rolled up and rolled back. • It allows the whole story to be recorded continuously having “a visual unity and continuation that the child can see” (p.94). • It’s versatile and flexible – can be used to paint, draw, stick, collage in. • It’s more difficult to remove or obscure what’s been written on it. • It can be used to stick feelings, thoughts etc. on in a sealed envelope. • It’s fun – bright, colourful, full of images. • It allows creativity and imagination. • You can get down on your hands and knees to work on it. • “Life’s a journey, and wallpaper allows it be marked..by dates and events. But wallpaper also allows drawings to be made that are symbolic of journeys along the bottom of the wallpaper” (p. 94). These images which are meaningful to the child (e.g. balls, horses, animals) can represent a year and be numbered, for example. Following the ‘wallpaper’ stage in the process, Rose and Philpot identify the practicalities of writing the book as well as discussing what happens after completion of the life story work as a planned, structured piece of direct work. PAGE 31 GENOGRAMS “Genograms can become a useful talking point for families who, while they are helping the worker to complete them, begin to uncover their family’ unwritten rules, myths, secrets and taboos. This map of family relationships can reveal, too, how patterns might get repeated across generations.” Coulshed & Orme15 Genograms (family trees) are a graphical representation of family relationships. The youngest generation sits on the bottom and the oldest at the top. Genograms need to be three generations (minimum) and other significant people. Guidelines for Genogram Work The following are an example of some of the questions that can be used during genogram work16 and can be adapted for use with children. • • • • • • • • • • • Who is in charge? Haw are decisions made in your family? How has your family negotiated gender roles? How is ethnicity, culture and class understood in your family and what meanings do they have? How does your family deal with differences? Who is closer and who is most distant to and from you? What family scripts/beliefs organise family behaviour and thinking e.g. education, health, politics, religion? Is there a connection between position in your family and position you choose in your work context or other groups? What is the connection with family themes and the job you have chosen? Identify points of transition in your family where outside intervention would have been helpful? What patterns do you notice when returning ‘home’ now? Colour coding can also be used to express how the child feels about the relatives and relationships17. 15 Coulshed, V. & Orme, J. (1998). Social Work Practice: An Introduction. Basingstoke: Palgrave. Goldrick, M. et al. (1999). Genograms: Assessment and Intervention. W.W. Norton & Company. 17 Rose, Richard & Philpot, T. (2005). The Child’s Own Story: Life Story Work with Traumatized Children. Jessica Kingsley Publishers. 16 PAGE 32 GENOGRAM SYMBOLS PAGE 33 ECOMAPS An ecomap illustrates the people and connections that a person has. They can be used in a variety of ways using colours to indicate relationships, distance to spatially illustrate closeness of relatives/friends and so forth. Using colours or distance can create an opportunity for a child to discuss their relationships and feelings. They were originally developed as an initial interviewing tool18 to open communication between the child and social worker. Ryan and Walker developed the use of the ecomap and adapted it for use during the bridging period between places as well as when the child is in the new foster placement. They state that it then becomes a “means of helping the child and the new family to understand in pictorial form what we believe is happening”. They provide the following example: 18 Fahlberg, V. cited in Ryan, T. & Walker, R. (1993). Life Story Work. BAAF. PAGE 34 COMMUNICATING WITH CHILDREN These 'Ten Commandments'19, despite being written over 30 years ago, provide a sound foundation for communicating with children. Kay Donley states: 1. Avoid clichés in talking to children Children recognise clichés and your use of them will readily and clearly inform the child that you are indeed an adult who does not know how to talk to them. Some of the typical clichés that adults use in working with children are questions, probing questions, such as, 'How do you like school? Which class are you in?' Never begin a conversation with a child in that way. Eventually, when you really know the child, such questions may be appropriate, but never as an opening gambit. The best way to begin a conversation with a child is simply to exchange some pleasantries about who you are and how pleased you are to know him/her and let it go for a while. Children are more responsive to the idea of approaching you gradually, than to being physically and psychically overwhelmed by this large thing that flies at them and begins to probe their inmost thoughts. Take your time. You never know at first if you have a very shy, withdrawn child or a very aggressive one. 2. Assume that any child you are going to work with has some deep concern that has never been adequately understood or answered I am referring specifically to children in public care, all of whom typically share the experience of having been separated from their parents. In many cases they have also lost a succession of care-takers - house parents and foster parents. In working with the child you may, in fact, discover that someone very skilled and very sensitive has helped him/her to understand what has happened. But it is safer to assume that no one has adequately assessed the deep and often confused concerns of the child. 3. Understand from the beginning that children in care have been hurt: some part of them has been damaged Never make the assumption that, because everyone presents this child as untouched and undamaged, he/she must be that way. More often that not, the child will have been handled by a lot of unperceptive people. Perhaps this particular child has made an exceptionally good adjustment in the face of difficult and painful circumstances. But as a rule, there are always, some damaged pieces of unfinished business tucked away. if you understand that, you will not be dismayed or thrown off balance six months later when someone says: 'You know, there's something peculiar about this kid. he/she's not quite what I would call 'normal'.' 19 Donley, K. (1975). Opening New Doors. ABAFA. PAGE 35 4. Remember that in working with a child your essential task is to learn how he/she explains him/herself to him/herself, and what he/she understands his/her situation to be Unless you really know what is going on inside him/her, you will not be able to represent him/her justly or truthfully to residential staff or to potential foster or adoptive parents. It is not simply that you must know where this child is for own satisfaction. You must be prepared to communicate your understanding to other people. This is not easy. 5. Develop specific concrete tools that will help you communicate with children Children are not normally interested solely in verbalisation as a way of communicating with anyone. They have other available tools and you must find out what they are so that you can use them too. 6. Be prepared to become a dependable, predictable and regular fixture in the child's experience You simply cannot pop in on a Monday and say, I'll see you again sometime soon'. The social worker's indefinite promise of returning to his/her life usually means avoiding him/her for several weeks and then popping in again. This simply does not work and is, in fact, destructive. You are adding to the child's already increasing fund of knowledge that, as far as he is concerned, adults are undependable, unpredictable and unknowable. You must regularise your contact. Most social workers say, 'I really would like to, but I haven't the time'. This begs the question, because it is possible to regularise contacts, even if there are long intervals between visits. It is the idea of predictability that is important to the child. If you make a commitment then you keep it. (And I mean you keep it, even if it breaks your back!) If, for some reason, you are unable to keep the appointment you have made, it is important that you communicate directly with the child the reasons why you cannot. I have known workers go to the extent of sending a telegram to a child whom they could not reach by telephone, so strong was their sense of commitment. 7. Remember that each child's experience is unique and that it is absolutely crucial that each child is helped to begin to come to grips with his/her life You cannot begin on the assumption that, because you have worked successfully with one or two children who have been neglected by their parents, you know what this experience means to any child. Certainly, you can learn from one situation and apply your knowledge to another. But keep in mind that you are dealing with individuals": Deceptively similar experiences have different meanings for different children. PAGE 36 8. As you work with a child over a period of time, you must help him/her develop what I call a 'cover story' 'Cover story' is not a very good phrase because a lot of people think that I mean concealing things and I do not. I believe that a child must have a clear, understandable, acceptable explanation of his/her circumstances, which he/she must be able to use at will and comfortably. For example, when he/she goes to a new school, he/she will be meeting a lot of new children, making friends and meeting people living in the neighbourhood. He/she will be asked questions about him/herself and it is essential that he should have a socially acceptable and logical explanation for who he/she is and where he/she is in this situation. Only too frequently, unskilled workers do not appreciate how essential this is and do not help the child develop a 'cover story' for public consumption. Without it the child is left to his/her own devices and frequently falls into fabrication. A child fabricates when he/she is not quite sure how people will receive the true facts of his/her situation. Fabrication, once found out, will very quickly give the child a reputation in the neighbourhood for being a spinner of tall tales, or at worst, a liar. 9. Commit yourself always to what I call a multifaceted or composite view of the child Remember there is no one true way of seeing and experiencing a youngster. Every person who has contact with the child will have a slightly different point of view and a unique experience. Some people will be enthusiastic about him/her, while others cannot abide him/her. What you are really searching for is a combination for all those perceptions, because buried amongst all of them there is the truth. Somewhere, amongst all those varying views of the child, will be a perception that his/her potential adoptive parents may make of him/her. So it is important that you begin to develop that kind of sensitivity and awareness. 10. Keep in mind from the beginning of your work that you obliged to convey to any care-takers - be they residential staff or adoptive families - a true sense of the child's history You may think that this is self-evident and that I am being needlessly repetitious in stressing this point. But I think it bears repeating, because many social workers feel they are doing a child a grave injustice by telling the full and sorry tale, and that the only way to spare the child is to conceal certain things. These are usually things the social worker finds distressing or unpalatable, so they are concealed because she feels that this will give the child a better chance in life, a better opportunity for placement, and easier adjustment. Invariable those very things come flashing up anew out of the child's history and past to create problems and difficulties for him/her and his/her caretakers. This is a painful area for most social workers but it is one that you must grapple with and come to terms with. PAGE 37 BIBLIOGRAPHY Ahmad, B. (1990). Black Perspectives in Social Work. Venture Press. Allen, Lee (2004). The Power of Poetry in CPJ. 15(6):45-47. Bannister, A. (1998). From Hearing to Healing: Working with the Aftermath of Child Sexual Abuse. Chichester: Wiley. Bolton, G. (1999). The Therapeutic Potential of Creative Writing. Jessica Kingsley Publishers. Burrows, R. and Keenan, B. (2004). Considering Children and Parents/Carers. Barnardo’s. Donley, K. (1975). Opening New Doors. ABAFA. Fahlberg, V. (1994). A Childs Journey Through Placement. London: BAAF. Goldrick, M. et al. (1999). Genograms: Assessment and Intervention. W.W. Norton & Company. Hapgood (1988). Creative Work with Adolescents in Direct Work with Children. Ed. J. Aldgate and J. Simmonds. Batsford Books. Lacher, D., Nichols, T. and May, J. (2005) Connecting with Kids through Stories – Using Narratives to Facilitate Attachment in Adopted Children. Jessica Kingsley Publishers. Marinetto, D. (2000) Social Work with Children and Young People Who Are Looked After. A Reader and Study Guide. Swansea: University of Wales. Richman, N. (1998). In the Midst of the Whirlwind. A Manual for Helping Refugee Children. Trentham Books. Rose, R. & Philpot, T. (2005). The Child’s Own Story. Life Story Work with Traumatized Children. Jessica Kingsley Publishers. Ryan, T. & Walker, R. (1993). Life Story Work. BAAF. Thoburn.J. (1994). Child Placement: Principles and Practice. Aldershot Arena. PAGE 38 SUGGESTED FURTHER READING & RESOURCES The following is a list of suggested further reading: • Fahlberg, V (2003). A Childs Journey Through Placement. London: BAAF. • Howarth, J. (2003). The Child’s World: Assessing Children in Need. Jessica Kingsley Publishers. • Ollier, K. & Hobday, A. (1999). Creative Therapy: Activities with Children and Adolescents. Humanics Publishing. • Ryan, T. & Walker, R. (2003). Life Story Work: A Practical Guide to Helping Children Understand Their Past. BAAF Adoption and Fostering. • Silverstone, L. (1997). Art Therapy: The Person Centred Way. • Stallard, P. (2002). Think Good – Feel Good: A Cognitive Behavioural Therapy Workbook for Children and Young People. Wiley & Sons. • Turner, M. (1999). Talking with Children & Young People About Death & Dying: A Workbook. Jessica Kingsley Publishers. Resources • Arneson, L. (2003). Thoughts & Feelings: A Sentence Completion Card Game. Cards with bright and thoughtful pictures. Participants complete sentences regarding memories, thoughts, feelings and much more. Could be used to develop skills and awareness as well as aid assessment. • BAAF. (2001). My Life and Me. Workbook for children & young people to use. • Centrepoint (1997). Changing Places: Preparing Young People for Independence. Laminated cards that can be used individually or in groups of PAGE 39 young people preparing for independence. Covers being healthy, relationships, housing, money, training & employment. • Kirkbride, L. (1999). I’ll Go First: The Planning & Review Toolkit for Use with Children with Disabilities. Children’s Society. A range of laminated cards which can be written on and wiped off. Used to aid communication regarding wishes, feelings and views about the care and education they receive. Pack includes reusable stickers and a Good Practice Guide. • MENCAP. Listen Up: Helping Children with a Learning Disability Complaint About the Service They Use. A pack including video, CD Rom, workbook, game and guide. Photocopiable material. Toolkit to support children and young people to develop their own ‘Listen Up’ material. Focussed on supporting children to think about their lives and the choices that have and make. FREE. • Winslow. Crazy Cards. Set of cards that can be used in a variety of ways with individuals or to support group cohesion. Can also aid awareness, expression and communication. • Winslow. Let’s Talk! Discussion and Prompt Cards for Use with All Group. Can be used with groups to aid social interaction in differing ways. Can also be used one-to-one. • Zakich, R. The Ungame: A Cooperative Adventure in Communication. Board game which facilitates communication. It explores the range of human experience and is non-competitive. It can be used in a range of ways, for fun or during direct work with individuals or groups. Websites for Resources Multicultural books: www.letterboxlibrary.com Black dolls: www.blackdollsdirect.co.uk PAGE 40
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