A. R. C.
What are the three CORE domains of the ARC intervention?
Attachment
Regulation
Competency
Youth can only be as safe as their surrounding systems
TRUE. Children will only be as safe as their surrounding system. Consider whether staff within your system, at all levels, are adequately supported; have the capacity to manage emotional experience
Attunement
Is the capacity of caregivers to accurately read children’s cues and respond appropriately
Attachment
- Caregiver affect management
- Attunement
- Effective response
Regulation- Identification
- Modulation
Competency
- Executive Functions
- Self-development & Identity
- Relational Connection
What is an appropriate and successful behavioral technique to building and strengthen attachment?
- Limit setting pair with the use of positive reinforcement & praise.
This is successful when we can thoughtfully consider the "why" of behaviors and not just the "what"Children do worse when there is predictability in/within adults & environment, due to boredom and lack of spontaneity.
FALSE - Children do better when they have a clear understanding of rules and when there is a degree of predictability in adult and environment response
Caregiver Affect Management
"When the caregiver's ability to provide needed support to their children is either circumscribed or expanded by the caregiver's ability to effectively manage their own experiences"
What two primary factors do the building blocks target?
1. The building of a "safe-enough" healthy enough relationship between the child and his/her caregiving system
2. The building of skills and a context that the caregiving system will use to support the child's healthy development.
What is the goal of helping a child with regulation struggles?
To help them manage their limited ability to understand, tolerate, and manage their physiological, emotional, behavior, and cognitive experiences.
Disconnecting from relationships increases safety in the mild of a child who experiences trauma
TRUE - Children learn quickly that connecting may make them vulnerable, and they learn to avoid or disconnect from relationships to increase felt safety.
Understanding what underpins a person's behavioral patterns.
Formulation - Formulation is a dynamic ongoing process rather than a one-time event. In essence, people make sense. People function in the way that they function for a reason. If we understand why a kid does what he does then what we do in response will be more easily decided.
What are the targeted skills of modulation?
1. Building an understanding of degrees of feelings
2. Building facility with tolerating and moving through arousal states.
What are the two primary errors that adults make in reading children's cues?
1. Missing the cues all together
2. Reacting to overt behaviors rather than reading the emotional message or need underlying the behavior
Over time, with effective modeling and experience in relationship building, youth exposed to trauma may be increasingly impaired in their understanding of how to engage and sustain safe relationships.
FALSE - Over time, without effective modeling and experience in relationship building, youth exposed to trauma may be increasingly impaired in their understanding of how to engage and sustain safe relationships.
ARC Framework
A components-Based Model that identifies three core domains of intervention for children and adolescents who have experienced trauma in their caregiving systems: attachment, regulation & competency
Many children who experience trauma struggle with the ability to safely and effectively communicate internal experience, build connection, or tolerate relationship.
Which building block is this?
Relational Connection.
What are the three key child and/or caregiver states & overarching goals that drive intervention choices?
Distress tolerance and regulation: Emphasis on building tools to support the ability to cope with current experience
Curiosity and reflection: Focus on supporting persons in ability to recognize and understand triggers, behavioral responses, and patterns that emerge in relation to internal/external contexts
Engaging in purposeful action: This intervention emphasizes purposeful engagement of developmental resources in the present moment
ARC is a manual of protocols for interventions.
FALSE - ARC is a Framework, or a set of principles to guide treatment; not a manualized intervention that must be followed.
The sequential development of the capacity to first survive and tolerate moments of overwhelming distress and arousal brought on by both real and perceived experiences of danger in the world;
Trauma Experience Integration
Name & define the 4 aspects targeted for self-& identity?
The Unique Self - involves exploration & celebration of personal attributes (likes, dislikes, values, culture, etc.)
The Positive Self- building of internal resources & identification of strengths & successes
The Coherent Self - Emphasizes examination of self across multiple aspects of experience (self before & after), trauma, etc.
The Future Self - Building of the child's capacity to imagine the self in the future and to explore.