1. Training Session N&D 2008

2. Agenda I.Welcome and introductions II.Child Development A. Normal Child development B. Delayed or Accelerated Development III.Mental Health Definition IV.PA Levels of Care V. Questions

3. Normal Child and Adolescent Development  General Development  Physical Development  Social Development  Cognitive Development  Sexual Development

4. Mental Retardation Learning Disabilities Psychiatric Disorders Experiential Events Developmental Delays & Accelerated Development

5. Family Dynamics Domestic Violence and Physical Abuse situations Sexual Abuse Situations Substance Abuse Situations

6. Definition Mental Disorder or mental illness is a psychological or behavioral pattern that occurs in an individual and is thought to cause distress or disability that is not expected as part of normal development or culture. Guidelines for diagnosis are listed in the International Statistical Classification of Diseases and Related Health Problems (ICD), the Diagnostic and Statistical Manual of Mental Disorders (DSM) and other manuals.

7. Common Psychiatric Diagnoses  Attention Deficit / Hyperactivity Disorder  Conduct Disorder  Oppositional Defiant Disorder  Adjustment Disorder  Post Traumatic Stress Disorder  Major Depressive Episode  Bi-Polar Disorder  Attachment Disorder  Reactive Attachment Disorder

8. Levels of Care in PA  Least restrictive and community based are your first line of defense. In schools, Guidance Counselors are the first step.  Services range can range from Outpatient to Inpatient settings  Team approach provides better results  Families should always be involved unless contraindicated by court.

9. Therapeutic Communication  Non-Verbal Techniques ( Silence, Nods, Facial expression, Eye contact, etc).  Encouraging and Eliciting techniques Minimal encouragements: “Uh-huh” “Go on” “I see” Door openers: “I’d like to hear more,” “Tell me about that,” Closed questions: “Do you like your teacher?” Open questions: ”How do you feel?” ”What happened next?”

10. Emotional First Aid / Emotional Acknowledgement / Drain Off Active Listening / Reflective Listening – “You Seem …”, “Sounds Like you’re feeling …”, I - Feel Messages – “I feel (emotion) when (behavior) happens Therapeutic Communication

11. Behavior Change Techniques Managing the environment Prompting Caring gesture (hypodermic affection) Hurdle help Redirection Proximity TCI TRAINING [28]

12. Wrap up Questions about the training

13. Wrap up Thank you and have a great day!