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ISSN 0840-982X

VOLUME 19 NUMBER 1


CONTENTS

Editorial: Staying Engaged – Bent out of Shape 3
Carol Stuart

Youth Running From Residential Care:
6
“The Push” and “The Pull”
Julie Kerr and Judy Finlay

The Office of Child and Family Service Advocacy (OCFSA) conducted six focus groups with youth in residential settings in Ontario with the primary purpose of capturing their experiences of running away. Concerns from youth regarding practices and policies in residential settings pertaining to youth who run away were brought to the attention of the OCFSA over the past few years. Furthermore, the OCFSA was concerned about the well being of youth who run away to unsafe situations. The youth participants were recognized throughout the data collection and analysis processes as experts. In so doing, the study facilitated the voice of the youth through use of the youth themselves as the key informants. This study identified why youth would run away, the push and pull factors that contributed to their running, unsuccessful strategies by staff to prevent running, risks youth encountered while they were on the run and strategies to be used to deter future running behaviour. The youths’ own words were used to identify common themes which are reflected throughout this paper. We conclude with recommendations which were derived from four common themes which emerged consistently from the youth. These themes were: The importance of engagement in all aspects of programming and treatment; residential settings with a lack of emphasis on incentives; youth feeling unsafe; and staffs’ inability to respond therapeutically when youth are perceived to be at imminent risk.


Film review: Wards of the Crown
19
Kim Snow

Jack’s Books: Troubled Children and Youth
20
Jack Phelan

That Darn Thing called Sex
21
Leanne Rose Sladde

Attachment Theory and Well-being for the Young Person in Residential Care:
23
The provision of a second chance secure base for the child in crisis
Gay Graham

This paper proposes that social care or child and youth care intervention must ensure the provision of a secure base for all children referred to the child welfare system. This can require social care practitioners to provide a second chance secure base for children in residential care whose relationships with their primary carers did not provide a secure base. The concepts of attachment theory, attachment strategies, secure base and second chance secure base are discussed. The typical patterns of behaviour in four different attachment strategies are described for social care practitioners and examples are provided of how intervention can be individualized to respond to these behaviours in a manner that develops a secure attachment.

Something from Nothing 35
Carol Matthews

Poem: Irritated
37
Lindsay

Angels of the Night
38
Garth Goodwin

This paper proposes that social care or child and youth care intervention must ensure the provision of a secure base for all children referred to the child welfare system. This can require social care practitioners to provide a second chance secure base for children in residential care whose relationships with their primary carers did not provide a secure base. The concepts of attachment theory, attachment strategies, secure base and second chance secure base are discussed. The typical patterns of behaviour in four different attachment strategies are described for social care practitioners and examples are provided of how intervention can be individualized to respond to these behaviours in a manner that develops a secure attachment.

Mind Yourself: The development of an evidence-based 40
suicide prevention programme for Irish adolescents
Kiera Cosgrove and Dr. Paul Gaffney

In order to fully appreciate the methods employed to prevent suicide in young people, it is important to examine some of the individual factors influencing suicidality. Factors considered in this paper include depressive disorders, hopelessness and problem-solving deficits along with some environmental and situational considerations. In addition to discussing examples of feedback from young people, consideration is given to the possible role of optimism and Cognitive Behavioural Therapy in suicide prevention for adolescents. In conjunction with this, some current thought on general youth suicide prevention strategies and possible future directions are discussed. This is all undertaken with particular reference to how this was applied to the design and development of an Irish suicide prevention programme for adolescents called “Mind Yourself”.


Relationships with Youth
48
Varley Weisman

True Confessions Leading to Thoughtful Questions
50
Carol Stuart

Sitting with Jason
53
Thom Garfat

Thinking about resilience as a process of recovery:
57
School-based implications
Lynette Longaretti and Mirella De Civita

Resilience is commonly conceived as the process of and capacity for successful adaptation despite difficult circumstances. However, this view has been recently challenged by De Civita (2006) who posits that the term resilience, meaning to bounce back from difficulties, can be used to describe individuals who recover an appropriate level of functioning following a period of maladjustment. From this perspective, recovery entails a transformation in a child’s stress response as a result of favourable changes in personal and contextual resources. In this paper we emphasize the significance of the school in nurturing recovery and we propose five principles that can be adopted by school practitioners to promote adaptive functioning in all child-en, especially those who are struggling emotionally and/or socially.

A Time To Cry 66
Karl W. Gompf
 


EDITORIAL

Staying engaged – Bent out of shape

Well, here I am, I’ve just finished editing my first issue of Relational Child and Youth Care Practice and now I’m supposed to offer an inspirational and/or thoughtful, reflective editorial: At least that’s what Gerry and Thom always seem to do.
It’s a good thing that this is a snowy Sunday afternoon. For if it was a nice, warm spring day as it really should be, I’d be out and about doing fun things in the warmth, instead of trying to write the editorial. Putting those wishes and worries aside I reflect on the articles and columns that have flashed across my computer screen over the last few days in the final editing process. I search for key phrases or words that stand out:
Engagement and bent out of shape come to mind. At first they don’t seem related to each other. How am I going to get an editorial out of this?

After this issue, the “caboose” will disengage. Karl Gompf has indicated that he feels a need to retire and to turn the caboose over to someone “closer to the field”. On a train, they can pull the pin and drive away without the caboose, if desired. But that last car is the “home” to all the crew that support the operations of the train. It’s where they gather to eat, nap, and perhaps reflect on the hard work that they do.
I’ve known Karl for many years and I’ll miss his thoughts and ideas at the end of this journal, but on the other hand, the notion that people are retiring or disengaging from our field is somewhat novel. Since our practice is based on relationships those often naturally continue as people leave a place of employment, whether retiring or not, they have simply moved on to another aspect of the field. We continue with the relationships. I wonder if we do as good a job at staying engaged in these relationships with the children and youth that we work with.

Several articles in this issue indicate that perhaps we do not. Longaretti & De Civita, (Thinking About Resilience as a Process of Recovery) suggest that resilient children “spring back” after being “bent out of shape” and that schools are a natural location for engaging children at risk through communicating caring, connect- ing, developing competence, challenging children, and taking chances. Many school districts these days adopt a “zero tolerance” approach to children who are “bent out of shape”: Expelling them or isolating them in specialized “behavioural” classrooms rather than engaging them and connecting with them as these authours suggest. Similarly, youth in care are often disengaged from a placement as a result of behaviour that cannot be managed within the placement.

In Sitting with Jason, Thom Garfat reflects on the process of engaging in the absence of knowing what else to do. Relationships with difficult children are fickle; they don’t always come with specific guidelines about how to react. Sometimes, somehow, through a genuine connection with a young person we are able to facilitate a shift in his/her approach to life and to the problems of life without really knowing how or what we did. A change in his/her worldview happens in spite of our intentions, or lack thereof, simply because we engage in the rhythm of his/her life. Kerr & Finlay, (Youth Running From Residential Care) offer some concrete recommendations about the importance of youth engagement as a strategy for preventing “AWOL’s”. “Absent without Leave” is military terminology that has made its way into our services to children and youth. The youth who participated in this research clearly perceived that staff were uncertain about what to do and incapable of intervening therapeutically when faced with a youth who was on his/her way out the door without permission. In homes where youth were engaged in determining prevention strategies and identifying consequences, there were strong staff relationships and running away was not a method for dealing with being “bent out of shape”. I wonder whether these were also homes where staff remained connected and engaged with youth as they prepared to leave and after they moved out.

Wards of the Crown, a new National Film Board documentary by Andrée Cazabon follows four youth for 10 months as they prepare to “leave home” as wards of the state. Kim Snow’s review of the film is a startling mix of pride in the youth’s ability to communicate and exhortation to profession- als and community alike that “these are our children and we need to act”. Kim is one of those people who stays engaged with youth. She not only knew most of the youth in the film, she knew how they were doing months after the film was finished and they had “left home”. In Angels of the Night, Garth Goodwin describes the special relationship that residential night staff have with youth in care. Night is a vulnerable time, one where youth face their fears and need someone to calm those fears and help them put them aside. This is the special role of the night staff – a position which some of us have filled when necessary – but perhaps not as the labour of love described here.

Gay Graham (Attachment Strategies in Residential Care) reviews attachment theory and offers concrete suggestions for developing relationships and promoting attachment among children and youth in residential care – many of whom are “unattached” and “unengaged” with anyone. What does it means to be “unengaged”?  Kosgrove & Gafney (Mind Yourself) offer us a definition of resilience that is “resilience-as- adaptation” in contrast to “resilience-as-recovery” described by Longaretti & De Civita in Thinking about resilience as a process of recovery: School-based implications. What difference do these conceptual orientations make to how we set up a program or engage with children and youth? If we adopt the orientation of resilience-as-adaptation then our orientation is to helping the youth develop the necessary competence or knowledge and skills that are required to adapt to the stress (of being bent out of shape). If we adopt the orientation of resilience-as-recovery then we engage both youth and the community that surrounds them, school, peers, family, ourselves in creating an environment that supports and promotes recovery in spite of acting out or difficult behaviors.  How often do we “disengage”– pull the pin and dump the caboose – with children who are “bent out of shape”? Too often, if the formal articles in this issue are any indication. Our columnists offer hope (they are optimists, after all) that perhaps this doesn’t happen as often as the articles would seem to indicate. But this is something that we need to examine carefully, both personally and as a profession.

All children who need professional care deserve to have the people who work with them, engaged with them. Children and youth deserve an opportunity to engage, to dialogue, and to influence the environments they live in and the decisions that are made about them. Engagement also means that we care about them and about their opinions and therefore we ask, interact, discuss, and sometimes just participate in the silence. Engagement happens on much more than just a verbal or intellectual level; it requires commitment. Commitment can be momentary, bounded by space and time or it can extend beyond the space and the time of the moment – just as the commitment of a parent or a grandparent does. Momentary engagement can act as a therapeutic moment for a child to teach them something new about what it means to be attached, to feel secure. A second chance (as Graham suggests) to form a meaningful attachment which will affect the nature of their engagement in future relationships OR a simple expression of caring or willingness to negotiate that might keep a youth preparing to AWOL at home, rather than exposed to the risks of running away.

All children who need professional care also deserve to receive interventions that are known to have a high probability of being effective. Professional care-giving means that we need to learn from the successes (and failures) of others by reviewing literature on programs that have worked and teasing out the essential elements of success. As suggested by Kosgrove and Gaffney, a part of examining the evidence on what has worked in the past is listening to what youth think has worked. Engaging with youth about the design of programs and the evaluation of programs will lead us, over time, to an evidence base that includes not just objective judgments of professionals and re- searchers but a phenomenological understanding of what works that reflects the experiences both of those who need professional care and those who give it.
Instead of disengaging the caboose (our reflective home) we have invited youth, their families, and communities in – to engage and be nurtured while we figure out the next set of tasks in our work with those that are “bent out of shape” – those who don’t quite fit the norms that the rest of the world expects them to.

Carol Stuart


 

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