1	Re-parenting 23/7 Faye Hall & Jeff Merkert www.ConnectionResources.com
2	Mission Statement Our desire is to provide the tools for committed parents and professionals to facilitate the healing of children with Reactive Attachment Disorder.
3	Re-parenting Goals to learn to form reciprocal relationships to allow for healthy regression to stimulate developmental progress to encourage self-regulation to lessen emotional responses to increase cognitive processes
4	Successful Implementation Steps:
5	Successful Implementation Steps:
6	1. Assemble your team Invite family, friends, and professionals Educate each team member Empower the team Assign roles Establish boundaries Review cautions Utilize the members
7	1. Assemble your team Invite Build the team one person at a time Encourage professionals to appeal to the community Reinforce the team’s value Acknowledge the unique position of each member
8	1. Assemble your team Educate Obtain professional resources Establish a lending library Contact and network with local professionals Join networking groups (ATTACh, NACAA) Attend children’s mental health conferences together
9	1. Assemble your team Empower Develop confidence in your team Give control to the team Conference with the team Brainstorm for answers Confront and encourage each other
10	1. Assemble your team Utilize Examine the child’s world Strategically place team members in the child’s environment Allow team members to be therapeutic Evaluate effectiveness of members and interventions
11	1. Assemble your team Methods to Assess the Team CHAFCA RADQ Ackenback Rubric
12	1. Assemble your team The Downward Spiral
13	Successful Implementation Steps:
14	Successful Implementation Steps:
15	2. Design your environment Home Limit Possessions Relationships Activities Increase Structure Nurture Challenge School Limit Possessions Relationships Stimuli Increase Structure Movement Challenge
16	2. Design your environment Attachment Activities to do Together Examples of books: I Love You Rituals Becky Bailey 365 Days of Baby Love Shelia Ellison & Susan Ferdinandi
17	Successful Implementation Steps:
18	Successful Implementation Steps:
19	3. Implement therapeutic interventions Distortions Negative working model Object relations Self-regulation Sensory integration Developmental delays Emotional responses
20	3. Implement therapeutic interventions Negative Working Model Unhealthy: I am unlovable Mom cannot be trusted The world is unsafe Healthy: I am lovable Mom can be trusted The world is safe
21	3. Implement therapeutic interventions Object Relations If I cannot see you, you do not exist. You cannot love me and be mad at me at the same time.
22	3. Implement therapeutic interventions Self-regulation; lacks ability to regulate Emotions Elimination (Bathroom) Full/Hungry Hot/Cold Sleep Energy Level Pain
23	3. Implement therapeutic interventions Sensory Integration Hearing: May be sensitive to noise. May not be able to filter individual sounds. Seeing: Must see everything in the environment to feel safe. Smelling: May be comforted by familiar odors from the past. Familiar odors may produce fear.
24	3. Implement therapeutic interventions Sensory Integration Tasting: Unfamiliar food textures are scary. Comfort comes from familiar foods. Touching: Over react to touch. Light touch irritates. Crave deep pressure. May touch everything to process environment
25	3. Implement therapeutic interventions Interventions Ignore Time in Model Educate the team member Sensory Smiles Food Movement (holding, rocking, cuddling…) Touch (back rub, massage…) Whispering, music, nature sounds
26	3. Implement therapeutic interventions Interventions Change or adjust the environment Increase: Mom’s presence Opportunities for regression Nurture or structure Eliminate: Possessions Relationships Activity
27	3. Implement therapeutic interventions Interventions Paradoxical Repeat the old Practice the new Cognitive Reprogramming Spiral form Emotional bank Reframing Identifying Redirecting
28	3. Implement therapeutic interventions Evaluation Form Behavior: Who: What: When: Where: Origin of the behavior (why):
29	3. Implement therapeutic interventions Evaluation Form Intervention: Ignore Time in Model Change/adjust environment Educate team member Sensory Paradoxical Cognitive Evaluation of intervention: Changes needed?
30	Successful Implementation Steps:
31	Successful Implementation Steps:
32	Re-parenting 23/7 This presentation is available for download at: www.ConnectionResources.com Thank you for your attention!