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Textbook Innovative Skills To Support Well Being and Resiliency in Youth 1St Edition Laser Maira Ebook All Chapter PDF
Textbook Innovative Skills To Support Well Being and Resiliency in Youth 1St Edition Laser Maira Ebook All Chapter PDF
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1
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Contents
Preface vii
Acknowledgments ix
About the Authors xi
Index 145
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Preface
Youth can be the most exciting, interesting, and insightful people to work
with, or they can be the most difficult, uninterested, and cantankerous individuals.
They can also move between these different characteristics quickly and with little
warning. Many of the traditional adult forms of therapeutic interventions are used
widely with youth. However, these interventions tend not to be appealing to youth
and often have uneven results when applied with youth.
This book aims to remedy this concern by discussing innovative strategies, tech-
niques, and interventions that are evidence-based, but more important, can capture
and hold the interest of youth. In addition, we are writing this book to counter
the many therapeutic interventions that start from a deficit perspective. Instead,
the focus of this book and related interventions are strengths-based and aim to pro-
mote well-being and resilience.
Each chapter begins by giving the reader a succinct overview of the intervention,
evidence that supports it, and ideas for assessment to ensure that the technique is
appropriate for the particular youth. The subsequent sections of each chapter pro-
vide clear examples of the intervention approaches so that the new or seasoned clini-
cian and educator will have the knowledge needed for implementation.
We believe that this book will both strengthen and invigorate any practice with
youth as well as enhance courses that cover theory and practice skills in social work,
psychology, counseling, and education. It will also be useful in courses that cover
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viii i Preface
content on school social work, family counseling, and youth development. The
book is conceived in eight chapters: 1. Introduction of Well-Being and Resilience,
2. Healthy Sexuality, 3. Innovative Cognitive Behavior Therapies, 4. Mindfulness
and Mind–Body Connection, 5. Experiential Therapy, 6. Animal-Assisted Therapy,
7. Horticulture and Agricultural Therapy, and 8. Parting Words.
ix
Acknowledgments
We would like to thank David Follmer, Lyceum’s publisher, for his intellec-
tually stimulating and gracious input on this book. It is a joy to work with him.
We are also indebted to our respective teachers from whom we have learned a great
deal about strengths-based innovations that promote wellness and healing. In par-
ticular, Nicole wants to thank Jayne Satter, an extraordinary yoga instructor and
human being who brings the connection between the heart and mind into every
class. She also wants to acknowledge the 4-H community of ropes-course trainers
in Washington State, where she was trained; and in particular, to thank Cheryl
House, with whom she developed and led her first experiential therapy group for
attention-challenged youth and their parents. Julie would like to thank the wonder-
ful people at Campo Fiesta, Circle M Camp, Camp Minnetonka, Jackson Public
Schools, Michigan State Children’s Garden, and the Denver Parks and Recreation
Department who have provided instruction, mentorship, and friendship. Finally,
but certainly not least, we want to thank our respective spouses, Ellen Winiarczyk
and Alfonso Maira, for their support and patience.
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Julie Anne Laser-Maira, Ph.D, LCSW, and Nicole Nicotera, Ph.D, LICSW, are
both tenured associate professors at the Graduate School of Social Work (GSSW)
at the University of Denver. Both have extensive clinical backgrounds, as well as
teaching experience. They have also co-authored another book, titled Working with
Adolescents: A Guide for Practitioners (2011, Guilford).
Julie Anne Laser-Maira is both a practitioner of experiential therapy and a profes-
sor of experiential therapy. Additionally, she researches the efficacy of experiential
therapy in hopes of increasing its stature as a mainstream clinical intervention for
children, youth, families, and couples. Laser-Maira’s primary research focus is on re-
siliency, particularly the relevance of specific ecological and internal protective and
risk factors by culture and gender. She has completed large studies of resilience in
Japanese, Korean, Chinese, Ghanaian, and Senegalese youth, and homeless American
youth. Using her resilience lens, she is currently researching human trafficking in
Latin America and the United States. Laser-Maira has nearly 30 years of clinical
social work experience, with half of those years being employed as a school social
worker in both urban and rural school districts. She has also worked as a clinician
in Mexico, Peru, and Bolivia. Her clinical expertise is in experiential therapy, work-
ing with military families, post-traumatic stress disorder (PTSD), parenting issues,
child and adolescent healthy development, well-being throughout the lifespan, work-
ing with immigrant families, trauma-focused cognitive behavioral therapy (CBT),
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xii
play therapy, agritherapy, and art therapy. She continues to maintain a small private
practice serving children, youth, families, and couples, and is involved in clinical su-
pervision as well. She coordinates the children and youth curriculum for the master’s
in social work (MSW) program of GSSW.
Nicole Nicotera is both a practitioner and professor of mind-body social work prac-
tice. She is also trained in the use of experiential therapies (low-and portable-ropes
courses) with youth, family-youth groups, and couples. She is the coordinator of
the clinical skills training and the mind-body courses for the MSW program and
also teaches mixed-methods research for the doctoral program at the University of
Denver GSSW. Her research and scholarship focus on: promoting health and well-
being across the lifespan; civic engagement and mindfulness practices as pathways
to well-being; measuring civic development and civic engagement; interventions to
enhance civic leadership and positive youth development; the role of risk, protec-
tion, and resilience in health; and the issues of unearned privilege and oppression in
social work practice, education and research. She is an active community-engaged
scholar and collaborates with community agencies to conduct research on their pro-
grams and help them use the results of that research to create stronger programs.
Jessica Lapham, MSW, assisted with the writing and research for Chapter 7,
Horticultural and Agricultural Therapy. After receiving a bachelor’s degree
in Communication and Journalism Studies from the Annenberg School for
Communication and Journalism at the University of Southern California, Jessica
moved to Thailand and taught English to students in the Thai educational system.
Upon her return to the United States, Jessica followed her passion for helping
others and began her professional career in the nonprofit sector working at Creative
xiii
Ida Seiferd, LCSW, MSW, wrote Chapter 6, Animal-Assisted Therapy. She lives
in Colorado with her family, horses, and dogs. She has always had a strong passion
for working with youth and families, driving her educational and career choices.
In 2005 she obtained a bachelor’s degree in social work and worked in child wel-
fare for six years, before moving to Denver to obtain a master’s degree in clinical
social work. Her love for animals and helping people were combined during her
education at the University of Denver, where her clinical focus was animal-assisted
therapy. In 2012, she earned her MSW and certification in animal-assisted social
work and began working in private practice providing animal-assisted therapy, spe-
cifically equine-assisted psychotherapy. Her passion and clinical focus has always
been trauma and healing, specifically youth in foster care and adoption and in the
human-trafficking realm.
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1
Well-Being and Resilience
i
The concept of “well-being” largely refocuses clinicians and educators on what can
be done to support and promote healthy development as opposed to a focus on
youth deficits and ways to correct unhealthy development. It counters the medi-
cal model’s reliance on disease and illness models (Moore & Keyes, 2003). It is a
positive approach to the topic of development. Instead of focusing on eliminating
specific problem behaviors, a well-being focus aims to promote positive behaviors
that support the healthy transition to adulthood. The well-being stance, from our
perspective, acknowledges that “health” is a continual process of making positive
1
2
2 i Innovative Skills
choices in a context where many unhealthy choices exist. In this vein, the interven-
tions presented in this book aim to teach youth to accept that life brings challenges
and that they have the power to live well, even within the context of challenge. In
this sense, well-being is more than merely good physical health; it also embodies
the youth’s positive psychological development (Pollard & Rosenberg, 2003). Along
with supporting healthy development, well-being also aims to assist youth in pre-
venting problem behaviors from ever taking hold by being aware of challenges and
making choices that lead toward health. Thus, prevention is a major focus within
the well-being literature.
Outcomes of Well-being
Pittman (1998) defined four desirable youth outcomes for well-being: confidence,
character, connection, and competence. Subsequently Lerner, Fisher, and Weinberg
(2000) added a fifth outcome, caring, and coined all five outcomes as “the 5 Cs” of
positive youth development (PYD). Later a sixth well-being outcome, contribution,
was added (Lerner et al., 2005). These six characteristics of PYD represent outcomes
associated with well-being (Lerner et al., 2000; Roth et al., 1997).
Confidence includes a sense of self-worth, a belief in one’s mastery of educational
or vocational training, and confidence in what the future holds (Pittman, 1998).
Confident youth are those who can recognize their strengths and limitations and
assert their ideas and choices with a sense of conviction (Lerner et al., 2000; Roth
et al., 1998). Character is defined as being accountable, demonstrating self-control
and self-awareness (Pittman, 1998). Youth with character are able to assess the social
world and make prudent choices about their own actions in relationship to social
norms (Lerner et al., 2000; Roth et al., 1998). Connection creates a sense of safety,
structure, membership, and belonging (Pittman, 1998). The youth who exhibits the
characteristic of connection has reciprocal relationships with people and institu-
tions (Lerner et al., 2000; Roth et al., 1998). Competence includes both the ability
and the motivation to be effective at work and school, while doing so with emo-
tional and physical health (Pittman, 1998). A youth with competence has an op-
timistic view of her or his capacities in social, academic, cognitive, and vocational
venues (Lerner et al., 2000; Roth et al., 1998). Caring reflects the ability for self-care
as well as the capacity to care about the well-being of others and society (Lerner,
Fisher, & Weinberg, 2000). The caring youth demonstrates sympathy and empa-
thy for himself/herself and others. Finally, contribution suggests that all healthy
children and adolescents have a capacity and responsibility to influence the world
around them by contributing to themselves, their family, and the institutions of
a civil society (Lerner et al., 2005). In essence, the ethos of PYD is that all youth
3
Sadly, even with the best of our abilities to support youth, bad things still occur.
Therefore, we need to help youth learn how to move forward (become resilient)
after negative occurrences in their lives. Resilience refers to surmounting adversity
and developing well-being in the face of exposure to personal, interpersonal, and/
or societal risks. In other words, resilience represents success in the presence of life
challenges (Luthar, 2003; Olsson, Bond, Burns, Vella-Brodrick, & Sawyer, 2003).
Werner and Smith (1992), the pioneers of resilience research, reported on young
people who reacted to negative life experiences with initial leanings toward delin-
quency and/or substance abuse, but who were able to overcome these problems and
make their way back to healthier trajectories (Werner & Smith, 1992). Resilience
is therefore the preferred outcome over vulnerability. Resilience can sometimes be
seen as merely survival after a stressful event. But in other circumstances, resilience
can create strongly life-affirming feelings, and increase personal growth and the dis-
covery of one’s true identity.
Protective Factors
4 i Innovative Skills
negative experiences (Laser & Nicotera, 2011). Many times there is a disjuncture
between what an educator or clinician views as a protective factor and what a youth
views as desirable or necessary. Additionally, it is not always clear whether these
factors protect the individual from negative consequences or merely promote the
likelihood of more positive outcomes (Laser & Nicotera, 2011). In Laser’s interna-
tional research on resilience, she has found that protective factors are less universal
and more related to developmental stage, gender, ethnicity, and culture (Abukari
& Laser, 2012; Boeckel & Laser, 2015; Laser, 2008; Laser, Luster, & Oshio, 2007a;
Laser, Luster, & Oshio, 2007b; Laser, Oshio, Luster, Tanaka, & Ninomiya, 2004;
Laser & Nicotera, 2011). Thus, the constellation of protective factors for any youth
may be unique to that individual. There does not seem to be one particular protec-
tive factor that is universally beneficial to all youth (Abukari & Laser, 2012; Boeckel
& Laser, 2015; Laser, 2008; Laser, Luster, & Oshio, 2007a; Laser, Luster, & Oshio,
2007b; Laser, Oshio, Luster, Tanaka, & Ninomiya, 2004; Laser & Nicotera, 2011).
Thus, programs that teach only specific protective factors may “miss the mark” for
some individuals. It is more likely that many protective factors act in unison to sup-
port a particular youth. But the combination of protective factors may be unique to
that particular individual within their particular community and culture; there-
fore, psycho-education and support that nurture specific protective factors should
be done with an awareness of a youth’s family, community, and cultural background.
Protective factors can be internal to the individual or reside in the individual’s
environment. Protective factors within the youth include: mental flexibility, cog-
nitive ability, positive identity, commitment to learning, gender, physical beauty,
easy temperament, ability to perceive social support, self-efficacy, internal locus
of control, sense of humor, spirituality/faith or sense of purpose, optimism, emo-
tional intelligence, creation of a personal myth, moral development, autonomy,
and perseverance (Laser & Nicotera, 2011). These internal protective factors may
be more innate characteristics of the individual and less likely to be externally ob-
tained through counseling, but many can be elicited to support the youth in times
of need.
Environmental protective factors include: mother’s level of education; the fami-
ly’s economic stability, safety, parental commitment to each other and co-parenting;
maternal relationship with youth; paternal relationship with youth; parental trans-
ference of positive values to youth; required helpfulness/chores; supportive ex-
tended family; mentors in the youth’s school, extracurricular activities, community,
or work; sense of belonging at home, at school, in extracurricular activities, in the
community, or at work; enjoyment of school, extracurricular activities, or work;
sense of being needed at school, at extracurricular activities, or at work; support-
ive friendships; social networks; and social capital (Laser & Nicotera, 2011). These
5
Risk Factors
Risk factors are deficits, disturbances, and difficulties the youth has experi-
enced or is experiencing. Risk factors are also unique for each individual, but
many seem to have a more universally deleterious effect (Abukari & Laser, 2012;
Boeckel & Laser, 2015; Laser, 2008; Laser, Luster, & Oshio, 2007a; Laser, Luster,
& Oshio, 2007b; Laser, Oshio, Luster, Tanaka, & Ninomiya, 2004; Laser &
Nicotera, 2011).
Internal risk factors include: gender; age; developmental delays or learning dis-
abilities; low birth rate; mental health diagnoses, history of physical, sexual, emo-
tional abuse or neglect; substance abuse; eating disorders; criminal activity; low
socio-economic status in comparison to others around the youth; low expectations
for the future; low academic achievement; difficult temperament; and severe or
chronic illness in childhood (Laser & Nicotera, 2011). Many of these internal risk
factors may have already created opportunities for the youth to work with helping
professionals, and hopefully to reduce the long-term deleterious effect these risk fac-
tors have upon youth. However, being involved in the human services system can
also be a risk factor (Werner & Smith, 1992), if the interventions were poorly con-
ceived or created additional negative outcomes.
Environmental risk factors in the youth’s environment also have negative reper-
cussions for the youth. Environmental risk factors include: parental depression or
mental illness, maternal low level of education, parent(s) not emotionally present,
parent(s) not physically present, parent(s) unaware of youth’s activities, lack of at-
tachment relationship to caretaker, witness to domestic violence, severe marital/
partner discord, sibling spacing, parental substance abuse, personality differences
with parents, family size, living in a home that is overcrowded, frequency of moving
or homelessness, aggression toward peers or adults, alienation from peers or adults,
difficulty making or keeping friends, being bullied or scapegoated by parents, teach-
ers, or others in authority, violence or gang activity in the neighborhood, lack of
upkeep, repaired or abandoned homes in the neighborhood, and lack of positive role
models. All of these risk factors exact a toll from the youth, some more negatively
than others, depending on the individual and the severity and combination of the
risk factors.
6
6 i Innovative Skills
Stress
Resilience
Protective Factors
(Internal and in Stressful Life Positive
Environment) Event Adaptations
Individual No change
Negative
Adaptations
Risk Factors Stressful Life
(Internal and in Event
Environment) Vulnerability
8 i Innovative Skills
This book advocates practice interventions that engage and empower youth to in-
crease their personal well-being, and in the healing process to promote resiliency. By
doing so, youth can take an active role in their own healthy functioning, as opposed
to passively receiving treatment. The following chapters of the book are written
from a well-being and resilience-based focus. By applying the strategies and tech-
niques described in the subsequent chapters, our readers, as they work to resolve the
social, emotional, and mental health issues that may have disrupted the youths’ lives
they are working with, are also supporting the well-being of youth, as well as, the
promotion of resilience in youth.
We chose the interventions in this book to coincide with “the 6 Cs of positive
youth development” (Lerner, Fisher, & Weinberg, 2000; Roth et al., 1998):
Each activity in this book has ten basic components that need to be fully considered
before beginning. A well-planned activity increases the influence of the activity as
a therapeutic tool and reduces concomitant risk. Each component is defined below,
and the reader will find the same sequence of components in all activities through-
out the book.
1. Name of activity. What is the activity called? The name is important because
it gives the youth an idea of is involved in the activity. Additionally, know-
ing the name of the activity is important so that the youth has something to
call the activity during the initial debriefing session and how to refer to it at
other times when they speak of their experience during the activity.
2. Time duration. How long will the activity take to complete? It is important
to plan accurately the length of time needed to fully experience the activ-
ity. If there is not enough time allocated, the activity may not be able to be
completed, which diminishes the effectiveness of the activity and increases
frustration. Conversely, spend too much time, and the youth may be bored
or lose focus on what the activity was about.
3. Purpose/objective. What is the purpose of the activity, and what are the
objectives? What are the youth supposed to gain by being involved in the
activity? Can the purpose or objectives be achieved if the youth does not
complete the activity or fully participate in the activity? Can the objectives
be measured to determine if they have been achieved? Interestingly, a clear
10
10 i Innovative Skills
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