Winter 2003 Newsletter   click for links to other newsletter pages

Partners in Care Conference Highlights

Our 13th Annual Partners in Care Conference held on December 6th was a wonderful day of inspiration, education, and fellowship. As always, everyone seemed to appreciate the opportunity to reconnect and to learn how they can better support the needs of children and families. Despite snowy weather, 189 individuals participated in the day’s events. Workshops gave participants an opportunity to listen and learn from each other, share challenges as well as successes, and to find time for healing and laughter. A review of the workshops and some practical applications or references for more information follow.

Ann Turnbull, Co-Director of the Beach Center on Disability in Lawrence, KS, presented an inspiring keynote address entitled, "Conditioning for the Family Quality of Life Marathon." She also conducted a follow-up workshop on "Enhancing the Likelihood That Services Will Lead to Improved Quality of Life." Ann highlighted and discussed five key domains of family quality of life and shared experiences from her own family and other families of triumphs and setbacks in "conditioning" for the family marathon across decades. For more information on Ann’s research visit www.beachcenter.org. The family quality of life domains are: health and safety, support for persons with disabilities, family resources, family interaction, and parenting.

Empowering Parents: Helping Children and Families Cope with Behavioral Issues
This workshop led by Elaine Lerner was helpful to the many parents and professionals who attended the standing-room-only seminar. The session began with a moving video presentation, "Don't Laugh at Me", produced by Peter, Paul and Mary. Accepting our differences, understanding the child's behavior and then managing it in a healthy way became the theme for the presentation.

Russell Barkley, PhD, an internationally known expert in the field of ADHD, believes parents must develop skills to become Principle-Centered. The seven principles are listed below:
1. Be Proactive. Far too often we react to our children’s behavior, often on impulse without regard to the consequences and with no plan for what we are trying to achieve. Seeing a situation from a reactive frame of mind can somehow make things look hopeless. It is not what your child does, or does to you that creates these problems, but instead it is your response. Take the initiative to change what you do not like in the way you react to your child and accept the responsibility to make the relationship happen in the way you want it to.
2. Begin with the end in mind. When faced with a problem, first try to envision how you want it to turn out. Beginning with the end in mind, helps us focus more clearly on what matters most and to see what we must do to make situations turn out the way we would like. Having a project such as completing a homework assignment end with smiles and laughter would be great! Your relationship with your child and the manner in which smaller interactions turn out by design or be default are entirely up to you.
3. Put first things first. Prioritize what is important and what is not important for you as well as for your child. Don’t get caught up in conflicts over trivial issues that cause you to win the battle and lose the war.
4. Think Win/Win. All interactions between individuals are a form of negotiation. Don’t just concentrate on what you want your child to do. Begin with the end in mind envisioning a win/win situation. Choose a reward you think would be appealing and make it a part of the verbal contract. This way you will be thought of as a respectful negotiator.
5. Seek first to understand, then to be understood. First seek to understand from your child’s point of view and make what is important to them important to you. Your love for your child is the foundation of emotional support they count on. Love is given with no strings attached and is not dependent upon how well they behaved today, did in school, in sports, or how many friends they have. Build up trust with your child by being honest, kind and courteous and by keeping your promises. Only then can you seek to make yourself understood.
6. Synergize. Work with your child in creative cooperation, and strive to combine all of the foregoing principles into your interactions. Be open to new outcomes even though they may be unpredictable. This allows the greatest powers within people to be unleashed. Value the differences between your child and others. There may be, in fact, several excellent ways to work together in facing the challenges life holds for both of you.
7. Renewal. Too often parents of children with ADHD devote much of their time and energy to their children, and in the process, exhaust themselves. Failing to take time to renew yourself physically, mentally, socially/emotionally, and spiritually can cause you to have shutdown and have less time and energy to devote to your child. The best gift you can give yourself is the gift of self-renewal.
Dr. Barkley’s ideas are reprinted with permission in an article by Elaine Lerner entitled, "Joys and Frustrations of Raising an ADHD Child".
Elaine Lerner, MSW, CSW is an ADHD, ADD and ODD parent trainer. For information on workshops contact her at (802) 660-4981 or WWW.ADHDParentTrainer.com

Three Keys to Living Well: Taking Care of Ourselves While Caring for Others
Lynn Grieger, RD, Nutrition Consultant, Dena Foster Dentone, Certified Yoga Instructor, and Rhonda Costes, Certified Massage Therapist assured that participants would learn and practice some techniques for healthy eating, yoga and massage. Each one showed practical ways to promote health and to be proactive in incorporating wellness into our daily lives. Lynn's practical ideas stressed variety, moderation and balance in food choices, always keeping family priorities in mind. Dena gave a succinct insight into yoga and took the group through some simple yoga postures. Rhonda kept everyone relaxed by talking about and demonstrating massage techniques. She shared some ways to incorporate massage into daily life, for people of all ages.
Anti-Anxiety Breath
1. Sit comfortably (or lay down or stand up). Close your eyes. Relax your jaws.
2. Inhale through your nostrils slowly, smoothly and as deeply as possible without strain. Breathe as quietly as you can.
3. Exhale steadily, focusing your attention on the area just above your navel.
4. Before inhaling again, mentally count ‘one thousand’, ‘two thousand’. (The idea is to lengthen the exhalation phase of each respiration.)
5. Repeat steps 2 to 4, in smooth succession again and again, until you feel calm.

Practical Tips for Healthy Eating


Smoothie Madness
Per serving: ½ - 1 cup liquid such as milk, yogurt, soy mild, fruit juice, or water and
½ - 1 cup fruit (frozen, fresh, canned).
Put all ingredients in the blender and blend until smooth.

If your child is enrolled in CSHN and is at nutrition risk, a local CSHN nutrition consultant is available to work with your family. For information, contact Molly Holland, RD, MPH, 802-865-7709.

Pain Assessment and Management in Infants, Children, and Adolescents
Patrick McGrath, PhD, Professor of Psychology, Pediatrics, and Psychiatry at Dalhousie University, introduced the workshop with an overview of the importance of pain to health and quality of life for children and the need for pain measurement in clinical practice. Three methods of measurement were described and many examples of self-report, behavioral, and biological pain measures were presented and described.
Jean Coffey, RN, MS, PNP, Clinical Instructor at the University of Connecticut School of Nursing, spoke about the importance of pain assessment and management across the continuum of health care settings (e.g., hospitals, out-patient clinics, specialty clinics, etc.) and at home. The importance of developing child, parent, and professional partnerships to provide culturally sensitive and developmentally appropriate pain management was emphasized. Specific examples of non-pharmacological pain management interventions were described. Rob Williams, MD, Associate Professor of Anesthesia and Pediatrics, UVM and FAHC, discussed various pharmacological approaches to managing post-operative and procedural pain. He also emphasized the important role of parents in supporting good pain management.

Summer Services Within Your Community (The Extended School Year – ESY)
Lynette Over of the Vermont Parent Information Center (VPIC), talked with families about what summer services (the Extended School Year - ESY) could look like for their children. Families left this workshop with concrete ideas to help plan for their child's summer program. For the most detailed information concerning summer services visit VPIC’s website at www.vtpic.com. VPIC will also be offering this workshop
on April 15th at 6:30 PM at the Castleton Family Health Center.
 
Achieving, Behaving Caring:
Building Family Teacher Community Partnerships to Support Children’s Early Development
It is not crisis management, but early prevention. It is not an adversarial IEP meeting, but a home-school collaborative that is strength and knowledge-based. Presenters described a successful working model of communication and respect that uses Parent Liaisons and Parent-Teacher Action Research (PTAR). The School Research Office at UVM is helping to build partnerships between schools and local Parent-Child Centers by training Parent Liaisons to act as a link between homes, schools and agencies. For more information, check www.uvm.edu/~schrsrch or call 802-656-8551.
As the theme of our conference suggests, "quality of life matters." Our sincerest thanks to all who shared their time, energy and expertise with families and professionals at this year’s conference.

SAVE THE DATE – Join us for the 14th Annual Partners in Care Conference on Thursday, December 4, 2003 at the Sheraton Hotel and Conference Center in Burlington

Thanks again to our Conference sponsors (click to view) ©

Late Winter 2003 - In this Issue:
From our Director
Board & Staff Update
Family Faculty | Family Support
Family Voices of Vermont
Partners In Care Conference Notes
Books & Beyond
Family Story: DiGiammarino's
Our Calendar | News & Note

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