Lesley University Graduate School of Arts and Social Sciences Expressive Therapies Division GEXTH : Introduction to Child Life 3 credits Summer 1 2022 Instructor: Laura L. Wood, PhD, RDT/BCT, LMHC, CCLS Weekly Flow Wednesdays: 7-8pm EST for synchronous experientials and guest speakers on Zoom Thursdays: New lectures and videos posted by 7pm EST Tuesday: All discussion boards and assignments due by 7pm EST Wednesday: All responses to peers DB and interventions due before start of class Course Description This course is designed to introduce students to the field of Child Life and to acquire the fundamental skills in helping children and families cope with the stress of a health care experience. Child Life programs strive to promote optimum development of children, adolescents, and families, to maintain normal living patterns, and to minimize psychological trauma. The course will cover the six-core required area as designated by the Child Life Council: Child Life Documents, Scope of Practice, Impact of Injury and Illness, Family Centered Care, Therapeutic Play, and Preparation as well as the integration of Child Life and the expressive therapies, with a focus on using the core process of drama therapy to support the six core areas of Child Life. Course Objectives 1) Students will obtain the knowledge, understanding and application of Official Documents of the Child Life Council (CLC) including the Code of Ethical Responsibility, Child Life Competencies, and Standards of Clinical Practice, the Child Life Mission, Values and Vision Statements, and the Code of Professional Practice. 2) Students will be introduced to the spectrum of child life practice in direct and non-direct services in pediatric health care including a historical review of the profession and its development in the evolution of children’s healthcare. 1 3) Students will be able to formulate the impact of illness, injury and health care on patients and families within the context of developmental theory, the stressors and developmental and psychosocial treatment issues that affect the health care experience of a “child and family” including siblings. 4) Students will be able to comprehend and apply concepts of Family-Centered Care, including but not limited to understanding of the key principles of patient- and familycentered care, principles of respect and dignity, information sharing, supporting participation in care, and collaboration in relationship to child life practice. 5) Students will be able to identify and examine elements of play, benefits of play, and various therapeutic play modalities for the clinical setting. 6) Students will review historical and current perspectives on the rationale for, and techniques and outcomes of preparation, as well as accepted preparation methods for healthcare encounters and life-changing events. Required Texts Thompson, R.H. (2009). The Handbook of Child Life. Charles C. Thomas. New York, NY. Omens, S. (2014). Body as impasse: Drama therapy with medically compromised children. Trauma-informed drama therapy: Transforming clinics, classrooms, and communities, 270-286. Pendzik, S., & Raviv, A. (2011). Therapeutic clowning and drama therapy: A family resemblance. The Arts in Psychotherapy, 38(4), 267-275. Bernier, M. (2005). Introduction to puppetry in therapy. Puppetry in education and therapy: Unlocking doors to the mind and heart, 109-115. Ilievová, Ľ., Žitný, P., & Karabová, Z. (2015). The effectiveness of drama therapy on preparation for diagnostic and therapeutic procedures in children suffering from cancer. Journal of Health Sciences, 5(2), 53-58. Versaci, R. A. Adapting the Six-Part Storymaking Method for use with siblings of infants on the neonatal intensive care unit Additional articles/videos will be provided in each weekly module Attendance The course is designed with both synchronous and asynchronous components online. Attendance of the weekly online synchronous time is mandatory, and the course cannot be passed without attending. Additionally, there will be eight modules, asynchronously, each covering one of the six core child life areas and the integration of EXAT and Child Life. 2 Methods of Instruction: The instructor will utilize a combination of synchronous and asynchronous: • Lectures and discussions • Experiential exercises • Videos and discussions Summary of Grading The following grading scale will be used: Grade Percent A 93-100 A- 90-92 B+ 87-89 B 83-86 B- 80-82 Not passing <80 A = Superior performance in all areas, demonstrating in-depth understanding of material, creativity, innovation, and ability to integrate theory and conceptualize practice. Written work represents scholarly presentation with references that reflect appropriate formatting and breadth of research. A- = Very good. Clear ideas and viewpoint. Reflects reading and discussions. APA format. B+ = Good. B = Adequate. B- = Below average. Work should be rewritten. Below B- = Not passing. A passing grade must be equivalent to a “B-” or better. 3 Grades are based on: • • • Your effort and commitment: being prepared for class; doing the readings; attending the intensive, following through with assignments; participation. As the learning will be both didactic and experiential, you will be graded on attending to the material, grappling with it, questioning it, sharing about it. You are responsible to choose the level of participation you feel comfortable with during the experiential components; respectful observing is also viewed as participation. If you plan to have your camera off for a class due to medical or personal reasons, you should communicate prior to the start of class with Dr. Wood. The quality of your assignments: Grades will be based on thoughtfulness, clarity, organization, content of material, timeliness, innovation, and adherence to style (APA). Be sure to proofread all your written work prior to handing it in. A special note about Incompletes: If you are unable to complete your work within the course of the semester there is a procedure for taking an Incomplete in the course – you must fill out an Incomplete Contract and negotiate an agreed upon project and due date. Incomplete Contracts are available at the Registrar’s Office and online. Responsibility for completion of work rests with the student. Contracted work not completed by the agreed upon time is recorded as "F" (Failing). I will expect that you have a good reason for requesting an incomplete and I will need to agree to any extensions due to extenuating circumstances. Incomplete contracts must be filed before the last date of class. 4 Course Assignments: Six Discussion Board (DB) Assignments Six discussion boards, each covering one of core required area as designated by the Child Life Council and based on the reading: Child Life Documents, Scope of Practice, Impact of Injury and Illness, Family Centered Care, Therapeutic Play and Preparation. Further directions will be given in class. (10 points each, 60 points total) Design Three Child Life Activities/Video Students will design three Child Life Activities using their modality of choice with a one-page description linked to theory of the intervention, and a short video, no more than 5 mins describing or showing elements of the intervention. Design #1: A family centered care activity based on a scenario provided in class. Design #2: Design a puppet that will help to educate about a specific diagnosis or medical procedure. Create a 5 min video with you and the puppet that could be used if you were not available on the unit or put on YouTube for parents to use. Design #3: A play activity based on a developmental age to support a child who has been hospitalized 20+ days and expected to be in the hospital 20-30 more days. (30 points each, 90 points total). CL and EXAT Special Population Activity Students will choose a special population they would like to learn more about that is not covered in class (oncology, transplant, emergency department, etc.) and review 3 articles on the population. They will then design an expressive therapy intervention targeting a need for the population, you may use any approach, except puppetry. You will turn in a one-page paper about the diagnosis and then create a 5-10 min video showing the technique you designed. (50 points total) COURSE POINTS TOTAL: 200 5 Tentative Schedule Class Date Topic Covered Child Life Area Demonstrated Module Posted Class 1: 5/18/22 Welcome 7pm EST Syllabus Review and Expectations Scope of Practice History of Child Life Scope of Practice Theoretical Foundations of Child Life and Ethics Family Centered Care/Scope of Practice Therapeutic Relationships in Child Life Scope of Practice Read Ch. 1, 2 and 4 in HBOCL Read Ch. 6 in HBOCL and Versaci, R. A. Adapting the Six-Part Storymaking Method for use with siblings of infants on the neonatal intensive care unit DB #2: Family Centered Care In class experiential: CL Activity 1 Guest Speaker: Candy Yin Hang— creating therapeutic relationships in the hospital Class 3: 6/1/2022 For following week DB #1 Scope of Practice What is Child Life? Class 2: 5/25/22 Homework Patient and Family Centered Care Read Ch 5 and 7 in HBOCL Communication and Child Life DB#3: CL Documents In Class Experiential: Guest speaker Rebecca Versache 6 Class 4: 6/8/2022 Assessment in Child Life Child Life Documents Read Ch 8 in HBOCL and Bernier, M. (2005). Introduction to puppetry in therapy. Puppetry in education and therapy: Unlocking doors to the mind and heart, 109-115. DB#4 Therapeutic play CL Activity 2 Class 5 6/15/2022 Theories of Play Play Read: Ch 9 in HBOCL And Ilievová, Ľ., Žitný, P., & Karabová, Z. (2015). The effectiveness of drama therapy on preparation for diagnostic and therapeutic procedures in children suffering from cancer. Journal of Health Sciences, 5(2), 53-58. DB#5:Illness and Injury CL activity 3 7 Class 6/22 Psychological coping and medical play Impact of Illness and Injury Read Ch 12 and 13 in HBOCL And Therapeutic Play Omens, S. (2014). Body as impasse: Drama therapy with medically compromised children. Traumainformed drama therapy: Transforming clinics, classrooms, and communities, 270286. DB#6: Preparation Class 7: 6/29 End of Life and critical care Impact of Illness and injury Guest Speaker: Stephanie Omens Class 8: 7/6 Working crossdisciplinarily in Child Life and termination Read: Pendzik, S., & Raviv, A. (2011). Therapeutic clowning and drama therapy: A family resemblance. The Arts in Psychotherapy, 38(4), 267-275. Final EXAT assignment due Guest speaker: Emily Faith, Medical clowning in Child Life 8 Respect Statement In this course, each voice in the classroom has something of value to contribute. Please take care to respect the different experiences, beliefs and values expressed by students and staff involved in this course. We support Lesley’s commitment to diversity, and welcome individuals of all ages, backgrounds, citizenships, disability, sex, education, ethnicities, family statuses, genders, gender identities, geographical locations, languages, military experience, political views, races, religions, spiritualities, sexual orientations, socioeconomic statuses, and work experiences. To that end, this course is invested in helping students to reflect on facets of their own identity, experience, and their interaction with others. We recognize that this is a sensitive, challenging, and often-vulnerable process. It also can be one that is educationally rewarding and transformative. We will encourage students to reflect upon their own biases, presuppositions, and prejudices as they relate to issues of identity raised by the course content, as well as strive to create an environment of safety, curiosity, humility, and openness. Please feel free to communicate with the professor if you have any concerns in this regard. Personal Process and Insight While it is common in clinical training for students to experience some therapeutic benefits from their academic work, clinical training is not psychotherapy. As such the student-teacher role is not a psychotherapeutic relationship – the faculty member is not in the role of therapist and the student is not in the role of a client. This work is experiential and as such can easily engage you in personal as well as professional issues. You are expected to take responsibility for yourself, and to determine and respect your own as well as other’s limits, boundaries and confidentialities. At the same time, it is acknowledged that creative arts therapy processes often work in indirect ways and it is not always possible to prepare in advance for possible strong responses. Because of this, the instructors and students will work together to navigate the various intersections of education and the therapeutic in a transparent and open exchange. Students will not be graded on the depth of their personal experience, but their capacity for awareness and insight will be noted as an important aspect of being competent drama therapists. If you find yourself needing/ wanting to explore issues in a therapeutic context, please utilize your personal therapist. Gender Inclusive Language: In keeping with Lesley University’s commitment to diversity in education, students should commit themselves to the use of respectful and gender- inclusive language. This course calls upon students to adopt respectful and gender- inclusive language throughout all academic coursework, inclusive of classroom presentations and conversations, and both written and oral 9 student materials. In addition, the department encourages all its members to use such language while participating in all their collegial and social gatherings. Overall, the instructor of this course is committed to common exploration of ways that the uses of language by all its members foster a culture of inclusion and equity in the academy and society. We also acknowledge there may be moments of rupture and the call for repair, as we each work towards learning to be more thoughtful with language. Learning Community Statement: Faculty, staff and students are all responsible for advancing a campus and classroom climate that creates and values a diversity of ideas, perspectives, experiences and identities. As such, we aspire to engage together in a community where each person is respected and empowered to express themselves and be heard. 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