CHCCN302A: Provide care for children Respond to the emotional needs of children Contents Develop routines appropriate to the child’s developmental stage and provide a stable and predictable environment Providing stability and a predictable environment 3 Strategies to promote stability 4 Identify and respond to children’s feelings openly, appropriately and with respect Developing supportive relationships 8 8 Encourage children to communicate, listen and treat them with respect Listening and responding to children 11 12 Encourage opportunities to express feelings and emotions appropriately 13 Interacting to support emotional wellbeing 13 Providing supportive play experiences 14 Deal with emotional outbursts in a calm and consistent manner while minimising disruption to other children 16 Fears and anxieties 16 Signs of stress and distress 17 Comfort children when hurt or distressed 19 Coping with grief and loss 19 Ensure children are informed appropriately and prepared for any change 2 3 24 Types of change 24 Strategies to help children manage change 24 Strategies to help children cope with major change or crises 28 Diploma of Children’s Services: CHCCN302A: Reader LO 9200 © NSW DET 2010 Develop routines appropriate to the child’s developmental stage and provide a stable and predictable environment Within the day in a childcare setting there are many routines that are followed to provide the smooth running of the day. These routines are typically centred around providing for the child’s physical needs. They include arrival and departure, toileting and hand washing, rest, meals and snacks. Providing stability and a predictable environment Keeping the same routines allows for the day to have some predictability and for children this promotes feelings of security. They know what things to expect within the day and can plan and predict events and their timing. Stability means that the routines are carried out in a similar manner around the same times and in roughly the same order each day. This is done to create consistency so that children can know what to expect, how it will happen and when. It allows for children to trust that these routines will happen and that they don’t have to worry about them. In childcare children who have been in care for even a few days know that they will be given lunch and so they don’t have to worry about whether they will get lunch or whether the caregiver will forget. They are able to trust the caregivers in relation to the routines and can get on with developing other skills and tasks. Children who have just started kindergarten are often unsure what foods to eat at which times and it can take a while to sort it out. They may worry that they’ll eat lunch at morning tea time and not have enough at lunch time. Children starting in ‘out of school hours care’ (OOSHC) for the first time may forget to save some food for afternoon tea and will worry about what they will eat and being hungry until they become accustomed to this or are aware that afternoon tea may be provided by the centre. Diploma of Children’s Services: CHCCN302A: Reader LO 9200 © NSW DET 2010 3 As caregivers we need to be aware that this need for stability and consistency is important and that we don’t overdo it by creating inflexible and rigid routines. Routines should be carried out in a similar manner at a similar time each day but should not control and totally direct the day. Activity 1 Strategies to promote stability There are many ways to promote stability using routines, but the most important is to keep routines consistent and ensure children know about what is happening in their day. All routines should be established around the children’s needs not the staff needs for lunch breaks, programming etc. These are important and do impact on the program but the children’s needs are of paramount importance and caregivers should fit around them. Some useful strategies are: • • • • • • • • know the children in your care and their individual needs know the needs of the group plan routines that are flexible and can be adapted to meet the changing needs of the children be relaxed about the times routines are placed—children don’t need to move to a clock or rigid timetable be aware that routine times are times for learning and practising skills so allow time for this to happen—avoid rushing children involve children in developing the daily routines especially school aged children allow children to decide on some routines for themselves (eg progressive morning and afternoon teas) keep routines relaxed and avoid stressing out the children by making unrealistic demands. Meeting individual needs through routines Each and every child is unique, and displays not only their own personality but also their own needs. If caregivers are to provide support and encouragement to children’s developing emotional wellbeing then they need to individualise their interactions and responses to each child. Routines are an ideal time to assess and monitor the individual needs of the child. As well as meeting physical needs caregivers can aim to meet emotional needs. This can be achieved by adjusting interactions and responses to match each child. 4 Diploma of Children’s Services: CHCCN302A: Reader LO 9200 © NSW DET 2010 Knowing the children in care and their emotional needs and personality traits will help caregivers to respond in the most appropriate manner. Routines such as meal times and rest times where children can be given physical care tasks to aid their independence and autonomy are ideal times to achieve this. Activity 2 Developing a sense of belonging Being part of a group and belonging is important to children as well as adults. Remember your school days and the need to be part of the group, to have not only friends but also a best friend, sharing secrets with special friends? Humans are social beings and our lives revolve around being part of groups, be they family groups, peer groups, close personal friendships, sporting or social groups or even a group or team that works together. You only need to look in the classified section of your local paper or the phone book to see how emotionally dependent humans are on groups to help us through difficult times—the number of support group organisations is extensive. When presented with difficult situations/tasks humans find it easier to cope if they talk to someone who has experienced it before or has special skills relating to the situation/task. They are able to offer empathy and emotional support, which is often a greater need than physical support. Belonging and feeling part of the group means acceptance and assists children’s development of positive self-esteem. Shared decision making One way to feel part of the group is to have some responsibilities and some contributions towards the group. In a childcare setting this could be as simple as providing opportunities for all children to make simple decisions. For example, if there are three children wanting to paint and they ask to have some paints prepared it is a perfect opportunity for shared decision making by asking them to decide what colours are needed. Shared decision making can be linked to all areas of the program and children should be given opportunities to contribute to the program. Children can be encouraged and supported to make decisions together. Providing opportunities for children to work together Group work develops not only a sense of acceptance and belonging but also prosocial behaviours. When working as a group, children have to take into account Diploma of Children’s Services: CHCCN302A: Reader LO 9200 © NSW DET 2010 5 the needs and considerations of others, they need to make choices and share decisions, and there can also be the need to compromise or negotiate desired outcomes. These are all important skills in later life and just don’t appear as some physical maturation skills, like walking, they need to be developed and practised. Situations where teamwork and group skills can be developed are: • • • • • • routine tasks group collage, drawing, painting blocks creating gross motor play areas dramatic play problem solving. A situation where teamwork and group skills can be developed cli Children who develop teamwork skills often use these skills to support others during play. They will provide encouragement for the developing competence of others. Some of these children will also begin to help others to resolve conflict, ‘say you’re sorry and find a game to play together’. The need for personal and private space Personal belongings storage 6 Diploma of Children’s Services: CHCCN302A: Reader LO 9200 © NSW DET 2010 There should always be a space provided in a childcare environment to store personal belongings. This space promotes a feeling of value and respect towards the children and their belongings. Caregivers need to give consideration not only to providing space for personal belongings and effects but quiet, private areas where children can go to reflect on their feelings, cope with feelings of sadness, frustration and the like. Many adults, when feeling emotionally fragile, retreat to a private space to gather themselves together and take time to resolve the emotional conflict. Caregivers need to provide this for children. It is important to recognise children’s feelings and talk to them about how they feel, but sometimes we need to respect the child’s need for privacy until they are ready to talk about it. Coping with feelings also means resolving them internally, so the child feels comfortable and okay. Need to be individual and accepted It’s great to be part of the group but children need to feel accepted for who they are as individuals. With the beginning of independence children start to assert and show who they are and this continues into their later years. If children are not allowed to be themselves, the individual, then caregivers can do immeasurable harm to their self-esteem. Finding out who you are is a difficult task which requires much experimentation and feedback from those around you. Caregivers should accept children for who they are and provide opportunities for their personal and emotional development. It is important that caregivers model accepting and inclusive behaviours and give children positive feedback. Scenario: Example of appropriate practice Ahmid, who is five years old, wandered over to the playdough table where Gabbi and Sophie were making birthday cakes. Ahmid sat down and picked up a rolling pin. He told the girls he was going to make a birthday cake as well. He got a ball of playdough and rolled it flat. ‘That’s not how to do it,’ Gabbi said. ‘Yeah,’ agreed Sophie ‘you have to make it higher so you can put candles on it. That’s a silly cake.’ Ahmid replied that their cakes were silly too. Greg the caregiver, walked over, sat down and said, ‘Hey let’s have a look at these birthday cakes.’ ‘Ahmid’s is silly,’ Gabbi told Greg. He looked at the cakes and at Ahmid who was beginning to look upset and said, ‘Not all birthday cakes look the same. Last week when Nigel had a birthday his cake was a rocket, and Will’s cake was a monster. I’m pretty sure that cakes come in lots of different shapes and sizes but birthday cakes are always special. Ahmid, tell us about your special birthday cake.’ Ahmid began to talk about his cake and asked Sophie about her special cake. When Greg left the table the children were creating an extra special birthday cake together for Greg. Activity 3 Diploma of Children’s Services: CHCCN302A: Reader LO 9200 © NSW DET 2010 7 Identify and respond to children’s feelings openly, appropriately and with respect Responding to children’s emotional needs can mean many things to different people. For those who work with children it will inevitability involve being there for children, offering comfort in times of hurt and distress, anticipating and responding to children’s needs (both physical and emotional) and providing children with the skills necessary to function as caring and sensitive members of society. We particularly need to encourage children aged two to six years to identify their own feelings, express them appropriately and develop coping strategies to deal with change and stress in their lives. Developing supportive relationships enables children to explore, develop and practise skills in a secure and trusting environment. Supportive relationships provide the basis for children to discover who they are emotionally, feel confident and secure about whom they are and explore and cope with new and challenging situations throughout their lives. Developing supportive relationships Humans are social beings; our world revolves around interactions with others on daily, personal, community, national and global levels. Relationships are important to adults and we spend much time in establishing and maintaining these within our lives. Relationships are also important to children. There are many relationships within their lives from family, friends, community, childcare, school, and sporting and social groups. Some of the relationships we form in childhood are life-long. There are many adults who formed friendships in preschool or school which are still important to them and active many years later. Think about your own close personal friends. How long have you known them? Did you start school or preschool with them? Do you maintain friendships with people from your earlier life? Have you stayed close to, or in contact with, people from previous years or places you have lived? 8 Diploma of Children’s Services: CHCCN302A: Reader LO 9200 © NSW DET 2010 If you have maintained these relationships then they are important to you and it shows that the friendships/relationships formed early in life as children are important and valid and should be taken seriously by adults. So when circumstances in a child’s life change it is important to consider these friendships and provide opportunities for these to be maintained and not dismissed as ‘they’ll get over it and make new friends’. Sure, new friendships and relationships may be formed, but lost relationships and broken friendships hurt children just as much as adults. A supportive caregiver will recognise this and provide opportunities to build new relationships, maintain current relationships and cope with changes to relationships and friendships. Establishing supportive relationships In order to build a supportive relationship with children you first need to establish a trusting and responsive relationship that forms a base for extending and developing further interactions. Activity 4 Strategies for building relationships There are a number of simple strategies used by childcare workers to help form relationships with children. If you have the opportunity, view the video Mia-Mia A New Vision for Day Care, Part 3 ‘Building relationships’. Some of the strategies discussed in the video and other effective ideas are: • • • • • • • • • • provide opportunities for a relaxed and unhurried separation of parent and child have orientation visits for the child to the centre prior to being left for the first time parents leaving children in care for short periods prior to being left for lengthy periods providing space for parents and children to relax and be comfortable together before the parent’s departure developing links between home and care with school aged children this may include taking children on the bus and familiarising them with the bus, route and bus stops sharing the day with families and encouraging children to remember daily happenings and pass them onto family taking time to interact with children and use two way conversations allow the children to know who you are, share information about your family, weekend etc provide photos of children, families and activities and events at the centre Diploma of Children’s Services: CHCCN302A: Reader LO 9200 © NSW DET 2010 9 • • • providing opportunities for children to be together and to share experiences providing opportunities for children to interact with each other and work in small, collaborative groups anticipate problems before they occur and plan a response (eg if you know that a child has difficulty settling with new staff and there is a casual in the room today, talk to the staff member about it, greet the child at the door and explain why there is another staff member and personally introduce them). A way to help children to form relationships is to provide opportunities for them to work in small groups cli 10 Diploma of Children’s Services: CHCCN302A: Reader LO 9200 © NSW DET 2010 Encourage children to communicate, listen and treat them with respect Caregivers are responsible for ensuring that children develop positive communication skills to enable them to function effectively and express their needs, interests and feelings. As with many things, one of the most effective ways of showing children positive communication skills is to model them. Caregivers should always use positive language. Positive communication means ensuring that all interactions and situations where we pass on information, feelings and comments to children and others, including verbal and non-verbal communication is phrased in a positive manner. Even though it can be difficult, caregivers need to remove negative language, sayings and non-verbal gestures from their interactions with children, families and other staff. Praise and encouragement given to children needs to be sincere and realistically reflect what has happened—it is inappropriate to just say ‘well done’ or ‘good boy/girl’. Caregivers need to ensure that children know what they did and why it is valued. Scenario Toby, three years old, finds it difficult to interact with other children and finds ways to avoid mixing and playing games with others in the group unless there is a caregiver supporting him. Brooke, his primary caregiver, has been thinking about how she can support him while encouraging his interactions. Today, Toby has the job of handing out the hand towels as part of the hand washing routine before lunch. Toby needed Brooke to be nearby but managed to hand out the paper towels and talk briefly to a number of children. All the children addressed Toby personally and thanked him for their paper towel. When handing Toby his paper towel at the end, Brooke said, ‘Thank you Toby for handing out the paper towel. You did a great job and helped us all get ready for morning tea.’ Brooke’s language tells Toby much more than ‘well done’. Using positive, respectful and valuing language and interactions, allows children to develop a sense of achievement, a feeling of contribution to the group and a sense of value. Diploma of Children’s Services: CHCCN302A: Reader LO 9200 © NSW DET 2010 11 Listening and responding to children Listening to children is a vital part of the childcare worker’s role. Caregivers often feel that they spend the whole day listening but sometimes we only think we are. Often caregivers are asked a question, or for permission to do something and respond without thinking or even listening. No wonder children feel confused, unsure of themselves and frustrated. If we are to be effective caregivers and to provide for and respond to children’s emotional wellbeing then we need to practise active listening. We need to actually listen to what the child is saying, make eye contact to show that the child’s thoughts and words are valuable, reflect back what is being said or asked so the child can confirm and know we are listening, and ensure that the options available to the child are not only realistic but able to be achieved. When caregivers actively listen to children then feelings of worth, value and respect are conveyed. Activity 5 12 Diploma of Children’s Services: CHCCN302A: Reader LO 9200 © NSW DET 2010 Encourage opportunities to express feelings and emotions appropriately As caregivers we need to provide interactions and an environment that fosters the values, beliefs and interaction styles that our society and community perceive as important. If we want children to be caring, compassionate and sensitive then our interactions with them must reflect that. Strategies to promote this would be: • • • • • • • • addressing children by name using a quiet and calm voice to talk with children responding to inappropriate behaviours with positive language and ensuring the behaviour not the child is labelled as inappropriate modelling the desired values, traits and interactions providing an environment that fosters and facilitates personal interactions, use of collaborative experiences and equipment that needs two or more to work it preparing children for changes in advance, telling them when changes are about to occur and giving warning so play can be finished when changes could make some children feel uneasy ensure that they are provided with opportunities to understand and work through changes (eg a new staff member, talking about who is coming, showing a picture, asking children for ways to welcome them, plan a welcome morning tea or a sign) valuing and respecting the children by recognising the importance of contribution and intent rather than outcomes only (eg when a child decides to organise a drink for a friend but spills milk all over the floor, thanking them for being kind and getting a drink for the friend rather than chastising them over the spilt milk). Interacting to support emotional wellbeing Responsive caregivers not only respond to children’s needs in all developmental areas but also support the children’s needs through their interactions with each child. Diploma of Children’s Services: CHCCN302A: Reader LO 9200 © NSW DET 2010 13 Many caregivers find that providing support in some developmental areas is easier than others. For example, when children are developing physical skills such as climbing, caregivers can structure the environment to make climbing achievable, use encouraging and supportive language and gestures. It can be relatively easy to see how the child is performing in the attempt. With emotional development and children’s emotional wellbeing some caregivers think it’s a little more difficult, mainly because these are difficult areas to see. But in reality it’s not any more difficult. Caregivers can support children through their interactions by ensuring that all interactions reflect respect and value of each child. The environment can be structured to provide opportunities for children to interact with others and promote feelings of value, worth and friendship. Activity 6 Providing supportive play experiences Play is an important part of a young child’s life. It is how children: • • • • • • • • • • • learn about relationships develop problem solving skills gain knowledge about others and how they act and interact ‘test’ out ideas¸ try new things and take on other roles develop pro-social skills extend and develop imaginative and creative skills learn about cooperating learn about negotiation develop appropriate language skills gain knowledge about the world around them release emotions safely. Childcare workers need to ensure that children are not only given opportunities to develop and enhance play skills and knowledge but also facilitate play so that it supports children’s wellbeing and development of positive self-esteem. Activity 7 Expressing emotions through play Caregivers need to not only identify and respond to children’s emotional needs but also develop strategies for meeting these needs that involve play and play with other children. 14 Diploma of Children’s Services: CHCCN302A: Reader LO 9200 © NSW DET 2010 A wide variety of open-ended play experiences should be available to children and caregivers need to be involved in the play. The involvement should enhance and facilitate the play not take over it. Where children have emotional needs play can often provide a forum for working through or resolving issues and feelings. Play therapy is used by child psychologists to identify areas of concern and provide a way for children to manage and resolve their needs/feelings. Sensory play can be an emotional release Sensory play experiences are particularly useful for children as an emotional release. These include water play, finger painting, playdough, clay, bubble play, mud and sand. Dramatic play, story telling and puppet play also enables children to explore and resolve feelings in a safe and less confronting manner. Caregivers should observe children’s play and be aware of the play themes. Where play becomes violent or hurtful then it is important that the caregiver redirects the play and supports the feelings of all the children. Encouraging children to put their feelings into words and identifying the behaviour (rather than child) as unwanted, allows for the child to take some control over what’s happening and aids the development of a positive self-esteem. If a child who continually hits due to frustration, anger and feelings of helplessness, is labelled as ‘naughty’ or ‘bad’ then the child will soon learn to believe this. If the child is clearly told by other children that they don’t like being hit and it hurts and to please stop, the child learns that it is the behaviour, hitting, that is unwanted, not him/her. A programme, which is responsive to children’s emotional wellbeing, will be rich in play experiences that provide opportunities for children to explore their feelings, relationships and place in the world. For lots of practical and useful ideas for play experiences that support emotional wellbeing it is suggested that learners access a copy of The Crisis Manual for Early Childhood Teachers and read Chapter 23, ‘Curriculum ideas and activities’. Diploma of Children’s Services: CHCCN302A: Reader LO 9200 © NSW DET 2010 15 Deal with emotional outbursts in a calm and consistent manner while minimising disruption to other children Stress is an interesting section in our world today. Many of the problems experienced by people and issues of concern are often said to be caused by stress. We often hear about workers on stress leave or that particular jobs are very stressful. But what do we really mean when we say ‘stress’? Stress can influence our physical wellbeing (increased heart rate, sweating), our emotional wellbeing and also how we interact with others. People who handle stress well are better able to cope in situations where there is extreme anxiety or difficulty than those who find stress upsetting. Children can find stress a very difficult feeling to work through and cope with. Fears and anxieties Young children have fears and anxieties—things, objects or situations that they are afraid of or make them feel uneasy. Remember the monster under the bed? Being afraid of the dark? Hiding when you heard thunder? Walking the long way to avoid the barking dog? Activity 8 It is natural and perfectly ‘normal’ for children to experience fears and anxieties. With preschool aged children, fears can be either based in reality or be imaginary. The development of imaginary fears is linked to the child’s growing ability to mentally (internally) represent and manipulate images and ideas. As children become older and develop more knowledge about themselves and the world they also become increasingly aware of their own vulnerability. It is difficult for young children to distinguish between reality and fantasy so what may appear to be a ‘silly’ concern to adults may be frighteningly real to children. It is common for young children to experience nightmares and ‘bad’ dreams as they work through fears, reality and fantasy. Responsive caregivers will acknowledge and accept children’s fears and anxieties as ‘real’ and important. They will provide emotional support to the children and 16 Diploma of Children’s Services: CHCCN302A: Reader LO 9200 © NSW DET 2010 help them to develop strategies to cope with these feelings. Responsive caregivers will also provide children with creative opportunities for children to express how they feel and help them to see the difference between reality and fantasy. The following scenario outlines an experience I had in my very first position out of university. Tony, aged five, has just started school and although he settled well at first he has become increasingly reluctant to go to school and is very withdrawn, anxious and upset. These feelings of anxiousness seem to increase as the day goes on and are only relieved when mum arrives to collect him. The anxiousness began to increase rapidly and Tony began to display physical signs of being unwell and needing his mother to be called to collect him. Staff and his mother were at a loss to explain why he was feeling this way and Tony had difficulty describing how he felt or why. After about a week of this behaviour and with continued talks to his family, the grandmother came to collect him. On talking to grandma about the situation it was discovered that one of her friends had died recently and Tony had asked about it. Trying to be sensitive, grandma explained a little about dying and that everyone eventually dies. When staff talked with Tony, it was discovered that he was fearful that his mum and baby sister were going to die also and that it might happen soon or while he was at school. Armed with this information staff, parents and grandma were able to reassure Tony and together worked out some strategies to help him cope. It is difficult to know how the mind of a young child will internalise information. Fears are very real and can become consuming for a young child. When we provide children with information we need to consider the ways they may interpret it and make sure that information is at a suitable developmental level. Caregivers need to monitor children’s emotional status and when fears or anxieties surface they need to be acknowledged and worked through. It is vital that caregivers work closely with families to do this. Signs of stress and distress When children are experiencing stress or distress there is no neon sign that lights up above their head but there are a number of cues they give to indicate their distress. For infants signs and cues of distress can be crying, screaming, pushing away, becoming withdrawn and many others. Older children may also display these cues but often the signs of stress will appear to be something else. Many children who are stressed often present as having social problems—they may be aggressive or attention seeking or unresponsive, withdrawn and lacking peer relationships. Diploma of Children’s Services: CHCCN302A: Reader LO 9200 © NSW DET 2010 17 If possible read the article ‘Helping children cope with stress’. Available from http://www.ces.ncsu.edu/depts/fcs/human/pubs/copestress.html This reading will help you to identify some of the signs of stress in children aged two to six years. Monitoring children for signs of stress As with all indicators of concerns in children stress and associated signs and behaviours need to be observed and monitored. Childcare workers routinely keep developmental observations and summaries on children in the service so there is already a written way for recording behaviours. Caregivers need to know the children in their care and notice when changes in behaviour occur. These changes should be discussed with the family and with the other room staff so possible causes can be explored. Sometimes stress and associated behaviours are short term and can be easily managed whereas long term concerns need to not only be addressed and strategies developed to manage the stress but also monitored on a regular basis. Activity 9 It is important in this situation that the child be allowed to have whatever comforter they need (within reason), so it would be important to either get Cooper’s dummy or encourage him to get it for himself. Comforting children when hurt or distressed How can we help children when they are in stressful or distressing situations? Telling them not to worry won’t help, as it is not a strategy that works with any age group including adults. Activity 10 Activity 11 18 Diploma of Children’s Services: CHCCN302A: Reader LO 9200 © NSW DET 2010 Comfort children when hurt or distressed Coping with grief and loss What is grief and loss? Most adults associate grief with the death of someone close to them, but it can also cover many other areas and events. The following are clear and useful definitions of grief and loss (Parker, 1995): • • • Loss: The actual event of losing something or a person (eg through separation or death). Grief: Describes physical, emotional, spiritual and psychological reactions. Love, anger, fear, frustration, loneliness and guilt are all part of the grief process. Bereavement: The period of adjustment to loss. Situations where children may experience grief and loss For children there are many situations where they may experience grief and loss. Some spring to mind quickly such as the death of a pet or the death of a significant person in the child’s life, others are: loss of a pet relationship breakdown death in the family Sudden Infant Death Syndrome (SIDS) miscarriage and stillbirth trauma – accidents, war, riots etc domestic violence moving house friend moving away/leaving terminal illness in the family physical abuse sexual abuse emotional abuse living in a substance abuse situation migration Diploma of Children’s Services: CHCCN302A: Reader LO 9200 © NSW DET 2010 19 These crisis situations can cause intense feelings in both adults and children. Children may not have the language skills to express their feelings but they still experience the feelings often as intensely as adults. How children respond to grief and loss—behavioural changes Children do not always grieve the same way adults grieve. They can move in and out of grief and so appear to be coping when they are not. Adults often respond to grief first with a sense of intense shock and may display physical signs such as faster heart beat, weak limbs—need to sit down, may faint, intense crying. Later as reality sinks in they may have changes in their sleeping patterns, inability to make decisions, loss of appetite, need to be near someone to talk to. On occasions adults will also go through a period of denial where they do not believe it has happened, thinking that it can’t be true. This can be followed by feelings of guilt. Adults tell others what is happening to them and how they are feeling and will often use language to hypothesise reasons or rationalise what has happened. Children generally do not use language to explain their feelings, but can display behavioural changes that alert adults to their needs. When adults in the family are also experiencing grief these behaviours can be extremely difficult to deal with and children are often thought of as ‘naughty’ or just trying to get attention. For more information about grief and loss and young children, read the article ‘Grief in children’ on the SA Youth and Child Health website. Available from: http://www.cyh.com/cyh/parensections/usr_index0.stm?section_id=69 You may also find it useful to read: Parker J (1995) Understanding Grief and Loss, AECA Resource Book Series, vol 2, no 4, AECA Canberra. These readings discuss various aspects of grief and loss and describe some of the behaviours that children experiencing grief and loss may exhibit. A few of these are: 20 ‘switching off’, acting as if they haven’t taken in what has happened acting like a younger child anger or aggression to friends, parents or toys being clumsy clinginess—wanting to be near adults easily upset eating problems, eating too much or too little fear of separation Diploma of Children’s Services: CHCCN302A: Reader LO 9200 © NSW DET 2010 low self-esteem and self-blame physical pain such as stomach aches or headaches problems with school work sleeping problems, bad dreams temper tantrums (too much feeling) unusual play behaviours. Accepting children’s right to experience loss Many adults will acknowledge the child’s right to grieve for a major loss, but can find it difficult if the loss does not also carry the same intensity to them. For example, when a pet dies it is a significant loss for the child, especially if the pet plays a major part in the child’s life. Occasionally adults will see this as less significant and downplay the child’s feelings- ‘We’ll get you another fish.’ Feelings of grief and loss do not go away just because something has been replaced. No matter what the loss is if it causes the child to experience a feeling of grief or a sense of loss then the child has the right to grieve. Childcare workers need to be aware of times children are experiencing a sense of loss remembering that families will always inform the centre and staff of major losses in the child’s life such as the death of a family member. It is important as part of the relationship with parents to find out about what is current in the child’s life and how it may affect his/her wellbeing. Monitoring of emotional status is important as it is the changes in a child’s behaviour that often alert caregivers and parents as to how the child is coping and feeling. If a child is going through a period of loss be prepared to spend extra time with that child, be willing to be there to listen if needed, offer emotional support and consistent care. Children’s feelings are valid and important and should be treated with respect by staff. No matter how small or minor adults consider the loss to be if the child is feeling a sense of loss then it’s important. Responsive childcare workers will allow children time to grieve and acknowledge that each child will deal with loss in their own way and in their own time frame. The caregivers role is to be there providing a stable, consistent and secure environment that helps promote feelings of security and safety in the child. Strategies to help children manage grief and loss It’s important to help children manage grief and loss and provide opportunities for children to work through feelings and needs. Some strategies for dealing with major changes and crisis in children’s lives were discussed in an earlier section. Diploma of Children’s Services: CHCCN302A: Reader LO 9200 © NSW DET 2010 21 When there has been a death in the child’s family (even if it is a pet) the following strategies are a useful starting point: • • • • • • • • • • • • • • • • • • • • 22 Find out exactly what has happened and gain as much information as you can about how the child may be feeling and behaviours that are being displayed. Discuss what has happened and explain as clearly as possible, remembering to tailor information to children’s needs and levels of understanding. Observe children’s emotional status and monitor children. Respond to needs quickly and appropriately. Reassure children that it’s okay to be sad—give them the words to express how they feel. Ensure that their fears, anxieties or fantasies are addressed promptly. Provide children with an environment where it is safe to grieve. Have quiet areas, private areas and ensure children’s comforters are available. Read stories that deal with death in a positive manner while acknowledging and allowing for grief. Give children permission to grieve, ‘It’s okay to be sad when your cat dies.’ Provide children with opportunities to explore life and its changes through simple play and stories. Provide lots of opportunities for dramatic play and also puppet play. Be patient and allow the child the time to grieve. Find out more about support groups that might help provide information on dealing with grief or the specific issue the child is facing. When the death involves other staff in the centre, ensure that a support mechanism is set up for them or that professional counselling is available. If you notice that the situation with the child is not improving, talk to the family, and be prepared to seek further professional advice. Provide workers and families with contact numbers or Internet addresses for services where they can get more information. Provide play experiences for the children to express feelings—have lots of opportunities to draw, paint and so on. When children are distressed provide them with comfort. Use appropriate physical comfort and touch. If the child needs a cuddle give them one. It is important to maintain close relationships with children. Remember to pat or rock children to sleep if this is what they need and want, especially if they ask. When you are aware that there is a likelihood of a family member’s death, help the child by explaining what is happening. Explain to children about the things that happen around a person’s death such as the funeral. Stay in constant contact with the family so that a consistent message is given. Diploma of Children’s Services: CHCCN302A: Reader LO 9200 © NSW DET 2010 • • Focus on some of the happy memories the child has shared and make a simple scrapbook. Give real explanations—avoid saying they died because they were old or sick as young children may view this differently and become more anxious. There are many more ways to help. Research some of your own. An example of an Internet site and books to help you expand your knowledge on loss, reactions of children and ways to respond to children are: Sids and kids online http://www.sidsaustralia.org.au Miller K (1998) (Clark S and Kearns K Australian Edition) The Crisis Manual for Early Childhood Teachers, Pademelon Press, Castle Hill. Parker J (1995) Understanding Grief and Loss, AECA Resource Book Series, vol 2, no 4, AECA Canberra. Diploma of Children’s Services: CHCCN302A: Reader LO 9200 © NSW DET 2010 23 Ensure children are informed appropriately and prepared for any change Types of change There are many types of change and changing situations that children may experience in their lives. Change is a necessary part of growth and development both physically and emotionally. Some people thrive on change whereas others find change frightening, stressful and prefer to avoid it. Children are the same— some manage and cope with change well and others will experience a high level of difficulty. Whether we like change or not it is part of life and we need to learn to manage change and cope emotionally and so do children. Strategies to help children manage change In order to help children to manage change we as caregivers need to be sensitive to the needs of the children and implement strategies which will allow children to feel some type of control over the change so it can become a positive for them rather than always a negative. We need to bear in mind that sometimes changes are unpleasant, very difficult to deal with and are unable to be undone. Some suggested strategies for managing change are: • • • • • • 24 talking to children about the change discussing what is going to happen and how it might feel providing children with opportunities to experience change in their own environment and to be in control of the change respecting children’s fears and anxieties about change no matter how trivial it appears to adults providing children with strategies to manage fears and anxieties involving children in the decision making about the change Diploma of Children’s Services: CHCCN302A: Reader LO 9200 © NSW DET 2010 • • • • • • • • acknowledging children’s feelings and concerns providing children with opportunities to practise or work through some expected changes such as moving rooms providing comforting and familiar environments providing play opportunities to work through change providing familiar play experiences maintaining consistency of staff where necessary providing a consistent environment reading stories about that type of change. There are many more strategies that will also aid children’s management of change. Routines and change Consistent and predictable routines are also important when preparing children for change. A stable and consistent base provides a sense of comfort, predictability and security and makes it easier for children to move into new or unfamiliar situations. When a child moves into the three to five room for the first time it is much easier to cope if he/she knows the general layout of the day. The same can be said for learners attending adult study—often you are unsure of what to expect but if you are given a timetable or agenda to follow life is easier. Consistency makes it easier to cope. Managing transitions Moving from one experience to another within the daily routine of a childcare service can also cause children stress and anxiety. Children may fear that someone else will take their toy if they go in to wash their hands. Children can also worry that they won’t be able to continue or finish the experience they are involved in. The transition from one experience to another can also trigger a resurgence of separation anxiety if the child is still having difficulty settling into care. It is vital that we give children warning about transitions and allow them to finish off their experience or provide a way it can be left and returned to later. Don’t leave children waiting and unoccupied during transition times. Individual or small group rather than whole group transitions work most effectively. Managing major changes and crises in children’s lives Previously in this section you made a simple list of some of the changes that children experience in their lives—let’s look at that list again and add a few more. Diploma of Children’s Services: CHCCN302A: Reader LO 9200 © NSW DET 2010 25 Previous list: • • • • • • • • • • • moving from the infant room to the toddler or preschool room starting at a new centre going to school going to OOSHC services for the first time catching the bus moving house new sibling new parent/relationship grandparents moving in friend moving away new bed. Plus: • • • • • loss of a pet loss of a family member moving to a new town moving away from friends new caregiver or teacher. Most adults will agree that the above are times of change for children and that there will need to be some adjustment to meet the change but few actually recognise that children may go through a range of feelings and emotions that are intense and difficult to manage. Adults often feel, and many will openly state, that children are adaptable and cope better than adults to change. This is not really so. Sure there are some children who do manage change well and cope easily just as there are adults who do, but there are also large numbers of children who find change stressful, scary and hard to manage. Adults have the added benefit that when they are experiencing difficulty coping with change they have the language skills and the emotional knowledge to put their feelings and concerns into words to let others know how they are feeling and the amount of help needed. This is not the case for children. Children need help to recognise their feelings, strategies to help them manage change successfully and the words and messages to use to let others know about the situation. The most effective way, as caregivers, we can help and support children to manage change successfully, is to acknowledge that change is difficult for children. Also acknowledge that children have feelings and their fears and anxieties associated with change are real and should be addressed. 26 Diploma of Children’s Services: CHCCN302A: Reader LO 9200 © NSW DET 2010 Helping children recognise and accept major changes How can we help children to recognise and accept change? It’s not easy, but one of the most effective ways is to help children predict when major changes will occur in their lives and plan for these changes throughout the year. Children in the three to five room or a preschool are told throughout the year and especially into the last three months of the year that next year they will be going to big school. Parents do the same. Childcare workers need to talk to children about changes that occur in their lives and implement strategies to help children manage these. Reading stories can be a good way to prepare children for changes to their lives Some of the simpler ways to prepare children are to read stories about changes in life, use picture discussions, talk about events happening with the families within the service. As with all emotional needs it is vital that childcare workers and families accept children’s feelings about change be they positive or negative. Change can be exciting—like getting a new car, but it can also be scary—like moving house. Remember that children view things a little differently. Consider the following scenario. Teresa, four years old, was excited about moving house and spent much time at preschool telling her friends and her teachers that when she gets a new house she will have a bigger room. On the day of the move Teresa came to preschool upset. When her teacher asked what was wrong she became tearful and said that the moving truck was taking them to their new house. Her teacher started to talk about how things go into the truck and are taken to the new house. Teresa said she was sad because she was leaving her house and toys. When her teacher told her that all her toys, clothes would be taken to the new house by the movers she became a little happier. Teresa had assumed that at the new house would be all new things and she would not have her favourite toys and playthings. As adults we need to take time to carefully explain all aspects of change that may affect the child. Of course there will be times when during major changes children do not need every single piece of information. All major changes need to be discussed with families in advance so that all stakeholders are aware of the most appropriate information to give the child. Individual responses to change Children are unique and not all will respond the same way to change—the same as not all adults embrace change happily. Childcare workers need to ensure that at all times children’s individual needs and responses are addressed. Diploma of Children’s Services: CHCCN302A: Reader LO 9200 © NSW DET 2010 27 There is no right or wrong way for children to act during times of change. Working with children, I have been continually surprised by their reactions over time. A responsive childcare worker will tailor responses to the situation and the child. It is important that childcare workers monitor the child’s emotional status in times of major change and match caregiving to the child’s individual needs. Strategies to help children cope with major change or crises There are many strategies we use everyday to help children manage change. Think back to earlier in this section where you explored and identified some strategies to manage change. To find detailed information and ideas on a number of major changes that effect children look at the following resources: • • Miller K (1998) (Clark S and Kearns K Australian Edition) The Crisis Manual for Early Childhood Teachers, Pademelon Press, Castle Hill. The South Australian Parenting website has a number of parent articles (‘Parent Easy Guides’) that outline changes in children’s lives, their responses and ways to manage the change. Types of major change or crises that effect children The following is a list of some of the major changes or emotional crises in children’s lives and some simple strategies to help children cope (adapted from Miller, 1998). New baby Read stories about new babies. Have books, pictures of babies to talk about. Bring in photos of all children and staff as babies and talk about changes. Reassure the child they will not be replaced—they are loved, parents and families have enough love to go around. Involve child in preparation for baby. Talk about the importance of being a big sister or brother, find stories to read. Separation Provide the child with consistent care in the service to promote security. 28 Diploma of Children’s Services: CHCCN302A: Reader LO 9200 © NSW DET 2010 Encourage the child to express feelings through play experiences. Accept how the child is feeling. Find books or stories where separation is dealt with positively. Be aware of the child’s emotional status and respond when needed. Reinforce parental love—child is still loved. Ensure that child feels secure in the childcare environment by providing a primary caregiver. Establish arrival routines and rituals to promote security and stability. Use attachment curriculum and focus on caregiving needs. Step family Be available to talk with the child about how they are feeling. Encourage the family to talk with staff about what is happening so you can support the child. Read books, stories about extended families or step-families. Find out about things that are fun to do with brothers and sisters. Bring in family photos and look at similarities between families in the service.Allow time for children to settle into family changes and recognise that unusual or inappropriate behaviours are a way of expressing stress. Find out about support services. Child illnesses, hospitalisation Find out more about the child’s condition—talk to families, research. Seek out any support groups for further information. Acknowledge the child’s fears and be prepared to listen. Encourage dramatic play and provide appropriate props. Talk about what’s happening in simple terms, what happens at the hospital, is there toys to play with etc. Find stories or pictures about sick children and discuss these positively. Be honest with children. Go on an excursion to the hospital. Make cards, drawings, letters, videos, photos to send the child. Diploma of Children’s Services: CHCCN302A: Reader LO 9200 © NSW DET 2010 29 Domestic violence Emotional abuse due to exposure to domestic violence is notifiable and should not be handled by centre staff as an issue of emotional support alone. Intervention may be needed and centre staff should check with the Department of Community Services when they are concerned for a child. Be available to listen to the child and be empathetic to their feelings and needs. If the child is untidy or unfed, avoid embarrassing the child—organise to deal with this discreetly. Reassure the child that the violence is not their fault. Provide a safe and consistent environment for the child. Allow opportunities for the child to express feelings through play. Help the child to use words during conflict rather than actions. Reinforce the child’s feelings of self-esteem and competence. Help the child to establish friendships within the centre. Seek professional advice and check out support groups. Child abuse Childcare workers are mandatory reporters of child abuse. It is important that where there are concerns for the child’s wellbeing it is reported. If you are concerned a child is in an abuse situation you must report it. Believe what children tell you—young children do not often make up these types of stories. Listen to the child without being judgemental. Seek professional advice. Provide consistent care. Make time for the child. Provide opportunities for dramatic play. Ensure that you make the child feel safe by providing a familiar, consistent and supportive environment. Provide lots of play opportunities for the expression of feelings. 30 Diploma of Children’s Services: CHCCN302A: Reader LO 9200 © NSW DET 2010 Substance abuse in the family If there are concerns about the wellbeing and welfare of the child or you feel the child is being neglected then you are required to notify your concerns to the Department of Community Services. Childcare workers are mandatory reporters. Be available to listen to the child and be empathetic to their feelings and needs. If the child is unfed or untidy, avoid embarrassing the child—organise to deal with this discreetly. Provide a secure and consistent environment for the child at the centre. Encourage dramatic and expressive play. Build on the child’s self-expression skills. Be dependable and develop trust with the child. Seek advice and help from professionals and support groups Natural disasters/trauma Acknowledge that this is a frightening thing for children to experience and provide emotional comfort and support. Talk with the children about what has happened, and where possible, provide some background information (eg in the case of a flood talk about how flooding happens etc). Have discussions about what to do to prepare for big storms/floods, fire drills etc. Provide opportunities for children to re-enact the event to help them gain some control over the situation—remember that if this becomes the only play the child is involved in to seek further help. Organise for visitors or excursions to fire stations, police and ambulance, to familiarise children with emergency services. Seek out support organisations. Arrange for professional debriefing for children involved in a disaster or major trauma. Become aware of symptoms of post-traumatic stress disorder and seek help if children display indicators. Provide play/art materials for children to express feelings. Family member illness/hospitalisation Encourage the family to tell the child what is happening and to be factual and honest. Diploma of Children’s Services: CHCCN302A: Reader LO 9200 © NSW DET 2010 31 Allow time for the child to adjust to the situation. Be available to support the child and provide consistent care. Reassure the child they are not responsible for the illness. Encourage the child to make pictures and cards for the sick person. Take photos to share with the sick person. Provide opportunities for dramatic and expressive play. Provide children with real life props such as a stethoscope etc to explore. Managing school problems One of the common problems that occur in schools is bullying. It is becoming a major issue within our society and there are a number of organisations and government departments working on ways to address the issue of bullying and the impact it has on both children and adults. Sadly, for many years it was accepted as a part of growing up and children were told to ‘stand up’ for themselves. Bullying relies on power and making another child or person feel not only less valuable but emotionally vulnerable. When thinking of bullying, many people tend to focus on physical aggression, but ‘non-physical’ bullying is just as prevalent and equally damaging to children. This type of bullying includes exclusion, whispering campaigns and verbal cruelty such as name-calling. When children are excluded from games or activities on a regular basis by other children, or are subjected to verbal taunts or name calling, it is important that caregivers intervene and make it clear to all that it is not acceptable. It is important that caregivers be on the lookout for signs indicating that children are being excluded from games or activities Bullying The victims of bullying tend to have the following characteristics: • • • • • • 32 low self-esteem insecurity lack of social skills don’t pick up on social cues cry or become emotionally distraught easily are unable to defend or stand up for themselves. Diploma of Children’s Services: CHCCN302A: Reader LO 9200 © NSW DET 2010 In some cases children actually provoke the bully by teasing and egging them on. The ‘victim’ doesn’t know when to stop and then can’t effectively defend themselves when the balance of power shifts to the bully. Some strategies to minimise bullying include: • • • • • • • • creating a community that will not tolerate bullying behaviours teach children who are bullied how to stand up for themselves teach the bullies themselves alternate ways of handling their own feelings of not belonging give both bullies and victims acceptable words for their feelings, limit and change their behaviour and teach them better ways to express their feelings and wishes when preschoolers begin to call people names or use unkind words, intervene immediately and consistently challenge bias, unfair or excluding behaviour or language immediately and consistently clearly give the ‘This is not okay’ message about bullying behaviour children who are not bullies or victims should be encouraged to speak up on behalf of children being bullied. The victim of bullying could try the following: • • • • find alternative ways to responding to bullies avoid reacting, walk away and get help if pursued agree with the bully, saying ‘You’re right’ and walking away be assertive but not aggressive. Bullying is not acceptable within early childhood services or out of school hours services and childcare workers need to ensure that bullying is discouraged. In our services it is important that rules and limits are discussed with children and agreement reached to make sure there is: • • • • • agreement on what is unacceptable behaviour acceptance of limits and firm rules agreed consequences when rules/limits are broken consistent monitoring of all play areas a realistic reward system for consistent positive behaviour. Diploma of Children’s Services: CHCCN302A: Reader LO 9200 © NSW DET 2010 33