Life Changes_section 1_2nd alts:intro 25/6/10 15:35 Page 1 life changes loss, change and bereavement for children aged 3-11 years old Life Changes_section 1_2nd alts:intro 25/6/10 15:35 Page 2 Contents 04 06 Introduction Acknowledgements SECTION 2: 50 SECTION 1: 08 The impact of loss, change and bereavement in the lives of children 10 15 17 18 Children’s understanding of loss and grief Children’s questions about death and dying Telling sad things and breaking bad news School scenarios A three year old child A four year old child A five year old child A six year old child A seven year old child An eight year old child A nine year old child A ten/eleven year old child 25 27 Participating in funerals and rituals Children’s grief responses Children anticipating a parent’s death Children anticipating a grandparent’s death Talking about a parent or grandparent who is dying The death of a teacher The dying child The dying sibling Sudden death Using the confidential record and assessment charts Death and dying in faith and secular contexts The Buddhist Community The Christian Community The Hindu Community The Jewish Community The Muslim Community The Sikh Community Secular Perspectives 38 44 48 Contact details for religious and secular communities Classroom activities, children’s sayings, stories and poems, and assemblies 51 Classroom activities 1 Silly Billy 2 The rainbow of feelings 3 Talking about feelings 4 The ball of emotion 5 Teddy bear masks 6 The first aid kit 7 My family tree 8 Paper chains 9 A little box of big thoughts 10 Salt jar 11 Windows into the future 12 The parachute 13 Snakes and ladders 14 The puzzle person 15 With love 16 Things that I dream about at night 17 Sweet memories (for 3 – 7 year olds) 18 Saying ‘goodbye’ (for 7 – 11 year olds) 19 A card to remember 20 Media coverage 21 Writing a letter 22 Explaining loss and change in a story 84 Children’s sayings, stories and poems Children’s sayings: what happens when you die? Story: Knowing my dad died Story: God? My mum died Child’s poem: Feelings Child’s poem: The leaf Child’s poem: Sadness 92 Assemblies 1: Change 2: Memories 3: Saying ‘goodbye’ 4: Caring for others Life Changes_section 1_2nd alts:intro 25/6/10 15:36 Page 3 02/03 SECTION 3: 98 100 102 104 106 109 111 114 116 118 Children’s responses to adverse life changing events Children and trauma Divorce Suicide The children of prisoners Young carers Refugee children Children of parents/carers in the armed forces Talking to children about disasters Assessment charts SECTION 4: 124 Life changes – a school response 126 Managing a critical incident in school 134 Bereavement Case Study: Westbury Leigh C of E Primary School 136 Responding to sad events in school 138 Staff self awareness workshop: John’s story 140 Staff curriculum workshop: Including the topic of life changes across the curriculum 152 Teachers’ resources 154 National organisations offering support for bereaved children Websites for schools 155 Picture and story books for children aged 3 – 5 years old for children aged 5 – 7 years old for children aged 9 – 11 years old Life Changes_section 1_2nd alts:intro 25/6/10 15:36 Page 4 Introduction Everyone will experience aspects of loss and change throughout their life, but there are some loss and change experiences which do not happen to everyone. These may be called ‘circumstantial losses’ and include situations such as family breakdown, homelessness, the death of a relative or friend, imprisonment and serious illness or injury. Some adverse experiences can have both immediate and long-term consequences, particularly for children. Grief is a human response to loss, and mourning is the way in which grief is expressed. Grief incorporates a myriad of emotional, behavioural (affective) and cognitive manifestations, both in adults and in children. Whatever the circumstances, the death of the person is not only a loss, it is a change and a turning point: the world will never be the same again. Arguably the most damaging situations are those which are harmful to the child-family relationship, but there are numerous events in children’s lives which may have potentially damaging physical, social and emotional consequences. School communities often have to support children who are facing loss. Teachers are naturally concerned to develop good practice. This Toolkit aims to: ● Provide adults with an insight into children’s developmental understanding of death and how they grieve; ● Support schools in a proactive approach to including the subject of loss and change, in myriad forms, in the curriculum; ● Suggest reactive approaches and strategies for caring for bereaved children and those undergoing loss and change in a variety of circumstances; ● Provide a springboard for discussion, so that school communities can develop their own policy and practice matched to the individual needs of children and their families. There is an increasingly wide range of resources available to support schools in the help they may offer bereaved children. There is, however, a paucity of material that addresses both a proactive whole school approach to loss and change in children’s lives (teaching about life experience of loss and change) and a reactive approach that gives guidance on how best to help children when sad things happen. My teacher made the colours come in my insides again Matthew aged 3 years 6 months Life Changes_section 1_2nd alts:intro 25/6/10 15:36 Page 5 04/05 Life changes is divided into four sections: SECTION 1: The impact of loss, change and bereavement in the lives of children describes children’s experiences and understanding of loss and grief, and how schools may support them proactively and reactively. Schools are offered advice and support about how to break bad news to a child and children’s questions about death and dying are explored. Rites and rituals surrounding death are described with references to help teachers to access information from faith communities so that a family’s cultural needs are met. The end of the section provides a framework for assessing children’s emotional, physical, cognitive and behavioural responses to loss and change. SECTION 2: Classroom activities provides school staff with a range of ‘tried and trusted’ classroom activities that may be used both proactively and reactively to focus discussion upon loss and change. Section 3: Children’s responses to adverse life changing events considers how children are likely to be affected by different types of loss, including traumatic events such as parental suicide, family breakdown or being a young carer. Each event illustrated is supported by scenarios and both proactive and reactive ways of supporting children are suggested. An assessment sheet is included for teachers to record a child’s emotional, physical, cognitive and behavioural responses. SECTION 4: Life changes – a school response provides advice and potential strategies for schools to manage a critical incident and respond to sad events. It contains two workshops intended to allow schools both to raise staff awareness and to develop a whole school approach to life changes through the curriculum. A list of recommended teacher’s resources, information about organisations offering support to bereaved children and a list of picture and story books for 3 – 11 year olds about bereavement, grief, loss and change is provided in this section. Life changes is not intended to provide guidance in the theory of counselling children. It is first and foremost a practical resource with practical ideas. Talking about loss, change and grief is a complex task. Schools have an enormously important role in supporting children and equipping them for later life as adults in a fast changing world. Trialling the draft materials The draft materials were trialled in a number of primary schools in order to inform the final draft version. The comments received were extremely positive, including: ‘I think it is a very full and comprehensive resource that would be a very useful addition to any school’ Jackie Millier, Worlebury St Paul’s C of E Primary School ‘Very impressive! Very user-friendly’ Bruce Dale, Mendip Green First School ‘Ist – well done to all who have worked on this excellent resource! Completely user-friendly. Very informative – extremely useful’ Tricia Oates, Healthy Schools Coordinator, Bexley ‘Comprehensive package. Up to date ideas. Really liked the draft copy – lots of hard work gone into it’ Andrea Davis, St Mark’s VA Primary School ‘The variety of situations covered is wonderful and very helpful in terms of looking at things from a child’s perspective’ Sarah Timms, Locking Primary School ‘Will really be useful for schools as I haven’t seen anything similar with practical ideas built into it’ Naomi Anstice, Frodsham Manor House Primary School ‘Brilliant! It’s so informative!’ Suzy Cahill, Becket Primary School Life Changes_section 1_2nd alts:intro 25/6/10 15:36 Page 6 Acknowledgements Life changes was written by Erica Brown, Vice President of Acorns Hospice and a member of the chaplaincy team at Birmingham Children’s Hospital The original author of the Bereavement Section was Lion Margaret Riley The Bereavement Section was edited by Erica Brown Life changes was edited by Martin Buczkiewicz, Chief Executive, Tacade Print and production by Mandy Broadbent, Tacade Communications Manager Co-ordination of the materials was done by Andrea Greenfield, Tacade Office Administrator Design by Peter Horridge, Graphite Design Tacade would like to thank all the teachers, children and individuals who trialled and/or commented on the draft materials and who have provided illustrations. Their feedback has been invaluable in preparing the final draft. In particular: ● Naomi Anstice, Frodsham Manor House Primary School, Frodsham, Cheshire ● Suzy Cahill, Becket Primary School, Worle, North Somerset ● Mary Chaplin, Julie Patrick and Debbie Tasnier, St Martin’s Junior C of E School, Worle, North Somerset ● Bruce Dale, Mendip Green First School, Worle, North Somerset ● Andrea Davis, St Mark’s VA Church of England/Methodist Ecumenical Primary School, Worle, North Somerset ● Amanda Downie, Somerhill Junior School, Hove, East Sussex ● Lion Jean Langmead, Worle Lions Club, MD105 SW ● Sharon Lush, Mile Oak Primary School, Brighton ● Lion Sam Marshall, Hove Lions Club MD105 SE ● Sue Martin, Westbury Leigh C of E Primary School, Westbury, Wiltshire ● Jacqueline Millier, Worlebury St Pauls School, Worlebury, North Somerset ● Tricia Oates, Healthy Schools Coordinator, Bexley Care Trust ● Yvonne Obaidy, SEAL Consultant, Solihull MBC ● Lion Neville Osmond, Harpenden Lions Club MD105 A ● Hilary Pollard, PSHCE and SEAL Consultant, Salford ● Lion Margaret Riley, Holderness Lions Club MD105 C ● Salford Primary Schools ● Sarah Timms, Locking Primary School, Locking, North Somerset Life Changes_section 1_2nd alts:intro 25/6/10 15:36 Page 7 06/07 Tacade would like to thank all the contributors of the children’s artwork, stories and poems, which have been derived from a number of sources. Every effort has been made to contact and acknowledge the relevant children and adults. Tacade would like to thank the following for providing funding for the development, trialling, print and production of Life changes: ● The Lions Clubs MD105 British Isles and Ireland ● SCM Philanthropy Foundation ● The Stock Exchange Veterans Charity Association ● Timpson Ltd ● The Zochonis Charitable Trust Tacade would like to thank Lion David Skinner, District MD Lifeskills Officer, and the Lions-Tacade Partnership Steering Group. Tacade would also like to thank the many individual Lions Clubs of MD 105 who have sent in donations in memory of Lions members who have died, including Lion Ivor Poole of the Leighton Buzzard Lions Club and Lion John Wilkinson of Newhaven, Peacehaven and Seaford Lions Club. Martin Buczkiewicz Chief Executive Tacade June 2010 © Tacade 2010 ISBN Number 1–902469-29-1 Life changes must not be reproduced in part or published by any other organisation, nor made available to any third party, without the prior consent of Tacade or the LionsTacade partnership. However, if purchased for educational purposes the handouts in Section 2 and 4 are copyright free. Life Changes_section 1_2nd alts:intro 25/6/10 15:36 Page 8 SECTION 1: The impact of loss, change and bereavement in the lives of children 10 Children’s understanding and experience of loss and grief 15 Children’s questions about death and dying 17 Telling sad things and breaking bad news 18 School scenarios A three year old child A four year old child A five year old child A six year old child A seven year old child An eight year old child A nine year old child A ten/eleven year old child 25 Participating in funerals and rituals 27 Children’s grief responses Children anticipating a parent’s death Children anticipating a grandparent’s death Talking about a parent or grandparent who is dying The death of a teacher The dying child The dying sibling Sudden death Life Changes_section 1_2nd alts:intro 25/6/10 15:36 Page 9 08/09 38 Using the confidential record and assessment charts 44 Death and dying in faith and secular contexts The Buddhist Community The Christian Community The Hindu Community The Jewish Community The Muslim Community The Sikh Community Secular Perspectives 48 Contact details for religious and secular communities 1 Life Changes_section 1_2nd alts:intro 25/6/10 15:36 Page 10 SECTION 1: The impact of loss, change and bereavement in the lives of children Life Changes_section 1_2nd alts:intro 25/6/10 15:36 Page 11 10/11 Children’s understanding and experience of loss and grief Children will encounter loss and change in their everyday experience. For example, each year thousands of children face bereavement through the death of a grandparent, parent/carer, sibling or friend. When someone dies, adults are often so engrossed in their own grief that children’s grief may remain unnoticed. However, the way in which children are helped when sad things happen may have a profound effect on how they are able to adapt to loss and change throughout their lives. Children’s understanding of loss and grief: 3 – 5 year olds Most very young children will be unable to understand that objects and people can exist when they are out of sight. They generally have no concept of time beyond ‘now’. However their response to separation from a primary carer is generally very intense and often accompanied by crying. Children of this age should be including a few words in their vocabulary concerning emotions such as ‘happy’ and ‘sad’. Although their vocabulary is limited they may be able to talk about levels of emotion such as ‘big’ sad (great sadness) or ‘little’ sad (mild sadness). When I die I will go in a black van It is a ride in a box Pippa aged 5 ● Children of this age (3 – 5 years old) are unable to grasp the concept of death; ● Children who are very young when a person they know well dies, are unlikely to retain detailed memories of the person they have ‘lost’; ● Children may think that a dead person is able to carry out normal activities, such as eating and working. This is largely because they perceive the dead person as continuing to live in another dimension; ● Children are at a ‘magical’ stage of thinking, believing that the world revolves around them and they may therefore feel responsible if a person dies; ● Children usually interpret adult explanations literally. Thus, if a person is described as having ‘gone’, the child is likely to ask when they can go and visit the person; ● Children’s grief reactions are usually intense but shortlived; ● Children who are grieving are likely to regress to younger behaviour. Life Changes_section 1_2nd alts:intro 25/6/10 15:36 Page 12 SECTION 1: The impact of loss, change and bereavement in the lives of children Proactive ways of supporting children aged 3 – 5 years old ● Provide opportunities in the natural world for children to explore the differences between ‘alive’ and ‘not alive’; ● Use the word ‘dead’ to describe absence of life; ● Avoid the use of euphemisms and metaphors to describe death; ● Provide opportunities for children to use words that describe feelings; ● Share stories with themes describing emotions (See ‘Teachers’ resources’ in Section 4). Reactive ways of supporting children aged 3 – 5 years old ● Provide continuity of care and routines; ● Encourage creative play and activities such as painting; ● Talk to the child about what has happened; ● Maintain close links with the child’s family; ● Answer questions honestly and in age-appropriate language; ● Reassure the child that they were not responsible for what has happened; ● Encourage fun and enjoyment as well as opportunities to express fears and concerns. Children’s understanding of loss and grief: 5 – 7 year olds Because children mature at different rates their understanding of death, and ways of coping with such life changes, may vary. It is also helpful to remember that knowledge comes through experience. Therefore what a child understands may depend as much on past experience as it does on his/her chronological age. ● Children aged 5 – 7 years old begin to develop strategies to help them deal with the world around them; ● Few young children will understand the permanence of death and they may believe that being dead means being asleep; ● Children may believe that their thoughts, actions and wishes are the cause of what has happened. They may try to reconcile bereavement by re-enacting the death as they play; ● Children think in literal terms and therefore euphemisms or metaphors, such as ‘lost’ or ‘gone away’, may still be confusing; ● If children ask questions, they are usually asking in order to gain more information; ● It is unusual for a child to ask more than one question at a time; ● Children may need to ask the same questions over and over again in order to make sense of the situation in different ways. Proactive ways of supporting children aged 5 – 7 years old ● Provide opportunities within the curriculum for children to learn about the physical characteristics of life and death, loss and change; ● Provide opportunities within the curriculum for children to use the language associated with death; ● Provide opportunities within the curriculum for children to talk about their life experience of loss and change; ● Share stories with children that address life experiences of loss and change. Reactive ways of supporting children aged 5 – 7 years old ● Maintain continuity of support; ● Encourage play, drawing and painting to allow the child to express how they feel; ● Help children to understand the physical signs of death, such as no movement, heartbeat, breathing; ● Give explanations in easily understood language, avoiding the use of euphemisms and metaphors; ● Give reassurance to the child that they will be cared for; ● Share books about loss (see ‘Teachers’ resources’ in Section 4); ● Answer questions honestly and in straight forward age – appropriate language (see ‘Children’s questions about death and dying’ below). Life Changes_section 1_2nd alts:intro 25/6/10 15:36 Page 13 12/13 Life Changes_section 1_2nd alts:intro 25/6/10 15:36 Page 14 SECTION 1: The impact of loss, change and bereavement in the lives of children Children’s understanding of loss and grief: 8 – 11 year olds Reactive ways of supporting children aged 8 – 11 years old By the time most children are eight years old they begin to understand death as having a cause, as being permanent and as being something that can happen to anyone, including themselves. ● Encourage play, drawing and painting to allow the child to express how they feel; ● Children may show signs of fear, although some children may demonstrate a denial of their feelings and appear to be unaffected by a sad event; ● Children are aware that talking about death is often viewed by adults as taboo; ● Generally, children will expect adults to express sadness; ● Where families are members of faith communities, children’s understanding of what happens after death will reflect the teachings and beliefs of the community and what they have been taught; ● Children are interested in death rituals, such as funerals; ● Children are curious about different ways people die; ● Children may still show some confusion about adult use of euphemisms and metaphors. Proactive ways of supporting children aged 8 – 11 years old ● Provide opportunities within the curriculum for children to talk about emotions; ● Provide opportunities within the curriculum for children to talk about life changes, including death; ● Provide opportunities within the curriculum for children to learn about where the end of human life occurs, such as home, hospital, hospice; ● Provide opportunities within the curriculum for children to learn about religious and secular customs associated with death; ● Provide opportunities within the curriculum for children to express their own ideas about what happens after earthly life is over; ● Provide opportunities within the curriculum for children to talk about memories. ● Talk about what has happened in easily understood language, avoiding the use of euphemisms and metaphors; ● Share stories about loss and change (see ‘Teachers’ resources’ in Section 4); ● Encourage the child to talk through their own ideas about death; ● Allow the child to make their own decisions about whether they join in death rituals/attend funerals; ● Reassure the child that they will be cared for. Life Changes_section 1_2nd alts:intro 25/6/10 15:36 Page 15 14/15 Children’s questions about death and dying ● Listen carefully to exactly what the child is asking; ● Clarify any unspoken contexts within a question; ● Clarify any confusion or misunderstanding; Children are naturally curious about death. In order for them to reach an understanding about death they need to develop the concept of death as an event and as a process, as well as being able to separate fact from fiction. When adults listen carefully to children’s questions and answer them accurately, it lays one of the most important foundations for children being able to talk about their experiences. Adults often find it easier to ask questions than to answer them! ● Most children will find it helpful if they are given information about the circumstances of a death; ● When children do not have sufficient information they may make up their own explanations; ● It is important that the information that children receive is honest and consistent; ● Children may seek support from outside their family and friends. School can provide a valuable means of support. It is important to: ● Reply to questions in straightforward, easily understood language, avoiding the use of clichés, euphemisms or rehearsed answers; ● Strive to give answers that help dispel fantasy and encourage reality; ● Make distinctions between physical remains and ‘spiritual’ aspects of death; ● Acknowledge adults don’t know all the answers; ● Encourage the child to return to the question as often as they need. The questions children ask generally fall within four main categories: ● A need for factual information; ● A need to check out emotional responses; ● Searching for a reason for what has happened; ● Spiritual or religious concerns. ● Consider the age and the developmental level of the child; Dilip aged 8