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Myth and Fact about Cutting and Self-Harm

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Dr. Beth Kremer-Collins, Child & Adolescent Clinical Psychologist at Olivia's Place

Dr. Beth Kremer-Collins, Child & Adolescent Clinical Psychologist at Olivia’s Place

Because cutting and other means of self-harm tend to be taboo subjects, the people around a young person —and possibly even the young person themselves—may harbor serious misconceptions about the young person’s motivations and state of mind.

MYTH: Self-harm is not very common and our teenagers will be unlikely to know about it.

FACT: According to studies in USA and Europe around 14% of adolescents report deliberately trying to harm themselves. It is 3-4 times more common in girls than boys. People who self harm are more likely to tell a peer about their self harm rather than a parent or teacher and one study found that 58% of young people are likely to know of someone who self harms.

MYTH: Self-harm is a suicidal act.

FACT: Although people do die from self-harm, these instances are accidental; in general, self-harmers do not want to die. In fact, self-injury may be a way of coping, of regaining control of pain— in order to go on living.

MYTH: People who self-injure are crazy.

FACT: Those who self-harm are usually dealing with trauma, not mental health problems. There are exceptions, but by and large, the young person is probably trying to cope with problems in the only way they know how.

MYTH: Injuring yourself is a cry for attention.

FACT: Friends, family, and even healthcare professionals may think that if a young person hurts themself, they are seeking attention, but the painful truth is that people who self-harm generally try to hide what they are doing—rather than draw attention to it—because they feel ashamed and afraid.

MYTH: Self- harm is just the latest fashion which young people will grow out of.

FACT: Self-harm is not a phase or a fashion. Listening to certain music or dressing in certain ways does not lead to self-harm. People of all ages, backgrounds, and genders self-harm. Self-harm is always a signal that something is seriously wrong.

MYTH: Don’t approach a young person who self-harms; send them straight to the doctor.

FACT: Taking time to listen without judging encourages young people to get their problems out into the open- the first step along the road to recovery.  Self-harm can make you feel helpless as a parent but when you don’t know what to do be assured that listening to the young person is very important.

At Olivia’s Place we support young people who self harm and their families. We have several psychologists experienced in offering therapies to help the young person cope with their feelings differently. We also believe it is important for the family of the young person to get support in understanding why their child self harms and learning how to best help them on their way to recovery. We offer counselling for parents as a couple, family therapy, and a 10 week psycho-educational support group specifically for parents of children who self-harm.  Please get in touch with our psychologists to find out more.


Thanks to All Who Attended the Zocou Christmas Market!

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On November 20, our team attended the Zocou Christmas Market at the Shanghai Center.  The table was graciously donated by Zocou for Olivia’s Place to promote Olivia’s Foundation, our not-for-profit organization.  It was a beautiful autumn day and the market was crowded.  We had a colorful table display with brochures, foundation information, and ‘Move it Monster’ cards. Many people stopped by to learn about our organization and to make donations.  We spoke with many people about  ‘Move it Monster’ cards, an activity card set designed by physical therapists at Olivia’s Place to get kids moving, even if they are stuck indoors because of bad weather or poor air quality.  By the end of the afternoon we had raised 1300 RMB for the foundation and lots of families had great stocking stuffers that encourage physical activity!

Carol Ying, Strategic Growth Manager, and Vicky Reardon, Community Affairs Manager, volunteer at their time at the Zocou Christmas Market on behalf of Olivia's Foundation.

Carol Ying, Strategic Growth Manager, and Vicky Reardon, Community Affairs Manager, volunteer at their time at the Zocou Christmas Market on behalf of Olivia’s Foundation.

Olivia’s Foundation is a US registered 501(c)3 not-for-profit organization.  The mission of the Foundation is to financially support the therapy needs of individual children in China, regardless of their country of origin. In addition, the Foundation promotes access to high quality therapy for all children in China and acts as a community resource for the development of inclusive school models. We partner with local hospitals, rehabilitation centers, schools, orphanages, and other organizations to provide technical expertise, training, and other resources. The foundation also coordinates pro bono work on behalf of the employees of Olivia’s Place and visiting clinicians and major volunteer initiatives in China.


 


Eliott’s Corner PT Presents on Orthotics and Children with CP

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In September, Eliott’s Corner Physical Therapist Marc Innerhofer was invited to speak at an event hosted by Ottobock, a leading international provider of orthotics and prostheses, at the 2014 China International Rehabilitation Equipment Exhibition in (Zhengzhou).  Over 100 Chinese rehabilitation specialists attended the presentation.

Orthotics are supports, braces or splints used to support or correct the position of a foot. Marc talked about the significant role orthotics play in enhancing the quality of life for children with cerebral palsy. By enhancing mobility, orthotics improve children’s physical independence; furthermore, they allows children to take the focus off mobility and onto family time, play time, building relationships and pursuing interests.

Some ways orthotics can help children with CP include:

- Improve independence by enhancing mobility

- Correcting and or preventing future skeletal deformity

- Reduce fatigue by improving energy expenditure during functional movements

- Reduce the likelihood of a fall, or an injury

- Take the focus off mobility and onto family time, play time, building relationships and pursuing interests


Hippotherapy in Shanghai

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We are delighted to announce that a new hippotherapy venture is opening in Shanghai. Hippotherapy is the use of horses to help children move toward their therapy goals. Children with all sorts of diagnoses can benefit from hippotherapy. The natural movement of the horse and the position of the child on the horse can address PT and OT needs; the interaction between the child and horse can work towards speech and social interaction goals.   The main program will not start until the new year. However a sample session is being held at a Hongqiao, Puxi venue on Friday, 24th October from 1:30-3:30 pm. The fee is 350 RMB. The session includes being introduced to the horse and learning a little about how to look after a horse, as well as time spent riding the horse under the guidance of a physical therapist experienced in hippotherapy.   If you are interested or think your child may benefit from hippotherapy, please speak with your child’s therapist. To book a place at the session, please contact Spark directly at 1692301884@qq.com (English or Chinese).


Strategies for Parents & Educators: Expanding Expressive Language Skills

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by Sophia Guarracino, Speech-Language Pathologist, Olivia's Place Shanghai

by Sophia Guarracino, Speech-Language Pathologist, Olivia’s Place Shanghai

One of the most important points to keep in mind when your child or a student in your class is receiving speech and language services is the importance of carrying over intervention in both the home and school settings. It is ideal for parents, therapists, and educators to work together and discuss the techniques that will be effective for each child. There are many strategies that can be incorporated into a child’s daily routine to boost their speech and language skills. In this post, we will focus on expanding limited expressive language skills.

  • When interacting with a young child, repeat what the child says, and add a word that is appropriate to the context. For example: While playing with a toy car, if the child says “car,” you could respond “Car. GO car.” If the child uses two words- expand to three words, etc.
  • Speak in sentences that are one to two words longer than the child’s typical utterances. If a child usually combines two words, you should be modeling 3-4 words in your interactions. You may feel that your speech sounds silly, but you are eliminating complex structures that the child is not yet ready to use, which allows the child to concentrate on the next level of development.
  • It is also important to expose the child to adult and peer models of conversation. Although they are not yet ready to use these structures, they are exposed to the appropriate models.
  • Introduce new words or concepts to a child by using the word in a variety of situations as well as using the word repetitively. For example, when teaching colors: show a blue ball, a blue car, the blue sky, etc. Also, use pictures or objects when available to help reinforce the ideas.
  • Music, movement, nursery rhymes, finger plays, and story time are very motivating times for children to promote spontaneous speech production.

Olivia’s Place Speaks at Xinhua Hospital Conference

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Lis Ringrose, Physiotherapist and Olivia's Place Clinical Director, speaks on 24 Hour Postural Care at Xinhua Hospital.

Lis Ringrose, Physiotherapist and Olivia’s Place Clinical Director, speaks on 24 Hour Postural Care at Xinhua Hospital.

 

Anna Tan Pascual, Lead Occupational Therapist, provides a demonstration for participants.

Anna Tan Pascual, Lead Occupational Therapist, provides a demonstration for participants.

Olivia’s Place has been honored to receive a number of invitations of late to speak at academic conferences and training events around China. In September, Dr. Du Qing, the Chief Physician of Shanghai’s renowned Xinhua Hospital, invited Lis Ringrose, Clinical Director/Physiotherapist, and Anna Tan Pascual, Lead Occupational Therapist (Shanghai), and Nelson Chow, Founder/President to speak at a conference on rehabilitation medicine at Xinhua. Nelson shared with experts from all over China about the mission of Olivia’s Place and work we have been doing to help build up the fields of pediatric therapy in China. Lis spoke about 24 hour postural management and Anna spoke about evaluation and treatment of upper limbs for children.  We are delighted to have these opportunities to fulfill our mission of bringing high quality pediatric therapy to China.


Speech-Language Team Visits Shanghai Healing Home

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In August, several of our speech-language pathologists visited Shanghai Healing Home together. Assisting local Chinese Children’s Welfare Institutes by providing pre and post-surgical care to abandoned Chinese orphan babies born with surgically correctable deformities, Shanghai Healing Home provides a home-like environment that meets not only the babies’ physical needs but also their emotional and developmental needs. In this post, they share their thoughts in their own words on the opportunity to volunteer their time together.2014_0826_Kid on hands & feet

Marifloyd Wright:

“The Healing Home was a great experience for me.  I enjoyed playing with the children; they were adorable.  It was also a learning experience for me.  I was able to see several different children with cleft lips and palates; some have had surgery to repair them and others haven’t yet.  I was at the Healing Home during meal time so was able to observe the caregivers feeding the children.  I was able to observe and mentally take note of the feeding practices they used.  I read a book about feeding over the summer so was able to notice techniques that could be changed; it was a way of mentally applying what I had learned this summer.  When we arrived at the orphanage, there were volunteers interacting with the kids.  They were singing songs, practicing the alphabet, and making various animals sounds corresponding to targeted animals.  It was really fun to see the kids participating and dancing around.  While in China, I have heard a lot about orphanages; I  am glad I was able to go to one and experience it.”

Holly Chen with a child at Shanghai Healing Home

Holly Chen with a child at Shanghai Healing Home

Holly Chen:

“Shanghai Healing Home was an eye-opening experience! The home exudes comfort and warmth. The children were precious and undeniably curious and social. It was a magical experience to hold, rock, sing, chat, and laugh with the children. I can’t wait to go back!”

Yi Lien:

“I loved this trip to the healing home. I had fun spending time with all of you and the kids! It was my first time holding babies younger than 1-year-old. When the babies were laughing in my arms, I felt that the trip was worth it. Even though it was the first visit to the healing home and I did nothing special but entertained the kids. It was a great experience to play with them, to observe during their feeding time, and to think what I can do more for them. I would love to go there again.”

Angela Gong:

“It was great going to the Shanghai Healing Home with other speech-language pathologists. We observed the children during play time and at lunch. We had a blast playing with them, holding them, and loving on them. It was a great team bonding experience and I look forward to regular team trips to the Healing Home.”


Hanen: It Takes Two to Talk® Workshop Comes to Shanghai

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by Zara Kan, Speech-language Pathologist, Eliott's Corner

by Zara Kan, Speech-language Pathologist, Eliott’s Corner

 

In November 2013, ten speech-language pathologists attended training in Shanghai to become certified in the evidence-based “It Takes Two to Talk®” Hanen program. It was attended by five local Shanghai therapists from Olivia’s Place and two Beijing therapists from Eliott’s Corner. Other therapists flew from Hong Kong and Taiwan to attend the three-day workshop instructed by the Hanen-certified instructor, Jo Bristow. 

 

What Is Hanen?

The Hanen Centre is a Canadian non-profit organization that provides trainings and workshops to speech-language pathologists and other professionals with the intent to provide children with quality interventions that allow them to develop strong speech, language, social, communication and literacy skills. Rather than speech pathologists providing 1:1 intervention to young children (which has been the traditional way to provide interventions) the program strives to educate and train groups of parents on how to provide intensive intervention for their children at home in everyday routines and activities.

What is It Takes Two To Talk®?

Jo Brixton, Hanen Instructor, presents It Takes Two to Talk in Shanghai

Jo Brixton, Hanen Instructor, presents It Takes Two to Talk in Shanghai

This program is designed to give parents the tools they need to provide interventions for their children in their own home during everyday routines, activities, and interactions. This is about an eight week course (if you do it as designed) that is taught to a small group of parents by a certified speech-language pathologist. Parents come to classes (without their children) to learn specific strategies to use with their individual child, and the SLP does at least three home visits to help guide and coach the parent on using the strategies with the child.

What I Love About this Workshop and the Program

-          It really helps to answer the question, “how am I going to make a difference in the way this child communicates when I only see them once or twice a week?”

The answer is, the people who spend the most time with the child need to be doing the intervention. This program taught me how to teach parents how to do what I do in straight forward parent friendly language. It empowers parents and gave me lots of great tips and ideas on how to make this happen.

-          All of the materials are provided for the speech-language pathologist. There are slides, parent workbooks, research summaries, and a file containing everything you need to lead the parent programs yourself with detailed instructions and tips for each session.

-          Hanen allows you to use their materials within your regular sessions. The program provides great videos and handouts which can illustrate exactly the strategies and skills you are teaching a parent so you can choose relevant information and videos to illustrate different therapy techniques for a variety of needs, not only those with language difficulties.

-          The training was a very hands on and interactive workshop. We were offered many chances to try things out and also got the chance to teach a small part of the program for practice with support from Jo, the instructor. It brought the course to life and there were many suggestions on how to adapt it to different scenarios and parent responses.

Overall, it was a really inspiring course which changed my way of thinking and really made me re-evaluate why I do what I do with parents. I will definitely encourage parents to become more involved in their child’s speech and language development, both in therapy sessions and at home using these strategies.


Speech and Language Strategies for Parents & Educators: Following Directions

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by Sophia Guarracino, Speech-Language Pathologist, Olivia's Place Shanghai

by Sophia Guarracino, Speech-Language Pathologist, Olivia’s Place Shanghai

One of the most important points to keep in mind when your child or a student in your class is receiving speech and language services is the importance of carrying over intervention in both the home and school settings. It is ideal for parents, therapists, and educators to work together and discuss the techniques that will be effective for each child. There are many strategies that can be incorporated into a child’s daily routine to boost their speech and language skills. In this post, we will focus on following directions and processing information.

Following Directions: These strategies are intended for students who have difficulty following directions.

  • When giving directions, repeat them using different words.
  • Using gestures when giving directions can be beneficial.
  • If there are several directions, give one to two directions at a time versus all at once.
  • Be specific when giving directions.
  • If possible, give a visual cue. For example, if you are making something with your child or students, you can demonstrate the steps as you go along. Showing the completed project will also provide them assistance.
  • When working with projects that have multi-step directions, it may be helpful to write the directions on the board.
  • Create a list of common directions that are used throughout the day. When needed, they can be laminated and placed on the board for the entire class, or  a smaller version can be placed on the child’s desk or a prominent space at home.
  • The student may benefit from sitting next to another child who would be willing to provide assistance with multi-step tasks.

 

Processing Information: These strategies can be used with children who have difficulty listening and processing information they hear.

  • Ask basic questions that have the answer in a picture or can be demonstrated through a hands-on activity.
  • Provide small group opportunities where the children can discuss newly learned concepts or ideas.
  • Provide adequate time for the child to process what you have asked and to form their answer. If the child does not respond after a given period of time, ask the question in a different way.
  • Use several modalities when teaching (speaking, reading, writing, listening, visual, hands-on).
  • Do frequent comprehension checks when teaching. Stop periodically and discuss the information you have presented.
  • Encourage the child to ask for help.
  • Provide additional support for writing down information, such as assignments in the student’s homework notebook. Actual pictures could also be taken of what needs to go home (e.g. math book, writing notebook). Some students may need written directions that explain how to complete assignments so that parents can assist them in the home.

 


Beijing PT Participates in China-wide Continuing Education

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by Dr. April Gamble, Physiotherapist, Eliott's Corner (Beijing)

by Dr. April Gamble, Physiotherapist, Eliott’s Corner (Beijing)

I am the newest physical therapist at Eliott’s Corner in Beijing. In November, I had the privilege of attending and presenting at the Development on Theory and Technology of Chinese-Western Integrated Rehabilitation Continuing Education program, sponsored by Shanghai University of Traditional Chinese Medicine. The attendees included over 60 therapists from all over China. I was invited to give a presentation that  involved a case series that I completed just prior to moving to China in fall 2013. The purpose of the case series was to explore the innovative application of a newly developed gaming system for training sitting and standing balance for people with neurological impairments. The presentation highlighted evidence-based principles regarding neurological recovery and clinical decision-making regarding balance interventions. The topic was well received and the concrete examples of balance interventions provided via videos within the presentation seemed to be very effective.

It was very interesting to be able to attend some of the other presentations at this continuing education program. A few of

Dr. April Gamble, Physical Therapist, presents at Shanghai University of Traditional Chinese Medicine.

Dr. April Gamble, Physical Therapist, presents at Shanghai University of Traditional Chinese Medicine.

the presentations covered the current state of rehabilitation in China and the profession’s future here. This includes a movement toward greater evidence-based practice and interventions, standardized assessments, and improved clinical decision making skills. It was exciting for me to see the eagerness demonstrated by the therapists in facilitating this change in China. I think Olivia’s Place is in a great position to support these exciting developments!


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