Sunday, October 25, 2009

A new journey after TUOG



The most challenging of the three modules....TUOG is so near yet so far, thought this is d way to do... no it is not... put this in, nop want it out...
Group work sometimes put us in this testing mode; duties allocation, directions spread out... pretending to be when it is not.
This is all learning and using the Therapeutic link to gel the missing parts together to make the picture complete is another learning. Staying in humility ...

Standing still when the going gets tough and let it passed as a 'scanner'- enjoying the sound and lights at the same time.
As I have mentioned on the TUOG presentation day, this last module opened a whole new world for me especially at a time when group work was being run and the opportunity to test out the system and do the fine alignments. How to be congruent and authentic when met with obstacles in handling the problems... that we focus on the situation not the person. How to rejoice even in adversity.... The dynamics of the whole team...coming together and moving apart like the waves...

Tuog seemed like a printer scanner at times, get to the original facts...when it cannot be download it can still be scanned and worked on it.
 
This is also the most rewarding as the ending is highly motivated to be able to take my plans to the next level.  Finally it gave me the opportunity to test it out all: 3 CPPD modules: Small world play, Therapeutic of story and Therapeutic use of Group at the 1st Penang mental health expo one after another.


It also sets the pawprint for the realization of cat ~~meow~~o ---meow--o...   

For those who attended the Penang Mental Health expo I hope you have a chance to see the magic world of creativity set up by I-ling, Melinda and myself the day before Oct 10. What an auspiscious day the opening was 101009. My heartfelt thanks to the rest of the volunteers: Seok Binn, Shin, Jaff, Mr Goh and Lily... to the 15 teenagers who experience TUOG and the wonderful 9 mamas with their beautiful 9 children who experienced 'Small world Play' and the LWEH trainee nurses in TUOS...


In the world of CAT, there is no limit as to where one rise above and beyong the magical space... to be able to touch another fellow being in this therapeutic relationship of time and space... Keeping in mind too as the waves rise high, it too has to come down to the base, the core before it rises again and at the same time one in the Zen..


TUOG was also happening at the same time in the Ramak' project. We had finished the 8 weeks group session and now starting a new group again for 7 weeks with 8 children.
The title of the project define by Alex with the mission Operation young 1, an 8 weeks program to explore the psychological and emotional needs of children growing up in the orphanges was indeed meaningful. 

The colourful strips of cloth tie at the jetty signified an auspicious happening in the family... People coming together to R E J O I C E  at each person's blessing no matter how smaill...The group dynamics of the team to stay close and continue to be sensitive of the surronding.                           Give love to mother Earth...  This is indeed a whole new journey of HOPE in time and space...            Gan -en to everyone...till we meet in the next CPPD.







    

Friday, October 2, 2009

BoldCaT @ Bodhisila




By Keith Tye, Lim Seok Binn & Priscilla Ho - BOLD Team


Background:
       The Bodhisila is a charitable Organisation founded in 1988 under the inspiration and guidance of His Holiness GHD.
Apart from religious activities, Bodhisila runs an Orphanage catering for boys and girls, their ages ranging from 6 years to 20 years. The orphanage admits children who are orphaned, children who are poor and needy.


The cost of maintaining the Bodhi-sila has increased tremendously during the past few years and the Executive Council of Bodhi-sila is doing its best to meet the expenses from donations and contributions received from members and from public of all communities. The Ministry of Welfare Services, Malaysia is also partially subsidizing the Orphanage.
The younger children who are 7years old to 17 years old attend the nearby school. Besides education, the children learn traditional music and dancing at the TFA, NGOs like WA, SB and others come by the orphanage to support the children in learning capability, craft work and also yoga.

Currently there are 50 children both boys and girls age from 6 to 17 years old residing in the home. There are 6 houseparent running shift looking at the welfare of the children.  Observing Spirituality is a key factor here; every evening children dressed up in their prayer attire and have group prayers in the Temple. Group prayers were also observed before meals. Children are seated in rows with the boys in front and the girls behind in the dining area.

“He who has faith has everything, and he who lacks it lacks everything. It is faith in the name of the Lord that works wonders; faith is life and doubt is death."             
      ~The Founder's words.




History of BOLD’s Outreach to Bodhi-sila: 
 On September 18 to October 23 2008 an informal creative arts play group was initiated in Bodhi-sila  as requested by the Management to help the social, psychological and emotional need of the children. A playroom was set up and a total of 5 sessions were held over this period with one staff participating alongside with the 10 boys age 9-10yrs old.
Sessions were carefully planned with the aim to help children to acquire good social skills as a start. The therapeutic space was identified using a newly set up play room which was about 280sq feet.


As a result of the pilot program, in March 19, 2009 a new group was initiated again, unfortunately we did not complete the 8 sessions as planned as 4 children were discharged after the 6th session. 5 of the children in the same group continued into another Bold project DaD, which focus on inclusion and creative body movements. There were 23 sessions with a public performance on 14 June 2008 in a local college.

The 3rd group was initiated on August 6 to September 24 2009. Aim at increasing the opportunity in enhancing the psychological, emotional and social needs of children to give themselves the voice, not challenging but developmental. 10 children; 6 girls and 4 boys age 10 – 12 years old were selected for this eight week program. The coming together, focusing the energy and discovering the creativity within, helped them further to promote growth. The creative group met every Thursday for 90 minutes to learn from one another. One staff continued to be in the group learning alongside with the children. We learn best when we are doing it.  
Todate  24 children age between 9years old to 12 years old benefitted from BOLD’s outreach work. 




 Bold’s short term and long term plans:
Over the short term period Creative arts group work will continue for the children.
 For the year 2010, BOLD will look at the possibility of a big sister and big brother creative arts program for the older children age 16 – 18 years old.
Another program is to review the possibility of a creative parenting module for the 6 supervisors/matron with the aim to Re-establish trust with children+ adults +environment and to balance their own psychological emotional and social needs thus preventing burnt out.

This may served as an ongoing training program by BOLD to the community in education and psychosocial help.     



Report on BOLDcat @ Bodhi-sila

 Aim:
To ascertain what are the psychological, emotional and social needs of children growing up in the ashrama.

Objective:
·       To explore the use of creative arts in identifying the psychological, emotional and social needs of children growing up in the Ashrama.
·       To provide opportunity for children to vocalize, to give voice to their developmental, psychological and emotional needs (validated not challenge)
·       To Identify similar shared common needs; that they are not alone

Assessment:
SDQ on each child were taken from the supervisor/matron and the 10 children themselves.
Overall score ranged from 2-22 from the supervisor/matron and 2-24 from the children. Purpose of the assessment gave a brief background of how the children felt about themselves as compared to the carers: their strength and difficulties.

Activities selected:
Activities were selected carefully to cover 3 areas: warmer, main development and closure. There was a fixed opening ritual of Namastate, where children took turn to lead; kneeling in a humble bow, the forehead touching the ground; “putting the ego on the ground and wishing one another well”. The closing ritual was on journaling, where children drew and wrote their feelings in their book.

Sessions Aims:
The  aims over the 8 sessions covers:
-   Trust
-   Safety
-   Respect
-   Creativity 




Intended outcome:
Using creative arts therapy, children were able to express their feelings, articulate indirectly & create an atmosphere of safety and trust.


Overall comments:
A special Final session 8:
The 4 facilitators had a big surprise from the 10 children. They had actually prepared a 30 minutes session involving their whole team, all the 10 children. Am and Sv were the ‘MCs’ with their opening speech in English then repeated in BM: “Welcome to our orphanage and very Thankful for teach us Good Things… (Sv) Salam sejahtera kami menguchapkan terima kasih kepada…. “
A poetry recitation on 10 Little Monkeys… had the whole team laughing.  There was a fashion show and 3 Indian dances being performed. Even Lo the youngest girl in the group did a solo, all dressed up. Then came the appreciation for the facilitators, each of us were given a little gift and 2 were hand made by them. There were also moments of regressed and arguments among one another.  SV, a 12 year old boy always wanted to lead the group, and had inconsistent attendance. He came earlier for the final session and was the co-MC of the children’s program. He came back after the session ended to talk to the facilitators on his wishes…




Thoughts and Feelings:
 One team member trying to cheer up another in his journal…”don’t be sad my dear brother”.
Demonstrated the care and concern.




It was a great learning experience to run a play group, especially with the incorporation of using the drama therapy format from Alex which helped us to look at each game in depth, why it was chosen and the psychology behind it. Activities selected for the 7 weeks covered building trust, safety, respect and creativity.

Opportunity to act out and use their capacity in creativity: taking on roles with no qualms.
Children enjoyed the most acting in the different role: batman, spiderman, Michael Jackson, fairy, deva…
Attendance was at 73/80 over the 8 sessions. Punctuality was a concern initially and subsequently improved.  At the end of the 8 sessions it is noticeable that we have achieve the intent of the therapeutic group work and achieve some level of Self Awareness on oneself.


Follow-up Plan:
A quarterly follow-up plan on the group is recommended, with a 1 session creative arts groupwork in January 2010.



Friday, September 25, 2009

My journey with TUOG ~


The ALS have had the 1st tutorial, 1st online with Alex and 3 group meetings. I-ling and Melinda had been very quick to get the mission impossible started: 1) Sexuality Education Group and 2) Mission of Youth: Depression in adolescent - Assessment and Intervention which seemed to have some difficulties as we have to look at our competency level in both these important areas. I have not been consistent in attending the meetings punctually...being held up and falling sick. I personally feel we have to understand the dynamics of the group in the wider sense.

I thought the mission in TUOG will be easy, but it turned out to be the toughest.
When being asked what are my views from the ALS group work selected, I have to be honest to say again we seemed to have taken a tough project instead of working on something that we are familiar in and improved on it further.
It is good to do something that is challenging as this will make us capable.


We were also being advised by Alex to relook at what we have done in the current group work and improved on it. I do see a big potential area to work on and fine tune to bring it to the next level.

In today's online supervision, using I-ling project paper was beneficial as S-Binn and myself were working with the children in-house and having the opportunity to know what is happening. Being there it gave us the opportunity to talk to the children, staff and management. Some of the items that were discussed were training the carers with creative play skills in child care and parenting. We managed to discuss short and long term plans into 2010. Currently there are 50 children, and 12 has went through the program with BOLD. With the completion of the current group, it gave us a better learning opportunity and have a more concrete plan when we start again in early October - Nov'09. A proposal to BOLD on the 2010 CAT programs for staff too besides the children. Somehow over the months most of the children were familiar with us and openly requested when is their turn to be in the special room?      
  
Key tips from Alex: **Not eliminate the negative behavior but soliciting the positive behavior.
In relation to "' the things that you don't want what is it that u want?"

A sharing here since we completed our 8th session today, though we planned what we wanted to do for this final session which is a CLOSURE... however things did not happen the way we planned. The bonus was the 10 children seemed to be able to read our minds and delivered a performance much to our surprise. A well choreograph dance movement, poetry reading, giving away of presents to us: SBinn, Keith, Supv Chong and myself. A speech of thanks to us was also delivered in English and BM by 2 'MC'. We allowed the children to complete their entertaining program first before resuming on our plans.  
The children did group art,  presenting an imaginary gift to one another, followed by passing the "light". Children expressed their happiness as well as sadness and what is light to them? Though there were occasions when they regressed.... being the last session, they wished us well before they left. One child came back to confide in us after the rest has left....    


 Below is a link I found on work with youth.
www.cambridgeshire.gov.uk/NR/rdonlyres/DF85EA5E-2C8A-44FC-AD5A-85467479C75D/0/Assessmenttools2007.pdf

The impossible dream

  To reach the impossible dream... It is not easy though S-Binn, Keith n myself were working on a play group with the Ramakrishna children. Time flies as we are at the 7th session and ending on the 8th session 24 Sept. I m still learning to use the dramatherapy format and there seemed to be so many hidden secrets and gems to unfold. M listening to the supervision audio from Alex. Something he mentioned on 'self-disclosure' tend to bring the group together to negotiate for ground rules, add humor...etc...

Planning the activities in the dramatherapy format is no fun ... as it requires so much of inner thoughts, reflections, aims for the session to be met. Every game has an intent on what to achieve from the very 1st instruction and to think of all the potentials (why chose to draw a horse, why not a home, a tree....?) What is the purpose and intention? A string of ??????........
Thought that this group work will helped in the CPPD '09 module on TUOG and project submission will be easy but it wasn't.
Everything seemed so tough for a while, I have run BOLD's group work in 2006 and this is so much of analysis, post-mortem and etc... "Chung chi...hern nan le..." and this is meeting the impossible dream.


Alex's WORDS: "Nothing is fixed...keep on thinking....how can I use one activity and developed it into another... Use character role play to develop social skills..." and many many more....

  

Monday, September 14, 2009

Applications

I put together all the 6 sessions of creative activities we had in Ramakrishna Group play. Reflected on the play intent ~objective, aims and what was carried out. Frankly, a little penning here n there too, fitting in the jigsaw puzzle, finding the right piece! What is right really? except to go along with the flow... n allowed the process to happen naturally. 
The Best learning here is being able to refer what was learned with the ten children and whether we (Seok Bin, Keith and myself) are moving along with them, knowing where they are at now rather to take them to where we wanted them to be.
*The dramatherapy format provided by Alex was helpful.
We had a chance to do small world play with the whole group. They worked in pairs and created the small world with hotel, restaurants and recreational stores for children. In the previous sessions. hospital. children's home: children getting sick and hospitalized, going to school and restaurant with abundant food.
A few children now are able to negotiate when things don't fall in place. They are reminded of the ground rules that the whole team agreed n drawn up - referring to the drawings on the wall. 
We have 2 more sessions to completion. The children journal in a book at the end of every session to allow them to express what they felt. The opening and closing ritual of 'namastate' ~ wishing one another well, happy and safe...'
  

One of the children wrote "Don't be so sad my dear Brother...' when she saw the words 'Today I m so sad in his journal.












*learnings from P-Nie in her blog for our learning:.

 What is a Group?

  • A set of people engage in frequent interactions
  • They identify with one another
  • They are defined by others as a group
  • They share beliefs, values and norms about areas of common interest
  • They define themselves as a group
  • They come together to work on common tasks and for agreed purposes
Groups are intended and organic, not some random experience and as a result, they have 3 crucial characteristics:-
  1. There are parts
  2. There is relationship between the parts
  3. There is an organizing principle.
Groups are not just systems or entities in their own right but exist in relation to other groups. 
  Sie-sie nie P.Nie...



The Tsunami on 261204-- beautiful sky above but deadly waves below... 
I didn't know what was Tsunami then..."impermanence, what is there to fight when there is so much to give n love ..."
Guess we are all very blessed to still have the opportunity to learn n serve...


Sunday, September 13, 2009

ALS project...TUOG

The team called for the 1st meeting which I was not able to attend at 7.30pm... however I managed to still connect with them at 10pm, and our discussion went on till 11.30pm, TRULY dedicated: I-ling, Melinda and Seok Binn...

A topic suggested by the team  which I felt was a challenging one though it is critical in our adolescent today. My concern is whether we are knowledgeable and well versed in this area though it is always good to take on challenges. We need to equip ourselves should we decide to work on this topic.

R we are able to carry it out as the subject matter is still consider a "Hush-Hush" in schools.
I find no answer to some of the questions I asked...n look forward to the next ALS meeting on Sept 17 @ 8.30pm. We may be able to break the hidden codes together through our creativity while coming together as how we did in TOUS... 

Monday, September 7, 2009

Learnings contributed by Nie2

""Would like to give thanks to Phaik Nie for her research on group work in her TUOG blog which was set up in July.  I only discovered her treasure box-blog today while setting up on elagg... With many weeks of story telling the information she provided helps me to changed gear and aligned myself  after the 1st tutorial with Alex where he told us on the TUOG mission impossible.
Hey, we need to  'leap' above the barbed wires together and continue the journey while enjoying the scenery of the green hills, mountains and valleys ...
I took the easy way to 'cut-copy-paste' what Phaik Nie has provided to help me in my revision. Gan-en Nie....
   


Research work of Phaik Nie in early July.

  •  Yalom's curative factors of group treatment
  •  Group processes & dynamics
  •  Creative art therapy groups
  •  What is a group?
  •  Bion's basic assumption group

Benefits of Group base on Yalom
  •  Instillation of Hope
  •  Universality - I am not alone!
  •  Imparting of information
  •  Altruism - capability of help another person make you feel good
  •  Correction recapitulation of primary family group - second chance
  •  Developing of socializing techniques
  •  Imitative behavior
  •  Catharsis - releasing emotions
  •  Existential factors - meaning of "life"
  •  Direct advice - coaching, encouragement
  •  Interpersonal learning - feed back mechanism for self-awareness 
        (Johari Window)

Creative Art Groups' Focus:
  • Creativity and expression - promote right brain
  • Task, skills and learning - test the behavior through role play, by-product,  communication and daily learning skills, experience of decision making, cooperative skills, goal specific, facilitator a role model.
  • Insight, self-awareness & change - personal change, transformation aesthetic; regaining those things which we have lose out in reality (artistic)
Mime; non verbal, the use of movements to express what you want to say without using words, or a play where the actors use only movements.

Improvisation; impulse, sudden thought, inspiration, flash
Rationale and Objectives
  •  Why
  •  What
  •  How
  •  Where
  •  Who

Ideal group members - 8 to 12 persons

Aims
  •  Facilitator's aims for the group
  •  Institution's aims for the group
  •  Group's aims
  •  Facilitator's own self aims
  •  Individual aims
  •  Company aims

Do & Don't

Planning and Preparation
  • warm up
  • main development
  • closure

All these must meet the initial main aims.


Group Processes Dynamics
1. Group Interaction
- Task interaction
  •  When, who
  • Task leadership, social-emotion, leadership role
  • Time keeping

- Relationship interaction

  •  Social emotional is the most important factor to look into for a successful
        group work
  •  Use of humor, sharing of interest

2. Group Interdependence
  •  Need to be together whether we like it or not
  •  Affects each other & cannot avoid that

3. Group Structure
  •  Group size - always need to balance between support & challenge
  •  Group norms - implicit & explicit behavior, ground rules
  •  Roles - role clarity, role need to be evolved, ego-centric role, coordinator
        role, supporter's role, poor-me ignorance role

4. Group Goals
  • Method to achieve the goals or mission statement

5. Group Cohesion
  • Sense of the group coming & working together, a lot of attention required 
       during group formation
  • Sense of proximity or sharing of common goals or interest

6. Group Development
  • Forming
  • Storming - stage where members are fighting for power, influence, acceptance as a valued member. If it is not handled properly, it might create conflicts.
  • Norming - stage from dependence (children) to independence (adolescent) to
  • Interdependence (mature). Group members start to come together and  sharing happens at this stage.
  • Performing - group members are getting the objective met (the peak) & most
       satisfied.
  • Adjourning - Good bye, group dismissal & mourning stage
- Storming & Norming might happen concurrently in the cycle.


Basic Assumption Groups Base on Bion
  • Looking at the unconsciousness of the group. Unconscious defenses against
       anxiety or unpleasantness. Group experiences internal emotional & 
       psychological barriers not related to the task. Members are not conscious of
       the barriers.
  • Basic & because the anxieties expresses are primitive and instinctual.
  • Assumption & because the group operates "as if" the assumption was implicit 
       truth.

Type of Basic Assumption Groups
  • Dependence - always look for leader to take away the problem. If leader fail, will look for new leader.
  •  Fight/Flight
  •  Pairing - subgroup


What is a Group?
  •  A set of people engage in frequent interactions
  •  They identify with one another
  •  They are defined by others as a group
  •  They share beliefs, values and norms about areas of common interest
  •  They define themselves as a group
  •  They come together to work on common tasks and for agreed purposes

Groups are intended and organic, not some random experience and as a result, they have 3 crucial characteristics:-
  •  There are parts
  •  There is relationship between the parts
  •  There is an organizing principle.




Questions
1. How to facilitate the children & parent?
2. What is group therapy sessions?
3. How can therapeutic work in the group of 2?
4. How can I apply the group of therapy in my organization or work place?
5. How to integrate group of special need children & non special need children to love each other?

Groups are not just systems or entities in their own right but exist in relation to other groups.

Key Learning from the session:- Always Start with the  Easiest!


The Journey begins now..., the final module of CPPD'09. I look forward to another round of interesting learning with the ALS team... "Stretch your eyes a little and see what is inside this picture?"