Young people enjoyig time with a boardgame

Come on it’s only a game

May 2022

Written by Noel Macnamara

Many of you will have experienced something like the following…

A residential worker is observing two young people playing table tennis in the rear yard of the residential unit. One of the boys is quite skillful and he is winning most of the points and then suddenly the other boys stamps on the table tennis ball and throws his bat at the head of his opponent and storms out of the unit. The residential worker follows the boy out of the unit and catches-up with him; he says: “come on its was only a game”.

When deciding to play competitive games with children and young people who have experienced abuse and trauma it is important to aware of how trauma impacts on the child or young person’s capacity to remain within their window of tolerance (see: The Window of Tolerance by Beacon House)

 

The ability to balance cooperative and competitive behaviours has important implications for a child or young person’s overall development. The development of this level of social competence can be challenging for children and young people who have experience trauma and abuse.

A defining feature of socially competent behaviour is the ability to meet one’s own needs while maintaining positive social relationships with others. Children and young people who have experienced trauma and abuse struggle to be able to anticipate the actions of others, understand thoughts and feelings, and evaluate social outcomes.

Children exposed to adverse events often develop a negative bias towards others and their intentions. When making judgments, the children and young people consistently weight the negative aspects of an event or stimulus more heavily than the positive aspects. When this is combined with a poor ability to regulate emotions and low self-esteem results in problems dealing with competitive play.

Therefore, we see the children and young people we work with:

  • Cheating to ensure their victory. They may make up their own rules, changing them for their purposes and to their advantage during the game.
  • Often, they are not content with winning. You will see children and young people take great pleasure in their victory – and in the defeat of their opponent. They also engage in some expression of gleeful triumph – boasting, bragging, and taunting.
  • Or, if they lose (or even feel they may lose), they may throw game pieces, burst a ball, insist on a “start-over,” attack another child, refuse to play and/or storm off lock themselves in their room.

We know that trauma impacts in all domains of a child’s life and this includes the ability to play and engage in competitive forms of play: sports, board games etc.

You may be interested in: Residential care

Creating positive social climates and home-like environments in therapeutic care - Practice guide
Creating positive social climates and home-like environments in therapeutic care - Practice guide
This guide has been developed to support the implementation of Essential Element: Physical Environments from the Ten Essential Elements of Therapeutic Care. It explores how to create therapeutic care contexts...
Read more
Putting theory into practice
Putting theory into practice
Sometimes you might wonder why you need to learn about theory. I have heard people say:   Residential work with young people is often conducted amidst high anxiety, uncertainty and...
Read more
What does stability in residential care mean? Part I
What does stability in residential care mean? Part I
After four years working in residential care, both on the floor and as a clinician, I wanted to better understand what stability really means for young people in residential care?...
Read more
Stability in residential Care: Part II
Stability in residential Care: Part II
Sarah is 14 and has been in placement for 18 months. She lives in a residential house with two boys and one girl. The boys display aggressive behaviours and are...
Read more
8 ways to support young people in residential care during COVID-19
8 ways to support young people in residential care during COVID-19
How do we keep to the therapeutic care principles of safety, consistency, predictability, and routine in a world that feels like it has turned upside down overnight? It’s near impossible!...
Read more
How do we create excellence in Intensive Therapeutic residential care practice?
How do we create excellence in Intensive Therapeutic residential care practice?
What creates high quality therapeutic residential care? This is the question often asked of agencies, of staff, of policy makers and of the young people themselves. There is no simple...
Read more
Cultivating curiosity in Therapeutic residential care
Cultivating curiosity in Therapeutic residential care
Curiosity is something that has excited me my whole life. I am sure a lot of you share my fascination and enthusiasm for curiosity. There seems to be wide support...
Read more
Therapeutic residential workers? Who are we?
Therapeutic residential workers? Who are we?
This blog is to introduce my recent research with therapeutic residential workers. Further blogs and practice guides relating to finding, keeping, acknowledging and celebrating the best person for the job...
Read more
10 ways to enable young people's participation in therapeutic residential care
10 ways to enable young people's participation in therapeutic residential care
In this blog, I’m keen to offer practitioners in therapeutic residential care some ideas about how to involve young people in decisions that affect their lives. Many young people in...
Read more
The Intensive Therapeutic Care dance
The Intensive Therapeutic Care dance
Therapeutic residential work can be conceptualised as a dance. It works best when therapeutic workers display therapeutic presence, are in sync with the young person, can making meaning of the...
Read more
Understanding and supporting young people who self-harm in residential care
Understanding and supporting young people who self-harm in residential care
Some of the young people we care for in the ITC programs deal with emotional distress and pain by hurting themselves physically. Young people hurting themselves is distressing to them...
Read more
What are the needs of Aboriginal and Torres Strait Islander children and young people in care? Research brief
What are the needs of Aboriginal and Torres Strait Islander children and young people in care? Research brief
Indigenous children and young people face unique challenges in the child welfare system. The dimensions of this problem are complex and multifaceted. Providing culturally safe and traumainformed therapeutic care to...
Read more
‘Tis the Season to be Jolly’ – but not for everyone
‘Tis the Season to be Jolly’ – but not for everyone
It’s all too easy to get wrapped up in the fun and happiness of Christmas and forget that, for others, the season isn’t necessarily a joyful one. For some the...
Read more
The 10 essential elements of Intensive Therapeutic Care NSW - Practice guide
The 10 essential elements of Intensive Therapeutic Care NSW - Practice guide
This guide has been developed to describe the 10 Essential Elements that form the basis for Intensive Therapeutic Care (ITC) service provision in NSW. The 10 Essential Elements have been...
Read more
What makes a good therapeutic residential care worker? Practice guide
What makes a good therapeutic residential care worker? Practice guide
Trained staff and consistent rostering are essential elements of therapeutic residential care. The purpose of this guide is to consider more broadly what makes an excellent therapeutic residential care worker...
Read more
How do you prepare for the transitioning of young people into an Intensive Therapeutic Care house? Part 2
How do you prepare for the transitioning of young people into an Intensive Therapeutic Care house? Part 2
In the first part of the Blog, we explored limit and expectation setting, maintaining a state of occupancy and the planning process for a successful transition. In part two of...
Read more
How do you prepare for the transitioning of young people into an Intensive Therapeutic Care house? Part 1
How do you prepare for the transitioning of young people into an Intensive Therapeutic Care house? Part 1
This is a two-part blog and will focus on the transition of young people into an Intensive Therapeutic Care house; however, most of the content is transferrable to other placement...
Read more
Changing your practice to being trauma informed in therapeutic residential care
Changing your practice to being trauma informed in therapeutic residential care
Whilst the following Arabian proverb takes a bit to get your head around it leads rather nicely into this blog and our brief introduction on the relevance of the conscious...
Read more
How to thrive in lock down, lean into what works in therapeutic care
How to thrive in lock down, lean into what works in therapeutic care
Lockdown means we lose touch with many things: friends, family, freedom. For young people, therapeutic youth workers and other staff in Intensive Therapeutic Care, however, it also offers an opportunity...
Read more
Trauma-informed relationship-based recovery reflection tool - Practice tool
Trauma-informed relationship-based recovery reflection tool - Practice tool
Children and young people need adults who can co-regulate with them and teach them about feelings and their inner world. This Trauma Informed Relationship-Based Recovery Reflection tool can be used...
Read more
Client mix and client matching in therapeutic care - Practice guide
Client mix and client matching in therapeutic care - Practice guide
Client mix and the process of client matching is one of the 10 Essential Elements underpinning the Intensive Therapeutic Care (ITC) system in New South Wales. This guide has been...
Read more
Trauma-informed care - Research brief
Trauma-informed care - Research brief
This research briefing aims to define and clarify what trauma, complex trauma and trauma informed care are. Extensive literature has now surmised that exposure to adverse experiences such as child...
Read more
Q&A with the trainer: Harmful sexual behaviour
Q&A with the trainer: Harmful sexual behaviour
Working with young people who engage in harmful sexual behaviour is complex and challenging. Cyra Fernandes and Dan Howell have spent over a 1000 hours in the past year helping carers and professionals...
Read more
Strengthening connections & relationships project
Strengthening connections & relationships project
What is this research about? Young people in residential care face major challenges that can prevent them from forming healthy relationships and a strong personal identity, which are critical building...
Read more
Do ‘no touch’ policies in residential care keep workers and children safe? It’s not that simple
Do ‘no touch’ policies in residential care keep workers and children safe? It’s not that simple
Lyn was 16 and had grown up in foster and residential care. Lyn was interviewed about her experience and views about out of home care. She was extremely positive about...
Read more
What Was I Thinking? Handling the Amygdala Hijack
What Was I Thinking? Handling the Amygdala Hijack
Remember that time when you put the child you care for back to bed for the fourth time? Your thoughts suggested a level of desperation and wishful thinking, hoping that...
Read more
Christmas in residential care: It doesn’t need to be the most wonderful time of the year
Christmas in residential care: It doesn’t need to be the most wonderful time of the year
Christmas is a time of joy and celebration for many Australians, but it can also bring pressure and unrealistic expectations. The shops are decorated, Christmas songs are everywhere, and cheesy...
Read more
How are restrictive practices interpreted in therapeutic residential care?
How are restrictive practices interpreted in therapeutic residential care?
This blog article was written by Glenys Bristow,  Senior Specialist, Therapeutic Residential Care, CETC. Restrictive practice in therapeutic care The Royal Commision into Violence, Abuse and Exploitation of People with...
Read more
The most difficult thing about residential care work
The most difficult thing about residential care work
The most difficult aspect of working in residential care is not managing the behavioural challenges of the children and young people, the demanding shifts, or the lack of resources. Rather,...
Read more
Research Update: Understanding Relationships in Therapeutic Residential Care
Research Update: Understanding Relationships in Therapeutic Residential Care
The Centre for Excellence in Therapeutic Care (CETC) is engaged in ongoing research to understand how positive, trusting relationships and social connections can be fostered for young people in Therapeutic...
Read more
Meet the CareSouth team
Meet the CareSouth team
CareSouth was recently awarded the Outstanding Therapeutic Residential Care Team Award at Youth Action NSW's Youth Work Awards. The CETC proposed the new Outstanding Therapeutic Residential Care Team award category...
Read more
Christmas time when glad tidings of joy should abound, and love be with us all
Christmas time when glad tidings of joy should abound, and love be with us all
Christmas, for many, is an exciting time of year. However, for some children and young people, particularly those who have experienced attachment difficulties, trauma and/or adverse childhood events, Christmas can...
Read more