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Welcome to Next Level Play Therapy, a weekly podcast dedicated to supporting the next generation of child and adolescent therapists to provide exceptional play therapy services.
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We'll explore all things play therapy to elevate your work with children and adolescents using the therapeutic powers of play.
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I'll discuss practical tips and ideas.
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So you can provide a transformative experience for your young clients and make a real difference in their lives.
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So get ready to take your play therapy skills to the next level and make a lasting impact in the lives of children, adolescents, and families.
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Today, I want to talk about cultural formate formulation when you are doing your case conceptualization in play therapy.
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So I'll talk a little bit about what case conceptualization is because that's a really fancy term and some of you may not be familiar with it.
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If you have been watching some of my previous live stream episodes, then you probably will be familiar with it because I've been talking about case conceptualization and play therapy for a few weeks now and the different aspects of case conceptualization, especially In play therapy and the importance of case conceptualization to get that impact that you're looking for for your clients and really understanding the cultural aspect of case conceptualization is an important part of that competency to really understand your clients and their families holistically.
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It also makes sure that you're checking your own biases and you're making sure you're not misdiagnosing because you've attributed a certain type of behavior to something like refusal or some other kind of maybe not so positive aspect of your client when it may actually be their cultural norm.
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And so understanding that is critical for developing that therapeutic rapport with your clients and their parents or guardians.
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As well as making sure you can effectively help them navigate through all of the phases of the treatment process.
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Because we know, and when we're in the middle of the treatment process, even in play therapy, when we're looking at the child holistically and thinking in terms of child within context of family and community then we know in the middle phases of treatment, that's kind of where the rubber hits the road, can get a little challenging.
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You have to overcome and help navigate around a few of those, um, challenges that come up in the play therapy process.
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And if you don't have that strong therapeutic rapport with your clients and you may lose them.
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So, and sometimes that can be easier said than done, and sometimes it can be actually, not too bad.
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So if you're joining me live today, I would love to know who's here.
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Go ahead and post your name in the comments.
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Post where you're from.
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I am Cathi Spooner.
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I'm a licensed clinical social worker and a registered play therapy supervisor here in the United States.
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And I have been in the child and adolescent mental health field for over 30 years now, supervising and training, doing consultation for about the last 15 years.
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And so I stream live every Wednesday at 7 a. m. Pacific time here in the United States and talk about all things, play therapy and expressive arts to pass along my knowledge of, uh, 30 years.
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And all my, um, knowledge through the consulting and supervising process.
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I have an online play therapy consultation supervision program called Play Therapy Academy.
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So I'll talk a little bit more about that at the end if you're interested in getting into some kind of additional support to level up your play therapy skills.
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I'll also talk about some of the online courses, trainings, in person trainings I have going on if you're interested in that.
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One of the things that I have been really focusing on lately is really getting some of those core competencies in play therapy to get a really strong foundation because I love using the analogy of building a house.
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We know if we don't have a strong foundation, then it's not going to bear up the weight of the house, so to speak.
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So for the play therapy metaphor that has to do with building up your theoretical model foundation and how do you take that theoretical model and apply it as well as some of these core competencies that the Association for Play Therapy has identified that we need to develop mastery with regardless of our play therapy model.
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There are some things that are consistent across all the play therapy models.
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And it's been my experience when we develop competency in these, then the quality of services that we provide really exponentially increases.
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That's a process.
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It takes time.
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We all know in the mental health field that requires also getting some mentoring, um, AKA play therapy supervision and consultation and learning how to do that will definitely help you make more of an impact because that's the reason you do this, right?
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This is why we all do it We want to make a difference.
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We want to make an impact and to do that it's really important in my opinion to get these core competencies Um to gain mastery with them.
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And so that's why i've been talking a lot about some of these core competencies.
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I've developed, uh, an online course series called Getting Grounded in Play Therapy Excellence.
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These courses are really focused on some of these foundational skills of play therapy.
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So like the first, the first online course, they're all safe, self paced, so you can take them whenever it's convenient for you in your time zone.
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So the first one is, Getting Grounded in Play Therapy Foundations.
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That's a core one for play therapy.
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Um, becoming a play therapist.
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The second one I have out currently is called Getting Grounded in Play Therapy Case Conceptualization.
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And so a lot, a lot of what I've been talking about over the last several weeks is information that I've gathered and put together in this course.
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I go into more depth in the course.
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I walk you through step by step how to do it.
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And at the same time, I think these are important things for us to be talking about in the play therapy community because I don't think they come up very often.
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I think in some ways we kind of take them for granted.
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One of the things that I would say last 10 years is really, um, not really understanding the importance of case conceptualization and how that can make a huge difference in your, the quality of your play therapy services.
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And so if we're talking about play therapy case conceptualization, one of the things that we need to make sure to also talk about is what is cultural formulation within the larger case conceptualization framework?
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So there's a few people that are kind of checking in.
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I wanted to say hi.
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There's a few people on Instagram.
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So I live stream every week into Instagram, and then I use a streaming platform called StreamYard to live stream into my private Facebook group.
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So if you're a play therapist or wanting to learn play therapy on your child and adolescent therapist using play and expressive arts, you may be interested in this Facebook group.
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It's called Play and Expressive Arts Therapy Playground.
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You do have to answer all the questions in order to get into the group.
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I always like to say that because on a regular basis, they don't and they don't get in sometimes.
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So just make sure if you want in the group and you're a child and adolescent therapist using play therapy and expressive arts, just make sure you answer all the questions.
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So, um, so I have Natalie looks like Natalie is from LinkedIn from Australia.
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It's midnight here.
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Unfortunately, I may not be able to stay.
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However, it's lovely to know it happens.
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Uh, it happens.
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Thank you.
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I'm an accredited mental health social worker and registered play therapist.
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That is, that's so awesome.
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And also Natalie or any of you, um, who are in a very different time zone for me as an FYI, these live streams will automatically generate into a recorded replay.
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You can't join in.
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I mean, you can join in after the fact and post in the comments after the fact.
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I love that, uh, interacting with people and kind of engaging.
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I think it's really cool to learn what people are doing around the world using play therapy and helping children, adolescents and families heal.
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And how play therapy is, um, being done in other countries and other cultures.
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So I think that's really cool.
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That's one of the nice things about the Internet is we get that ability to interact and engage with people around the world.
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So that is really cool.
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Um, and so on Instagram, looks like we have a couple of people, uh, Dov.
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Yeah, I hope I pronounced your name correctly from Malta.
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That is so cool.
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I have to tell you this.
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My, my dad, uh, he was in the Navy.
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So this is, of course, back in the 50s and 60s, uh, probably more the 60s, but I remember my dad would go on these.
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I promise you this applies, uh, my dad would go on these six months cruises and we'd be, he'd be gone for like six months at a time, but he would always come back.
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But one of the places my dad talked about all the time that he absolutely loved was Malta.
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Um, so that is cool.
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I would love to kind of see see that area just because my dad talked about it so much.
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Um, so we have also child counselor uses creative therapies.
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That's awesome.
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It's four p. m. there.
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Yeah, I think you guys, that's interesting, too, because that's good for me to know, because I was thinking in Europe it was three p.
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m.
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I I probably should have looked at my time world time clock better.
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So yeah, that's interesting.
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Four o'clock there.
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Yeah, it's seven a. m. Where I am on this.
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I'm in the, uh, on the west coast here in the United States.
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So that is awesome.
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Welcome.
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So glad you guys are here.
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I would love to know who of you are using case conceptualization.
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And, um, have you even heard about case conceptualization in your play therapy training?
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My experience is that we don't really talk about it too much, which is why I think it's important to have these conversations because when I do supervision and we do this in my Play Therapy Academy, which is my online group, we go through, we'll do the case conceptualization process.
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And, and, um, the difference that makes in helping you not feel lost and overwhelmed is huge.
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What I found is when play therapists or child and adolescent therapists are not necessarily taking the time in the beginning.
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Um, then they oftentimes get lost and feel overwhelmed and then their imposter syndrome kicks in and then they're feeling like they don't know what they're doing and it feels awful.
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And so, um, there's a Facebook user says using case conceptualization in my practicum class right now.
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That is awesome.
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Um, and I'm assuming that's probably not a play therapy class.
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But probably more case conceptualization in general, which is excellent.
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And I think probably one of the things that you'll have to do then is make sure with your play therapy theoretical model, how are you going to use that model to do the case conceptualization?
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So, um, that's one of the things that I do in my case conceptualization course, the, um, Getting Grounded in Play Therapy Case Conceptualization, because there's a book, if you're interested, this book is golden.
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It's by Len Sperry and John Sperry.
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Case Conceptualization, mastering this competency with ease and confidence, second edition.
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Also, the, the DSM 5 has a whole, uh, section on case formula, uh, clinical cultural case formulation in there.
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And so, um, what?
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So what I've what I've done is I took a lot of the information from here, um, and the DSM and other resources and kind of used a play therapy lens.
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If you're using your case, case conceptualization from play therapy.
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So today what I want to do is talk about that, um, what's the cultural formulation component of case conceptualization?
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So first and foremost, I'll just kind of briefly review case conceptualization.
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If you're interested in learning more or hearing more about what I've talked about, feel free to hop over to probably if you're in my Facebook group, all of the live replays are pinned in the featured section.
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Um, if you're in LinkedIn, uh, and probably even Instagram, maybe it's probably better to hop over to my YouTube channel.
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My YouTube channel is Cathi Spooner, Renewing Hearts Training.
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And if you click in the live tab, all of the replays are over, uh, over there.
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Feel free to, uh, if you find this information helpful on the YouTube, please feel free to like it and share it across your social media platforms.
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On `my YouTube channel, you can subscribe so you get and click the notification bell.
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So you do get notified, but all the replays are there.
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Um, So the book title is, uh, Case Conceptualization.
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It's by Len Sperry and John Sperry.
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I'll hold it up so maybe you can see it a little bit in the, in the, uh, uh, camera there.
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Uh, Case Conceptualization, Mastering This Competency with Ease and Confidence, second edition.
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And it's the, the book is a really good book.
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I, I, I highly recommend it.
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I don't get any kickbacks from this book.
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I just really think it's a good book.
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I like to let people know about it, especially in the play therapy world, because we don't really talk about it that much.
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So case conceptualization is essentially ident gathering information to identify exactly what's going on.
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What are the roots underlying the behavior and what patterns are sustaining it?
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So why is it, what specifically is happening and why is it happening?
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And that requires looking at some of the patterns within the family system.
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The reason it's important is kind of what I've already talked about already is it's really getting that case conceptualization gives you a better idea of what what actually is going on so that when you are determining what, what play therapy intervention model.
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So this is a treatment.
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It ties directly in with treatment planning.
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And I'm going to talk a little bit more about that later.
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Um, because if you don't really target the right area, then you, you could be going in the wrong direction, which is possibly what that's probably what explains why you're feeling lost and overwhelmed because you don't know exactly what's going on.
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You don't know why you're using the interventions that you're using or how they're supposed to be helping.
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So if you take that time at the beginning, at the very beginning.
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then it's going to help you later on.
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And we're always an assessment model from start to finish all the way through.
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We use our clinical decision making.
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We kind of use our assessment throughout the change process.
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And I always say like the first 90 days are really taken what we've gathered.
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Initially with parents and depending on the age of the child through that psychosocial assessment that biopsychosocial cultural spiritual assessment and formulating our treatment plan and our diagnosis to kind of give us an idea.
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Okay, here's where I want to start and then we typically take that first 90 days or so to get a better sense and kind of hone in on that a little more closely to figure out and get a sense of what's going on, build that therapeutic rapport.
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And so here's where I am going to, I'm going to have a different opinion.
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Of some of the industry norms in the play therapy community.
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And how do I know this?
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So as I'm developing these courses and my next one, the next course coming up in this Getting Grounded in Play Therapy Excellent Series, is Getting Grounded in Play Therapy Treatment Planning.
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How, what is treatment planning?
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And how, and I also in this course kind of break it down to the mechanics of like, how do you write a, uh, play therapy goal that lines up with your play therapy model?
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How do you write those dang objectives?
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What's the difference between interventions and objectives?
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And how do I write this dang thing?
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And why is it not?
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You know, so it's not just a paperwork product process to meet the documentation gods and the insurance gods, but really make it useful.
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So as I've been going through and doing some more research for this, in addition to what I've done for the previous courses.
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One of the things that I've noticed over and over is some, some of the, um, leaders in the field will say things like, Oh, you don't really need to do the assessment or we don't really do treatment plan.
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It's kind of more of an intuitive process.
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And I don't, I don't disagree that it's an intuitive process.
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I do believe that it's an intuitive process.
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Where I, what I do disagree is the fact that we don't need to do that assessment at the beginning.
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Um, because what I found is play therapists get lost.
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You get lost in the, especially in the beginning when you're learning it.
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I don't, I can't tell you how many times I've talked with play therapists who are learning.
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And they're lost and they don't know what's going on and they feel like a big fraud and they feel horrible And it's overwhelming and they start thinking.
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Well, maybe i'm just not cut out for this.
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Maybe I just wasted all my money getting a master's degree because i'm horrible at this When in fact, it's not that at all most of the time.
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Most of the time is they just haven't gotten a good grounding and learned how to do case conceptualization that will inform their treatment planning that's culturally informed to meet the specific needs of each client.
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And, um, that's what really helps to make an impact.
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We do need therapeutic rapport.
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It is an intuitive process.
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Absolutely.
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It's all of those things.
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And in my opinion, it's not either or it's not black and white.
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It's not binary, no assessment or only assessment.
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It's not that way.
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It's the, it's the balance and the blend of both pillars of treatment that you bring your personality and your kind of flavor into the play therapy process with that balance.
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And that will help you navigate through the play therapy process and make the impact that you want to make.
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That's why we do it.
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It's a hard job.
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When we, you know, we can, we can struggle and work through and kind of, ah, sometimes through the process.
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And you see your clients making that breakthrough and getting to that next phase and getting that aha moment.
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And you're like, yes, this is why I do this.
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This is why I keep going.
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So in order to do that, we need these foundational basics and case conceptualization is one of those.
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So, oops, I forgot to use my little banners here on on a stream yard.
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I can create these little banners.
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They don't show up on Instagram.
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Um, so that's case conceptualization.
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The next part of this, what I want to talk about is mostly the focus for, for today's live stream episode, which is cultural formulation.
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What is cultural formulation and how, um, in play therapy, and how does that fit into the overall case conceptualization?
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So cultural formulation is essentially, you're recognizing the role of cultural identity, cultural experiences, cultural values, cultural norms, traditions, beliefs, on your client's overall well being and their functioning.
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And how these factors promote resiliency.
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So you're always wanting to make sure you look for some of the resiliency.
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These are the things you want to support.
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And where some of these factors may be contributing to the problem.
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And if you've been working with children and adolescents for a while now, and you work from, with children and families of, from cultures outside of your own, whatever country you're living in.
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And let's say the child has grown up predominantly, I'll say like here in the U S what we find is children who are raised predominantly in the U S. and have parents who were raised predominantly in other cultures.
00:24:44.309 --> 00:24:46.809
Those two can be a clash sometimes.
00:24:46.809 --> 00:24:50.170
And those are usually the ones we're seeing in our office.
00:24:50.578 --> 00:24:54.730
So the, the goal is how do you help them navigate through that?
00:24:55.210 --> 00:24:58.319
First though, you have to understand what it is.
00:24:58.579 --> 00:25:00.319
You have to understand.
00:25:00.619 --> 00:25:03.319
what the cultural identity is.
00:25:03.730 --> 00:25:15.569
And which family members are ascribing to that cultural identity and what varying degree do they kind of identify with cultural their culture.
00:25:16.548 --> 00:25:19.359
Or what ways are they rejecting their culture?
00:25:19.809 --> 00:25:26.119
Um, which is maybe part of the problem that the parents and the children are experiencing.
00:25:26.619 --> 00:25:28.519
So you're you're looking at that.
00:25:28.519 --> 00:25:40.959
You want to understand how do those factors contribute to the problem and how does culture influence your client's understanding of the problem?
00:25:41.589 --> 00:25:53.589
How does culture influence parents or grandparents or extended family members or the community in which they are a member of?
00:25:53.900 --> 00:25:58.579
How to all how does culture influence their understanding of the problem?
00:25:58.999 --> 00:26:02.628
How and that's including parents and family members.
00:26:02.859 --> 00:26:05.048
So you're looking at those things.
00:26:05.409 --> 00:26:20.269
And in the case conceptualization course, the play therapy case conceptualization course, one of the things that I do is I walk you through like what questions to ask in the biopsychosocial assessment.
00:26:20.699 --> 00:26:22.619
Cultural and spiritual assessment.
00:26:22.878 --> 00:26:24.819
What, what questions you want to ask?
00:26:24.829 --> 00:26:30.398
Why do you want to ask them, including the cultural formulation piece.
00:26:30.398 --> 00:26:45.199
And then taking that information, I walk you step by step through the case formulas, uh, case conceptualization process for children and their families using a play therapy lens.
00:26:46.169 --> 00:26:53.219
And then that's going to help you to do your treatment planning, which is the next course.
00:26:53.219 --> 00:26:58.000
That course will be coming out in, in, um, July next month.
00:26:58.720 --> 00:27:03.398
So, so how do you take that information?
00:27:03.398 --> 00:27:07.019
So now you have case formalization.
00:27:07.469 --> 00:27:12.769
How does case, uh, cultural formulation help with treatment planning?
00:27:13.289 --> 00:27:16.299
Because there needs to be a reason, right?
00:27:16.319 --> 00:27:17.730
There's a reason we're doing this.
00:27:17.730 --> 00:27:18.479
It's the whole.
00:27:18.625 --> 00:27:35.734
The reason we're doing this is to get really good outcomes for clients so that you can make a difference in their life and be part of that change process with them within that context of a strong therapeutic relationship.
00:27:36.954 --> 00:27:57.519
So when you do your cultural formulation and how it impacts your treatment planning, is when you're doing your cultural formulation, you're also checking your own biases about culture, especially if that culture is different from your own.
00:27:57.930 --> 00:28:15.184
You want to, because a lot of times what's culturally, um, typical, what's the norm in one culture, we often may find that to be we may misunderstand it or misdiagnose it all together.
00:28:15.704 --> 00:28:30.035
Um, and so really understanding where our clients are coming from, meeting them exactly where they are so you can help them get where they want to be is really important.
00:28:30.355 --> 00:28:37.825
It also ensures that you're not, you're going to reduce the likelihood of misdiagnosing.
00:28:38.214 --> 00:28:54.824
If there's something that's a cultural norm for your client's culture, but you're not familiar with it, or you're not understanding or recognizing it, it does increase the likelihood that you may misdiagnose your client.
00:28:55.153 --> 00:28:59.693
And the reason that's important is because you'll be focusing on the wrong thing.
00:29:00.115 --> 00:29:06.493
And you may be ascribing something as a problem when it may not be the problem.
00:29:06.703 --> 00:29:08.835
It may just be their way of being.
00:29:09.174 --> 00:29:15.384
And then that's your own bias showing up in this formulation process.
00:29:15.914 --> 00:29:34.865
So that the importance of it is to make sure that you're actually you're accurately recognizing how culture plays a role in the problems your clients are experiencing as well as recognizing any of those resiliency factors.
00:29:35.434 --> 00:29:51.990
And when you're recognizing culture and cultural norms and respecting those, that's also going to increase your ability to establish a strong therapeutic rapport.
00:29:52.400 --> 00:30:18.690
Really, respecting and validating parents concerns about culture as well as the children's experience of their culture and their family and and really helping parents and children come together around areas that may be creating some some conflict and some disconnect rupture in their relationship.
00:30:19.308 --> 00:30:35.190
But also Um, being respectful of culture and we had this one family we were working with, um, and it was round eating and it was a family, um, from another culture.
00:30:35.589 --> 00:30:43.539
And so, and in that culture, food is huge and making sure you're feeding your family and feeding your kids.
00:30:43.559 --> 00:30:49.449
But for this, uh, little client, the food had become a way of dealing with emotions.
00:30:49.769 --> 00:31:12.664
So there's a lot of unhealthy eating and so working through that with mom and then what mom did she went on the internet on youtube and found uh some youtube channels focused on cooking the food that is you know, from her culture, but found healthy ways of cooking the food.
00:31:13.075 --> 00:31:41.388
And so, you know, working through and respecting that process, I think is really important and being able to develop that rapport and showing parents that you respect them and their culture and helping them recognize where they're this this may not work so well here in this, this part here in our country, um, you know, with some of the parenting, typical parenting approaches and from other countries like here in the U.
00:31:41.388 --> 00:31:43.480
S. they don't go over so well.
00:31:44.160 --> 00:31:49.929
So being able to be respectful because the intent is to be a good parent.
00:31:50.230 --> 00:31:53.579
The intent is that they love their child.
00:31:53.910 --> 00:32:00.775
The intent is they want their child to grow up and be healthy, happy and productive.
00:32:01.115 --> 00:32:17.585
We can always join on that intent and build rapport around that and recognizing some of those positive areas and those positive things about culture and then work with some of the areas where it may need change.
00:32:18.464 --> 00:32:21.255
So that is it for today.
00:32:21.694 --> 00:32:26.684
Um, if you, I'm just going to do a quick recap.
00:32:27.075 --> 00:32:54.900
So first and foremost, case conceptualization is an important competency to master and play therapy because it's the difference between feeling lost, overwhelmed, and feeling like a big giant imposter and getting minimal results, to really recognizing what's going on so you can get amazing results and make an impact and make a difference in the lives of your clients.
00:32:55.220 --> 00:33:03.529
And again, we want to make sure that we balance out, um, gathering information, doing that assessment process.
00:33:04.019 --> 00:33:23.089
with using your play therapy theoretical lens because that's going to help to identify your play therapy theoretical lens will influence how you how you identify and make sense of and describe what the problem actually is.
00:33:23.638 --> 00:33:30.329
And then using that case conceptualization to do your treatment planning.
00:33:30.339 --> 00:33:32.460
That will influence diagnosis.
00:33:32.960 --> 00:33:35.099
Diagnosis is not a bad word.
00:33:35.109 --> 00:33:37.279
It's not all about diagnosis.
00:33:37.670 --> 00:33:44.088
And we want to make sure to get an accurate diagnosis because it gives you an idea of what's going on.
00:33:44.289 --> 00:33:46.449
How many different kinds of anxiety are there?
00:33:46.490 --> 00:33:47.179
There's a ton.
00:33:47.579 --> 00:33:51.990
And you want to make sure you understand the difference between is this trauma?
00:33:53.025 --> 00:33:57.664
Or is it ADHD or is it anxiety?
00:33:57.734 --> 00:34:09.193
They all share similar symptoms, but if you don't do that case conceptualization, you're possibly going to miss what are the roots of that and misdiagnose altogether.
00:34:09.213 --> 00:34:11.153
I have seen that happen over and over.
00:34:12.195 --> 00:34:14.503
And it's not to say we're never going to misdiagnose.
00:34:14.514 --> 00:34:16.094
Sometimes we do miss it.
00:34:16.480 --> 00:34:24.570
Sometimes, you know, we'll start out with one diagnosis, and as we're getting into, you know, the middle part, we're realizing, oh, I think this is probably something else.
00:34:25.030 --> 00:34:26.478
Those things do happen.
00:34:26.960 --> 00:34:30.829
Um, but it's not, in my opinion, a reason not to do it in the beginning.
00:34:31.750 --> 00:34:39.630
That's just kind of where I, I tend to take a different stand on that particular, um, topic.
00:34:39.960 --> 00:34:44.769
And so the second thing is, what is case, what is cultural formulation?
00:34:45.099 --> 00:34:53.340
Which is really learning how to develop a cultural, um, culturally informed case conceptualization.
00:34:53.815 --> 00:35:05.025
So that it ensures you understand your client in a holistic way and, um, this client lives within the context of family and community.
00:35:05.385 --> 00:35:21.110
And those families and communities come with specific cultural norms, beliefs, values, traditions, ways of understanding and make sense of, um, what your client is going through.
00:35:21.449 --> 00:35:46.599
So you want to make sure to understand that and create it does when you're using that cultural formulation, that cultural lens, you're also creating cultural safety, which is an important part of that therapeutic communication with your client, because culture is dynamic and it's deeply embedded in a person's way of being.
00:35:46.900 --> 00:36:36.539
So within the context of that therapeutic communication that you're having, you're more aware of those dynamics of the culture and how those show up within that communication, that, um, interaction in those therapy sessions and how you might be communicating in a way that may be problematic for your clients or misunderstanding maybe their way of, like if they don't understand anything in their culture, they don't want to look like they're a bad parent or that they don't understand what you're saying So they may not tell you and they may just say yeah I get it and they don't and you're like racking your head like why are they not doing what i'm saying is the best thing for them to do.
00:36:37.019 --> 00:36:38.498
Are they just being willful?
00:36:38.498 --> 00:36:39.750
Are they a terrible parent?
00:36:39.900 --> 00:36:54.739
Well, it may not have nothing to do with that It may be that they're a really good parent, but some of those cultural influences are showing up And so how does cultural formulation help with treatment planning?
00:36:55.389 --> 00:37:14.728
If you're aware of your own cultural biases and your preconceptions, your and what are some of the cultural influences that are going on with not only resiliency, which are, which are the resiliency factors.
00:37:14.739 --> 00:37:17.429
You want to make sure you support those.
00:37:17.679 --> 00:37:19.378
You want to validate those.
00:37:19.648 --> 00:37:21.349
You want to highlight those.
00:37:21.989 --> 00:37:25.989
Um, and then that will that's going to help build rapport.
00:37:25.989 --> 00:37:27.489
That's going to help build trust.
00:37:27.780 --> 00:37:40.150
That's going to help you make sure you check your biases and you check your preconceptual, uh, preconceptions about what's going on to help you make the shift you need to make.
00:37:40.300 --> 00:38:24.300
While also, um, building that relationship so that when you, when you make suggestions for change, where you may be challenging your client's parents or client outside of what's typical in their culture, but maybe not necessarily that may be causing some conflict, then you're going to help that family be able to get to another place where they can respect culture and also maybe integrate some of those new things from the new country where they're now living in a way that, is comfortable and compatible with the beliefs and values of the, that particular family.
00:38:24.300 --> 00:38:26.260
And that's a case by case basis.
00:38:26.849 --> 00:38:38.300
So if you're, and, and so when you're doing, you're creating your treatment plan and you're in that treatment planning process to figure out what type of play therapy model are you going to use?
00:38:38.329 --> 00:38:40.579
What kind of interventions are you going to use?
00:38:40.650 --> 00:38:43.329
Who's involved in the treatment process?
00:38:43.610 --> 00:38:46.110
How often are parents going to be involved?
00:38:46.530 --> 00:38:47.010
How are they?
00:38:47.090 --> 00:38:48.940
How often are you going to see with kids?
00:38:49.849 --> 00:38:51.869
What are you going to do with them in the sessions?
00:38:51.889 --> 00:39:03.289
All of those things, you're going to have a much more grounded, holistic, accurate and respectful process in the, in the play therapy process.
00:39:03.878 --> 00:39:05.920
So that is it for today.
00:39:06.219 --> 00:39:21.889
Um, if, again, if you found this information helpful, please like it and share it across your social media platforms, all of the replays, if you ever want to watch any of the past ones, you can, if you're in my Facebook group, you can pop into the featured section.
00:39:21.889 --> 00:39:22.900
They're all in there.
00:39:23.309 --> 00:39:35.869
Otherwise you may want to just pop over to my YouTube channel, Cathi Spooner, Renewing Hearts Training, click on the live tab and all of my live replays are in there on all kinds of different topics.
00:39:35.998 --> 00:39:38.250
Please feel free to share those as well.
00:39:38.719 --> 00:39:48.179
If you're interested in Play Therapy Academy, if you're interested in online play therapy consultation, also known as supervision.
00:39:48.670 --> 00:39:53.489
I do have a few openings left in my play therapy group.
00:39:53.489 --> 00:40:02.059
I have one on Saturday and one on Wednesday evening, my time, one on Saturday morning, my time and Play Therapy Academy.
00:40:02.398 --> 00:40:04.148
It's really hands on.
00:40:04.159 --> 00:40:07.070
We have a case presentation schedule.
00:40:07.579 --> 00:40:10.659
And people in the group will present their schedule.
00:40:10.659 --> 00:40:13.309
We'll talk about case conceptualization.
00:40:13.539 --> 00:40:16.960
What specific play therapy model are you using?
00:40:17.318 --> 00:40:19.539
How are you applying the model?
00:40:19.800 --> 00:40:21.530
We give lots of feedback.
00:40:21.539 --> 00:40:25.110
You, there's some amazing people in our group.
00:40:25.519 --> 00:40:31.630
Um, and they, they always add, um, resources and information.
00:40:31.639 --> 00:40:41.405
So you not only get my 30 years of experience in child and adolescent therapy, you also get the collective wisdom and brilliance of the group.
00:40:41.405 --> 00:40:42.264
That's what I say.
00:40:42.644 --> 00:40:49.434
And then also in Play Therapy Academy, the pro it's a program that includes the twice a month.
00:40:50.105 --> 00:40:58.375
online groups, as well as all of the courses from the Getting Grounded in Play Therapy Excellence Series.
00:40:58.833 --> 00:41:02.445
In addition, we have a group chat for support in between session.
00:41:02.445 --> 00:41:06.074
And there's some other bonuses that come with play therapy Academy.
00:41:07.324 --> 00:41:17.340
If you don't need Play Therapy Academy, and you already have, uh, supervision with someone, or maybe you're already in RPT, but you want to take some of these courses.
00:41:17.630 --> 00:41:20.500
They're available a la carte, so to speak.
00:41:20.500 --> 00:41:22.298
You can buy them separately.
00:41:22.329 --> 00:41:24.699
Just pop over to my website.
00:41:25.989 --> 00:41:31.744
The one that I've been talking about recently is Getting Grounded in Play Therapy Case Conceptualization.
00:41:31.965 --> 00:41:34.105
I have some other courses over there as well.
00:41:34.514 --> 00:41:40.764
If you're interested in the courses, you can pop over to my website, which is rhplaytherapytraining.
00:41:43.253 --> 00:41:43.844
com.
00:41:44.184 --> 00:41:46.635
The courses will be on the courses page.
00:41:47.083 --> 00:41:55.929
If you're interested in Play Therapy Academy, then pop over to the website and go on the supervision page.
00:41:56.179 --> 00:42:04.570
You'll see information about Play Therapy Academy and you can schedule a free 30 minute call with me, a video call.
00:42:04.570 --> 00:42:06.500
We can talk about Play Therapy Academy.
00:42:06.500 --> 00:42:08.440
See if it's a good fit for you.
00:42:08.889 --> 00:42:11.320
Um, I do only have a few spots left.
00:42:11.320 --> 00:42:21.630
So if you're interested, you probably want to contact me sooner rather than later because I'm not doing, uh, when they close, they'll be closed for a while until somebody is not doing anymore.
00:42:22.079 --> 00:42:23.440
So, all right.
00:42:23.989 --> 00:42:28.268
So I will see you next week and have a good week.
00:42:28.268 --> 00:42:28.653
Bye.
00:42:29.704 --> 00:42:33.644
Thank you for joining me on this episode of Next Level Play Therapy.
00:42:34.125 --> 00:42:42.893
I hope you found the discussion valuable and gained new insights and ideas to support your work helping children, adolescents, and families heal.
00:42:43.514 --> 00:42:48.545
If you enjoyed this episode, be sure to subscribe to the podcast and leave a review.
00:42:48.965 --> 00:42:54.184
Your feedback helps to improve and reach more people who can benefit from this information.
00:42:54.945 --> 00:42:55.525
Remember.
00:42:55.965 --> 00:42:58.724
Play therapy is a powerful tool for healing and growth.
00:42:59.505 --> 00:43:09.775
Whether you're a new play therapist or experienced, I encourage you to continue your learning journey to unlock the potential of play in your own work and relationships.
00:43:10.795 --> 00:43:17.224
If you have any questions or topics, suggestions for future episodes, I'd love to hear from you.
00:43:17.855 --> 00:43:29.634
Connect with me on social media and visit my website at Renewing Hearts Play Therapy Training to stay updated on upcoming episodes, trainings, and resources.
00:43:30.405 --> 00:43:33.494
Thank you once again for listening to Next Level Play Therapy.
00:43:33.974 --> 00:43:37.664
Until next time, keep playing, learning, and growing.
00:00:02.100 --> 00:00:13.669
Welcome to Next Level Play Therapy, a weekly podcast dedicated to supporting the next generation of child and adolescent therapists to provide exceptional play therapy services.
00:00:14.779 --> 00:00:23.079
We'll explore all things play therapy to elevate your work with children and adolescents using the therapeutic powers of play.
00:00:23.739 --> 00:00:26.349
I'll discuss practical tips and ideas.
00:00:26.568 --> 00:00:33.219
So you can provide a transformative experience for your young clients and make a real difference in their lives.
00:00:34.030 --> 00:00:43.649
So get ready to take your play therapy skills to the next level and make a lasting impact in the lives of children, adolescents, and families.
00:00:47.560 --> 00:00:57.719
Today, I want to talk about cultural formate formulation when you are doing your case conceptualization in play therapy.
00:00:58.210 --> 00:01:08.189
So I'll talk a little bit about what case conceptualization is because that's a really fancy term and some of you may not be familiar with it.
00:01:08.789 --> 00:01:54.915
If you have been watching some of my previous live stream episodes, then you probably will be familiar with it because I've been talking about case conceptualization and play therapy for a few weeks now and the different aspects of case conceptualization, especially In play therapy and the importance of case conceptualization to get that impact that you're looking for for your clients and really understanding the cultural aspect of case conceptualization is an important part of that competency to really understand your clients and their families holistically.
00:01:55.325 --> 00:02:23.275
It also makes sure that you're checking your own biases and you're making sure you're not misdiagnosing because you've attributed a certain type of behavior to something like refusal or some other kind of maybe not so positive aspect of your client when it may actually be their cultural norm.
00:02:23.804 --> 00:02:35.245
And so understanding that is critical for developing that therapeutic rapport with your clients and their parents or guardians.
00:02:35.824 --> 00:02:45.055
As well as making sure you can effectively help them navigate through all of the phases of the treatment process.
00:02:45.085 --> 00:03:10.079
Because we know, and when we're in the middle of the treatment process, even in play therapy, when we're looking at the child holistically and thinking in terms of child within context of family and community then we know in the middle phases of treatment, that's kind of where the rubber hits the road, can get a little challenging.
00:03:10.269 --> 00:03:19.438
You have to overcome and help navigate around a few of those, um, challenges that come up in the play therapy process.
00:03:19.838 --> 00:03:26.389
And if you don't have that strong therapeutic rapport with your clients and you may lose them.
00:03:26.989 --> 00:03:37.409
So, and sometimes that can be easier said than done, and sometimes it can be actually, not too bad.
00:03:37.800 --> 00:03:42.300
So if you're joining me live today, I would love to know who's here.
00:03:42.709 --> 00:03:45.389
Go ahead and post your name in the comments.
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Post where you're from.
00:03:47.778 --> 00:03:49.550
I am Cathi Spooner.
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I'm a licensed clinical social worker and a registered play therapy supervisor here in the United States.
00:03:55.789 --> 00:04:06.694
And I have been in the child and adolescent mental health field for over 30 years now, supervising and training, doing consultation for about the last 15 years.
00:04:07.144 --> 00:04:22.904
And so I stream live every Wednesday at 7 a. m. Pacific time here in the United States and talk about all things, play therapy and expressive arts to pass along my knowledge of, uh, 30 years.
00:04:23.365 --> 00:04:31.475
And all my, um, knowledge through the consulting and supervising process.
00:04:31.795 --> 00:04:39.845
I have an online play therapy consultation supervision program called Play Therapy Academy.
00:04:40.014 --> 00:04:49.213
So I'll talk a little bit more about that at the end if you're interested in getting into some kind of additional support to level up your play therapy skills.
00:04:49.213 --> 00:04:58.185
I'll also talk about some of the online courses, trainings, in person trainings I have going on if you're interested in that.
00:04:58.444 --> 00:05:14.603
One of the things that I have been really focusing on lately is really getting some of those core competencies in play therapy to get a really strong foundation because I love using the analogy of building a house.
00:05:14.603 --> 00:05:21.634
We know if we don't have a strong foundation, then it's not going to bear up the weight of the house, so to speak.
00:05:22.053 --> 00:05:48.939
So for the play therapy metaphor that has to do with building up your theoretical model foundation and how do you take that theoretical model and apply it as well as some of these core competencies that the Association for Play Therapy has identified that we need to develop mastery with regardless of our play therapy model.
00:05:48.949 --> 00:05:55.129
There are some things that are consistent across all the play therapy models.
00:05:55.600 --> 00:06:06.029
And it's been my experience when we develop competency in these, then the quality of services that we provide really exponentially increases.
00:06:06.290 --> 00:06:07.350
That's a process.
00:06:07.360 --> 00:06:08.670
It takes time.
00:06:09.149 --> 00:06:29.589
We all know in the mental health field that requires also getting some mentoring, um, AKA play therapy supervision and consultation and learning how to do that will definitely help you make more of an impact because that's the reason you do this, right?
00:06:29.589 --> 00:06:32.189
This is why we all do it We want to make a difference.
00:06:32.459 --> 00:06:42.509
We want to make an impact and to do that it's really important in my opinion to get these core competencies Um to gain mastery with them.
00:06:42.509 --> 00:06:46.925
And so that's why i've been talking a lot about some of these core competencies.
00:06:47.214 --> 00:06:53.524
I've developed, uh, an online course series called Getting Grounded in Play Therapy Excellence.
00:06:54.014 --> 00:07:00.494
These courses are really focused on some of these foundational skills of play therapy.
00:07:00.494 --> 00:07:10.163
So like the first, the first online course, they're all safe, self paced, so you can take them whenever it's convenient for you in your time zone.
00:07:10.473 --> 00:07:14.519
So the first one is, Getting Grounded in Play Therapy Foundations.
00:07:14.529 --> 00:07:17.149
That's a core one for play therapy.
00:07:17.738 --> 00:07:20.060
Um, becoming a play therapist.
00:07:20.069 --> 00:07:26.858
The second one I have out currently is called Getting Grounded in Play Therapy Case Conceptualization.
00:07:27.178 --> 00:07:37.019
And so a lot, a lot of what I've been talking about over the last several weeks is information that I've gathered and put together in this course.
00:07:37.379 --> 00:07:39.269
I go into more depth in the course.
00:07:39.269 --> 00:07:42.338
I walk you through step by step how to do it.
00:07:42.889 --> 00:07:52.100
And at the same time, I think these are important things for us to be talking about in the play therapy community because I don't think they come up very often.
00:07:52.100 --> 00:07:58.144
I think in some ways we kind of take them for granted.
00:07:58.144 --> 00:08:19.115
One of the things that I would say last 10 years is really, um, not really understanding the importance of case conceptualization and how that can make a huge difference in your, the quality of your play therapy services.
00:08:19.444 --> 00:08:36.038
And so if we're talking about play therapy case conceptualization, one of the things that we need to make sure to also talk about is what is cultural formulation within the larger case conceptualization framework?
00:08:36.580 --> 00:08:39.139
So there's a few people that are kind of checking in.
00:08:39.139 --> 00:08:41.070
I wanted to say hi.
00:08:41.090 --> 00:08:43.318
There's a few people on Instagram.
00:08:43.318 --> 00:08:54.840
So I live stream every week into Instagram, and then I use a streaming platform called StreamYard to live stream into my private Facebook group.
00:08:54.960 --> 00:09:05.750
So if you're a play therapist or wanting to learn play therapy on your child and adolescent therapist using play and expressive arts, you may be interested in this Facebook group.
00:09:06.120 --> 00:09:09.639
It's called Play and Expressive Arts Therapy Playground.
00:09:09.960 --> 00:09:14.169
You do have to answer all the questions in order to get into the group.
00:09:14.679 --> 00:09:19.820
I always like to say that because on a regular basis, they don't and they don't get in sometimes.
00:09:20.129 --> 00:09:30.179
So just make sure if you want in the group and you're a child and adolescent therapist using play therapy and expressive arts, just make sure you answer all the questions.
00:09:30.409 --> 00:09:37.470
So, um, so I have Natalie looks like Natalie is from LinkedIn from Australia.
00:09:37.669 --> 00:09:38.750
It's midnight here.
00:09:39.129 --> 00:09:41.470
Unfortunately, I may not be able to stay.
00:09:41.840 --> 00:09:44.350
However, it's lovely to know it happens.
00:09:44.600 --> 00:09:45.529
Uh, it happens.
00:09:45.559 --> 00:09:46.230
Thank you.
00:09:46.740 --> 00:09:51.159
I'm an accredited mental health social worker and registered play therapist.
00:09:51.578 --> 00:09:53.359
That is, that's so awesome.
00:09:53.629 --> 00:10:08.179
And also Natalie or any of you, um, who are in a very different time zone for me as an FYI, these live streams will automatically generate into a recorded replay.
00:10:08.190 --> 00:10:09.389
You can't join in.
00:10:09.389 --> 00:10:13.698
I mean, you can join in after the fact and post in the comments after the fact.
00:10:13.698 --> 00:10:17.339
I love that, uh, interacting with people and kind of engaging.
00:10:17.399 --> 00:10:27.909
I think it's really cool to learn what people are doing around the world using play therapy and helping children, adolescents and families heal.
00:10:28.359 --> 00:10:35.369
And how play therapy is, um, being done in other countries and other cultures.
00:10:35.369 --> 00:10:36.879
So I think that's really cool.
00:10:37.269 --> 00:10:46.125
That's one of the nice things about the Internet is we get that ability to interact and engage with people around the world.
00:10:46.125 --> 00:10:47.625
So that is really cool.
00:10:48.184 --> 00:10:56.683
Um, and so on Instagram, looks like we have a couple of people, uh, Dov.
00:10:56.735 --> 00:10:59.615
Yeah, I hope I pronounced your name correctly from Malta.
00:10:59.673 --> 00:11:01.184
That is so cool.
00:11:01.504 --> 00:11:02.533
I have to tell you this.
00:11:02.825 --> 00:11:06.605
My, my dad, uh, he was in the Navy.
00:11:07.409 --> 00:11:16.090
So this is, of course, back in the 50s and 60s, uh, probably more the 60s, but I remember my dad would go on these.
00:11:16.320 --> 00:11:25.999
I promise you this applies, uh, my dad would go on these six months cruises and we'd be, he'd be gone for like six months at a time, but he would always come back.
00:11:26.240 --> 00:11:31.320
But one of the places my dad talked about all the time that he absolutely loved was Malta.
00:11:31.950 --> 00:11:33.799
Um, so that is cool.
00:11:33.799 --> 00:11:39.799
I would love to kind of see see that area just because my dad talked about it so much.
00:11:40.320 --> 00:11:45.350
Um, so we have also child counselor uses creative therapies.
00:11:45.389 --> 00:11:46.509
That's awesome.
00:11:47.159 --> 00:11:48.419
It's four p. m. there.
00:11:48.460 --> 00:11:55.629
Yeah, I think you guys, that's interesting, too, because that's good for me to know, because I was thinking in Europe it was three p.
00:11:55.629 --> 00:11:55.860
m.
00:11:55.860 --> 00:11:59.759
I I probably should have looked at my time world time clock better.
00:12:00.909 --> 00:12:02.659
So yeah, that's interesting.
00:12:02.659 --> 00:12:03.509
Four o'clock there.
00:12:03.509 --> 00:12:05.740
Yeah, it's seven a. m. Where I am on this.
00:12:06.063 --> 00:12:09.284
I'm in the, uh, on the west coast here in the United States.
00:12:10.004 --> 00:12:12.234
So that is awesome.
00:12:12.245 --> 00:12:12.854
Welcome.
00:12:12.854 --> 00:12:14.344
So glad you guys are here.
00:12:14.745 --> 00:12:21.934
I would love to know who of you are using case conceptualization.
00:12:22.345 --> 00:12:29.345
And, um, have you even heard about case conceptualization in your play therapy training?
00:12:29.945 --> 00:12:49.104
My experience is that we don't really talk about it too much, which is why I think it's important to have these conversations because when I do supervision and we do this in my Play Therapy Academy, which is my online group, we go through, we'll do the case conceptualization process.
00:12:49.104 --> 00:12:58.004
And, and, um, the difference that makes in helping you not feel lost and overwhelmed is huge.
00:12:58.004 --> 00:13:06.724
What I found is when play therapists or child and adolescent therapists are not necessarily taking the time in the beginning.
00:13:07.698 --> 00:13:20.490
Um, then they oftentimes get lost and feel overwhelmed and then their imposter syndrome kicks in and then they're feeling like they don't know what they're doing and it feels awful.
00:13:21.078 --> 00:13:28.759
And so, um, there's a Facebook user says using case conceptualization in my practicum class right now.
00:13:29.129 --> 00:13:30.559
That is awesome.
00:13:30.570 --> 00:13:37.039
Um, and I'm assuming that's probably not a play therapy class.
00:13:37.639 --> 00:13:43.059
But probably more case conceptualization in general, which is excellent.
00:13:44.220 --> 00:13:55.539
And I think probably one of the things that you'll have to do then is make sure with your play therapy theoretical model, how are you going to use that model to do the case conceptualization?
00:13:56.029 --> 00:14:11.139
So, um, that's one of the things that I do in my case conceptualization course, the, um, Getting Grounded in Play Therapy Case Conceptualization, because there's a book, if you're interested, this book is golden.
00:14:11.509 --> 00:14:14.570
It's by Len Sperry and John Sperry.
00:14:15.049 --> 00:14:20.759
Case Conceptualization, mastering this competency with ease and confidence, second edition.
00:14:21.220 --> 00:14:33.865
Also, the, the DSM 5 has a whole, uh, section on case formula, uh, clinical cultural case formulation in there.
00:14:33.875 --> 00:14:35.774
And so, um, what?
00:14:35.784 --> 00:14:46.833
So what I've what I've done is I took a lot of the information from here, um, and the DSM and other resources and kind of used a play therapy lens.
00:14:46.854 --> 00:14:52.034
If you're using your case, case conceptualization from play therapy.
00:14:52.565 --> 00:15:05.335
So today what I want to do is talk about that, um, what's the cultural formulation component of case conceptualization?
00:15:05.604 --> 00:15:09.955
So first and foremost, I'll just kind of briefly review case conceptualization.
00:15:10.264 --> 00:15:26.110
If you're interested in learning more or hearing more about what I've talked about, feel free to hop over to probably if you're in my Facebook group, all of the live replays are pinned in the featured section.
00:15:27.559 --> 00:15:35.240
Um, if you're in LinkedIn, uh, and probably even Instagram, maybe it's probably better to hop over to my YouTube channel.
00:15:35.629 --> 00:15:40.360
My YouTube channel is Cathi Spooner, Renewing Hearts Training.
00:15:40.855 --> 00:15:45.995
And if you click in the live tab, all of the replays are over, uh, over there.
00:15:46.004 --> 00:15:55.404
Feel free to, uh, if you find this information helpful on the YouTube, please feel free to like it and share it across your social media platforms.
00:15:55.434 --> 00:16:00.514
On `my YouTube channel, you can subscribe so you get and click the notification bell.
00:16:00.514 --> 00:16:04.144
So you do get notified, but all the replays are there.
00:16:04.605 --> 00:16:11.034
Um, So the book title is, uh, Case Conceptualization.
00:16:11.854 --> 00:16:15.693
It's by Len Sperry and John Sperry.
00:16:15.734 --> 00:16:22.943
I'll hold it up so maybe you can see it a little bit in the, in the, uh, uh, camera there.
00:16:23.384 --> 00:16:30.085
Uh, Case Conceptualization, Mastering This Competency with Ease and Confidence, second edition.
00:16:31.294 --> 00:16:33.964
And it's the, the book is a really good book.
00:16:33.964 --> 00:16:35.840
I, I, I highly recommend it.
00:16:35.840 --> 00:16:37.759
I don't get any kickbacks from this book.
00:16:37.759 --> 00:16:39.559
I just really think it's a good book.
00:16:39.649 --> 00:16:46.309
I like to let people know about it, especially in the play therapy world, because we don't really talk about it that much.
00:16:47.190 --> 00:16:57.690
So case conceptualization is essentially ident gathering information to identify exactly what's going on.
00:16:58.085 --> 00:17:05.284
What are the roots underlying the behavior and what patterns are sustaining it?
00:17:05.295 --> 00:17:10.294
So why is it, what specifically is happening and why is it happening?
00:17:10.625 --> 00:17:15.375
And that requires looking at some of the patterns within the family system.
00:17:15.914 --> 00:17:33.845
The reason it's important is kind of what I've already talked about already is it's really getting that case conceptualization gives you a better idea of what what actually is going on so that when you are determining what, what play therapy intervention model.
00:17:33.855 --> 00:17:34.825
So this is a treatment.
00:17:34.835 --> 00:17:37.523
It ties directly in with treatment planning.
00:17:37.525 --> 00:17:40.773
And I'm going to talk a little bit more about that later.
00:17:41.865 --> 00:18:01.914
Um, because if you don't really target the right area, then you, you could be going in the wrong direction, which is possibly what that's probably what explains why you're feeling lost and overwhelmed because you don't know exactly what's going on.
00:18:01.914 --> 00:18:07.494
You don't know why you're using the interventions that you're using or how they're supposed to be helping.
00:18:08.664 --> 00:18:13.565
So if you take that time at the beginning, at the very beginning.
00:18:14.029 --> 00:18:15.949
then it's going to help you later on.
00:18:16.429 --> 00:18:22.709
And we're always an assessment model from start to finish all the way through.
00:18:22.709 --> 00:18:25.089
We use our clinical decision making.
00:18:25.089 --> 00:18:29.739
We kind of use our assessment throughout the change process.
00:18:30.259 --> 00:18:36.410
And I always say like the first 90 days are really taken what we've gathered.
00:18:36.878 --> 00:18:52.648
Initially with parents and depending on the age of the child through that psychosocial assessment that biopsychosocial cultural spiritual assessment and formulating our treatment plan and our diagnosis to kind of give us an idea.
00:18:52.648 --> 00:19:09.128
Okay, here's where I want to start and then we typically take that first 90 days or so to get a better sense and kind of hone in on that a little more closely to figure out and get a sense of what's going on, build that therapeutic rapport.
00:19:10.549 --> 00:19:16.109
And so here's where I am going to, I'm going to have a different opinion.
00:19:16.669 --> 00:19:22.920
Of some of the industry norms in the play therapy community.
00:19:22.920 --> 00:19:24.079
And how do I know this?
00:19:24.569 --> 00:19:37.049
So as I'm developing these courses and my next one, the next course coming up in this Getting Grounded in Play Therapy Excellent Series, is Getting Grounded in Play Therapy Treatment Planning.
00:19:37.638 --> 00:19:39.529
How, what is treatment planning?
00:19:40.000 --> 00:19:50.499
And how, and I also in this course kind of break it down to the mechanics of like, how do you write a, uh, play therapy goal that lines up with your play therapy model?
00:19:50.509 --> 00:19:52.819
How do you write those dang objectives?
00:19:53.128 --> 00:19:55.909
What's the difference between interventions and objectives?
00:19:55.909 --> 00:19:57.459
And how do I write this dang thing?
00:19:57.459 --> 00:19:58.289
And why is it not?
00:19:58.680 --> 00:20:09.339
You know, so it's not just a paperwork product process to meet the documentation gods and the insurance gods, but really make it useful.
00:20:09.680 --> 00:20:15.759
So as I've been going through and doing some more research for this, in addition to what I've done for the previous courses.
00:20:16.299 --> 00:20:29.838
One of the things that I've noticed over and over is some, some of the, um, leaders in the field will say things like, Oh, you don't really need to do the assessment or we don't really do treatment plan.
00:20:29.838 --> 00:20:32.230
It's kind of more of an intuitive process.
00:20:33.490 --> 00:20:37.089
And I don't, I don't disagree that it's an intuitive process.
00:20:37.109 --> 00:20:39.500
I do believe that it's an intuitive process.
00:20:39.500 --> 00:20:46.420
Where I, what I do disagree is the fact that we don't need to do that assessment at the beginning.
00:20:46.960 --> 00:20:51.858
Um, because what I found is play therapists get lost.
00:20:51.858 --> 00:20:55.818
You get lost in the, especially in the beginning when you're learning it.
00:20:56.318 --> 00:21:01.220
I don't, I can't tell you how many times I've talked with play therapists who are learning.
00:21:01.594 --> 00:21:09.664
And they're lost and they don't know what's going on and they feel like a big fraud and they feel horrible And it's overwhelming and they start thinking.
00:21:09.673 --> 00:21:12.094
Well, maybe i'm just not cut out for this.
00:21:12.364 --> 00:21:21.934
Maybe I just wasted all my money getting a master's degree because i'm horrible at this When in fact, it's not that at all most of the time.
00:21:22.250 --> 00:21:38.160
Most of the time is they just haven't gotten a good grounding and learned how to do case conceptualization that will inform their treatment planning that's culturally informed to meet the specific needs of each client.
00:21:38.538 --> 00:21:44.529
And, um, that's what really helps to make an impact.
00:21:44.829 --> 00:21:47.130
We do need therapeutic rapport.
00:21:47.160 --> 00:21:49.349
It is an intuitive process.
00:21:49.430 --> 00:21:50.299
Absolutely.
00:21:50.299 --> 00:21:51.789
It's all of those things.
00:21:52.619 --> 00:21:57.150
And in my opinion, it's not either or it's not black and white.
00:21:57.150 --> 00:22:02.179
It's not binary, no assessment or only assessment.
00:22:02.469 --> 00:22:03.828
It's not that way.
00:22:03.828 --> 00:22:22.124
It's the, it's the balance and the blend of both pillars of treatment that you bring your personality and your kind of flavor into the play therapy process with that balance.
00:22:22.144 --> 00:22:30.724
And that will help you navigate through the play therapy process and make the impact that you want to make.
00:22:30.734 --> 00:22:31.615
That's why we do it.
00:22:31.615 --> 00:22:32.763
It's a hard job.
00:22:33.134 --> 00:22:39.604
When we, you know, we can, we can struggle and work through and kind of, ah, sometimes through the process.
00:22:39.954 --> 00:22:47.044
And you see your clients making that breakthrough and getting to that next phase and getting that aha moment.
00:22:47.044 --> 00:22:50.003
And you're like, yes, this is why I do this.
00:22:50.054 --> 00:22:51.714
This is why I keep going.
00:22:52.174 --> 00:22:59.325
So in order to do that, we need these foundational basics and case conceptualization is one of those.
00:23:00.625 --> 00:23:05.544
So, oops, I forgot to use my little banners here on on a stream yard.
00:23:05.544 --> 00:23:07.334
I can create these little banners.
00:23:07.513 --> 00:23:08.984
They don't show up on Instagram.
00:23:09.474 --> 00:23:12.784
Um, so that's case conceptualization.
00:23:13.094 --> 00:23:24.284
The next part of this, what I want to talk about is mostly the focus for, for today's live stream episode, which is cultural formulation.
00:23:24.464 --> 00:23:33.569
What is cultural formulation and how, um, in play therapy, and how does that fit into the overall case conceptualization?
00:23:35.240 --> 00:23:57.660
So cultural formulation is essentially, you're recognizing the role of cultural identity, cultural experiences, cultural values, cultural norms, traditions, beliefs, on your client's overall well being and their functioning.
00:23:58.339 --> 00:24:02.809
And how these factors promote resiliency.
00:24:02.819 --> 00:24:07.039
So you're always wanting to make sure you look for some of the resiliency.
00:24:07.279 --> 00:24:09.670
These are the things you want to support.
00:24:10.419 --> 00:24:15.480
And where some of these factors may be contributing to the problem.
00:24:15.920 --> 00:24:29.680
And if you've been working with children and adolescents for a while now, and you work from, with children and families of, from cultures outside of your own, whatever country you're living in.
00:24:30.199 --> 00:24:43.849
And let's say the child has grown up predominantly, I'll say like here in the U S what we find is children who are raised predominantly in the U S. and have parents who were raised predominantly in other cultures.
00:24:44.309 --> 00:24:46.809
Those two can be a clash sometimes.
00:24:46.809 --> 00:24:50.170
And those are usually the ones we're seeing in our office.
00:24:50.578 --> 00:24:54.730
So the, the goal is how do you help them navigate through that?
00:24:55.210 --> 00:24:58.319
First though, you have to understand what it is.
00:24:58.579 --> 00:25:00.319
You have to understand.
00:25:00.619 --> 00:25:03.319
what the cultural identity is.
00:25:03.730 --> 00:25:15.569
And which family members are ascribing to that cultural identity and what varying degree do they kind of identify with cultural their culture.
00:25:16.548 --> 00:25:19.359
Or what ways are they rejecting their culture?
00:25:19.809 --> 00:25:26.119
Um, which is maybe part of the problem that the parents and the children are experiencing.
00:25:26.619 --> 00:25:28.519
So you're you're looking at that.
00:25:28.519 --> 00:25:40.959
You want to understand how do those factors contribute to the problem and how does culture influence your client's understanding of the problem?
00:25:41.589 --> 00:25:53.589
How does culture influence parents or grandparents or extended family members or the community in which they are a member of?
00:25:53.900 --> 00:25:58.579
How to all how does culture influence their understanding of the problem?
00:25:58.999 --> 00:26:02.628
How and that's including parents and family members.
00:26:02.859 --> 00:26:05.048
So you're looking at those things.
00:26:05.409 --> 00:26:20.269
And in the case conceptualization course, the play therapy case conceptualization course, one of the things that I do is I walk you through like what questions to ask in the biopsychosocial assessment.
00:26:20.699 --> 00:26:22.619
Cultural and spiritual assessment.
00:26:22.878 --> 00:26:24.819
What, what questions you want to ask?
00:26:24.829 --> 00:26:30.398
Why do you want to ask them, including the cultural formulation piece.
00:26:30.398 --> 00:26:45.199
And then taking that information, I walk you step by step through the case formulas, uh, case conceptualization process for children and their families using a play therapy lens.
00:26:46.169 --> 00:26:53.219
And then that's going to help you to do your treatment planning, which is the next course.
00:26:53.219 --> 00:26:58.000
That course will be coming out in, in, um, July next month.
00:26:58.720 --> 00:27:03.398
So, so how do you take that information?
00:27:03.398 --> 00:27:07.019
So now you have case formalization.
00:27:07.469 --> 00:27:12.769
How does case, uh, cultural formulation help with treatment planning?
00:27:13.289 --> 00:27:16.299
Because there needs to be a reason, right?
00:27:16.319 --> 00:27:17.730
There's a reason we're doing this.
00:27:17.730 --> 00:27:18.479
It's the whole.
00:27:18.625 --> 00:27:35.734
The reason we're doing this is to get really good outcomes for clients so that you can make a difference in their life and be part of that change process with them within that context of a strong therapeutic relationship.
00:27:36.954 --> 00:27:57.519
So when you do your cultural formulation and how it impacts your treatment planning, is when you're doing your cultural formulation, you're also checking your own biases about culture, especially if that culture is different from your own.
00:27:57.930 --> 00:28:15.184
You want to, because a lot of times what's culturally, um, typical, what's the norm in one culture, we often may find that to be we may misunderstand it or misdiagnose it all together.
00:28:15.704 --> 00:28:30.035
Um, and so really understanding where our clients are coming from, meeting them exactly where they are so you can help them get where they want to be is really important.
00:28:30.355 --> 00:28:37.825
It also ensures that you're not, you're going to reduce the likelihood of misdiagnosing.
00:28:38.214 --> 00:28:54.824
If there's something that's a cultural norm for your client's culture, but you're not familiar with it, or you're not understanding or recognizing it, it does increase the likelihood that you may misdiagnose your client.
00:28:55.153 --> 00:28:59.693
And the reason that's important is because you'll be focusing on the wrong thing.
00:29:00.115 --> 00:29:06.493
And you may be ascribing something as a problem when it may not be the problem.
00:29:06.703 --> 00:29:08.835
It may just be their way of being.
00:29:09.174 --> 00:29:15.384
And then that's your own bias showing up in this formulation process.
00:29:15.914 --> 00:29:34.865
So that the importance of it is to make sure that you're actually you're accurately recognizing how culture plays a role in the problems your clients are experiencing as well as recognizing any of those resiliency factors.
00:29:35.434 --> 00:29:51.990
And when you're recognizing culture and cultural norms and respecting those, that's also going to increase your ability to establish a strong therapeutic rapport.
00:29:52.400 --> 00:30:18.690
Really, respecting and validating parents concerns about culture as well as the children's experience of their culture and their family and and really helping parents and children come together around areas that may be creating some some conflict and some disconnect rupture in their relationship.
00:30:19.308 --> 00:30:35.190
But also Um, being respectful of culture and we had this one family we were working with, um, and it was round eating and it was a family, um, from another culture.
00:30:35.589 --> 00:30:43.539
And so, and in that culture, food is huge and making sure you're feeding your family and feeding your kids.
00:30:43.559 --> 00:30:49.449
But for this, uh, little client, the food had become a way of dealing with emotions.
00:30:49.769 --> 00:31:12.664
So there's a lot of unhealthy eating and so working through that with mom and then what mom did she went on the internet on youtube and found uh some youtube channels focused on cooking the food that is you know, from her culture, but found healthy ways of cooking the food.
00:31:13.075 --> 00:31:41.388
And so, you know, working through and respecting that process, I think is really important and being able to develop that rapport and showing parents that you respect them and their culture and helping them recognize where they're this this may not work so well here in this, this part here in our country, um, you know, with some of the parenting, typical parenting approaches and from other countries like here in the U.
00:31:41.388 --> 00:31:43.480
S. they don't go over so well.
00:31:44.160 --> 00:31:49.929
So being able to be respectful because the intent is to be a good parent.
00:31:50.230 --> 00:31:53.579
The intent is that they love their child.
00:31:53.910 --> 00:32:00.775
The intent is they want their child to grow up and be healthy, happy and productive.
00:32:01.115 --> 00:32:17.585
We can always join on that intent and build rapport around that and recognizing some of those positive areas and those positive things about culture and then work with some of the areas where it may need change.
00:32:18.464 --> 00:32:21.255
So that is it for today.
00:32:21.694 --> 00:32:26.684
Um, if you, I'm just going to do a quick recap.
00:32:27.075 --> 00:32:54.900
So first and foremost, case conceptualization is an important competency to master and play therapy because it's the difference between feeling lost, overwhelmed, and feeling like a big giant imposter and getting minimal results, to really recognizing what's going on so you can get amazing results and make an impact and make a difference in the lives of your clients.
00:32:55.220 --> 00:33:03.529
And again, we want to make sure that we balance out, um, gathering information, doing that assessment process.
00:33:04.019 --> 00:33:23.089
with using your play therapy theoretical lens because that's going to help to identify your play therapy theoretical lens will influence how you how you identify and make sense of and describe what the problem actually is.
00:33:23.638 --> 00:33:30.329
And then using that case conceptualization to do your treatment planning.
00:33:30.339 --> 00:33:32.460
That will influence diagnosis.
00:33:32.960 --> 00:33:35.099
Diagnosis is not a bad word.
00:33:35.109 --> 00:33:37.279
It's not all about diagnosis.
00:33:37.670 --> 00:33:44.088
And we want to make sure to get an accurate diagnosis because it gives you an idea of what's going on.
00:33:44.289 --> 00:33:46.449
How many different kinds of anxiety are there?
00:33:46.490 --> 00:33:47.179
There's a ton.
00:33:47.579 --> 00:33:51.990
And you want to make sure you understand the difference between is this trauma?
00:33:53.025 --> 00:33:57.664
Or is it ADHD or is it anxiety?
00:33:57.734 --> 00:34:09.193
They all share similar symptoms, but if you don't do that case conceptualization, you're possibly going to miss what are the roots of that and misdiagnose altogether.
00:34:09.213 --> 00:34:11.153
I have seen that happen over and over.
00:34:12.195 --> 00:34:14.503
And it's not to say we're never going to misdiagnose.
00:34:14.514 --> 00:34:16.094
Sometimes we do miss it.
00:34:16.480 --> 00:34:24.570
Sometimes, you know, we'll start out with one diagnosis, and as we're getting into, you know, the middle part, we're realizing, oh, I think this is probably something else.
00:34:25.030 --> 00:34:26.478
Those things do happen.
00:34:26.960 --> 00:34:30.829
Um, but it's not, in my opinion, a reason not to do it in the beginning.
00:34:31.750 --> 00:34:39.630
That's just kind of where I, I tend to take a different stand on that particular, um, topic.
00:34:39.960 --> 00:34:44.769
And so the second thing is, what is case, what is cultural formulation?
00:34:45.099 --> 00:34:53.340
Which is really learning how to develop a cultural, um, culturally informed case conceptualization.
00:34:53.815 --> 00:35:05.025
So that it ensures you understand your client in a holistic way and, um, this client lives within the context of family and community.
00:35:05.385 --> 00:35:21.110
And those families and communities come with specific cultural norms, beliefs, values, traditions, ways of understanding and make sense of, um, what your client is going through.
00:35:21.449 --> 00:35:46.599
So you want to make sure to understand that and create it does when you're using that cultural formulation, that cultural lens, you're also creating cultural safety, which is an important part of that therapeutic communication with your client, because culture is dynamic and it's deeply embedded in a person's way of being.
00:35:46.900 --> 00:36:36.539
So within the context of that therapeutic communication that you're having, you're more aware of those dynamics of the culture and how those show up within that communication, that, um, interaction in those therapy sessions and how you might be communicating in a way that may be problematic for your clients or misunderstanding maybe their way of, like if they don't understand anything in their culture, they don't want to look like they're a bad parent or that they don't understand what you're saying So they may not tell you and they may just say yeah I get it and they don't and you're like racking your head like why are they not doing what i'm saying is the best thing for them to do.
00:36:37.019 --> 00:36:38.498
Are they just being willful?
00:36:38.498 --> 00:36:39.750
Are they a terrible parent?
00:36:39.900 --> 00:36:54.739
Well, it may not have nothing to do with that It may be that they're a really good parent, but some of those cultural influences are showing up And so how does cultural formulation help with treatment planning?
00:36:55.389 --> 00:37:14.728
If you're aware of your own cultural biases and your preconceptions, your and what are some of the cultural influences that are going on with not only resiliency, which are, which are the resiliency factors.
00:37:14.739 --> 00:37:17.429
You want to make sure you support those.
00:37:17.679 --> 00:37:19.378
You want to validate those.
00:37:19.648 --> 00:37:21.349
You want to highlight those.
00:37:21.989 --> 00:37:25.989
Um, and then that will that's going to help build rapport.
00:37:25.989 --> 00:37:27.489
That's going to help build trust.
00:37:27.780 --> 00:37:40.150
That's going to help you make sure you check your biases and you check your preconceptual, uh, preconceptions about what's going on to help you make the shift you need to make.
00:37:40.300 --> 00:38:24.300
While also, um, building that relationship so that when you, when you make suggestions for change, where you may be challenging your client's parents or client outside of what's typical in their culture, but maybe not necessarily that may be causing some conflict, then you're going to help that family be able to get to another place where they can respect culture and also maybe integrate some of those new things from the new country where they're now living in a way that, is comfortable and compatible with the beliefs and values of the, that particular family.
00:38:24.300 --> 00:38:26.260
And that's a case by case basis.
00:38:26.849 --> 00:38:38.300
So if you're, and, and so when you're doing, you're creating your treatment plan and you're in that treatment planning process to figure out what type of play therapy model are you going to use?
00:38:38.329 --> 00:38:40.579
What kind of interventions are you going to use?
00:38:40.650 --> 00:38:43.329
Who's involved in the treatment process?
00:38:43.610 --> 00:38:46.110
How often are parents going to be involved?
00:38:46.530 --> 00:38:47.010
How are they?
00:38:47.090 --> 00:38:48.940
How often are you going to see with kids?
00:38:49.849 --> 00:38:51.869
What are you going to do with them in the sessions?
00:38:51.889 --> 00:39:03.289
All of those things, you're going to have a much more grounded, holistic, accurate and respectful process in the, in the play therapy process.
00:39:03.878 --> 00:39:05.920
So that is it for today.
00:39:06.219 --> 00:39:21.889
Um, if, again, if you found this information helpful, please like it and share it across your social media platforms, all of the replays, if you ever want to watch any of the past ones, you can, if you're in my Facebook group, you can pop into the featured section.
00:39:21.889 --> 00:39:22.900
They're all in there.
00:39:23.309 --> 00:39:35.869
Otherwise you may want to just pop over to my YouTube channel, Cathi Spooner, Renewing Hearts Training, click on the live tab and all of my live replays are in there on all kinds of different topics.
00:39:35.998 --> 00:39:38.250
Please feel free to share those as well.
00:39:38.719 --> 00:39:48.179
If you're interested in Play Therapy Academy, if you're interested in online play therapy consultation, also known as supervision.
00:39:48.670 --> 00:39:53.489
I do have a few openings left in my play therapy group.
00:39:53.489 --> 00:40:02.059
I have one on Saturday and one on Wednesday evening, my time, one on Saturday morning, my time and Play Therapy Academy.
00:40:02.398 --> 00:40:04.148
It's really hands on.
00:40:04.159 --> 00:40:07.070
We have a case presentation schedule.
00:40:07.579 --> 00:40:10.659
And people in the group will present their schedule.
00:40:10.659 --> 00:40:13.309
We'll talk about case conceptualization.
00:40:13.539 --> 00:40:16.960
What specific play therapy model are you using?
00:40:17.318 --> 00:40:19.539
How are you applying the model?
00:40:19.800 --> 00:40:21.530
We give lots of feedback.
00:40:21.539 --> 00:40:25.110
You, there's some amazing people in our group.
00:40:25.519 --> 00:40:31.630
Um, and they, they always add, um, resources and information.
00:40:31.639 --> 00:40:41.405
So you not only get my 30 years of experience in child and adolescent therapy, you also get the collective wisdom and brilliance of the group.
00:40:41.405 --> 00:40:42.264
That's what I say.
00:40:42.644 --> 00:40:49.434
And then also in Play Therapy Academy, the pro it's a program that includes the twice a month.
00:40:50.105 --> 00:40:58.375
online groups, as well as all of the courses from the Getting Grounded in Play Therapy Excellence Series.
00:40:58.833 --> 00:41:02.445
In addition, we have a group chat for support in between session.
00:41:02.445 --> 00:41:06.074
And there's some other bonuses that come with play therapy Academy.
00:41:07.324 --> 00:41:17.340
If you don't need Play Therapy Academy, and you already have, uh, supervision with someone, or maybe you're already in RPT, but you want to take some of these courses.
00:41:17.630 --> 00:41:20.500
They're available a la carte, so to speak.
00:41:20.500 --> 00:41:22.298
You can buy them separately.
00:41:22.329 --> 00:41:24.699
Just pop over to my website.
00:41:25.989 --> 00:41:31.744
The one that I've been talking about recently is Getting Grounded in Play Therapy Case Conceptualization.
00:41:31.965 --> 00:41:34.105
I have some other courses over there as well.
00:41:34.514 --> 00:41:40.764
If you're interested in the courses, you can pop over to my website, which is rhplaytherapytraining.
00:41:43.253 --> 00:41:43.844
com.
00:41:44.184 --> 00:41:46.635
The courses will be on the courses page.
00:41:47.083 --> 00:41:55.929
If you're interested in Play Therapy Academy, then pop over to the website and go on the supervision page.
00:41:56.179 --> 00:42:04.570
You'll see information about Play Therapy Academy and you can schedule a free 30 minute call with me, a video call.
00:42:04.570 --> 00:42:06.500
We can talk about Play Therapy Academy.
00:42:06.500 --> 00:42:08.440
See if it's a good fit for you.
00:42:08.889 --> 00:42:11.320
Um, I do only have a few spots left.
00:42:11.320 --> 00:42:21.630
So if you're interested, you probably want to contact me sooner rather than later because I'm not doing, uh, when they close, they'll be closed for a while until somebody is not doing anymore.
00:42:22.079 --> 00:42:23.440
So, all right.
00:42:23.989 --> 00:42:28.268
So I will see you next week and have a good week.
00:42:28.268 --> 00:42:28.653
Bye.
00:42:29.704 --> 00:42:33.644
Thank you for joining me on this episode of Next Level Play Therapy.
00:42:34.125 --> 00:42:42.893
I hope you found the discussion valuable and gained new insights and ideas to support your work helping children, adolescents, and families heal.
00:42:43.514 --> 00:42:48.545
If you enjoyed this episode, be sure to subscribe to the podcast and leave a review.
00:42:48.965 --> 00:42:54.184
Your feedback helps to improve and reach more people who can benefit from this information.
00:42:54.945 --> 00:42:55.525
Remember.
00:42:55.965 --> 00:42:58.724
Play therapy is a powerful tool for healing and growth.
00:42:59.505 --> 00:43:09.775
Whether you're a new play therapist or experienced, I encourage you to continue your learning journey to unlock the potential of play in your own work and relationships.
00:43:10.795 --> 00:43:17.224
If you have any questions or topics, suggestions for future episodes, I'd love to hear from you.
00:43:17.855 --> 00:43:29.634
Connect with me on social media and visit my website at Renewing Hearts Play Therapy Training to stay updated on upcoming episodes, trainings, and resources.
00:43:30.405 --> 00:43:33.494
Thank you once again for listening to Next Level Play Therapy.
00:43:33.974 --> 00:43:37.664
Until next time, keep playing, learning, and growing.
