Description

A structured program proposal presenting an expressive arts intervention framework tailored for young children within the foster care and adoption systems.

Rationale

This framework showcases an ability to convert complex systemic trauma theory into actionable, developmentally appropriate therapeutic interventions for vulnerable youth and family systems.

Caterpillar-to-Butterfly Workshop for Preschool-Aged Foster and Adoptive Youth

L Robinson
September 17, 2023

In my practicum working with families experiencing trauma, one of the most frequent problems encountered is maladaptive externalizing behavior of both youth and adults in family systems. This behavior often results in the perpetuation of traumatic cycles, and some families go on to face the pressure of mandated systemic changes by governmental entities such as Child Protective Services and the Department of Juvenile Justice. One specific population in this dynamic that we serve is foster and adoptive youth. For that population, a major goal is the “termination of self-defeating, acting-out behaviors and acceptance of self as loved and lovable within an adopted family” (Jongsma et al., 2014, p. 29).

The purpose of the workshop is to empower each foster and adoptive youth in forming adaptive, integrated, and resilient self-identity across the variety of circumstances they often encounter. The American Psychological Association describes resilience as “the process of adapting well in the face of adversity, trauma, tragedy, threats, or significant sources of stress” and as a process that benefits from connection with others in groups (2012). Using trauma-informed methods applied on both an individual and group level, each youth will complete and process activities that empower them to form an integrated identity within their own unique and dynamic constellation of family circumstances. By the end of the workshop, the youth should have as Jongsma et al. (2014) describe as the preeminent goal for this population: “Resolution of the question, ‘Who am I?” (p. 29). By answering this question, each youth will consolidate their new resilient identity which can help prevent the experience of further trauma in their family systems.

The following workshop design is an expanded application of the Caterpillar-to-Butterfly approach for 2.5-6 year-olds very briefly introduced in Trauma-focused CBT for Children and Adolescents: Treatment Applications (Cohen et. al., 2012). As a multimodal TF-CBT/play-based therapy approach for young children, the effectiveness of the therapy hinges on structure and predictability. All sessions follow the same format to develop a theme and to facilitate developmentally-appropriate engagement. Each session will begin with 20 minutes of structured individual activity, shift into 10 minutes of group processing, and conclude with 10 minutes of unstructured, non-directive, free play in which the children can engage as a reward for earlier participation, as social stimulation, or as self-soothing after trauma processing (Cohen et al,. 2012). In the first session, the children are introduced to the caterpillar-to-butterfly narrative and are taught butterfly hugs. As a result of the first session, the children will anticipate the thematic significance of the remaining three sessions as well as have a useful grounding technique that is germane to the theme of trauma and development. In the second session, the children will each develop and then share their caterpillars with the group, identifying what they can change. As a result, the children have a multisensory and social experience that will be the basis of adaptive trauma processing and identity integration. In the third session, the children will each develop and then share their cocoons with the group, identifying what they can do to make the change. As a result, the children continue their multisensory and social experience that empowers their self-efficacy and resilience. In the fourth session, the children will each develop and then share their butterflies with the group, identifying what they can do next in their lives. As a result, the children once again use their multisensory and social experience to crystallize their adaptive identity integration over time. By piecing together these component representations of growth- caterpillar, cocoon, and butterfly- the youth will experience the narrative of being intentional and resilient.

The websites at the bottom of the workshop plan further develop some of the approaches included in the workshop as well as provide other approaches for prevention and resilience for foster and adoptive youth and families. The information is presented in various forms including guides, videos, contact information, and papers and is from various organizations including nonprofit and governmental agencies.


Caterpillar-to-Butterfly Workshop Plan


Session 1: Caterpillar-to-Butterfly Narrative and Butterfly Hugs

Goal

  • To understand how caterpillars change into butterflies, to anticipate that the caterpillar-to-butterfly story can apply to everyone’s life, to practice a simple and theme-appropriate grounding skill, and to become familiar with the structure of the remaining sessions.

Objectives

  • Youth will learn that caterpillars use cocoons to change into butterflies
  • Youth will engage in preliminary thinking about changes in their own lives
  • Youth will gain grounding skills for building awareness and enacting positive change

Methods

Caterpillar-to-Butterfly Story Time (10 minutes):

  • Youth assemble in a circle
  • Therapist uses puppets to demonstrate how caterpillars become butterflies, using cocoons. Alternatively, therapist uses crafts representing a caterpillar, cocoon, and butterfly similar to those made by the youth in the workshop (described below).
  • Therapist uses a warm, captivating, and encouraging tone and a script that is empowering, such as: “A big, fuzzy caterpillar…creates a cocoon in the trees after eating a full meal of leaves. It dreams of having beautiful wings and being with other butterflies but wonders how it could change. The caterpillar realizes that it has within itself the ability to become all that it wanted to be, but getting out of the cocoon would require working very hard in order to become free.” (Cohen et al., 2012, chapter 12).

Butterfly Hugs Demonstration (10 minutes):

  • Therapist demonstrates the butterfly hug technique (Artigas & Jarero, 2014)
  • Therapist explains that the youth can use butterfly hugs when they want to feel calm
  • Therapist uses a calm and encouraging tone in a script that is empowering, such as: “This is your butterfly reminding you that you can take as much time as you want in your cocoon and then join him when you’re ready. It’s normal to take time in the cocoon. It’s worth it. And, when you are ready to join your butterfly, everything will be even better than before.”

Non-Directive Play (10 minutes):

  • Therapist maintains a non-directive, facilitative presence in the room and lets youth free-play

Session 2: Caterpillar

Goal:

  • To begin understanding that change can happen, to visualize the foundation for identity integration, and to define concretely what they can preserve in their lives and what they can change in their lives, as represented by the caterpillar.

Objectives

  • Youth will begin exploring their current identities
  • Youth will identify one aspect they like about their lives
  • Youth will identify one aspect they can change their lives

Methods

Caterpillar Activity (20 minutes):

  • Therapist demonstrates how to use glue, cotton rolls, and pipe cleaners to make a caterpillar while stating one thing she likes about her life and one thing she would like to change
  • Each youth constructs a caterpillar
  • Each youth verbally explores one aspect they like about their lives and one aspect they can change as they make the caterpillar
  • Therapist assists youth with the caterpillar construction and exploration, as needed

Group Processing (10 minutes):

  • Youth assemble in a circle
  • Therapist guides each youth to take turns, show everyone their caterpillar, share one thing about their life that they like, and share one thing about their life that they can change
  • Therapist notes each youth’s response

Non-Directive Play (10 minutes):

  • Therapist maintains a non-directive, facilitative presence while youth free-play

Session 3: Coccon

  • To continue understanding that change can happen, to visualize that change is intentional, and to define concretely what they can do to make change, as represented by the cocoon.

Objectives

  • Youth will continue exploring their current identities
  • Youth will reflect on the aspect they like about their lives and the aspect they can change
  • Youth will identify what they can do to make the change

Cocoon Activity (20 minutes):

  • Therapist demonstrates how to use glue, tissue paper, and construction paper to make a cocoon and states what she likes about her life, what she can change, and what she can do to make the change
  • Each youth constructs a cocoon
  • Each youth verbally explores what they can do to make the change as they construct their own cocoon
  • Therapist assists youth with the cocoon construction and exploration, as needed. Therapist refers back to previous notes, as needed.

Group Processing (10 minutes):

  • Youth assemble in a circle
  • Therapist guides each youth to take turns, show everyone their cocoon, restate one thing about their life that they like, restate one thing about their life that they can change
  • Each youth additionally shares what they can do to make the change
  • Therapist notes each youth’s response

Session 4: Butterfly

Goal:

Objectives

Methods

Butterfly Activity (20 minutes):

Group Processing (10 minutes):

Non-Directive Play (10 minutes):


Helpful Websites & Resources

Foster Care Associates

Child Welfare Information Gateway

Post-Adoption Support and Resources

Child Guidance Center


References