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Coaching For Life, LLC

Juli Alvarado, MA, LPC,Founder/Sr. Clinical Consultan

ATTACh Treatment ProtocolBelieving in and working toward peace fo all

We are neurobiologicaliy and spiritually designed to b in relationship

Our founding principle in attachment work is that we can not provide fo another that which we do not yetpossess for ourselves. Whether a therapist and client, a parent and child r partner and partner what we fearmost is what we need from another, and that we may not be given. I imply can not provide a peacefulrelationship to you, if I am not at peace. I can not help you learn to ttach if I am not emotionally andintimately connected, or attached, in my own relationships. This olds true in our organizationalconsulting, family therapy and residential treatment work, there is no di

Research in the field of child development and attachment clearly indic es that a child's ability to connectwith and attach to a parent is strongly correlated to the parent's und rstanding of their own early lifeexperiences.

In order to provide emotional, physical and spiritual safety for another, we must feel safe ourselves. Ourwork is geared toward the maximization of our own potential in relati ship to self and to God first, andthen with you, our sacred clients.

Juli Alvarado and all of her staff at coaching for LIFE provide a gentle, on punitive, compassionate, love-based approach for parents and providers struggling with attacbme challenged children and severebehaviors in the home or office.

If there is no relationship, nothing else matters; not what you do, not w at you say, not how you parent orpractice. If the relationship can not first be established as trusting, safe and flexible, no therapy orparenting paradigm will provide long term healing. Pain that has occ rred in the context of relationshipmust be healed in the context of relationship. We teach gentle, heali relationship skills for those whohave suffered trauma, pain, abuse and maltreatment prior to presenting ith us. We will explore togetherthe developing mind and how relationships impact and shape who we ar , and who we can become.

-Together we will work toward the creation of sanctuary' relationship for all-

coaching for LIFE provides training, workshops, or anizational d elo ment, executive and parentcoaching as well as offers a wide variety of educational mate ials in trauma informed care,attachment and regulatory healing models via DVD, Audio CD a d written educational resources.Along with our integrative child psychiatrist, Dr. Mary Braud, , Juli Alvarado has been wellknown on the international training circuit for more than a dec de and is a frequent trainer atnational conferences as well.

coaching for LIFE, LLCinspirational, motivational, educat onal

15400 W. 64th Ave, E-9, Box 171Arvada, CO 80007

www.coaching-forlife.com

Description of Process:Intake/Assessment: The majority of our clients are self referred, howe r many county and private fostercare/adoption agencies contract with CFL in support of their fami es. Many of our clients haveparticipated in trainings or workshops with Juli Alvarado and seek er out for further and ongoingattachment/adoption/foster care support. The intake and assessment st ge of our work is critical for thebuilding of relationship upon first contact.

During this stage we typically meet only with parents, sometimes by ph ne as we work locally, nationallyand internationally, and whenever local, in the home. We do not see c . dren without parents, and we donot provide office based therapy-we find it much more effective to m et with families in the context inwhich they actually have to live and relate.

o Complete intake; symptom checklist, lllPP A, informed consent and procedure for our practiceo Complete and thorough historical intake, back 2 generations, fo each family member, including:o social, education, psychological, treatment, medical, d developmental history, as wello attachment history, family functioning, marital relatio hip, intellectual/cognitiveo abilities and past diagnosiso Psychoeducation: Trauma, Regulation and Attachmento The myth of psychiatric diagnosiso The role of nutrition in mental healtho Review all available programs:

~ Parent Phone Coaching~ Home based attachment therapy~ Intensive Home Based Weekend

~ Organizational Consulting/Program Development in rauma Informed Care andAttachment is our most sought out s rvice

Treatment planning:The parent is the most vital component to treatment. I can not provid for your children what they need,only you can. Yet it is the relationship with you that they need the mo t, that they will also, at times, fearthe most. That is attachment challenge at its core. All of our treatment lanning is geared toward:

Creation of regulation in relationship between parents st, in order to provide that fortheir children

Empowering child and parent to feel, express, process all emotions, no matter how big,but in a safe manner

Calming of the core arousal systemBrain based interactions offered to mold the brain in t get areas around relationshipFamilies will be taught about creating safe sensory, e otional and psychological homes

Treatment Techniques:Regulated relationship is the most powerful tool that I as a therapist, c provide for you, my client. I willwork intentionally, purposefully and consciously toward a safe relation hip to you, so that you in turn mayprovide that for you child, or in an organizational capacity, for your aff. If you can not be vulnerable,open, honest and real with me, I can not help you help your child do th same in relationship to you. I takemuch responsibility for that, as you will need to do with your child or s ff.

All treatment is geared toward emotional regulation and the completio of development stages that, due tomaltreatment, abuse and neglect, have not reached optimal state. ReI ant(development age appropriate),repetitive, relational and rewarding interventions by both therapist and arent are taught.

The biophysiology of stress as well as the neurophysiology of re lation and attachment are primaryfocuses of our interventions toward healthy attachments. The most r levant and up to date research arealways a component of our work as we educate, empower and entrust p ents with the healing of their child

In addition, coachingfor LIFE and Juli Alvarado utilize the following tre tment techniques:

~ Emotional Regulatory Healing~ Parent Education, Always primary~ Parent present in sessions~ All therapy is directed toward the regulation of emotions of all f ily members~ Email support between sessions~ Sensory integration~ Drawings~ Home visits'~ Homeopathy-through Dr. Braud, MD, child psychiatrist with co ching For LIFE~ Marital Therapy~ BodyfMind: Calming Core Arousal System adjunctive treatmen : yoga, massage etc~ Nurturing by parents~ Rhythmic music and arts therapy

Anger, assaultiveness, hostility, defiance, opposmon, depression, an iety, isolation, gorging, truancy,addictions and self harm stem from a state of fear that has literally hij eked the brain. We will help youlearn to change the functioning of the brain first, through our paradi ,Emotional Regulatory Healingthat results in behavioral changes. Built on the most solid rese ch in neurobiology, psychology,psychiatry, development and learning Emotional Regulatory Healing is a paradigm for treatment andparenting that focuses on a deep understanding of trauma, regulation d attachment systems. We teachyou how to parent from the inside out, focusing first on internal proces es of your child and yourself, andthen on the external manifestation or behavior.

Coaching for LIFE has an extensive educational library of audio, dvd d written materials that we use forthe necessary repetitive component of education, and healing change. These materials can be viewed atwww.coaching-forlife.com

SafetylRisk Management:Every interaction, with parent or child, or staff in an organizational cap city, is directed at regulation. Weseek to create an environment first that prevents dysregulation and that is skilled and prepared to handle itwhen it does occur. We NEVER use restraint, physical holds of any e, or any form of coercion. Weremain with the child who is scared and dysregulated until such time th the child can return to functioningwith out harm to self or others. Although we would not intentionall work to escalate a child, we alsoknow that this is the window of opportunity for healing, if the parent an remain engaged, safe, regulatedand available as the child shifts back down to a state of allowing the pent/child relationship to unfold. Ifneeded, I would contact emergency support, but to date have never ad to do that(1l-09, 15 years ofpractice) and as a matter of fact, believe that it is harmful to the chil unless there are literally no otheralternative. In many situations I will use a co-facilitator if I am wor ing with a large family, or with afamily of a child who tends to be more dysregulated, more frequently, a the inception of treatment.

We adhere to the safety principles as outlined in the ATTACh Professio al Practice Manual.

Evaluations/OutcomeslFollow up:Coaching for LIFE has been involved in a longitudinal research roject, with regard to our modelEmotional Regulatory Healing, in collaboration with SAFY, Treatmen Foster Care and Adoption. We arein the second year of intensive training in trauma, attachment, and em ional regulation of all staff, and alltreatment parents across the 8 states in which they are licensed to pro ide services. Each new placementfor one year post training will be included in this project and we antici ate at least 200 children/families tobe involved. Data collection and follow up in all 8 states began in Ju 2009. We anticipate outcomes toreport by Dec, 20 10.

We also conduct internal follow up with each client family, through ph ne and email contact 30, 90, 120days and one year post final session. This provides the opportunity t support and assess the need forfurther treatment.

Many attachment challenged children are taken in by the most well inte ded foster and adoptive parents. Iam one of those foster parents. I know first hand how often we e intellectually and emotionallyunprepared for the task before us. Many of our children are not capabl , yet, of giving and receiving lovein a way that makes sense for our families. Many of these children end p constantly defying and fightingus. Families suffer, marriages suffer, and traumatized parents relinquish heir children, or have them placedinto residential treatment when there are no other options. Early educati n and effective interventions mayprovide you with another option. We would be honored to support you a d your family.

Professionally Submitted:Juli Alvarado, MA, LPC, NCCFounder/Sr. Clinical ConsultantCoaching for LIFE, LLCwww.coaching-forlife.com

believing in and working toward peace for all systems, mily and organizational************************************************ ***********************

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