mixed familyEnhancing Cultural Competence in Clinical Care Settings (4C)

The 4C's training was a year-long training program in support of the social and emotional needs of young children and their families. This training was designed to increase capacity for professionals who work with young children to more effectively address their complex needs using evidence based practices and culturally responsive approaches. The training program held its last training session on November 20, 2016 with 69 participants enrolled in the program. 

The 4C's project was framed around two models: The Neurorelational Framework (NRF) developed by Dr. Connie Lillas and "The Use of Self as a Cultural Being" developed by Dr. Valerie Batts.

The NRF is a tool that provides a holistic, psychobiological, and brain-based approach to assessment and treatment, holding both the resilience and dysfunction in parent-child relationships, and individual differences. While the NRF assists with a comprehensive approach to infants, children and their parents on a “micro” level, there is also a strong component to helping communities create more robust links across systems of care on a “macro” level. The cultural competency model, "Use of Self as a Cultural Being" engages participants in a multi-cultural process of change that promotes recognition, understanding and appreciation of differences at the personal, interpersonal, institutional/systemic and cultural levels.

The cultural competency model, "Use of Self as a Cultural Being" engages participants in a multi-cultural process of change that promotes recognition, understanding and appreciation of differences at the personal, interpersonal, institutional/systemic and cultural levels. 

In addition to case presentations and practice sessions that integrated the above referenced models, other expert trainers were invited as faculty. They trained clinicians on sensory processing disorders in children and working with children and families who have experienced trauma. As a result of this advanced training, practitioners will become proficient in the application of the NRF to clinical cases, and will be able to apply the framework with a cultural lens that meets the unique needs of families. 

In light of ongoing interest in the training program, we are currently seeking funding to launch a new cohort in 2017.  If you or someone in your agency is interested in being placed on a waiting list, please send an email to Wendy Davis at wdavis@csufresno.edu.

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Year 2 4C Session Handouts:                           01/13/16 - 11/18/16 

January 13, 2016         

Step 1:

1. Step 1 Cheat Sheet

2. Awake States with Stress Responses

3. Are you in the Green? (Color)

4. 4 Toxic Stress Patterns

5. Awake States with Stress Responses

Step 1: Heart, Hand, Head

1. Step 1 Cheat Sheet - Heart, Hand, and Head

2. Who we are at our Best!

3. Interpersonal Modes with Modifications

4. Heart, Hand, and Head Personal Worksheet

5. NRF Links to Cultural Competency

Step 2: 

1. Step 2 Cheat Sheet

2. Levels of Engagement With Ages

3. Levels of Engagement Without Ages

4. Blank FEDL

Step 3: 

1. Step 3 Cheat Sheet

2. Four Brain Systems: Macro & Micro Levels

3. History Worksheet for the Four Brain Systems

4. Current Brain Capacities Worksheet

5. Brain Systems: Stress Triggers and Recovery Toolkits    

January 28, 2016

Reading Material:

Chapter 3:  Brains in Relationship: Using the Neurorelational Framework with Dyads

January 29, 2016

February 12, 2016             

Reading Material:

CONDITIONS UNDER WHICH RACIAL LEARNING OCCURS

February 19, 2016

February 25, 2016

February 26, 2016

* ALL HANDOUTS PROVIDED ON 02/25/16 **

March 17, 2016

April 15, 2016

April 29, 2016

** NO OTHER HANDOUTS PROVIDED**

June 24, 2016        

July 15, 2016

Reading Material:

NEUROCEPTION: A Subconscious System for Detecting Threats and Safety

August 26, 2016

4C RESOURCE DIRECTORY

September 30, 2016             

October 21, 2016

NO OTHER HANDOUTS PROVIDED

November 18, 2016

SCROLL UP

Year 1 4C Session Handouts:                           01/2015 - 11/2015 

Session 1: Friday, January 23, 2015

Dr. Lillas PowerPoint Slides

  1. Possible Regulation and Stress Response
  2. Circle of Security
  3. Awake States with Stress Responses
  4. Isolated Green, Red, Blue Combo
  5. Interpersonal Modes with Modification
  6. HHH Worksheet
  7. Awake States with Stress Responses  

Reading Materials:

Infant Early Childhood Mental Health, Chapter 5

The Neurorelational Framework 

Session 2: Friday, January 30, 2015

Dr. Lillas PowerPoint Slides

         8. Who we are at our Best/Worst (English)

         9. Levels of a Relationship

       10. Blank FEDL 

Session 3: Friday, February 6, 2015

Dr. Batt's PowerPoint Slides

Reading Materials:

Chapter 6: Developing Trans-culturally Sensitive Theory and Practice

Chapter 2: Is Reconciliation Possible?

Racial Microaggressions in Everyday Life

Session 4: Friday, February 20, 2015

Dr. Lillas PowerPoint Slides

       11. NRF Brain System's

       12. NRF Macro/Micro Mapping

       13. Brain Systems Triggers and Toolkits (yourself)

       14. Brain Systems Triggers and Toolkits (your partner)

       15. Brain Systems Triggers and Toolkits (your child)

       16. Pathways Speech and Language Communications

       17. Pathways Awareness Infant Motor Development

       18. Do you know me? (general)

       19. Do you know me? (teachers)

       20. Do you know me? (Spanish)

       21. Sensory Parental Checklist

       22. Sensory Screener

       23. Sensory Assessment

       24. Safe Zone

       25. Emotions Color Wheel

SCROLL UP

Session 5: Wednesday, March 18, 2015 - WEBINAR MEETING

  Dr. Lillas PowerPoint Slides

       26. Application of NRF to High Risk Community for System's Change

Session 6: Friday, March 20, 2015

Dr. Batt's PowerPoint Slides #1

Dr. Batt's PowerPoint Slides #2

Session 7: Friday, April 24, 2015

Dr. Lillas PowerPoint Slides

     27. Blank FEDL

     28. Brain Systems Triggers and Toolkits for Child

     29. Heart, Hand and Head Patterns

     30. Mapping: Macro and Micro Levels

     31. Adverse Childhood Experience Scale

     32. Resilience Questionnaire

     33. History Worksheet for the Four Brain Systems

     34. Current Brain Capacities

 Reading Materials:

A Problem in our Field

Moving Away from WEIRD:
Systems-Based Shifts in Research, Diagnosis, and
Clinical Practice

Session 8: Friday, May 29, 2015 

 Rosemary White's PowerPoint Slides

Session 9: Friday, June 19, 2015

Rosemary White's PowerPoint Slides

Reading Materials:

The Social Power of Touch

Session 10: Friday, August 21, 2015

Dr. Lillas PowerPoint Slides

  1. NRF Casual Loop Diagram
  2. Blank FEDL
  3. History Worksheet for the Four Brain Systems
  4. Current Brain Capacities for Child and Parents
  5. Do you know me?
  6. Pathways Speech and Language Communication
  7. Pathways Awareness Infant Motor Development
  8. Anthony and Erica's Symptoms and Diagnosis
  9. NRF Macro and Micro Mapping
  10. NRF Four Brain Systems

Session 11: Friday, September 18, 2015

Dr. Lillas PowerPoint Slides

Dr. Batt's PowerPoint Slides

Agenda

  1. Brain Systems Triggers and Tool Kits
  2. Increasing Flexibility in Character Roles Across Emotional Themes
  3. Step 1 - Revised Case Review Cheat Sheet
  4. Step 2 - Final Cheat Sheet
  5. Ego State Model's (Val's handout)
  6. Cultural Integration Questionnaire ( Val's handout)

 Session 12: Friday, October 9, 2015

Jessica Richards' PowerPoint Slides

Cathy Pope's PowerPoint Slides

Agenda

  1. Brain Systems: Stress Triggers and Recovery Tool Kits 
  2. Brain Systems: Stress Responses, Triggers, and Recovery Resources 
  3. The Neuro-relational Framework's Three Clinical Steps (Tree)
  4. Kai’s Stress Responses and Triggers                           

Session 13: Friday, October 23, 2015                            

PowerPoint Slides 

Heart, Hand, Head (HHH) Slides

Agenda

  1. Are you in the Green?
  2. Model Case Vignette Notes
  3. (3) Cheat Sheet for HHH
  4. (3) Cheat Sheet for Step One: Assessing Stress Responses and Stress Recovery
  5. (3) Cheat Sheet for Step Two: Assessing the Quality of the Relationship
  6. (3) Cheat Sheet for Step Three: Assessing Strengths and Vulnerabilities in the Four Brain Systems
  7. (4) Brain Systems: Stress Systems and Recovery Tool Kits
  8. (5) The Neurorelational Framework Triggers and Toolkit Menu
  9. (6) Mapping Patli
  10. (7) Mapping Out the Three Steps (K) - First Clip
  11. (8) Mapping Out the Three Steps (K)

Session 14: Friday, November 20, 2015

Connie Lillas PowerPoint Slides

Valerie Batt's PowerPoint Slides

Agenda

  1. Ego State Model
  2. Levels of Engagement Without Age
  3. Cultural Integration Questions

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