Katie and Jaime’s Story

Accomplishing a goal is often not a sprint, but a marathon. Such is the case for Katie* who found the LSI HOPES Home Visiting program in 2017 when she was pregnant and living in a homeless shelter.  

Jaime*, Katie’s LSI home visitor, started working with her, meeting twice a week. Jaime helped Katie create a plan for reaching her two ultimate goals: maintain sobriety and regain custody of her two older children, whom she lost because of her struggles with alcoholism.  

With Katie’s goals in mind, the LSI home visitor helped her set small, tangible goals to set her up on her path to success. For starters, Katie wanted to maintain a healthy pregnancy and to be able to support her newborn baby. Jaime provided education and training during their weekly sessions. Once she reached this goal, Katie’s next step was to find adequate housing for herself and her baby. 

Due to her inability to read, Katie’s home visitor helped her navigate rental websites, read housing applications and understand lease agreements. This support allowed Katie to find a safe home for her and her baby, with the hopes of regaining custody of her other two children. 

Next, Katie wanted to get her driver’s license. Since she was unable to read, Jaime scheduled time out of her own work week to read and audio record the driver’s manual so Katie could successfully prepare for the exam, the test and obtain her driver’s license.  

After four years of participating in the program and achieving all the goals she and Jaime set for her, Katie was able to accomplish her ultimate goal of maintaining her sobriety and regaining custody of her children. The family now lives together in a safe, happy home. 

Katie’s LSI’s home visitor says she learned so much from working with this family and walking alongside them on their journey. “I learned to support Katie’s independence and to empower her by encouraging her to try and to only provide support where it was needed,” she explains. 

LSI’s HOPES program provides support to parents of children pre-birth through age five. The program focuses on supporting families with infant care, parenting, child development, links to community resources and many other aspects of parenting. LSI’s HOPES program offers services in 29 counties all across Iowa.  

 

*Names have been changed to protect the client’s privacy. 

Learn more about services that help people like Katie:

Early Childhood Services

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April’s Story

“I love it when a whole classroom of middle schoolers run down the auditorium hallway for an LSI class shouting ‘April!’ with excitement, ready to learn about healthy relationship skills and self-esteem,” said April Howe, a Program Supervisor for LSI’s Clinical Services team. 

Our LSI Clinical Services team provides various local community programs in schools across Iowa. Whether it’s mental health therapy or programs providing teen pregnancy education, they all share the goal of wrapping care around adolescents at a local level. 

Specifically, April and her team conduct two community programs in nine northwest Iowa counties: Community Adolescent Pregnancy Prevention (CAPP) and Personal Responsibility Education Program (PREP).  

CAPP supports and educates Iowa youth by providing sexual health and pregnancy prevention classes for healthy and successful relationships. PREP helps youth build social, emotional, and life skills to develop a positive sense of self and to connect with peers in their community. PREP utilizes the Teen Outreach Program and Wise Guys evidence-based curriculum. 

“Thank you for teaching our class and taking time out of your day to come to our school. I learned a lot about healthy relationships and how to handle my anger and other emotions. You opened my eyes to my family’s habits and what I want to take with me when I have a family of my own.” 

– High school student to LSI staff member

“The letters that high school students write to our staff about what they learned in class and how they will use the knowledge in their everyday life shows the programs’ tremendous impact,” said April. “We meet the youth where they are at, but also encourage healthy decision-making along the way, which plays a huge role in making prevention education successful.” 

Furthermore, April’s team encourages conversation and participation by providing incentives in the classroom, such as packaged snacks and other LSI materials. “When it comes to engagement in the classroom, I always say, ‘When their stomachs are full, their brains are full,’” shared April with a smile. “Some students would skip school all day, but they show up to the last class of the day, taught by LSI. That, right there, is a win for my team.” 

April’s team has seen significant success in response to their CAPP and PREP community programs. Based on a post-program evaluation, 96% of students in the CAPP program reported that they learned “some” or “a lot” that they didn’t already know about sexual health topics, and 53% agreed that they are now more likely to start conversations about these topics with others. 

“Pregnancy rates have dropped over the last four years in many of our counties served, proving our services are making a difference in our communities,” said April. “Reaching the youth on their level and prioritizing prevention makes our program successful.” 

Learn more about community programs:

Community Programs

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Success Over the Decades

As Kellie Collins, Early Childhood Family Support Worker, reflects on her over two decades of successes in her position, one fact remains true: Kellie was called to service.

Kellie has been with LSI for over 26 years, serving the Sioux City area. In her role, among many other services, Kellie holds groups in LSI’s Teen Parenting Program in high schools, where our program is the sole provider of this service.

“Each family and situation are unique, and we provide services in many different areas which include: setting goals; providing development tools and resources; coaching and teaching skills to both parents and children, and providing screening or referring families when needed,” said Kellie.

“I have seen much success with our programs and services in the Sioux City area,” said Kellie.

“In my years of service, I have witnessed: clients who have fought addiction and stayed sober; clients who have dealt with mental health issues; families who have been in the HHS system and have been able to stay on the right path and raise their children; parents who became citizens and purchased their first home, and first-generation students that  have graduated from high school or college.”

“The list of successes can go on and on, and there are many levels of success, whether big or small,” said Kellie. “I have learned along the way that we may never know how we have helped or impacted a family that we have worked with, but I love hearing from former families and learning how they are doing.”

A message from Mallory Berkenpas, Service Coordinator at LSI:

“Kellie Collins has been a constant comforting presence for the Siouxland families and communities she has served for the past 27 years. Kellie has witnessed the changes the field has experienced over time and continues to put her best foot forward in providing quality services to the children and families of Siouxland. Kellie has a profound passion and unique skill in building rapport and relationships with the families she serves and is a wonderful collaborative partner to peers, school districts, and the communities of Siouxland. Kellie is an immensely valued team member of the Early Childhood team in Sioux City and we are so incredibly grateful to have her!” 

 

Strengthening Families: Stacy’s Story

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Stacy* grew up in a household that moved around, a lot. Her family, due to many circumstances, had lived in almost every state. As an adult, she craved a permanent home and the chance to put down roots. In moving away from her family to find better opportunities, she unfortunately found herself homeless and living in her car. 

Thanks to the resources available in Des Moines, she was able to move into a local homeless shelter for families. When she found out she was pregnant, the shelter connected her with LSI’s Healthy Families America program. This program provides support and parenting education to families from prenatal care up to age 5. HFA is a nationally recognized, evidence-based home visiting program. It is designed to work with families who may have histories of trauma, partner violence, mental health, and/or substance abuse issues to break the cycle and reduce adverse childhood experiences, including child maltreatment. 

Stacy’s stay at the shelter eventually came to an end. She had limited resources, a short amount of time to find a new affordable home, and limited English language proficiency. 

Stacy’s Family Support Specialist (FSS) from LSI made sure that she was able to make her prenatal appointments by finding a ride share or helping her navigate the public transportation system. She and her FSS reviewed different types of rent assistance, affordable housing options, and other financial assistance options so she would be successful living on her own. 

With housing secured, she is now able to focus on making her house a home for her little one and looking forward to enjoying time with her new baby. Stacy’s story is not over. She didn’t have good role models growing up, and she still has struggles ahead. But her Family Support Specialist will visit in her home each week as she learns parenting skills and ways to improve her life.

To learn more about services LSI provides for parents of young children, and to find out what is available in your area of the state, visit LSIowa.org/early-childhood.

*Stacy’s name has been changed for her anonymity. [/vc_column_text][/vc_column][/vc_row]

Family Togetherness – Mealtime

[vc_row padding_setting=”1″ desktop_padding=”padding-one”][vc_column width=”1/1″][vc_column_text]By Anne Peters, LMFT

Life gets so busy. Although the last 14+ months of the pandemic have brought so many difficulties and fears, the one thing I have seen increase is family togetherness. What better way to plan for family togetherness than a family meal? Whether it’s dinner each night or breakfast each morning, a mealtime brings forth a fantastic opportunity for us to simply be with our family. What are the perks to this? Let me share with you! “The Family Dinner Project” shares research that has occurred over the last 30 years.

The following are research-based benefits of enjoying family meals.
– Better academic performance
– Higher self-esteem
– Greater sense of resilience
– Lower risk of substance abuse, depression, and teen pregnancy
– Lower likelihood of developing eating disorders
– Lower rates of obesity
– Better cardiovascular health in teens
– Bigger vocabulary in preschoolers
– Healthier eating patterns in young adults

There are also benefits for adults, including:
– Better nutrition, with more fruits and vegetables and less fast food
– Less dieting
– Increased self-esteem
– Lower risk of depression

The variety of benefits of family mealtime are amazing! From improving our mental health to our physical health, family togetherness at mealtime does it all. What’s your favorite meal to cook together? Here’s a recipe from “Thursday Night Pizza” that’s a family favorite in my house, and the kids can get involved in the cooking!


Personal Pizzas

Equipment
– Cutting board and knife
– Cheese grater
– Prep bowls for toppings
– Rolling pin
– Pizza pans or large rimmed baking sheet(s)
– Pizza cutter
– Serving platter or board

Ingredients
– 1 (14 to 16-ounce) ball pizza dough
– 1½ cups pizza sauce
– 6 ounces mozzarella, Jack, Colby, or cheddar cheese, grated or cut into ½-inch cubes
– Toppings of your choice (sliced bell peppers, onions, mushrooms, olives, roasted red peppers; blanched broccoli or cauliflower florets; chopped artichokes, cooked bacon, cooked chicken; cooked and crumbled sausage; sliced pepperoni or other cured meats; sun-dried tomatoes; etc.)
– Extra-virgin olive oil
– Salt and freshly ground black pepper
– Condiments for serving (ranch dressing, hot sauce, etc.)

Instructions
1. Preheat the oven to 500°F. Line two large rimmed baking sheets with parchment paper or grease them with a little olive oil.

2. Prep your toppings while the oven preheats, and place them all in separate bowls on a counter or table within easy reach of each pizza maker.

3. Cut the ball of dough into four equal-size pieces. Give one piece of dough to each person and let them roll, stretch, or press it out to a 6 to 8-inch circle. Try to avoid overworking the dough; encourage everyone to form their pieces into pizza-size circles and then get right to topping.

4. Place two rounds of dough on each baking sheet and let each person top their pizzas however they like! No combination of ingredients is off limits (as long as there’s enough for everyone). As a general rule, two or three spoonfuls of sauce is plenty for individual pizzas. As far as the other toppings go, however, there are no limits! (Just know that the crust might be flimsy and wet in the middle if you pile on too much. Encourage your fellow pizza makers to grab pinches or spoonfuls rather than handfuls of toppings.) Pro tip: Making pizza faces (see photo above) or other patterns with colorful toppings will prevent pizza makers from overloading their crusts.

5. Transfer the baking sheets to the oven. Bake the pizzas for 10 to 15 minutes, rotating them halfway through, until the crust is golden and the cheese begins to brown in spots.

6. Remove the pizzas from the oven. Drizzle the pizzas with a little olive oil and season with a pinch of salt and a grind or two of black pepper, if desired. Let them cool for a few minutes before slicing.

7. Serve the pizzas on their own or with ranch dressing, hot sauce, or other condiments for dipping/topping.[/vc_column_text][/vc_column][/vc_row]

Top 3 Ways to Redirect Behaviors and Keep the Peace

[vc_row padding_setting=”1″ desktop_padding=”padding-one”][vc_column width=”1/1″][vc_column_text]By Anne Peters, LMFT

Let’s face it – staying calm in the midst of negative behaviors from your children is hard. Let’s see if this sounds familiar:

Child A pushes Child B because he was wanting her toy. Child B screams and pushes Child A back. The dog starts barking, children are screaming, objects are breaking, and you feel like you might lose your cool. You then start yelling and punishing, and each member of the family is now escalated.

We’ve all been there, or at least somewhere similar. Is it effective? Does it feel good? Are our children (or ourselves) learning from these experiences? Not usually. So how can we, as the adults, set the scene to redirect the negative behaviors but also keep the peace (and your own sanity)? First, let’s briefly talk about why your interactions as the parent are key.[/vc_column_text][/vc_column][/vc_row][vc_row padding_setting=”1″ desktop_padding=”padding-one”][vc_column width=”1/1″][vc_single_image image=”26185″ img_size=”large” alignment=”center”][/vc_column][/vc_row][vc_row padding_setting=”1″ desktop_padding=”padding-one”][vc_column width=”1/1″][vc_column_text]Here’s a great visual to help us really understand the importance of our role to be calm in moments of chaos. Here’s our happy family, all feeling pretty good. When we think about our scenario described above, what happens when the family members escalate on their own, but also collectively?[/vc_column_text][/vc_column][/vc_row][vc_row padding_setting=”1″ desktop_padding=”padding-one”][vc_column width=”1/1″][vc_single_image image=”26186″ img_size=”large” alignment=”center”][/vc_column][/vc_row][vc_row padding_setting=”1″ desktop_padding=”padding-one”][vc_column width=”1/1″][vc_column_text]The stress is now spread, and everyone is agitated. Calm interactions are nowhere in sight. This is the point that feels pretty awful for all involved. Here are three tips to redirect those negative behaviors, but also keep the peace.

1. Stay at eye level (or lower) – I have heard several stories from parents who have tried this one simple technique, and have seen meltdowns stop in their tracks. Think about it this way: if you were feeling upset and someone much bigger than you stood over you, would it help you calm down? It’s innately threatening, even if that is not your intention. If the child is standing, sit on the floor, crouch down, or even lay on the floor. It automatically lowers the gate of the child feeling threatened or defensive. You may be surprised how this one simple change can greatly decrease the intensity of the meltdowns.

2. Create a calming space – Have your child work with you like a team to create a calming space in your home. Put a bean bag, a favorite blanket, some squishies or stress balls, books, crayons and coloring books, or a glitter jar (see instructions on how to create this at the end of the blog!) into an identified space. Make sure this place does not feel punitive, but instead, peaceful. Encourage your child to take ownership over this space and praise, praise, praise when they use the space to calm down.

3. Stay calm yourself and take a break when needed – As identified earlier, you as the parent staying calm is absolutely key. If you escalate, they will escalate. It’s really as simple as that. Do your best to stay calm in the moment, and know that it is OK to tell your child “I’m starting to feel frustrated right now, so I know that I need to calm down in my own space.” It teaches your child that everyone has feelings but also that even adults sometimes need a calming break. Do some self-care and return when you feel able.

LSI is always here and ready to help you with managing behaviors! We have therapists and BHIS providers ready to support you and your family.[/vc_column_text][/vc_column][/vc_row][vc_row padding_setting=”1″ desktop_padding=”padding-one-tb”][vc_column alignment_setting=”1″ desktop_alignment=”text-center” width=”1/1″][hcode_button button_style=”style2″ button_type=”large” padding_setting=”1″ desktop_padding=”padding-one” button_text=”url:http%3A%2F%2Flsiowa.org%2Fbhis|title:Contact%20Us%20Today!||” button_settings=”color_bg:#6cb33f”][/vc_column][/vc_row][vc_row padding_setting=”1″ desktop_padding=”padding-one”][vc_column width=”1/4″][vc_single_image image=”26187″ img_size=”large”][/vc_column][vc_column width=”3/4″][vc_column_text]Make Your Own Glitter Jar
This set of directions comes from Fireflies and Mud Pies blog.

Materials
Glass or plastic jars with lids, 16-ounce
1/2 cup glitter glue or clear glue
Distilled water
High-temperature hot glue gun, optional
1–2 teaspoons glitter

Instructions
1. Pour 1/2 cup of distilled water into the jar.
2. Pour 1/2 cup of glitter glue or clear glue into the jar.
3. Add 1–2 teaspoons of extra glitter to the jar.
4. Fill up the remainder of the jar with distilled water.
5. If desired, use a hot glue gun to squeeze a ring of glue around the lid of the jar. Press the lid onto the jar and secure with the metal ring.
6. Shake the jar well to distribute the glitter.
Your DIY glitter jar is complete![/vc_column_text][/vc_column][/vc_row]

Springtime Sensory Activities

[vc_row padding_setting=”1″ desktop_padding=”padding-one”][vc_column width=”1/1″][vc_column_text]By Anne Peters, LMFT

We have officially made it to spring! We made it through another winter and can see the blooms of new beginnings all around us. The weather is warming up and with that, we can enjoy some outside time with our loved ones. I don’t know who will enjoy it more, us as adults or our kiddos we are caring for! Have you heard of sensory bins for children? It’s a wonderful way to put together different textures for a fun and interactive activity for the whole family. Many of the items listed for these sensory bins you may already have around the house; otherwise, they can be found at your local dollar store. You don’t need to spend a lot of money to create a lot of fun and adventure. Here are some fun springtime sensory bin activities you can try today!

1. Spring Garden Sensory Tub (from www.notimeforflashcards.com)

In this sensory bin, combine dried split peas, large dried Lima beans, dried white beans, dried orange lentils, mini bow tie pasta, and some small flower pots into a tub. You can find big sensory tubs for around a dollar! Mix all together and add some small flower pots and some sand shovels. Explore and play. What a great time to teach all about growth and gardening.[/vc_column_text][/vc_column][/vc_row][vc_row padding_setting=”1″ desktop_padding=”padding-one”][vc_column width=”1/1″][vc_column_text]2. Baby Bird Sensory Tub (from www.modernpreschool.com)

The different ways to play in this bin are virtually endless! Here’s what you need: shredded brown paper, colored pipe cleaners, plastic bird toys, clothespins, and bowls for sorting. That’s it! One idea is to combine all into a bin and encourage your children to sort the worms by color using the clothespins as grabbers and separate into different bowls.[/vc_column_text][/vc_column][/vc_row][vc_row padding_setting=”1″ desktop_padding=”padding-one”][vc_column width=”1/1″][vc_column_text]3. My Garden Sensory Bin (from www.frogsandsnailsandpuppydogtail.com)

Here’s a super fun idea! Here’s all you need – bird seed, a birdhouse, stones/rocks, insect/reptile/bird toys, shovels/scoops, trucks, flowers, or gnomes. This activity is great because you can use what you have if you don’t want to go out and buy new objects. Let your kiddo go wild creating their own garden scene.

“Children need the freedom and time to play. Play is not a luxury. Play is a necessity.” – Kay Redfield Jamison[/vc_column_text][/vc_column][/vc_row]

What’s it like to be in therapy? A therapist shares the ins and outs

[vc_row padding_setting=”1″ desktop_padding=”padding-one”][vc_column width=”1/1″][vc_column_text]By Anne Peters, LMFT

If you’ve never been in therapy (or it’s been a while), the thought of going may produce some anxiety with not knowing what to expect. I’m here to give you some general ins and outs of what it’s like, so you know what to expect when you walk in the door (whether it’s in person or virtually). The movies portray therapy as lying on the couch while your therapist takes notes. This is not reality. Generally speaking, therapists aim to create a space where you feel at ease and safe. All therapists do things differently, so your experience might slightly vary. Just know one thing: A therapist’s job is to meet you where you are at and provide a safe and comfortable environment.

Making an Appointment
Here at LSI, the first step is to call our Central Intake department. They will gather information from you including your name, date of birth, insurance information, location, and what you’re hoping to address in therapy. They will then either offer you an appointment, or coordinate with a therapist and return a call to you with an appointment time. Remember, right now appointments are available both in person AND through telehealth.

Initial Appointment
Then, it’s time for your first appointment with your new therapist! This appointment is generally full of paperwork and lots of information gathering. Information such as family history, medical history, current stressors, and strengths will be addressed. This a great time for you to ask questions, too! If you have questions about the therapy process, please ask. Your therapist will provide you with some recommendations and set up your next appointment.

Ongoing Sessions
This is where the real work and discovery happens. You and your therapist will come up with some treatment goals in order to stay on track with the target area of need. Then, your therapist will utilize an evidence-based treatment modality – like Cognitive Behavioral Therapy (CBT), Dialectical Behavioral Therapy (DBT), or Eye Movement Desensitization and Reprocessing (EMDR), just to name a few – to guide you in reaching your goals. Feel free to ask if your therapist has not shared which modality they plan to use. Get ready for some self-discovery and for some progress to be made!

Termination
Once you’ve found yourself at a point where you’re ready to successfully end your time in therapy, termination will occur. This is a great moment – congratulations! You and your therapist will discuss skills you can continue to use, and ways you can contact your therapist if you need to come back for a “booster” session. You did the hard work![/vc_column_text][/vc_column][/vc_row]

Resilience

[vc_row padding_setting=”1″ desktop_padding=”padding-one”][vc_column width=”1/1″][vc_column_text]By Anne Peters, LMFT

If the last year has taught us anything (and boy, it’s taught us a lot), it’s taught us that humans are resilient. That does not mean we are free of fear or pain or struggle, but that we can make it through. The Webster Dictionary definition of resilience states, “an ability to recover from or adjust easily to misfortune or change.” If we were to sit down and list all the misfortunes or change we have encountered during the last year, how many do you think we would come up with? We saw changes to schooling, community events, our own health, our relationships with others, our careers, our finances, and the list could go on. But yet, here we are. We are recovering from misfortune. We are recovering from change. We are resilient.

If you’re like me, you don’t always feel a strong sense of resilience. Sometimes, it all feels like too much and we may think, “When will it end?” Perhaps this is the perfect time for us to reframe the way we see ourselves. Instead of seeing ourselves as stressed, down, and exhausted following a year of a worldwide pandemic, we can see ourselves as tenacious, patient, and resilient.

Dr. Ginsburg explains there are seven components to being resilient. These include competence, confidence, connection, character, contribution, coping, and control. I encourage you to reflect on these seven components and identify a time you feel you excelled in each area. When did you demonstrate competence? When was a time you were confident? And so on. It feels good to recognize our own strengths and see what helps make us so resilient.

Here’s a final activity that would be great to do with the whole family – kids and adults! Spend some time reflecting on the challenges you’ve encountered, and discuss what helped you get through them. It can be a big challenge like the COVID-19 pandemic, or a day-to-day challenge. Help each other to identify the strengths that were shown during these challenges and jot them down. Then put all of these strengths together on a piece of paper and post it somewhere the whole family can see. It’s a reminder of just how many strengths the family has, and just how resilient you all are.[/vc_column_text][/vc_column][/vc_row]

The Art of Journaling: 10 Journal Prompts to Get You Started

[vc_row padding_setting=”1″ desktop_padding=”padding-one”][vc_column width=”1/1″][vc_column_text]By Anne Peters, LMFT

Journaling. It’s a tried-and-true way to increase your self-understanding and to manage your feelings. Can’t quite decide which option is best for you? Feeling overwhelmed, frustrated, or down? Working through a conflict with a loved one? Setting new goals for yourself? Proud of what you have accomplished? The list goes on and on.

Journaling can be used at any point, no matter what stage of life you’re going through. Some people are natural-born writers and some people (myself included) need a little boost to know what direction to go in. There are so many amazing guided journals on the market right now. Bullet journaling is one of my favorites! Even without a guided journal, just do a quick Google search on journaling prompts and it will produce thousands of ideas. Here are 10 journaling prompts that I love to get you started. Happy journaling!

1. If I could talk to my teenage self, I would say…
2. Make a list of 30 things that make you smile.
3. Make a list of everything you’d like to say “no” to.
4. Make a list of everything you’d like to say “yes” to.
5. Write the words you need to hear.
6. If you could only accomplish three things today, what would be the most important items on your to-do list?
7. Write a letter to someone you really admire. It could be a public figure or someone you know. What do you admire about them? How have they inspired you?
8. Write a letter to yourself in five years.
9. Write about a moment in your life when you felt most proud of yourself.
10. Write about a time you overcame a challenge.[/vc_column_text][/vc_column][/vc_row]