A day at the Bishop Lavis LifeLine/Childline centre

~ Cherishing children is the mark of a civilized society ~
Joan Ganz Cooney

It is 8.00 am on Monday morning. Shelley, Laura and Chanelle are gathered around Jenny's desk. They give her a list of the week's appointments and take time to chat and connect with each other before the day begins.

Chanelle: We're so lucky here. We know each other really well; we're not just a group of people who work together. We offer each other emotional support and the chance to off-load when we've dealt with a difficult case. We also have a supervisor, a social worker who comes in once a month to touch base and to discuss our concerns and worries.

This small oasis of quiet time is valuable, because at 8.30 the first client is booked, and from then on the pace will be unrelenting.

Jenny: I try not to book appointments before 8.30, but sometimes I have to make them earlier, if people can't come in at any other time. Ideally, I try to schedule half an hour between counselling sessions, for paper work and to allow counsellors a chance to regroup, but things get very hectic, and this isn't always possible!

There are five offices in the centre. Shelley is the centre manager, and she works there in the mornings. Jenny is the receptionist as well as being a qualified LifeLine counsellor. Chanelle and Laura have their own offices. An educational reflexologist comes in once a week to work with clients who are undergoing trauma debriefing. She also works with cases involving sexual abuse and domestic violence. Whenever a room is free, it is used by LifeLine volunteers. Chanelle, an auxiliary social worker and Laura, a qualified social worker, deal mainly with children, although they do work with adults as well. Shelley, Jenny, Laura and Chanelle are all qualified LifeLine counsellors so they are able to fill in for each other whenever necessary.

Each counsellor also facilitates on one Personal Growth and one Counselling Skills course per year. These take place at a community centre elsewhere in Bishop Lavis in the afternoons and the evenings.

Laura: I love doing these courses, especially when I think of the new LifeLine counsellors who will be doing volunteer work here at our centre!

The counsellors also present workshops for the social work students who come to the centre for practical experience.

The centre closes at 4.00p.m.

Chanelle: We deal with everything here.....
We assess survivors of sexual abuse, liaise with members of the South African police and the Child Protection Unit. We have a good relationship with the police and are able to tell them when we feel a child is ready to appear in court. Sometimes this can be a long process. We work very much at the pace of the child, and never pass on information to the police, or even the parents, until the child gives us permission to do so. The rapport we build with the child during this time is precious, and we do nothing to jeopardise the trust placed in us. Often, when we are assessing cases of sexual abuse, other issues surface and we discover the need to refer the child or the parents for further counselling. So we also work very closely with other organisations, clinics, and psychologists.

In the mornings Chanelle does counselling, in the afternoons she works on the Youth Training programmes.

Chanelle: Appointments with children run for forty-five minutes to an hour, sometimes a little longer. When it comes to trauma debriefing, more time is needed. The work here is usually done with older children. It's a process which can't be stopped once it has started, and these sessions can go on for as long as two and a half hours. We encourage people to make weekly, if not twice weekly, appointments for trauma debriefing. We can't begin debriefing for forty-eight hours, what we call the containment period. During this time, immediate feelings can surface, and then we can begin the process of taking people back to the event that caused the trauma. Sometimes, all you want to do is put your arms around someone and help them to calm down, but they have to know that it's okay to cry, or scream. This starts the process of building trust.

Chanelle: A distinction needs to be made between trauma debriefing and counselling. Often after the de-briefing, people are able to get on with their lives because they have come to terms with the trauma which has paralysed them. If other problem areas surface during debriefing then we recommend that the client come to us for further counselling, or be referred to a specific agency or specialist.

Although people do use the centre's crisis line
(021 934 4822) most of the work done at the centre is face-to-face counselling, and they have an open door policy.

Chanelle and Laura: We often have situations which call for emergency consultations. If for example someone comes in who is suicidal, his or her needs will be assessed immediately. Other appointments are put on hold until the situation has been sorted out. We need to assess whether the person can make it through the rest of the day, or whether they need hospitalisation or referral to a specialist.

Laura counsels and presents workshops and courses in schools. She usually sees about 5 clients per day, and she works mainly with children, from the ages of 3 - 17. The basic counselling she does incorporates the elements of play therapy - especially in the cases of sexual abuse, where the therapy is chosen to meet the needs of the child.

Laura: Some children like biblio-therapy. This means that they tell their story, either verbally, or by writing it down. I focus on their life history, get them to construct a life-line. This helps me to look at their background.

Laura: Sometimes, when it's too painful for children to tell their story, then I use dramatic play therapy. We play 'monster busting'. The children play with monster-like toys, like spiders, and eventually they give names to the monsters. I also use animals - give the animals different qualities. Or the children give the animal they are playing with a certain character. For example, a lion maybe seen as being very strict, sometimes even aggressive, and gradually he becomes the father in the play. A nagging mother might become a pig.

Laura: Children don't really like role-playing, it cuts too close to the bone for them. The introverted child often prefers to write, and I incorporate all the art forms, drawing, sticking, whatever helps them to tell their story. With teenagers, I often use relaxation play. I use exercises to help them settle into the environment, breathing, relaxation, meditation, so that they don't have to engage immediately in a discussion of what has happened to them. I often have music playing in the background.

In the pre-primary and primary schools, the focus of the workshops is mainly sexual abuse. Children learn about the different types of abuse, physical, emotional, sexual and neglect. The counsellors discuss "stranger danger", "good secrets, bad secrets" and "good touch, bad touch".

Chanelle: If a child has died, or if there has been a rape, or a shooting, or a suicide, we go to the school and talk to the children who have been traumatised by these events. We also run preventative programmes in the schools. We present abuse workshops for learners of all grades.

Laura: The workshops are presented in the pre-primary, primary and secondary schools. We have certain set programmes, but these are altered according to the needs of the school, and the age of the children we are working with. In the high schools we focus on life-skills, looking at issues like family values, peer pressure and responsible problem solving. We talk about things like sexual abuse, AIDS, and date rape. These workshops are usually run without the teachers being present. Sometimes we are able to identify children who have behavioural problems, and we can refer them to the Child and Family Unit. We work with one class at a time, otherwise the group becomes too big.

In the pre-primary and primary schools, the focus of the workshops is mainly sexual abuse. Children learn about the different types of abuse, physical, emotional, sexual and neglect. The counsellors discuss "stranger danger", "good secrets, bad secrets" and "good touch, bad touch".

Laura: Sometimes children will come up to me after a session, and talk to me, either because they are being abused in some way, or because it is happening to one of their friends. We then have to organise an assessment, either at the Childline centre, or at the Social Worker's office. The parents have to be informed, unless the child is in danger from a family member. In this case we take the child to a place of safety and inform the police about what is happening.

Chanelle: Often children are more comfortable talking about their problems with their peers. The Youth Development programmes enable peer mediation and counselling. They've been a wonderful success. I'd love to see them taken further - there's so much scope to do more. Yesterday I had three calls from schools who wanted me to go in and run Youth Development training. Each school or group we work with has different needs, so it's a case of working out what suits them. The children and school leaders identify whom they want to attend the course and then we work with these learners. We run a "Who am I" course, which is very participative and experiential, with no lectures, and lots of role-playing, and self-discovery comes through this.

Chanelle: The learners who pass the course are then awarded certificates at a special assembly, where they take a pledge in front of the whole school. Then we explain to the school how the peer counselling will work. Learners can go to these children and talk to them as peers about their problems. The peer counsellors then liaise with a teacher or school counsellor and take the situation from there. As with all work that we do, confidentiality is most important, and it is only with the permission of the learner that information is divulged.

Chanelle: We work very closely with the schools in our area and the other care-giving organisations. We've been very careful to ensure that our services do not overlap with what another organisation does. In conjunction with youth training we run weekend Life Skills camps for learners. A pilot scheme aimed at 16 -18 year olds is starting in October. This will be a three-day camp, focusing on leadership skills.

Laura: I've always wanted to work with children and realised that I could do this through social work. The hands-on practical approach really appeals to me, and working here certainly allows this. One of my lecturers at UWC was an inspiration. She showed that it was possible to get into the field, and do work that really matters.

Chanelle: When I was 13 I became leader of my scout pack! It was then that I realised how much I enjoyed working with children. After I qualified, I worked in the corporate world for 15 years. But I had always dreamed of being a child psychologist. I was still working with the scouts and I got a call from a LifeLine counsellor, who asked me if I would encourage one of the children she was counselling by getting him involved in scouts. This led to my involvement in LifeLine, and I did the courses and started volunteer work. I loved it so much, I realised it was a true vocation. I had taken maternity leave after my last child was born, and I went for an interview - back in the corporate world. I knew there was something wrong when I realised that I was praying that I wouldn't get the job! I decided to apply for a half day job at the Bishop Lavis Centre, and when the Youth Development programme was started, I applied for that - in fact I sold myself, because I was so keen to become involved in more youth work.

Laura: It's very rewarding work, but it can also be very difficult. Working with little children is hard, the three to five year olds. Boys in the seven to thirteen year age group battle with counselling. They're struggling to find their identity and their role in society. If they have been abused, they find it hard to admit that they weren't able to defend themselves - they think that boys are supposed to be big and strong, that they're supposed to be able to fight back. It takes time to break through their defences, but the effort is really worth it. I once worked with a group of boys, all of whom had been abused. It started when the aunt of one of the boys realised that there was something funny about the things he was telling her. He came for counselling, and he named two other boys who had been molested by the same perpetrator. They then named others, and eventually I was working with eight children who had been abused. The results of this were incredibly positive as far as the community was concerned. The parents of all the boys were very supportive, and they warned other parents to protect their children against the abuser.

Four women, a group of volunteers, and a centre where the doors are always open. This is the LifeLine/Childline Centre at Bishop Lavis. Never a dull moment, hard work and the satisfaction of knowing that it's work that makes a difference - to the children, parents, teachers and caregivers of the community they are part of.

Chanelle: Sometimes I don't know whether I'm Arthur or Martha!

"All kids need is a little help, a little hope and somebody who believes in them."
~ Earvin "Magic" Johnson

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