Despite availability of community and home based mental health services, there are times when adolescents may need more intensive care. Residential treatment serves as a source of support for adolescents who have had frequent hospitalization, ineffective outpatient therapy, or disorders characterized by defiance, depression, self harm, mood instability, emotional dysregulation, and interpersonal conflict (Yampolskaya, Mowery, & Dollard, 2014). In addition to 24-hour support and supervision, providing treatment that is evidence-based and effective is imperative to support a successful transition back into the community and decrease the rates of readmission; however, data continues to be limited regarding adolescents in these facilities.
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Based on the integration of thoughts, behaviors, and feelings, CBT can assist the adolescents in challenging maladaptive cognitions and adverse emotions to reduce problematic behavior patterns (Henin et al., 2016). An early study exploring the effectiveness of CBT on male adolescents engaging in oppositional deviant and aggressive behaviors was conducted by Valliant in 1993. He examined the effectiveness of daily behavioral therapy and weekly cognitive-behavioral therapy on 10 participants over the course of a year by evaluation using the Coopersmith Self-Esteem Inventories, Revised Children’s Manifest Anxiety Scale, and the Buss-Durkee Hostility-Guilt Inventory. Valliant (1993) found that the intervention improved self-esteem and decreased verbal hostility over the course of the year; however, at follow up one year post discharge, eight of the 10 participants had been incarcerated. A possible explanation for this was due to the lack of family involvement during treatment and the inability to differentiate between acceptable and unacceptable behaviors outside of a structured, controlled environment (Valliant, …show more content…
This is through the acquisition of skills involving interpersonal effectiveness, distress tolerance, emotion regulation, and mindfulness (Linehan et al., 2006). Several studies have been conducted to support the use of DBT among adolescents engaging in self-injurious or suicidal behaviors (Sunseri, 2004; Linehan et al., 2006). Additionally, DBT has been found to be effective in treating those with oppositional defiance, eating disorders, and poor social relationships (Nelson-Gray et al., 2004). Still, with data supporting the use of DBT, there is limited data regarding the use of this therapy in residential treatment centers. In one study conducted by Wasser, Tyler, McIlhaney, Taplin, and Henderson (2008), DBT was utilized in an adolescent residential facility to determine the efficacy of the treatment within the center. Participants included 26 males and females with an average age of 15, who were split into two groups. The first group received DBT from trained clinicians and staff; this involved individual therapy, skills training group sessions, family therapy, and homework and skills practice. The second group received Standard Therapeutic Milieu (STM); this included individual therapy, behavioral management, group and family therapy, and pharmacotherapy with no specific therapy modality. Participants were engaged
In one study, Axelrod, et al. (2011) adapted DBT to treat pre-adolescent children who were engaging in nonsuicidal self harming behaviors. The goal of this study was to adapt DBT skills to accommodate the developmental level of younger children. The results of the study provided promising evidence for the use of DBT for children with severe suicidal and nonsuicidal behaviors. At the end of the study, there was a significant increase in adaptive coping skills and a significant decrease in depressive
Mental health treatment among juvenile is a subject that has been ignored by society for far too long. This intricate issue has always lead to the argument of whether juveniles should receive proper treatment or imprisoned them like any other criminals. We often overlook the fact that while they are criminals, they are still young, and it is a matter of compassion that must be played from our side to help these youth overcome their health problems. When you look at the background of these young criminals, it is frequently why they have these mental disorder. The Juvenile Justice system is currently faced with the task of providing mental health assessments and treatment services for its youth that will determine if and when juvenile offenders
Legacy Treatment Services is a nonprofit organization which employs over 700 employees and offers programs to 13 counties throughout New Jersey (Legacy Treatment Services, 2016). It should be noted that there are 21 counties in the state of NJ, which are served by different organizations, like Oaks Integrated Care. This organizations mission is to support and change behavioral health and social service outcomes. Legacy Treatment Services is the product of a mergence between The Drenk Center and The Children’s Home. This paper will focus primarily on the Adolescent Residential Services Division which provides housing, schooling, therapy, psychiatric services, and life skills training to children who reside
This paper will discuss and identify cognitive-behavioral treatment options that is available for individual or group's needs in jail, prison, or community corrections. Also, discuss cognitive behavioral treatment as the individual or population moves from the correctional environment to the community. Yet, discuss the efficacy of the cognitive behavioral treatment options available.
Developed in the mid 1960s by Aaron Beck, the Cognitive Behavioral Therapy (CBT) model theorizes that the interpretation of both external and internal events is biased, and can tap unhealthy underlying beliefs that potentially lead to emotional distress (Beck, 2005). Over the years CBT has accumulated an impressive track record in the treatment of a variety of mood disorders. In 1985, a review of 220 studies using CBT in the treatment of depression concluded that 91% supported the model (Beck, 2005). Large-scale literature meta-analyses on CBT in the treatment of anxiety disorders have also shown CBT to be highly effective in this population, particularly with posttraumatic stress disorder (Beck, 2005). Additionally, since the late 1990s evidence has accumulated showing CBT to be an effective treatment approach in substance use disorders, including alcohol dependence, marijuana dependence, and cocaine dependence (Carroll, 2004). No wonder CBT has been characterized as “the fastest growing and most heavily researched orientation on the contemporary scene” (Prochaska & Norcross, 2003, p. 369).
To properly evaluate the effectiveness, outcomes, and cost of the Therapeutic Detention Center for Juveniles program it will be necessary to conduct a mixed methods research approach that includes both qualitative and quantitative analysis. Fifty percent of juveniles who have been ordered by the court to this program will be randomly selected to be enrolled into a 5-year study. Juveniles diagnosed with a mental illness based off DSM-5 criteria who have been court ordered to the Therapeutic Detention Center will be eligible for the study. Consent should be obtained by both the juvenile and their parent/guardian for enrollment.
Clinical services will be provided at a residential center in Mesa, Arizona. The center serves males and females ages twelve to seventeen. Treatment at the center is focused on trauma resolution and general mental or behavioral health needs. The clients receive medical care, attend school, and participate in therapeutic services on the residential campus. This writer fulfills the role of a clinical intern with the responsibilities of individual therapy, group therapy, proper documentation, and ethical behavior.
Studies estimate that over one in four children will experience trauma before the age of sixteen, and many of these youth will go on to develop Post-Traumatic Stress Disorder as a result of their trauma (Silverman, Oritz, Viswesvaran, Burns, Kulko, Putnam, & Amaya-Jackson, 2008). Children and adolescents with PTSD can benefit from a mixture of the Cognitive and Behavioral models, presented in the form of Cognitive-Behavioral Therapy (CBT). Specifically, Trauma Focused Cognitive Behavioral Therapy (TF-CBT) is the most effective method to treat PTSD, utilizing techniques from two different perspectives (cognitive and behavioral) that can
In one study, Axelrod, et al. (2011) adapted DBT to treat pre-adolescent children who were engaging in nonsuicidal self harming behaviors. The goal of this study was to adapt DBT skills to accommodate the developmental level of younger children. The results of the study provided promising evidence for the use of DBT for children with severe suicidal and nonsuicidal behaviors. At the end of the study, there was a significant increase in adaptive coping skills and a significant decrease in depressive symptoms, behavioral problems and suicidal ideations.
According to Waltz (2003), Dialectical Behavior Therapy (DBT) focused is on recognizing accepting and moderating emotional responses in clients. Its main goal is to teach the patient skills to cope with stress, regulate emotions and improve relationships with others. DBT is designed for use by people who have urges to harm themselves, such as those who self-injure or who have suicidal thoughts and
The field of child and youth care places emphasis on the acquisition of the skills and knowledge on advocating for youths, their families, and children. In this field, experts work with youths, the children and their families on issues of mental health, residential treatment programs, and many others. Strategies for early interventions are among the key concerns in this field. Also, the assessment of mental issues and
Usual care included at least one weekly individual therapy session (eg, psychodynamically-oriented therapy or cognitive-behavioral therapy). Pharmacotherapy was allowed in both groups. Reduction of self-harm incidents as well as depression was greater with dialectical behavior therapy than usual care. However, the number of treatment sessions was greater with dialectical behavior therapy, and the therapists administering dialectical behavior therapy required extensive training and supervision.
Single system design was the method use to evaluate if the interventions use in AB’s treatment plan was actual working. NASW Code of Ethics, 5.02 Evaluation & Research (a) Social workers should monitor and evaluate policies, the implementation of programs, and practice interventions. (b) Social workers should promote and facilitate evaluation and research to contribute to the development of knowledge (NASW, 2013). AB self-reported when he was admitted he was not participating in any therapy sessions, if he did attend sessions he became agitated and would start verbal altercations with staff and peers. He admitted he would throw things, break items, curse and spit on peers and staff on a daily basis. He was being restrained 4-5 times a week. He would refused to talk about the trauma he endured by his biological mother. AB started TF-CBT between November and December of 2014. In May, AB reported he felt more comfortable with the therapist who executed the sessions. He completed all 16 session without any incidents. After TF-CBT he participate in most activities while avoiding verbal and physical altercations. During a treatment team meeting, the adolescent social
Trauma Focused Cognitive Behavioral Therapy (TF-CBT) was developed by psychologists J.A. Cohen and, Mannarino, Knudset and Sharon. TF-CBT has been developed for those who have experienced psychological trauma, often on a great scale of magnitude. It is important to define trauma; “There are two types of trauma — physical and mental........A response could be fear. It could be fear that a loved one will be hurt or killed. It is believed that more direct exposures to traumatic events causes greater harm. For instance, in a school
Cognitive-behavioral family therapy provides many strengths for families. It also helps strengthen the relationship between couples that are married. Therapists treating couples who are married use strategies to improve the foundation of their marriage. In cognitive behavioral family therapy couples are taught to express themselves clearly and are taught new behaviors to improve communication and establish a solid union as partners. They are also taught strategies to solve marital problems and ways to maintain positive control. Toggle appreciable family therapy provides a number of treatment interventions for the family to improve their emotional regulation. An example of an intervention is the downward Arrow which helps families Express their feelings and the emotions behind them it allows them to express their emotions and understand them while projecting in a calm manner not leading to recrimination. Nichols 2014 says the greatest shape of behavior therapy is its insistence on its serving what happens and then measuring change 186. The goal of therapy is to help each family member recognize their distortions in thinking and improve and change their behaviors. A weakness of cognitive behavioral therapy is that the emotional state of a client may not be good even though their behavior changes. Nichols (2014) provides a good example of how a mother reports that her son is performing household chores however she feels as though her son does not really want to do the