Community Mental Health For Children With Problem Behaviors ( Oregon ( Pmto ) Model Essay

Parent-child Interaction Therapy (PCIT) is an interactive therapist-parent, parent-child evidence based treatment originally developed for use in young children (ages 2-7) with disruptive behaviors (Gurwitch 341). Today, PCIT is not only implemented for families with a wide-array of mental health problems including trauma, substance abuse, maltreatment, autism, and anxiety, but also across multiple cultures, with successful implementations in varying ethnic and cultural communities around the world (Lieneman 239). Since it’s development in 1974, both cross-sectional and longitudinal studies have shown significant positive outcomes of PCIT for children and their families including improved child behaviors, reduced parenting stress, and improved parent-child relationships (Gurwitch 341). To date, it is one of the most researched, highly regarded and effective evidence-based treatments in child psychology.

We absorb elements from previous parenting training programs and form a Cognitive Behavioral Parent Training Program (CBPTP) for Child Abuse Prevention targeting first time mothers. Previous evaluation studies show that cognitive behavioral parenting programs are more effective than other kinds of parenting programs with respect to child abuse treatment and intervention (Barlow, 2006). Most of parenting programs specifically designed for child abuse problems are used as a tool for treatment of parents who have already exhibited maltreatment behavior and their children who have suffered maltreatment, for example, Abuse-Focused Cognitive Behavioral Therapy (AF-CBT). The most appropriate target population of AF-CBT is physically abusive parents and their school-aged children (Kolko, 1996). Here the CBPTP is given to first

Every parent who has a child suffering from a psychological disorder that affects their behavior dreads a new school year. This means new teachers not aware of the disorder, more parent-teacher conferences, and more pressure to medicate the child. The most common and well known behavioral disorders are Attention Deficit Disorder (ADD) and Attention Deficit Hyperactivity Disorder (ADHD).

Establishing positive parenting skills within the community will assist the parents in gaining new alternatives to their current practices. “Often we get the same families that are repeat offenders or they never really learn their ways of parenting are not acceptable” (Ruiz, 2015). Providing the “Strong Families” curriculum will reduce the number of children that are

For my senior year field placement, I am currently working at Elwyn’s Media campus in the Children’s Behavioral Health Services Outpatient program. At the outpatient program I am working with the Director of Clinical Operations, Ellen Chung. I also work with Jennifer Torrey who is the Clinical Coordinator for Elwyn’s Media location’s Outpatient program. I also work one on one with the Outpatient Case Manager, Shaneen Brown. I am also working in the Therapeutic After School Program (TASP). At the TASP I work with the Case Manager Jennifer Ziegler and the Clinical Case Manager Denise Georganas. The outpatient therapy team at Elwyn is a multidisciplinary team that works to help children reach their fullest potential. Some services offered by the Outpatient program at Elwyn are psychiatric evaluations, individual therapy, group therapy, family therapy, medication management, client/family education and community resources. The goal of the Therapeutic Socialization Program is to facilitate socialization and communication skills and to decrease problematic behaviors through participation in fun and engaging in activities. This program is based on the principles of Applied Behavior Analysis and other proven approaches to develop individually tailored treatment protocols to help children, adolescents and young adults in the areas of socialization, self-regulation and communication. The TASP also focuses on providing parents with new information to better understand their child’s

Raising sons in single-parent households makes the mothers of Wes and Wes very influential on their children. Parenting can give minors a pathway to success or it can be a substantial risk factor for behavior issues: “Lack of parental involvement, poor monitoring and supervision, and harsh and inconsistent discipline, have all been established as strong predictors of antisocial outcomes in children and adolescents” (Hawes). While neither mother is able to adequately supervise their children due to their working statuses, Joy

Every child deserves individual attention, and facilities that work with troubled children should have the necessary elements and tools to help them make a favorable change. According to webpage mtsservices “It has been proven to work and produce positive results with the toughest kids. It blends the best clinical treatments—cognitive behavioral therapy, behavior management training, family therapies and community psychology to reach this population.” It is based on evidence that the Multisystemic therapy helps children to stay out of trouble and build better relations with themselves and their families. Also, mtsservices states “Intervention effectiveness is evaluated continuously from multiple perspectives with MST team members being held accountable for overcoming barriers to successful outcomes.” This means that they really pay close attention to their patients by evaluating their continuous effort and developmental accountability. The juvenile justice system should take in consideration of adding the Multisystemic therapy system into their facilities to start making appropriate adjustments.

Description of duties consisted of providing therapeutic interventions to children, adolescents, and their families as it relates encouraging and facilitating positive developments within the client's functioning within their community, school and household environment. As the client is entered into the OPT/TSF program, the goal is for the client to remain in the community with less intensive services. Through the services, I observe the client's behaviors and become familiar with their referral provided by Delaware Division of Prevention and Behavioral Health. Once an assessment is completed, I develop a treatment plan which consist of long and short-term goals, objectives and interventions goals that would ensure the client's success within the OPT/TSF program.

-Shifting the family’s view of treatment from focusing on the adolescent as “the problem” to enhancement of family relationships as an important part of the solution.

Behavior health services rendered to child/adolescents who suffer from poor social skills, educational obstacles, grief, physical and sexual abuse. A treatment plan is initiated for children/adolescents and parent the treatment plan will focus on evidence based

This program was geared towards helping the children of incarcerated individuals as well as giving parents time with their kids. The project involved a twelve week course put together by the Oregon Social Learning Center (OSLC) and DOC teaching people effective parenting from zero to adulthood. Their goal was to get the parents to see their role in their children’s lives. Once the course is completed, parents get to see their kids and a therapist will provide feedback if necessary (DOC n.d.). As mentioned previously, the goal of the program is to improve relationships between incarcerated parents and their children. In the long run, they hope that the good relationship will help influence the kids to stay out of

John presented with anxiety, volatile anger, and potential conduct issues at the age of six. The mother reported that John has witnessed multiple disruptions in the family due to parent’s addictions and divorce. John’s mother went into a recovery center and was released to a transitional housing center approximately one and a half years ago. His mother had visitation rights and John would stay with her in the housing center. Prior to being transferred to my caseload, John was diagnosed with F41.1 Generalized Anxiety Disorder with a rule out of F91.1 Childhood Onset Conduct Disorder, and was seen by a licensed clinician at another facility for approximately one year. His treatment goals previous to being transferred were to display developmentally appropriate behavior and reduce his aggression toward others. John was resistant to treatment.

Mother’s mental health plays a key role on effective parenting and social engagement (Hartas, 2014, p. 18). Implementing a community assessment allows for observations, issues to be brought forward and interventions to take place (Stamler & Yiu, 2008, pg. 216). Public health nurses need to continually observe communities, reflect on observations and implement strategies to improve the health conditions within the allotted community. Specifically, in the Hillside-Quadra area there is a lack of support for new mothers. Providing a new mothers walking group will help vulnerable individuals with support, advice and coping strategies. The intent of this paper is to advocate for the well-being of new mothers by implementing a new mothers walking group in the Hillside-Quadra area.

1. In general the purpose of the Functional Family Therapy Program is a short-term family-based prevention and intervention treatment applied across various context for treatment of at-risk and juvenile adolescents to address delinquent and behavior problems in hopes to modify community relations. The specific activities offered by the program are develop systemic and individualized family-based orientation to address behavioral problems of at-risk and juvenile delinquent adolescents. Participants then undergo three specific intervention phases in sequence: engagement and motivation, behavior change, and generalization. Each phase holds goals with assessment objectives, addressing different risk and protective aspects necessary for specific techniques from professions to address family and individual disruption.

Santrock (2010) gives the advice for parents stating “ recognize that the quality of your parenting is a key factor in your child’s development…..parents should observe for themselves whether their children seen to be having behavior problems”. (p.372)