Intervention St. Paul Children’s Foundation and Counseling primary focuses in on addressing medical, dental, mental health, and social determinants of the low-income children and families in the community. The goal in for the foundations staff, counselor and social work is to identify barriers that are affecting the clients served at the organization form reaching their fullest potential. In the counseling center, the LCSW’s main goal is to support clients in recognizing psychosocial stressors that are impacting their individual and family life. There are many children served in the counseling center who are currently experiencing trauma or have experienced trauma in the past and need help addressing these issues, and receiving tools to help them function better in their daily lives. In the case of Milagros, she came to the counseling center at the request of her mother, Maria, due to issues with parent-child relationship conflict, behavior concerns, and anxiety issues. The therapist and clients worked together on areas that they needed to address in future counseling session and the intervention plan was developed. The LCSW generally utilizes Cognitive Behavioral Therapy (CBT), 1-2-3 Magic, Parent-Child Interaction Therapy (PCIT), and Family Behavior Therapy (FBT) to help clients in therapeutic counseling sessions. In this intervention paper, PCIT is the chosen intervention used in therapy sessions with Milagros and Maria.
Treatment Plan Development
After an in-depth
De Arellano, M.A., Waldrop, A.E., Deblinger, E., Cohen J.A., Danielson C.K., Mannarino A.R. (2005). Community outreach program for child victims of traumatic events: a community- based project for underserved populations. Behavior Modification, 1, 130-55.
To begin my intervention I need to gather information that will help me understand the family. Mrs. Mann, a 38 year old Hispanic mother of three children, Trig (10 yrs.), William (8 yrs.), and Sally (5yrs.) contacted the community behavioral health clinic after her son Trig was suspended from school for fighting. Mrs. Mann works part time as an office manager and is highly concerned for her son. Mrs. Mann shared that due to the physical abuse and alcohol addiction of her husband she demanded that he leave the house. Mr. Joe Mann left the house three months ago after the demands of his wife. This event has changed the structure of the family, creating stress and communication issues. Based on the information from Mrs. Mann my client, Trig,
The paper will be used to further explore intervention approaches and treatment options for the client I did my case presentation on and also a process recording, Amanda. The information presented about Amanda is information gathered during the intake assessment, family discussions, and individual family sessions. The two theories that have been researched and will be used throughout this paper are Cognitive Behavioral Therapy (CBT) and the Structural Family Therapy (SFT) because both theories are able to address the issues Amanda is presenting. These theories will be critiqued based upon research in journal articles and readings from class. Then the theories will be applied to Amanda's case based upon the
Once my client is stabilized from the initial concerns of severe depression and suicide attempts, TF-CBT could be introduced. Trauma-Focused Cognitive Behavioral Therapy for Children Affected by Sexual Abuse or Trauma. (2012) suggests that the following areas be covered psychoeducation and parenting skills, relaxation techniques, affective expressions and regulation, cognitive coping and processing, trauma narrative and processing, in vivo exposure, conjoint parent/child sessions and enhancing personal safety and future
My first assumption of family therapy was to involve the parents and the individual that had the problem. This book explored further what it
The National Child Traumatic Stress Network (NCTSN) was stablished by Congress in 2000 and brings a comprehensive focus to childhood trauma. This network raises the average standard of care and improves access to services for traumatized children, their families and communities throughout the United States. The NCTSN defines trauma‑focused cognitive behavioral therapy (TF‑CBT) as an evidence‑based treatment approach that is shown to help children, adolescents, and their caregivers overcome trauma‑related difficulties. It is designed to reduce negative emotional and behavioral responses following a traumatic event. The treatment addresses distorted beliefs related to the abuse and provides a supportive environment so the individual can talk about their traumatic experience. TF‑CBT also helps parents cope with their own emotional issues and develop skills to support their children.
After I completed the IIR, I thought it would be beneficial to review the MCGCP in order to determine what areas are most important. After reviewing the MCGCP, it appears as though the top priorities at the middle school level include system support and guidance curriculum. These two areas are where middle school counselors should spend the most time on and allocate the most resources for. My site scored fairly decently in these areas, earning scores of 86% and 87% respectively. I took a closer look at each of these sections and paid close attention to the elements that received a score of three or less, meaning that these elements are not being fully implemented into the counseling program. I highlighted these items and added them to
Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) is a psychotherapeutic approach that involves conjoint therapy sessions of with the child and the parent. This approach is employed among children and/or adolescents that are experiencing emotional and behavioral difficulties that are significant and related to life events that are traumatic (Cohen, Mannarino, & Deblinger, 2012). TF-CBT is a components-based model of treatment that includes intervention that are trauma-sensitive and cognitive behavioral, family and humanistic therapy
There are a variety of evidence based practices that are being implemented for children and families within the welfare system. Many of these contemporary evidence based practices can be found online. The website known as The California Evidence-Based Clearinghouse for Child Welfare contains a list of all the different evidence based practices related to topics such as, anger management, substance abuse treatment, interventions for neglect, and depression treatment. One successful contemporary evidence based practice that has shown great effectiveness is known as Trauma Focused Cognitive Behavioral Therapy (TF-CBT). The primary focus of this paper will consist of TF-CBT and will explore the methodology and effectiveness of this
A series analyses of covariance appears to have indicated that children assigned to TF-CBT, compared to those participants who were assigned to child-centered therapy, demonstrated significantly more improvement with regard to PTSD, depression, behavior problems, shame, guilt, and other abuse-related attributions. (Cohen, Deblinger, Mannarino, & Steer, 2004, p.400). Similarly, parents or guardians who were assigned to TF-CBT showed greater improvement with respect to their own self-reported levels of depression, abuse-specific distress, support of the child, and effective parenting practices allowing them to parent more effectively. (Cohen, Deblinger, Mannarino, & Steer, 2004, p. 401). TF-CBT assists both the primary caregivers along with the child to ensure everyone in the situation who experiences negative symptoms are addressed and helped therapeutically, to create an outcome where children and their families can live successfully together. This can also include communities as whole TF-CBT helps bring empowerment to its participants and allows them to face their issues head on.
Chapter 10 examines various forms of abuse. Kanal (2011) sets forth that stress as it relates to abuse can cause Post-traumatic Stress Disorder. The author describes PSTD as a psychological disorder that is brought on by an event that occurs in a person’s life. PSTD is usually associated with military people returning from the combat but that is only one of many demographics that can be effected by the disorder; this chapter underscores in addition to PSTD abuse can manifest itself in a number of different ways. The author begins the discussion with child abuse. From a crisis professional’s perspective, dealing with children is complicated because depending on the age of the child, communication can be difficult. In addition, the child may
For the purpose of this assignment, we interviewed Jodi Greenblatt, the Clinical Director at Community Partners (CP) and Hilary Jacques an LCSW Outpatient Therapist. I was thoroughly impressed and refreshed by the interview with Jodi. While interviewing Jodi, I felt that she had a wealth of knowledge and was very knowledgeable about the theoretical framework that Community Partners employs. Jodi explained to us that the agency does not specify any treatment modality, but the agency does have commonly used treatment modalities that include, but are not limited to, CBT, EMDR, TF-CBT, Play Therapy, Motivational Interviewing and Triple P Parenting Skills. She explained that the theoretical underpinnings of the commonly used treatment modalities are CBT and the trauma based focus of the treatment modalities. Said another way, what Jodi was describing was that the commonly used treatment modalities employed by the agency have a trauma-focused orientation and are grounded in theories of change.
JCC realizes the impact of trauma on staff, families and children; It recognizes the signs and symptoms of trauma in clients, and JCC takes action to respond adequately and integrate the knowledge of trauma into their practice. GA and JCC seek to help their staff and clients from traumatization (Substance Abuse and Mental Health Service Administration [SAMHSA], 2015). For example, R. Paul (personal communication, April 25, 2015) stated that GA lack trauma professionals to help and support the youth. Therefore, GA works together with the Uplift Little Haiti and professional clinical social workers who help the children to address their trauma issues. JCC has a program for staff and employees where they come together to discuss and share about what is going on in their personal life and work environment. Also, JCC analyzes and evaluates what is life-giving through peer support environment. Furthermore, JCC has a special program every year, of trauma training for their case managers, T. Gaynor (Personal Communication, April 25, 2017). Therefore, GA and JCC are “sensitive to the reality of traumatic experiences” in the lives of the children, parents, staff, administration, youths, families and the community. (Bloom & Sreedhar, 2008, p.50). GA and JCC have an organizational system and treatment framework that includes recognizing, understanding, and responding to the impacts of all forms of trauma. They provide fundamental principles of trauma: “safety, peer support, trustworthiness, collaboration, mutuality, empowerment, voice, choice, and cultural(SAMHSA,
I would approach the counseling session from a cognitive-behavior approach. It appears that Isabella is suffering from anxiety and the cognitive behavior approach to therapy would be a good match for the student. There are a number of aspects of the therapy that coincide with my belief system.
This essay is intended to evaluate one therapeutic intervention or theory that may be used in Family therapy. The theory being examined is Cognitive Behavioral Therapy, or for short CBT. The essay will begin with defining CBT and discussing the underlying principles, techniques and concepts of the approach. Some practical examples and scenarios of utilizing CBT will then be explored. Then the essay will proceed to a discussion on the advantages and disadvantages of this therapeutic intervention. Finally a conclusion regarding employing such techniques will be made.