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What to do when children clam up in psychotherapy : interventions to facilitate communication
\"Therapists who work with children and adolescents are frequently faced with nonresponsive, reticent, or completely nonverbal clients. This volume brings together expert clinicians who explore why 4- to 16-year-olds may have difficulty talking and provide creative ways to facilitate communication. A variety of play, art, movement, and animal-assisted therapies, as well as trauma-focused therapy with adolescents, are illustrated with vivid clinical material. Contributors give particular attention to the neurobiological effects of trauma, how they manifest in the body when children \"clam up,\" and how to help children self-regulate and feel safe. Most chapters conclude with succinct lists of recommended practices for engaging hard-to-reach children that therapists can immediately try out in their own work\"-- Provided by publisher.
Book
When Love Is Not Enough: The Management of Covert Dynamics in Organizations that Treat Children and Adolescents
When Love Is Not Enough relates how a multitude of factors--the competence of staff; the safety, nurturing, and protective elements of the emotional, physical, and political setting; and all overt and covert organizational dynamics--determine whether or not a treatment setting accomplishes its therapeutic aims. Authors in When Love Is Not Enough continue the emphasis on the group-as-a-whole \"Group Relation\" model of organizational and group processes begun with Wilfred Bion's work at the Tavistok Clinic in London in the 1940s. This model helps those providing services to children and adolescents evaluate their treatment programs and make the necessary changes toward improvement.
Chapters in When Love Is Not Enough are dedicated to improving the psychological treatment of children and adolescents in postmodern society, a society in which life in interdependent communities is becoming increasingly important for the health and survival of all persons. Topics covered include:
the Tavistok approach to understanding group and organizational behavior
the emphasis on group-as-a-whole in problem solving and treatment design
narrowing the gap between plan and outcome
the dynamics involved in the psychiatric treatment of children
issues of staff selection, training, and development in programs designed to treat children
countertransference responses in the treatment of children and adolescents
revitalizing organizations
the subjective experience of school life
When Love Is Not Enough helps organizations realize the ways in which they may, inadvertently, undermine the emotional and cognitive functioning of the staff or the identified patients and set serious limits on the growth of members of the organization, staff and patients alike. It urges organizations to conduct an ongoing self-scrutiny concerning their rational and irrational processes, as this self-examination is crucial to the health and vitality of the
eBook
Outcome Assessment in Residential Treatment
As residential treatment centers and psychiatric hospitals are increasingly asked to document their effectiveness, it is essential for mental health care providers to demonstrate the efficacy and cost-effectiveness of the services they provide. Outcome Assessment in Residential Treatment helps health care providers demonstrate that their planned treatment is necessary and active rather than simply custodial. A practitioner’s guide to conducting treatment outcome assessment projects, this innovative book presents readers with historical perspectives, current issues, and practical suggestions for implementing an outcome assessment project.
Outcome Assessment in Residential Treatment guides psychiatrists, psychologists, mental health practitioners, and social program administrators in addressing which therapeutic components contribute to the goals and objectives of their programs and which may require modification, radical revision, or even elimination. It helps residential treatment centers and psychiatric treatment facilities document treatment successes and better understand which factors (within the client, family, environment, treatment setting, or combinations therein) predict successful outcome. This objective data empowers readers to influence government and industry, enhance public awareness of the needs of severely disturbed children and youth, and validate the usefulness of intensive psychiatric treatment.
Unlike other books on treatment outcome, Outcome Assessment in Residential Treatment tells readers how to determine clinically significant improvement and not simply statistically significant change. It gives practical, detailed, proven advice on how to carry out studies that will benefit residential treatment centers and the psychiatric and mental health fields. Contributors provide tools to validate/demonstrate that psychiatric and mental health treatments are effective. They offer insight into:
eBook
Using trauma-focused therapy stories : interventions for therapists, children, and their caregivers
\"Using Trauma-Focused Therapy Stories is a groundbreaking treatment resource for trauma-informed therapists who work with abused and neglected children ages nine years and older as well as their caregivers. The therapy stories are perfect for accompaniments to evidence-based treatment approaches and provide the foundation for psychoeducation and intervention with the older elementary aged child or early pre-teen. Therapists will also benefit from the inclusion of thorough guides for children and caregivers, which illustrate trauma and developmental concepts in easy-to-understand terms. The psychoeducational material in the guides, written at a third- to fourth-grade reading level, may be used within any trauma-informed therapy model in the therapy office or sent-home for follow-up. Each therapy story illustrates trauma concepts, guides trauma narrative and cognitive restructuring work, and illuminates caregiver blind spots; the caregiver stories target issues that often become barriers to family trauma recovery. No therapist who works with young trauma survivors will want to be without this book, and school-based professionals, social workers, psychologists and others committed to working with traumatized children will find the book chock-full of game-changing ideas for their practice. \"-- Provided by publisher.
Book
In-patient Child Psychiatry
Essential Reading for clinicians, managers and researchers in child psychiatry, this authoritative book provides accessible coverage of essential theory as well as clear practical guidance to inpatient child psychiatric treatment. This method of treatment has fallen out of fashion in recent years in favour of community-based care, but remains a useful setting for treating more seriously ill patients. Bringing together contributions from across the profession, this book covers the 'state-of-the-art' in current clinical treatment, and sets a bold new agenda for the future, arguing that inpatient child psychiatric units retain great potential for creative, effective, relevant treatment.
eBook
The Management of Sexuality in Residential Treatment
Here are practical ideas and help for dealing with problems of sexuality in residential treatment settings. On a day-to-day level, difficulties can arise from the need for child care workers to maintain caring and personal relationships with children in the face of the children's and their own sexuality. Children themselves also may have difficulties in properly expressing their sexuality. The Management of Sexuality in Residential Treatment examines a broad range of problems that often occur and describes several treatment programs and strategies for coping with incidents of abuse or alleged abuse.
Chapters in the book address issues pertinent for professionals working with children in residential treatment. Authors cover topics such as:
residents'needs for love versus sexuality
the impact of sexually stimulating materials
erotic countertransference in a residential treatment center
survey of minor sex problems in the milieu and how to respond to them
personal relationships between residents and staff
The book also describes two treatment programs for abused or abusing children. The first is an eight week multimodal therapeutic program for adolescent girls who have been sexually abused, the other a course for sexually abusive boys that includes counseling, sex education, and journal writing. The Management of Sexuality in Residential Treatment is a valuable resource for the staff of residential treatment centers, group homes, residential schools, and hospital pediatric units who wish to understand how to deal more effectively with issues of sexuality and the children for whom they care.
eBook
Helping children cope with trauma : individual, family and community perspectives
\"Helping Children Cope with Trauma bridges theory and practice in examining emerging approaches to enhancing resilience and treating traumatised children. Adopting a child-centred perspective, it highlights the importance of the synergy between individual, family, community and social interventions for recovery from post-traumatic stress.Consisting of chapters by an international range of contributors, the book is presented in three sections, reflecting the ecological circles of support that facilitate healthy development in the face of traumatic circumstances. Section 1, Individual, addresses the impact of exposure to trauma and loss on post-traumatic adaptation, focusing on biological aspects, attachment patterns, emotion regulation and aggressive behaviour in children. Section 2, Family, looks at the concept of family resilience, the impact of trauma on playfulness in toddlers and parents, innovative models for working with children traumatised by war, domestic violence and poverty and describes the challenges faced by refugee families in the light of intergenerational transmission of trauma. Section 3, Community, broadly explores the concept of community resilience and preparedness, the centrality of the school in the community during times of war and conflict, post-traumatic distress and resilience in diverse cultural contexts and the impact of trauma work on mental health professionals who live and work in shared traumatic realities. The book concludes with a theoretical discussion of the concept of Survival Mode as an organisng principle for understanding post-traumatic phenomena. Helping Children Cope with Trauma will provide mental health professionals, child welfare workers, educators, child development experts and researchers with a thorough understanding of the needs of children after trauma and how those needs may best be met\"-- Provided by publisher.
Book
Managing the Residential Treatment Center in Troubled Times
Here is an informative guide to help directors and staff of residential treatment centers (RTCs) cope with the financial and administrative problems resulting from today's financially turbulent times. Financial problems have closed some centers and managed care or other health care changes will soon reach others. Managing the Residential Treatment Center in Troubled Times deals directly with current difficult financial and management problems in RTCs and presents practical advice, discussions of current problems, and possible solutions. Authors explore a wide range of topics from dealing with community hostility to planning for the future. Specifically, chapters discuss:
the application of total quality management to RTCs
reasons and rationale for the decline of residential establishments in England
how changes in an RTC affect the youngsters who live there
privatization and purchase of service contracting
profit vs. nonprofit organizations
one agency's experience in establishing an RTC in a resistant neighborhood. Managing the Residential Treatment Center in Troubled Times offers fresh perspectives and alternatives for professionals involved with RTCs, including directors, government regulators, social and child care workers, and psychiatrists and psychologists.
eBook