Stage 1 interventions
Motivate parents to help their youth and to work in therapy
Working the themes is also known as
What is Stage 2? Working on the OTGS
MDFT draws from TF-CBT's narrative in this clinical protocol
What is addressing trauma
This is a crucial safety step in working with clients who admit to using or experimenting with drugs other than alcohol or marijuana
What is a urinalysis
Assessing school needs, developing 504/IEP recommendations, Prepare and enable parents to facilitate all school interventions prior to termination
What are therapist responsibilities? (school)
Produce an early success/Identify a youth-driven goal that you can address (make better for the youth) immediately in order to demonstrate that you can deliver on what you say
The intervention/perspective where: "Solving a teen’s drug problems involves changing many things that currently support drug use, including his or her individual attitudes and beliefs, individual developmental (prosocial, identity-oriented issues; self-efficacy) issues, affiliation with and access to deviant peers, failure with and disconnection from prosocial institutions (school and religious affiliation), the family environment (which may include the mental health issues of a parent), and parenting practices."
What is multidimensionality?
(a) increase youth’s desire to stop or reduce drug taking and other problematic behaviors and
(b) facilitate behavior change typically once the desire or need to change has increased in the youth.
What is addressing youth substance use?
Therapist: "Susie, would you please share with your mother what we discussed in our individual session"
Susie shares
Therapist: "Mom can you tell Susie how you feel hearing this?"
What is an enactment?
Monitor attendance at prosocial activities
Evaluate appropriateness of recreational activities in terms of content, staff competence, and rapport
Determine cost, hours, attendance requirements
What are TA responsibilities? (prosocial)
Presenting therapy as a collaborative process
Defining therapeutic goals that are meaningful to the adolescent
Generating hope by focusing on the adolescent’s internal locus of control and by presenting oneself as an ally
Attending to the adolescent’s experience
What are adolescent engagement interventions (AEI's)?
the process of molding and shaping changes across functional domains in different developmental environments (school, family, self) over time. This requires the connection of in-session content themes and accomplishments across sessions.
What is linking
Identifying High-Risk Situations, Substance Use Triggers, and Increasing Coping, Self-Efficacy and Refusal Skills to Minimize Slips and Avoid Relapse
What is relapse prevention planning?
(1) therapist activity within multiple systems of the adolescent’s life
(2) an emphasis on facilitating active adolescent involvement in treatment
(3) the use of popular culture, including the music of the adolescent’s culture
(4) extensive discussion of salient cultural themes
What is the cultural themes intervention?
Facilitate health care service access
Make referrals/appointments to appropriate agencies
Obtain results from providers as necessary
What are TA responsibilities? (medical)
The MDFT intervention: Look for every opportunity to develop and deepen parents’ experience and expression of warmth, positivity, and appreciation for their child.
What is parental re connection interventions (PRI's)
This attitude or stance announces a no-more-business-as-usual approach to the adolescent’s situation. It emphasizes that a life is at stake, and, indeed, other lives in the family are at stake as well.
(a) understanding their emotions
(b) regulating their emotions
(c) expressing their emotions in a healthy and not self-destructive way
What are the steps to addressing youth anger, violence and aggression?
In attempting to gain access to the adolescent’s world, the therapist uses psychoeducational videos, popular films, music, and written or Internet materials to facilitate discussion of both general topic areas and the personal experiences of the adolescent.
Multimedia interventions
Maintain contact with juvenile probation officer
Support family with access to immigration services
What are TA responsibilities (legal)
Motivate parents to help their youth and to work in therapy (ie. Would you like to look back and feel that you have done everything you can?)
This technique is used to change in-session impasses between parents and adolescents. These emotional stalemates are broken by changing the focus of the discussion during the session. Frequently this involves moving the conversation to a more personal level. This method accesses certain emotions (e.g., the parents’ commitment and love, an adolescent’s hurt feelings) while blocking, at least temporarily, others (e.g., resentment)
What is the shift strategy?
Parents will explain that they have decided to try to make changes in this area out of love for their child; that they think this is the best way to make sure he/she is safe, happy, and healthy. The parents emphasize that it’s important for the teen to get back on a positive track and the recent problems are hurting him or her at present and will continue to create problems for him or her in the future. Therefore the parent is making changes in the household plan
What is family discussion of household rules, incentives and consequences?
This method involves the therapist’s guiding the teen and the family in drawing a map of the adolescent’s social network. Multiple maps may be drawn—one of the neighborhood, one of the school and the teen’s peer network there, and one of the family and its extended family and/or system of support.
The ecomap method
Assess family economic needs
Set up a plan with the family to determine how to best meet their financial needs
Attend meetings with service providers when clients’ behavior has impacted receipt of services and advocate for client
What are therapist responsibilities? (economic)