Child and Adolescent Mental Health Arena

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• Price: $47.50 $42.75
• Hardback: 242 pages
• Also available in e-Book
• Published: February 2009
• ISBN: 978-0-415-99708-9
• Publisher: Routledge

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In Residential Treatment of Adolescents, Pazaratz discusses how practitioners can remain emotionally available for the needs of their residents without feeling overwhelmed. Readers will be apprised of ways to deal judiciously with residents who try to circumvent, con, play workers off each other, and even attempt to seduce or manipulate the worker.

Each chapter instructs readers to observe their clients and comprehend how they relate to the total environment, in order to determine what the resident is feeling and how he or she makes use of personal resources. This contextual understanding helps to answer questions such as: What are the youngster’s goals? What factors obstruct the change process? What are the youngster’s defenses and against what? How does the youngster use the milieu (staff and peers) and the community as resources? How can the youngster get significant others to react differently to him or her?

Ultimately, Pazaratz demonstrates that effective treatment staff do not create dependent youth, make treatment oppressive, or enact a role based upon giving consequences. Instead, the reader will learn to integrate diverse intervention strategies into the resident’s normal cycle of daily life and how to interact within a team structure.

Table of Contents

Author’s Dedication

Preface

I Principles and Practices of Residential Treatment and of the

Four Phase System

The Hard to Serve Adolescent, Theoretical Principals, Organizational Relationships, Treatment Phases, General Principles of Treatment, The Efficacy of the System, Summary, Integrative Treatment Principles and Practices, Conclusions.

II Evaluation

Referral Information, Psychological Assessments, The Psychosocial Assessment, Treatment Plan (Case Formulation), Residential Placement, Group Home Layout, Group Home Interactions, An Integrative Approach to Reinforcements, Phases of Treatment, How Change Occurs, Treatment Motivation, The Difficult Youngster, Confrontation, The Impact of Treatment, Treatment Impasses, Dealing With Conflict Contextually, Anger Directed at Youth Workers, Affect and its Expression .

III Psychosocial Assessment by Child and Youth Care Workers

Childhood Development, Assessment Process in Residential Treatment, The Psychosocial Assessment, Guide for Writing Discharge Summary, Discussion, Summary, Conclusion.

IV Group Living

Contextual Goals of Treatment, The Socializing Process and Development of Values, Staff/Youth Relationship Building, The Element of Integrative Counselling, Power Struggles, Front Line Interactions Stabilizing Interactions, The Living/Learning Environment, Actions that Sustain the Group, Group Interactions, Staff Roles Contextually, Positive Peer Pressure, Subgroups, Summary of Group Dynamics.

V Family Work in Residential Treatment

Family Dynamics, Residential Placement, Treatment Issues, Placement Conditions, Family Assessment, Family Work, Treatment Emphasis, Family Treatment Plan, Family Counselling, Discharge from Treatment, Summary, Conclusion.

VI Modifying Behaviour Through the Use of a Level Reinforcement System

Behaviour Modification, Application of Reinforcements, Behaviour Shaping, Benefits of Reinforcements, A Systems Approach, Rationale of Reinforcements, Critical Factors of Reinforcements, Limitations of Behaviour Management System, Explanation of Levels, Discussions, Summary, Conclusion, Reinforcement Scale, Supplemental or Substitute Items, Explanation of Reinforcement Categories.

VII The Role of Direct Care Staff in Residential Treatment

Purpose of Policy and Procedures, Policy and Procedure Manual, The Policy and Procedure Manual Identifies Parenting Skills, Theory and Practice of Therapeutic Activities, Interviewing and Counselling Skills, Child Care Work Methodology, Family Work, Treatment Planning (Plan of Care), Theory and Practice of Working with Groups, Community Resources; Ethics, Standard Identity and Responsibility, Communication Skills, Interpersonal Skills, Unit Functioning, Job Responsibilities, Team Work, Treatment Planning, Summary, Group Home Management.

VIII Positive Discipline

Causes of Maladaptive Behaviour, Confrontation vs. Control, Confrontation as an Encounter, Supportive Confrontation, Strategies for Emotional Interventions, Counselling Strategies (Psychotherapy), The Group Home Environment, the Integrative Practitioner, Preventing Deterioration, The Nature of Conflicts, Counselling in the Here-and-Now (Contextually), Summary.

IX Therapeutic Programming

Treatment Components, Group Activities and Community Use, Structured Activities, Sustaining Interest, Games and Sport, Therapeutic Effects of Activities, Summary, Conclusion.

X The Role of Education in Residential Treatment

The Public Education System, Educational Options, Behaviour Control of Students, Parenting Influence on Learning, The Need for Special Education, Treatment Classes, What Types of Youngsters Require a Treatment Class?, Curriculum Design of the Treatment Centre Class, Academic Assessment, The Role of the Treatment Class Assessment, The Rolse of the Treatment Class Teacher, Discussion, Summary, Conclusion, Classroom Behaviour Scale, Student Progress Report.

XI Residential Treatment of a Disturbed Adolescent: A Case Study

Family Dynamics, Residential Treatment, Treatment Issues, Group Interactions, Case Study, Formulation, Discussion, Conclusion.

XII Afterward

Introduction, The Four Phase System, Integrative Treatment, Psychosocial Assessment Overview, Reinforcements, How Evaluation Informs Behaviour Management, Oppositionalism and Defiance, The Treatment Class, Activities, The Child and Youth Care Worker’s Role, Family Counselling, Summary, Conclusion.

References

Author/Editor Biography

Don Pazaratz, Ed.D., L.Psych (NU), is president and founder of Warren Youth Services and has published many articles on the subject of residential treatment of disturbed adolescents.