COSIG CONFERENCE BROCHURE.pdf - Drexel University College ...

COSIG Co-Occurring Disorders Conference, Hershey PA, May 15-17, 2006
PART IV: TREATMENT – ADDRESSING THE
NEEDS OF JUVENILES WITH CO-OCCURRING
DISORDERS WHO EXPERIENCED TRAUMA
• THE WASHINGTON STATE FAMILY INTEGRATED
TRANSITIONS (FIT) PROGRAM – GENERAL
CHARACTERISTICS (cont.):
5. Methods to maintain quality:
a. Small caseload
b. Team framework and support.
c. Five day training for new staff, incorporating all
treatment modalities.
d. Weekly clinical supervision, and weekly consultation
case review.
e. On-the-job training and training boosters.
f. Use of manual to guide interventions.
g. Use of caregiver (parent) questionnaire, to ensure
treatment fidelity.
PART IV: TREATMENT – ADDRESSING
THE NEEDS OF JUVENILES WITH CO-
OCCURRING DISORDERS WHO
EXPERIENCED TRAUMA
• THE FIT PROGRAM – DESCRIPTION OF CLINICAL
PROGRAM COMPONENTS:
1. Engagement – Via use of in-home services and
Motivational Enhancement, including:
a. Establishing treatment goals, including prerelease
goals with youth and parent/guardian.
b. Determining stage of change
c. Decisional Balance determination (pros vs. cons
of changing).
PART IV: TREATMENT – ADDRESSING
THE NEEDS OF JUVENILES WITH CO-
OCCURRING DISORDERS WHO
EXPERIENCED TRAUMA
• THE FIT PROGRAM – DESCRIPTION OF CLINICAL
PROGRAM COMPONENTS (cont.):
d. Motivational interviewing, including use of
“OARS” methodology:
1) Open-ended.
2) Affirming.
3) Reflection.
4) Summary
5) Use of “change talk”.
PART IV: TREATMENT – ADDRESSING
THE NEEDS OF JUVENILES WITH CO-
OCCURRING DISORDERS WHO
EXPERIENCED TRAUMA
• THE FIT PROGRAM – DESCRIPTION OF CLINICAL
PROGRAM COMPONENTS (cont.):
2. Systems interventions:
a. Conceptualization of problem/need in terms of youth within
multiple life contexts.
b. Identification of current and potential supports for youth and
family.
c. Coordination with all involved care givers and systems.
d. Linkage/referral, as indicated, with special attention to
preparation for termination.
PART IV: TREATMENT – ADDRESSING
THE NEEDS OF JUVENILES WITH CO-
OCCURRING DISORDERS WHO
EXPERIENCED TRAUMA
• THE FIT PROGRAM – DESCRIPTION OF
CLINICAL PROGRAM COMPONENTS (cont.):
3. Youth-specific interventions:
a. Use of Dialectical Behavior Therapy (DBT),
with development of 4 key skills:
1) Mindfulness.
2) Emotional regulation.
3) Distress tolerance.
4) Interpersonal effectiveness.
PART IV: TREATMENT – ADDRESSING
THE NEEDS OF JUVENILES WITH CO-
OCCURRING DISORDERS WHO
EXPERIENCED TRAUMA
• THE FIT PROGRAM – DESCRIPTION OF CLINICAL
PROGRAM COMPONENTS (cont.):
b. Creation and use of client-centered treatment
plan.
c. Individual sessions with youth.
d. Therapy to address specific impairments caused
by psychiatric disorders.
e. Psychoeducation and increased self-awareness.
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