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Introduction to Manualized Interventions . FRIENDS for Life Skillstreaming Defiant Children/Teens Cognitive Behavioral Intervention for Trauma in Schools (CBITS). FRIENDS for Life (Paula Barrett ).
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FRIENDS for Life • Skillstreaming • Defiant Children/Teens • Cognitive Behavioral Intervention for Trauma in Schools (CBITS)
FRIENDS for Life (Paula Barrett) • Group-administered cognitive-behavioral treatment for depression and anxiety symptoms for children ages 7-11 (FRIENDS for Children) or adolescents age 12-16 (FRIENDS for Youth). • 10 sessions between 45-60 minutes in length, administered on a weekly basis, with two follow-up booster sessions and four optional parent sessions. • Groups should be comprised of 12 or fewer youth.
FRIENDS addresses the 3 major components of chronic anxiety symptoms: • Mind (i.e., cognition), • Body (i.e. physiological responses), • Behavior (i.e., learning new coping skills) • Two manuals are necessary to implement the approach: the group leader’s manual, a children’s workbook, teacher’s resource CD, and other resources • Manuals are $49.50 each • To sign up for training go to www.friendsinfo.net/TRAINING.html
Skillstreaming (Arnold Goldstein) • Designed to enhance youths’ social skills, can be used as a universal classroom or a selected small group intervention. • Separate curricula exist for early childhood (Skillstreaming in Early Childhood), K-6 (Skillstreaming the Elementary School Child), and 7-12 grades (Skillstreaming the Adolescent). • Instructors can run through the entire protocol or select different component skills to meet the needs of specific youth. • Cue cards are used to prompt students to use Skillstreaming strategies. • To implement Skillstreaming, an educator training video ($125.00), a workbook, student manual, and skill cards are needed ($78.00 for full set) • http://www.skillstreaming.com/
Defiant Children and Defiant Teens (Barkley, Robin, Edwards) • 18-step program designed both to teach parents the skills they need to manage difficult child/adolescent behavior and to improve family relationships overall. • Delineate clear procedures for assessing defiance in children/teens and working with parents, alone or in groups, to reverse problem behavior • Clinicians are shown how to help all family members learn to negotiate, communicate, and problem-solve more effectively, while facilitating adolescents' individuation and autonomy (for Defiant Teens) • Clinician Manuals $39.00 each; Contain reproducible handouts for parents • www.RussellBarkley.org
Cognitive Behavioral Intervention for Trauma in Schools (CBITS; Lisa Jaycox) • 10-session school-based, cognitive behavioral intervention for trauma exposed adolescents • Optional 1-3 individual sessions • It incorporates cognitive behavioral therapy (CBT) skills in a group format to address symptoms of PTSD, depression, and anxiety related to trauma exposure • Informational components for teachers and parents • Clinician manuals $34.95; Contains reproducible handouts • Register with http://cbitsprogram.org/ for training and implementation information
First Steps to School Preparedness for Manualized Intervention Implementation 1) Review and select manualized intervention • Consider needs of students when selecting intervention • Potentially consider administrator/teacher/ family/student input when selecting intervention • Decide who will facilitate group
2) Discuss plans for implementation with principal and other key administrators • Explain why group interventions are important/efficient/effective • Solicit feedback re: how to obtain referrals for group, when to implement group, etc. • Provide a brief description of the manualized intervention selected for implementation – session outline,
3) Inform teachers about group and request referrals • Compose a letter or announcement for teachers briefly describing the group intervention • Solicit referrals from teachers
4) Identify space and time to conduct group • Space • Private • Large enough to accommodate group • Time • May consider rotating time of group so students do not consistently miss the same subject/class period • Consider lunch or before/after school times, if feasible