Friday, December 26, 2014

Family Therapy for Childhood and Adolescent Disorders

■ Family Risk and Protective Factors o Childhood and adolescent behavior problems have been strongly and consistently linked to a number of family factors, such as conflict and aggression.
o Longitudinal studies show that ineffective parenting practices in childhood maintain antisocial behavior into adolescence.

■ Family based interventions for child behavioral problems
o Various family therapy approaches specifically target the coercive family patterns maintaining behavior problems while at the same time bolstering protective factors in the family and other systems that have an impact on the child.

■ Engagement and Retention Therapy o One of family therapy’s major contributions is an increased focus on strategies for engaging difficult youth and their families in treatment

■ Parent Management Training o Focusing on the parent in treatment
o Helping parents identify, observe, and react to the child’s problem behavior in new ways
o Applying social learning principles to increase parenting skills to shape the child’s behavior.
o Providing opportunities to practice new parenting skills and apply them in the home.

■ Functional Family Therapy o This model is based on the assumption that children’s behavior problems serve a function within the family system and are initiated and maintained by maladaptive interpersonal processes.
o Treatment targets change in these destructive interactional patterns and uses behavioral interventions to reinforce positive ways of responding and to establish more effective problem-solving

■ Multisystemic Therapy o Several different models have demonstrated efficacy and are generating evidence of effectiveness community-based replication studies.
o These therapies promote positive outcomes such as more pro-social peer relationships and family functioning, as well as reducing conduct problems.