Multisystemic Therapy For Conduct Disorder

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Multisystemic Therapy for Conduct Disorder: A Comprehensive Guide



Introduction:

Is your child struggling with conduct disorder (CD)? Are you feeling overwhelmed and unsure where to turn for effective treatment? Conduct disorder, characterized by persistent antisocial behavior, can severely disrupt a child's life and the lives of their family. Traditional approaches often fall short, leaving parents desperate for solutions. This comprehensive guide delves into multisystemic therapy (MST), a highly effective evidence-based treatment specifically designed to address the complex challenges of CD. We'll explore the principles of MST, its practical application, its benefits, and what to expect throughout the therapeutic process. By the end, you'll have a clear understanding of how MST can help your child and family navigate the path towards healing and positive change.


What is Conduct Disorder?

Conduct disorder is a serious behavioral disorder affecting children and adolescents. It's characterized by a repetitive and persistent pattern of violating the basic rights of others or age-appropriate societal norms. This can manifest in various ways, including aggression towards people or animals, destruction of property, deceitfulness or theft, and serious violations of rules. The severity and frequency of these behaviors significantly impact the child's social, academic, and family life. Understanding the nuances of CD is crucial to selecting the right intervention, and MST excels in its holistic approach.


Understanding Multisystemic Therapy (MST): A Holistic Approach

Multisystemic therapy is not your typical individual or group therapy. It's a comprehensive, intensive, and family-focused treatment that recognizes the interconnectedness of a child's problems. MST acknowledges that a child's behavior isn't isolated but is intricately linked to their family dynamics, peer relationships, school environment, and the broader community. Unlike other treatments that might focus solely on the child's individual behavior, MST addresses the multiple systems impacting the child's life, hence its name. This holistic approach is what sets MST apart and contributes to its remarkable success rate.


Key Principles of MST:

Family-centered: MST actively involves the entire family in the treatment process. Therapists work collaboratively with parents, siblings, and other significant family members to identify and address the underlying issues contributing to the child's CD.
Community-based: Therapy takes place primarily in the child's natural environment – their home, school, and community. This allows therapists to directly observe and address challenges within the child's real-life context.
Ecologically valid: MST recognizes that behavior is influenced by various environmental factors. Therapists work to modify these factors, creating a supportive and structured environment for positive change.
Developmental sensitivity: Therapists consider the child's developmental stage and individual needs, tailoring interventions accordingly.
Structured and time-limited: MST is typically delivered over 3-5 months, providing intensive support during a crucial period. The structured approach ensures consistent progress and measurable outcomes.
Strengths-based: MST focuses on identifying and building on the child's strengths and resilience. This approach empowers the child and family, fostering hope and motivation.


How MST Works in Practice:

MST therapists are highly trained professionals who work intensely with families. They conduct regular home visits, collaborating with parents to develop individualized treatment plans. These plans target specific behaviors and environmental factors contributing to the child's CD. Therapists might work with schools to create supportive learning environments, connect families with community resources, and teach parents effective parenting skills. Ongoing monitoring and adjustments ensure the plan remains effective and responsive to the child's changing needs.


Benefits of MST for Conduct Disorder:

Numerous studies demonstrate the superior efficacy of MST compared to other treatment approaches for conduct disorder. MST has been shown to:

Reduce the severity of CD symptoms: This includes a significant reduction in aggressive behaviors, property destruction, and rule violations.
Improve family relationships: MST strengthens family bonds and improves communication and parenting skills.
Enhance academic performance: By addressing behavioral issues and creating supportive school environments, MST can significantly improve a child's academic success.
Reduce involvement in the juvenile justice system: MST helps prevent future delinquency and reduces the likelihood of criminal involvement.
Improve overall quality of life: For both the child and family, MST leads to significant improvements in mental health, well-being, and overall quality of life.


Finding an MST Therapist:

Locating a qualified MST therapist is crucial for successful treatment. Look for therapists who are certified by the Multisystemic Therapy Institute (MSTI). The MSTI provides rigorous training and ensures therapists adhere to the established MST model. Insurance coverage varies, so it’s essential to contact your insurance provider and inquire about coverage for MST services.


What to Expect During MST:

The MST process involves regular home visits from the therapist, who will work collaboratively with the family to develop and implement a tailored treatment plan. Expect open communication, active participation from all family members, and a focus on practical solutions. There will be challenges and setbacks along the way, but the therapist's support and guidance will help the family navigate these difficulties. Progress is continuously monitored, and the treatment plan is adjusted as needed.


Book Outline: "Navigating Conduct Disorder with Multisystemic Therapy"

Author: Dr. Emily Carter, Licensed Clinical Psychologist specializing in MST

Introduction: What is Conduct Disorder and why MST is a superior treatment approach.
Chapter 1: Understanding Conduct Disorder: Symptoms, diagnosis, and the impact on families.
Chapter 2: The Principles of Multisystemic Therapy: A detailed explanation of MST's core principles and methodology.
Chapter 3: MST in Action: Case studies illustrating how MST is implemented in various family settings.
Chapter 4: The Role of the Family in MST: Strategies for parents and siblings to actively participate in treatment.
Chapter 5: Addressing Specific Challenges: Strategies for handling aggression, defiance, school problems, and peer conflicts.
Chapter 6: Community Resources and Support: Identifying and accessing valuable support networks.
Chapter 7: Maintaining Gains and Preventing Relapse: Long-term strategies for sustaining positive changes.
Conclusion: A summary of the benefits of MST and hope for families facing CD.


(The following sections would elaborate on each chapter of the outlined book, adding detail and depth to each point. Due to length constraints, this is omitted here.)


FAQs:

1. Is MST right for every child with Conduct Disorder? MST is highly effective, but its intensity might not be suitable for every case. A thorough assessment is necessary to determine suitability.

2. How long does MST treatment typically last? Generally 3-5 months, with intensive involvement from the therapist.

3. What is the cost of MST? Cost varies depending on location and insurance coverage. It's important to check with your insurance provider.

4. What if my child doesn't cooperate with the therapist? MST therapists are trained to engage even the most challenging children and families.

5. Can MST be used in conjunction with other therapies? Yes, it can sometimes be used alongside other interventions.

6. Is MST effective for adolescents as well as younger children? Yes, MST has proven effective for both children and adolescents with CD.

7. What if my family lives in a rural area? The accessibility of MST varies geographically; some programs offer telehealth options.

8. Are there any potential side effects of MST? While generally safe and effective, some families may experience initial challenges adjusting to the intensive nature of the therapy.

9. What are the long-term outcomes of MST? Studies show long-term reductions in CD symptoms, improved family functioning, and reduced risk of future delinquency.


Related Articles:

1. Conduct Disorder Symptoms and Diagnosis: A comprehensive overview of the symptoms and diagnostic criteria for CD.

2. Parenting Strategies for Children with Conduct Disorder: Practical tips and techniques for parents dealing with CD.

3. The Role of Family Therapy in Treating Conduct Disorder: An exploration of how family therapy contributes to overall treatment success.

4. School Interventions for Children with Conduct Disorder: Strategies for creating a supportive learning environment for children with CD.

5. The Impact of Conduct Disorder on Academic Performance: Discussing the academic challenges faced by children with CD.

6. Juvenile Justice and Conduct Disorder: The connection between CD and involvement in the juvenile justice system.

7. The Importance of Early Intervention for Conduct Disorder: Highlighting the benefits of early identification and treatment.

8. Comparing Different Treatment Approaches for Conduct Disorder: A comparison of various treatment methods, including MST.

9. Long-Term Outcomes and Prognosis for Conduct Disorder: A look at the long-term trajectory of CD and the impact of effective intervention.


  multisystemic therapy for conduct disorder: Multisystemic Therapy for Antisocial Behavior in Children and Adolescents Scott W. Henggeler, Sonja K. Schoenwald, Charles M. Borduin, Melisa D. Rowland, Phillippe B. Cunningham, 2009-03-03 Multisystemic therapy (MST) has grown dramatically since the initial publication of this comprehensive manual. Today, over 400 MST programs operate in more than 30 states and 10 countries, supported by a strong empirical evidence base. This book explains the principles of MST and provides clear guidelines for clinical assessment and intervention with delinquent youth and their families. Practitioners are guided to implement proven strategies for engaging clients and helping them to address the root causes of antisocial behavior, improve family functioning and peer relationships, enhance school performance, and build meaningful social supports. New to This Edition *Includes the latest MST data and clinical refinements. *Revised to be even more user-friendly, with many new examples added. *A chapter on treating youth and caregiver substance abuse. *Expanded coverage of safety concerns, enhancing vocational outcomes, and MST adaptations for other clinical problems. *A chapter detailing the MST system for sustaining high-quality programs.
  multisystemic therapy for conduct disorder: Conduct Disorders Audrey L. Nelson, PhD, RN, FAAN, 2006-02-10 Take a journey through one of the most costly psychiatric disorders: Conduct Disorder. Explore why children in the same environment as a child with conduct disorder are more affected than the child diagnosed with the problem. Delve into the reasons most practicing clinicians of conduct disorder are influenced more so by the persons they treat and their desire to refine theoretical understanding of others and improve their methods of helping than by empirical research. With the increasing need to effectively address conduct-disordered youth, this book offers a comparative analysis of eight distinctive theoretical and practical interventions by expert therapists of one case study of conduct-disordered youth. Coverage of each treatment includes: Overview of the model Establishment of treatment goals Discussion of assessment procedures Specific clinical interventions In addition, a comparison grid offers a summation and comparison of the eight treatment models for use in developing and enhancing patient-tailored treatment approaches.
  multisystemic therapy for conduct disorder: Multisystemic Therapy for Antisocial Behavior in Children and Adolescents Scott W. Henggeler, Sonja K. Schoenwald, Charles M. Borduin, Melisa D. Rowland, Phillippe B. Cunningham, 2009-03-03 Multisystemic therapy (MST) has grown dramatically since the initial publication of this comprehensive manual. Today, over 400 MST programs operate in more than 30 states and 10 countries, supported by a strong empirical evidence base. This book explains the principles of MST and provides clear guidelines for clinical assessment and intervention with delinquent youth and their families. Practitioners are guided to implement proven strategies for engaging clients and helping them to address the root causes of antisocial behavior, improve family functioning and peer relationships, enhance school performance, and build meaningful social supports. New to This Edition *Includes the latest MST data and clinical refinements. *Revised to be even more user-friendly, with many new examples added. *A chapter on treating youth and caregiver substance abuse. *Expanded coverage of safety concerns, enhancing vocational outcomes, and MST adaptations for other clinical problems. *A chapter detailing the MST system for sustaining high-quality programs.
  multisystemic therapy for conduct disorder: A Guide To Treatments that Work Peter Nathan, Jack M. Gorman, 2002-01-18 A fully revised and updated edition of this unique and authoritative reference The award-winning A Guide to Treatments that Work , published in 1998, was the first book to assemble the numerous advances in both clinical psychology and psychiatry into one accessible volume. It immediately established itself as an indispensable reference for all mental health practitioners. Now in a fully updated edition,A Guide to Treatments that Work, Second Edition brings together, once again, a distinguished group of psychiatrists and clinical psychologists to take stock of which treatments and interventions actually work, which don't, and what still remains beyond the scope of our current knowledge. The new edition has been extensively revised to take account of recent drug developments and advances in psychotherapeutic interventions. Incorporating a wealth of new information, these eminent researchers and clinicians thoroughly review all available outcome data and clinical trials and provide detailed specification of methods and procedures to ensure effective treatment for each major DSM-IV disorder. As an interdisciplinary work that integrates information from both clinical psychology and psychiatry, this new edition will continue to serve as an essential volume for practitioners of every kind: psychiatrists, psychologists, clinical social workers, counselors, and mental health consultants.
  multisystemic therapy for conduct disorder: Serious Emotional Disturbance in Children and Adolescents Scott W. Henggeler, 2002-08-05 Practical and authoritative, this volume belongs on the desks of clinical psychologists, psychiatrists, social workers, and other clinicians working with children and families; agency administrators and policy makers; clinical researchers; and students training in the use of evidence-based mental health treatments. It may serve as a text in graduate-level courses and MST training seminars.--BOOK JACKET.
  multisystemic therapy for conduct disorder: Multisystemic Therapy and Neighborhood Partnerships Cynthia Cupit Swenson, Scott W. Henggeler, Ida S. Taylor, Oliver W. Addison, 2009-01-26 Social problems.
  multisystemic therapy for conduct disorder: Antisocial Behavior in Children and Adolescents John B. Reid, Gerald R. Patterson, James J. Snyder, 2002-01-01 Written for an audience of applied researchers, clinical practitioners, community activists, and policymakers, this edited volume summarizes ongoing work at the Oregon Social Learning Center. Contributors make a powerful argument for an approach that pinpoints the antecedents of antisocial behavior all the way from toddlerhood through adolescence. This book will be of interest to anyone concerned about the quantifiable losses associated with behaviors such as violence and crime, incarceration, vocational failure, substance abuse, the use of emergency services, and irresponsible sexual conduct.
  multisystemic therapy for conduct disorder: Antisocial Behaviour and Conduct Disorders in Children and Young People National Collaborating Centre for Mental Health (Great Britain), 2013 Antisocial behaviour and conduct disorders are the most common reason for referral to child and adolescent mental health services and have a significant impact on the quality of life of children and young people and their parents and carers. Rates of other mental health problems (including antisocial personality disorder) are considerably increased for adults who had a conduct disorder in childhood. This new NICE guideline seeks to address these problems by offering advice on prevention strategies and a range of psychosocial interventions.It reviews the evidence across the care pathway, encompassing access to and delivery of services, experience of care, selective prevention interventions, case identification and assessment, psychological and psychosocial indicated prevention and treatment interventions, and pharmacological and physical interventions.Readership: Intended for healthcare professionals in CAMHS, but this will also be useful to professionals in primary care (as there is much emphasis on recognition).
  multisystemic therapy for conduct disorder: Clinical Handbook of Assessing and Treating Conduct Problems in Youth Rachael C. Murrihy, Antony D. Kidman, Thomas H. Ollendick, 2010-08-26 Conduct problems, particularly oppositional defiant disorder (ODD) and conduct disorder (CD), are the most common mental health problems affecting children and adolescents. The consequences to individuals, families, and schools may be severe and long-lasting. To ameliorate negative outcomes and ensure the most effective treatment for aggressive and antisocial youth, early diagnosis and evidence-based interventions are essential. Clinical Handbook of Assessing and Treating Conduct Problems in Youth provides readers with both a solid grounding in theory and a comprehensive examination of the evidence-based assessment strategies and therapeutic practices that can be used to treat a highly diverse population with a wide range of conduct problems. It provides professional readers with an array of evidence-based interventions, both universal and targeted, that can be implemented to improve behavioral and social outcomes in children and adolescents. This expertly written resource: Lays the foundation for understanding conduct problems in youth, including epidemiology, etiology, and biological, familial, and contextual risk factors. Details the assessment process, with in-depth attention to tools, strategies, and differential diagnosis. Reviews nine major treatment protocols, including Parent-Child Interaction Therapy (PCIT), multisystemic therapy (MST) for adolescents, school-based group approaches, residential treatment, and pharmacotherapy. Critiques the current generation of prevention programs for at-risk youth. Explores salient issues in working effectively with minority youth. Offers methods for evaluating intervention programs, starting with cost analysis. This volume serves as a one-stop reference for all professionals who seek a solid grounding in theory as well as those who need access to evidence-based assessment and therapies for conduct problems. It is a must-have volume for anyone working with at-risk children, including clinical child, school, and developmental psychologists; forensic psychologists; social workers; school counselors and allied professionals; and medical and psychiatric practitioners.
  multisystemic therapy for conduct disorder: Disruptive Behavior Disorders Patrick H. Tolan, Bennett L. Leventhal, 2013-07-09 Aggressive behavior among children and adolescents has confounded parents and perplexed professionals—especially those tasked with its treatment and prevention—for countless years. As baffling as these behaviors are, however, recent advances in neuroscience focusing on brain development have helped to make increasing sense of their complexity. Focusing on their most prevalent forms, Oppositional Defiant Disorder and Conduct Disorder, Disruptive Behavior Disorders advances the understanding of DBD on a number of significant fronts. Its neurodevelopmental emphasis within an ecological approach offers links between brain structure and function and critical environmental influences and the development of these specific disorders. The book's findings and theories help to differentiate DBD within the contexts of normal development, non-pathological misbehavior and non-DBD forms of pathology. Throughout these chapters are myriad implications for accurate identification, effective intervention and future cross-disciplinary study. Key issues covered include: Gene-environment interaction models. Neurobiological processes and brain functions. Callous-unemotional traits and developmental pathways. Relationships between gender and DBD. Multiple pathways of familial transmission. Disruptive Behavior Disorders is a groundbreaking resource for researchers, scientist-practitioners and graduate students in clinical child and school psychology, psychiatry, educational psychology, prevention science, child mental health care, developmental psychology and social work.
  multisystemic therapy for conduct disorder: Disruptive Behavior Disorders in Children and Adolescents Robert L. Hendren, 1999 The book reviews research and clinical observations on this timely topic. The authors look at attention-deficit/hyperactivity disorder (ADHD), conduct disorder, and oppositional defiant disorder, all of which are common among youths and often share similar symptoms of impulse control problems.
  multisystemic therapy for conduct disorder: Conduct Disorders in Childhood and Adolescence Alan E. Kazdin, 1995-03-27 This volume provides a thorough and well-balanced review of the topic of conduct disorders in childhood and adolescence. An opening chapter gives the reader a good sense of the nature, complexity, and magnitude of the problem for parents, caretakers, and mental health professionals; the remainder of the book explains what we currently know about children and adolescents with behavior problems. One chapter each is devoted to diagnosis and assessment, characteristics of the disorder, treatment, prevention, and directions for future research and social policy. --Matthjis Koopmans in Journal of Adolescence This is another excellent little book, in the Sage Developmental Clinical Psychology and Psychiatry Series. Read and enjoy. --Ewen Rennie in BPS Division of Educational & Child Psychology
  multisystemic therapy for conduct disorder: Conduct Disorders and Severe Antisocial Behavior Paul J. Frick, 2012-11-29 As reflected in the title, the purpose of this book is to guide clinicians in understanding and treating youth with severe antisocial behavior. Children and adolescents with conduct disorders operate at quite a high cost to society. In many opinion polls, juvenile crime and violence is rated as one of the most pressing concerns for many in our society. This widespread concern has prompted professionals from many disciplines to search for more effective interventions to prevent and treat youth with such disorders. This book is my attempt to summarize the current status of this very important endeavor. In providing this guide to clinicians, I have attempted to emphasize the critical link between understanding the clinical presentation, course, and causes of conduct disorders and designing effective interventions for children and adolescents with these disorders. Many past books, book chapters, and review articles have emphasized one or the other of these objectives. Some have provided excellent summaries of the vast amount of research on youth with conduct disorders without explicitly and clearly describing the clinical applica tions of this research. Others have focused on the implementation of specific interventions for youth with conduct disorders that is divorced from a basic understanding of the many diverse and clinically important characteristics of this population. The overriding theme of this book is that successful clinical inter vention requires an integration of both bodies of knowledge.
  multisystemic therapy for conduct disorder: Aggression and Antisocial Behavior in Children and Adolescents Daniel F. Connor, 2012-04-19 This comprehensive volume reviews and synthesizes a vast body of knowledge on maladaptive aggression and antisocial behavior in youth. Written from a clinical-developmental perspective, and integrating theory and research from diverse fields, the book examines the origins, development, outcomes, and treatment of this serious problem in contemporary society. Major topics addressed include the types and prevalence of aggressive and antisocial behavior; the interplay among neuropsychiatric, psychosocial, and neurobiological processes in etiology; known risk and protective factors; gender variables; and why and how some children grow out of conduct disturbances. Chapters also discuss current approaches to clinical assessment and diagnosis and review the evidence for widely used psychosocial and pharmacological interventions.
  multisystemic therapy for conduct disorder: Oppositional Defiant Disorder and Conduct Disorder in Childhood Walter Matthys, John E. Lochman, 2017-01-30 Newly updated, this is a comprehensive guide to ODD and conduct disorder (CD) in children aged 3-14 for professionals, students, and researchers. Summarizes the most important empirical knowledge across a broad array of topics, with a focus on the latest research and meta-analyses, as well as high-quality older studies Includes revised diagnostic conceptualizations for ODD and CD from DSM-V and the upcoming ICD-11 classification systems, with particular attention to similarities, differences, and information about an angry-irritable subtype for ODD Provides updated reviews of biological and social-cognitive risk and protective factors and the evidence base for relevant treatment and prevention procedures Describes best practices for assessment, treatment, and prevention for children and their families, based on the clinical and research work of the well-respected author team
  multisystemic therapy for conduct disorder: Understanding Conduct Disorder and Oppositional-Defiant Disorder Laura Vanzin, Valentina Mauri, 2019-09-23 This vital guide takes a new approach to conduct and oppositional defiant disorders (CD and ODD), presenting the science in an accessible way to empower both parents and practitioners. Vanzin and Mauri cover a range of key topics, including distinguishing between typical and atypical behavioral development, how to choose the best course of treatment for a child and how parental behavior can help or hinder progress, providing a comprehensive overview of these two disorders. In six clearly labeled chapters, the authors explain the science behind popular treatments, providing practical advice and clear, step-by-step instructions on how to approach challenging behavior. Written in concise and straightforward language, each chapter concludes with “important points” summarizing key information, designed to help those living or working with children suffering from behavioral disorders to both understand the nature of the disorders and achieve the best outcome for the child. The final chapter of the book presents an in-depth case study of a child with behavioral disorders, thoroughly detailing symptoms, treatment and outcome, providing a demonstration of best practice and affirming that challenging behavior can be effectively managed. Illustrated with clinical vignettes of the experiences of children living with CD and ODD, Understanding Conduct Disorder and Oppositional- Defiant Disorder is essential reading for parents and caregivers, as well as practitioners in clinical and educational psychology, counseling, mental health, nursing, child welfare, public healthcare and those in education.
  multisystemic therapy for conduct disorder: Evidence-Based Psychotherapies for Children and Adolescents, Second Edition John R. Weisz, Alan E. Kazdin, 2010-01-13 Widely regarded as a premier text and clinical resource, this book presents exemplary treatment approaches for a broad range of social, emotional, and behavioral problems in children and adolescents. Concise chapters from leading authorities describe the conceptual underpinnings of each therapy, how interventions are delivered on a session-by-session basis, and what the research shows about treatment effectiveness. Contributors discuss recommended manuals and other clinical and training resources and provide details on how to obtain them.
  multisystemic therapy for conduct disorder: Pediatric Neuropsychiatry C. Edward Coffey, Roger A. Brumback, 2006 Pediatric Neuropsychiatry provides the most updated and clinically relevant information on psychiatric disorders in children and adolescents with disturbances of brain function. Bridging the fields of psychiatry and neurology, this landmark work emphasizes the link between developmental brain biology and behavior. Major sections focus on neuropsychiatric aspects of specific psychiatric and neurologic disorders, highlighting the influence of the developing nervous system on these disorders' pathophysiology, manifestations, clinical course, treatment, and prognosis. Other sections discuss all contemporary diagnostic and therapeutic modalities. Chapters include case histories, algorithms, tables, and appendices that explain the rudiments of testing.
  multisystemic therapy for conduct disorder: The Clinician's Guide to Oppositional Defiant Disorder Michelle M. Martel, 2019-05-23 The Clinician's Guide to Oppositional Defiant Disorder: Symptoms, Assessment, and Treatment uniquely focuses on practical strategies for assessing and treating Oppositional Defiant Disorder (ODD) in youth. After briefly reviewing clinical characteristics of ODD and known causal factors, the book reviews brief and easily administered assessment measures of ODD. It further describes efficacious treatment elements across different treatment protocols that can be personalized for young children, older children, and/or adolescents that are based on unique clinical and family characteristics. Assessment and treatment tips for addressing commonly co-occurring problems, such as difficulties with toilet training, lying, problems with peers, and aggression are included. Finally, the book includes practical tools, such as therapeutic handouts, sample rating forms, and psychoeducational materials for parents and clinicians, along with links to online materials for ease of use in applied clinical settings. - Provides cutting-edge clinical insights on the etiology, assessment and treatment of ODD - Outlines the symptoms of ODD and their links to the development of other disorders - Reviews heritable and environmental causes of ODD - Describes efficacious treatment elements, such as differential attention and time out - Provides guidelines for associated problems, such as bedwetting and lying - Includes in-text and online materials for applied use in assessment and treatment
  multisystemic therapy for conduct disorder: Psychotherapy for Children and Adolescents John R. Weisz, 2004-02-23 In this book, a clinical scientist highlights youth psychotherapies that have been tested and shown to work. Treatments for fears and anxiety, depression, attention deficits and ADHD, and conduct problems and disorder are described in detail, their conceptual basis explained, their clinical application illustrated by richly developed case examples, and their prospects for use in clinical practice examined closely. This clinical perspective is complemented by summaries and critiques of the empirical evidence on each treatment and by commentaries on what questions remain unanswered. The author's clinical and scientific experience converge to produce a uniquely valuable experience on exemplary treatments for children and adolescents.
  multisystemic therapy for conduct disorder: A Guide to Treatments that Work Peter E. Nathan, Jack M. Gorman, 2007-03-15 Much about this third edition of A Guide to Treatments That Work remains as it was in the first and second editions. Like its predecessors, this edition offers detailed evaluative reviews of current research on empirically supported treatments, written in most instances by clinical psychologists and psychiatrists who are major contributors to that literature. Similarly, the standards by which the authors were asked to evaluate the methodological rigor of the research on treatments have also remained the same. As before, they provide information on the quality of the research on treatment efficacy and effectiveness that is reviewed.
  multisystemic therapy for conduct disorder: Encyclopedia of Counseling Frederick T. Leong, 2008-04-25 Selected as an Outstanding Academic Title by Choice Magazine, January 2010 From the depressed and lonely college student to the business executive at midlife experiencing decreasing levels of career satisfaction to the couple where one partner has been unfaithful in the relationship, counselling is the intervention that numerous individuals turn to each year as the challenges and stress of daily living exceed their normal coping abilities. Counselling is practised by counsellors, social workers, psychiatric nurses, psychologists, and psychiatrists. Counseling is to be differentiated from psychotherapy in that the latter deals more with mental illnesses and psychological disorders while the former is more concerned with normative stresses, adjustment difficulties, and life transitions (e.g., adjusting to unemployment or going through a divorce). The Encyclopedia of Counseling will be the definitive resource for members of the public who are interested in learning about the science and practice of counselling. It will also be a useful resource for undergraduate and graduate students as well as professionals from other specialties. Covering all of the major theories, approaches, and contemporary issues in counselling, the set includes over 600 entries. The Encyclopedia will consist of four volumes: (a) changes and challenges facing counseling, (b) personal counseling for mental health problems, (c) career counseling, and (d) cross-cultural counseling. Each volume is organized alphabetically and will contain a comprehensive index and cross-referencing system to entries in other volumes. Volume One Changes and Challenges for Counseling in the 21st Century History of Counseling, Definition of Counseling, Professional Associations, Licensure, Accreditation, Managed Care, Marriage Counseling, Family Counseling, Ethical Codes Volume Two Personal Counseling and Mental Health Problems Alcoholism, Psychodynamic Theories of Counseling, Cognitive-Behavioral Approaches to Counseling, Depression, Suicide, Eating Disorders, Bereavement Counseling Volume Three Career and Vocational Counseling Career Assessment Instruments, Holland′s Model of Career Intervention, Strong Interest Inventory, Guidance and Career Counseling in Schools, Career Counseling for Midlife Transitions, Career Resources on the Web, Violence in the Workplace Volume Four Cross-Cultural Counseling Acculturation, Cultural Identity, Counseling African-Americans, Counseling Hispanic Americans, Counseling Refugees, Counseling Sojourners and International Students, Cross-Cultural Counseling Competencies.
  multisystemic therapy for conduct disorder: Mentalization-Based Treatment for Adolescents Trudie Rossouw, Maria Wiwe, Ioanna Vrouva, 2021-05-10 Mentalization-Based Treatment for Adolescents (MBT-A) is a practical guide for child and adolescent mental health professionals to help enhance their knowledge, skills and practice. The book focuses on describing MBT work with adolescents in a practical way that reflects everyday clinical practice. With chapters authored by international experts, it elucidates how to work within a mentalization-based framework with adolescents in individual, family and group settings. Following an initial theoretical orientation embedded in adolescent development, the second part of the book illuminates the MBT stance and technique when working with young people, as well as the supervisory structures employed to sustain the MBT-A therapist. The third part describes applications of MBT-A therapies to support adolescents with a range of presentations. This book will appeal to therapists working with adolescents who wish to develop their expertise in MBT as well as other child and adolescent mental health professionals.
  multisystemic therapy for conduct disorder: Functional Family Therapy Thomas L. Sexton, 2000
  multisystemic therapy for conduct disorder: What Works with Children, Adolescents, and Adults? Alan Carr, 2008 What Works with Children, Adolescents, and Adults? provides an up-to-date review of research on the effectiveness of psychotherapy and psychological interventions with children, adolescents, adults, people in later life, and people with intellectual and pervasive developmental disabilities.Drawing on recent meta-analyses, systematic reviews, and key research studies in psychotherapy, this volume presents evidence for:the overall effectiveness and cost-effectiveness of psychotherapythe contribution of common factors to the outcome of successful psy.
  multisystemic therapy for conduct disorder: Mental Disorders and Disabilities Among Low-Income Children National Academies of Sciences, Engineering, and Medicine, Institute of Medicine, Board on Children, Youth, and Families, Board on the Health of Select Populations, Committee to Evaluate the Supplemental Security Income Disability Program for Children with Mental Disorders, 2015-10-28 Children living in poverty are more likely to have mental health problems, and their conditions are more likely to be severe. Of the approximately 1.3 million children who were recipients of Supplemental Security Income (SSI) disability benefits in 2013, about 50% were disabled primarily due to a mental disorder. An increase in the number of children who are recipients of SSI benefits due to mental disorders has been observed through several decades of the program beginning in 1985 and continuing through 2010. Nevertheless, less than 1% of children in the United States are recipients of SSI disability benefits for a mental disorder. At the request of the Social Security Administration, Mental Disorders and Disability Among Low-Income Children compares national trends in the number of children with mental disorders with the trends in the number of children receiving benefits from the SSI program, and describes the possible factors that may contribute to any differences between the two groups. This report provides an overview of the current status of the diagnosis and treatment of mental disorders, and the levels of impairment in the U.S. population under age 18. The report focuses on 6 mental disorders, chosen due to their prevalence and the severity of disability attributed to those disorders within the SSI disability program: attention-deficit/hyperactivity disorder, oppositional defiant disorder/conduct disorder, autism spectrum disorder, intellectual disability, learning disabilities, and mood disorders. While this report is not a comprehensive discussion of these disorders, Mental Disorders and Disability Among Low-Income Children provides the best currently available information regarding demographics, diagnosis, treatment, and expectations for the disorder time course - both the natural course and under treatment.
  multisystemic therapy for conduct disorder: Encyclopedia of Adolescence Roger J.R. Levesque, 2014-07-08 The Encyclopedia of Adolescence breaks new ground as an important central resource for the study of adolescence. Comprehensive in breath and textbook in depth, the Encyclopedia of Adolescence – with entries presented in easy-to-access A to Z format – serves as a reference repository of knowledge in the field as well as a frequently updated conduit of new knowledge long before such information trickles down from research to standard textbooks. By making full use of Springer’s print and online flexibility, the Encyclopedia is at the forefront of efforts to advance the field by pushing and creating new boundaries and areas of study that further our understanding of adolescents and their place in society. Substantively, the Encyclopedia draws from four major areas of research relating to adolescence. The first broad area includes research relating to Self, Identity and Development in Adolescence. This area covers research relating to identity, from early adolescence through emerging adulthood; basic aspects of development (e.g., biological, cognitive, social); and foundational developmental theories. In addition, this area focuses on various types of identity: gender, sexual, civic, moral, political, racial, spiritual, religious, and so forth. The second broad area centers on Adolescents’ Social and Personal Relationships. This area of research examines the nature and influence of a variety of important relationships, including family, peer, friends, sexual and romantic as well as significant nonparental adults. The third area examines Adolescents in Social Institutions. This area of research centers on the influence and nature of important institutions that serve as the socializing contexts for adolescents. These major institutions include schools, religious groups, justice systems, medical fields, cultural contexts, media, legal systems, economic structures, and youth organizations. Adolescent Mental Health constitutes the last major area of research. This broad area of research focuses on the wide variety of human thoughts, actions, and behaviors relating to mental health, from psychopathology to thriving. Major topic examples include deviance, violence, crime, pathology (DSM), normalcy, risk, victimization, disabilities, flow, and positive youth development.
  multisystemic therapy for conduct disorder: Gabbard's Treatments of Psychiatric Disorders Glen O. Gabbard, 2014-05-05 The definitive treatment textbook in psychiatry, this fifth edition of Gabbard's Treatments of Psychiatric Disorders has been thoroughly restructured to reflect the new DSM-5® categories, preserving its value as a state-of-the-art resource and increasing its utility in the field. The editors have produced a volume that is both comprehensive and concise, meeting the needs of clinicians who prefer a single, user-friendly volume. In the service of brevity, the book focuses on treatment over diagnostic considerations, and addresses both empirically-validated treatments and accumulated clinical wisdom where research is lacking. Noteworthy features include the following: Content is organized according to DSM-5® categories to make for rapid retrieval of relevant treatment information for the busy clinician. Outcome studies and expert opinion are presented in an accessible way to help the clinician know what treatment to use for which disorder, and how to tailor the treatment to the patient. Content is restricted to the major psychiatric conditions seen in clinical practice while leaving out less common conditions and those that have limited outcome research related to the disorder, resulting in a more streamlined and affordable text. Chapters are meticulously referenced and include dozens of tables, figures, and other illustrative features that enhance comprehension and recall. An authoritative resource for psychiatrists, psychologists, and psychiatric nurses, and an outstanding reference for students in the mental health professions, Gabbard's Treatments of Psychiatric Disorders, Fifth Edition, will prove indispensable to clinicians seeking to provide excellent care while transitioning to a DSM-5® world.
  multisystemic therapy for conduct disorder: Developmental-behavioral Pediatrics Mark Wolraich, 2008-01-01 Based on the Diagnostic and Statistical Manual for Primary Care: Child and Adolescent Version (DSM-PC), this state-of-the-art reference expertly guides you through normal and abnormal development and behavior for all pediatric age groups. See how neurobiological, environmental, and human relationship factors all contribute to developmental and behavioral disorders and know how to best diagnose and treat each patient you see. Accurately identify developmental and behavioral problems using the Diagnostic and Statistical Manual for Primary Care criteria, and evidence-based guidelines. Gain a clear understanding of the normal boundaries and variations within specific disorders. Make informed therapeutic decisions with the integration of basic science and practical information and recommendations from the Society of Developmental and Behavioral Pediatrics and the American Academy of Pediatrics. Avoid legal and ethical implications by consulting the Law, Policy, and Ethics chapter. Download the DSM PC criteria from the included CD, as well as tables and illustrations for use in electronic presentations.
  multisystemic therapy for conduct disorder: Handbook of Evidence-Based Interventions for Children and Adolescents Lea A. Theodore, PhD, 2016-07-20 A step-by-step resource for treating more than 40 prevalent issues with proven strategies This comprehensive handbook for evidence-based mental health and learning interventions with children and adolescents is distinguished by its explicit yet concise guidance on implementation in practice. With a compendium of proven strategies for resolving more than 40 of the most pressing and prevalent issues facing young people, the book provides immediate guidance and uniform step-by-step instructions for resolving issues ranging from psychopathological disorders to academic problems. Busy academics, practitioners, and trainees in schools and outpatient clinical settings will find this resource to be an invaluable desktop reference for facilitating well-informed decision-making. Unlike other volumes that ignore or merely reference the evidence base of various interventions, this book focuses on providing immediate, empirically supported guidance for putting these strategies into direct practice. Issues covered include crisis interventions and response, social and emotional issues, academic/learning issues, psychopathological disorders, neuropsychological disorders, and the behavioral management of childhood health issues. Each chapter follows a consistent format including a brief description of the problem and associated characteristics, etiology and contributing factors, and three evidence-based, step-by-step sets of instructions for implementation. Additionally, each chapter provides several websites offering further information about the topic. Featuring contributions from leading scholars and practitioners on each issue covered, this book will be a valuable resource for child clinical and school psychologists, counselors, social workers, and therapists as well as other health and mental health professionals whose primary practice is with children and adolescents. Key Features: Demonstrates step-by-step, evidence-based interventions for more than 40 common childhood issues Provides treatment procedures that can be immediately put into practice Covers a wide range of mental health and academic/learning issues for children and adolescents Relevance for both school-based and clinically-based practice Includes contributions by noted experts in the field
  multisystemic therapy for conduct disorder: Clinical Child Psychiatry William M. Klykylo, Jerald Kay, 2012-03-23 Clinical Child Psychiatry THIRD EDITION Making a psychiatric diagnosis in children can be challenging: some clinicians say the incidence of some childhood disorders, such as bipolar disorder and ADHD, is over-diagnosed while others say they are undiagnosed, undertreated, and are a large burden on society. The drug treatment of child psychiatric disorders can also be controversial in children and adolescents. This book fulfills the need for an objective, clinically relevant source to dispel this confusion. Clinical Child Psychiatry is a textbook of current clinical practice in child and adolescent psychiatry. It is designed as a reference for clinicians that is both easily usable and authoritative, a chairside reference for the consultation room. This book addresses a defined series of clinical entities that represent the bulk of current treatment modalities and disorders encountered in 21st century practice. It is authoritative in the areas addressed while at the same time being rapidly accessible in format. To facilitate access, it presents disorders in declining order of frequency. The authors believe that worthwhile clinical work must be informed by both evidence-based practice and by psychiatry's traditional attention to internal and interpersonal dynamics. They are committed to an approach that is broadly biopsychosocial while based on current clinical evidence for a pragmatic, clinical focus. The book is divided into four sections. The first, Fundamentals of Child and Adolescent Psychiatric Practice, addresses assessment, treatment modalities, and planning. Common Child and Adolescent Psychiatric Disorders and Developmental Disorders cover the diagnosis and treatment of the large majority of disease entities encountered in practice. The final section, Special Problems in Child and Adolescent Psychiatry, includes a variety of topics such as foster care and adoption, loss and grief, and forensics. New evidence relating to the areas of depression, psychosis, trauma. New insights from genetics, genomics, and proteomics cleverly integrated into chapters on the individual disease with focus on their clinical application. New chapter on consultation and collaboration within systems of care. The book addresses a need for clinicians, many of whom are beginners, non-psychiatrists, or psychiatrists entering unfamiliar territory, to come up to speed rapidly in providing more than perfunctory service to needy populations. This challenge grows ever greater.
  multisystemic therapy for conduct disorder: Abnormal Psychology Alan Carr, 2003-08-16 This book presents a clear and in-depth account of abnormal psychology. It focuses on both clinical descriptions, using illustrative case studies at the beginning of each section, and on the implications of the major theoretical perspectives and relevant empirical evidence for clinical treatment. It provides a very readable and up-to-date review of topics including childhood behaviour disorders, anxiety, depression, schizophrenia, personality disorders and models of abnormal behaviour. Alan Carr illustrates a scientific approach to the understanding of these aspects of abnormal psychology. Both the content and style of this book will help students understand a complex area of psychology.
  multisystemic therapy for conduct disorder: The Handbook of Child and Adolescent Clinical Psychology Alan Carr, 2015-12-24 The third edition of the hugely successful Handbook of Child and Adolescent Clinical Psychology incorporates important advances in the field to provide a reliable and accessible resource for clinical psychologists. Beginning with a set of general conceptual frameworks for practice, the book gives specific guidance on the management of problems commonly encountered in clinical work with children and adolescents drawing on the best practice in the fields of clinical psychology and family therapy. In six sections thorough and comprehensive coverage of the following areas is provided: Frameworks for practice Problems of infancy and early childhood Problems of middle childhood Problems of adolescence Child abuse Adjustment to major life transitions Thoroughly updated throughout, each chapter dealing with specific clinical problems includes cases examples and detailed discussion of diagnosis, classification, epidemiology and clinical features. New material includes the latest advances in: child and adolescent clinical psychology; developmental psychology and developmental psychopathology; assessment and treatment programmes. This book is invaluable as both a reference work for experienced practitioners and as an up-to-date, evidence-based practice manual for clinical psychologists in training. The Handbook of Child and Adolescent Clinical Psychology is one of a set of 3 books published by Routledge which includes The Handbook of Adult Clinical Psychology: An Evidence Based Practice Approach, Second Edition (Edited by Carr & McNulty) and The Handbook of Intellectual Disability and Clinical Psychology Practice (Edited by Alan Carr, Christine Linehan, Gary O’Reilly, Patricia Noonan Walsh and John McEvoy).
  multisystemic therapy for conduct disorder: Disruptive Behavior Hans Steiner, Whitney Daniels, Christina Stadler, Michael Kelly, 2017-07-10 Disruptive behavior is extremely common in normal and clinical populations. This book addresses its development, the newly grouped diagnoses associated with it and their bio-psycho-social causes and treatment. The past decade has seen a great deal of progress in the psychiatric and psychological literature, which has greatly advanced our understanding of these disorders. The book discusses state of the art studies of taxonomy, epidemiology, etiology, and treatment. Each chapter concludes with a thorough discussion of the clinical implications of this new information, exemplified by real case material. A whole chapter is devoted to the forensic implications of this important grouping of disorders. The chapter begins with a discussion of the exemplary cases in the legal literature, providing the clinician and the expert with a concise briefing of the legal underpinnings of these disorders which in essence seek to bring the world of medicine to the world of crime. The final chapter provides a concise summary of all preceeding chapter, summarizing what we have learned and showing the way into the future in terms of basic research, translational research and clinical practice. Sources and resources are provided for clinicians, researchers, teacher, primary care physicians, criminologists, forensic experts and interested lay people.
  multisystemic therapy for conduct disorder: Effectiveness Research in Marriage and Family Therapy Douglas H. Sprenkle, 2002 This volume offers compelling evidence that marriage and family (MFT) has made major strides in becoming a more evidence-based discipline.
  multisystemic therapy for conduct disorder: Adolescents and Adults with Autism Spectrum Disorders Fred R. Volkmar, Brian Reichow, James C. McPartland, 2014-04-18 The research on children with autism spectrum disorders (ASD) is extensive and growing. Although these conditions are recognized as affecting the entire lifespan, the literature on ASD after childhood is limited and has not been brought together in a single volume in over a decade. Adolescents and Adults with Autism Spectrum Disorders fills this knowledge gap by focusing on needs and difficulties unique to these stages of development. Expert contributors offer cogent reviews of complex issues, from education to employment, leisure activities to illegal behaviors, mental health issues to medical health concerns. The latest findings in key areas, such as psychosocial and residential treatments, social skills programs, epidemiology, the impact of ASD on families, are examined in detail. Throughout the volume, coverage focuses on areas requiring improved models of assessment, updated data, new interventions and increased support services. Featured topics include: Transition from high school to adulthood for adolescents and young adults with ASD. Innovative programming to support college students with ASD. Romantic relationships, sexuality and ASD. Treatment of mental health comorbidities. Assessment and treatment planning in adults with ASD. The range of outcomes and challenges in middle and later life. Adolescents and Adults with Autism Spectrum Disorders is a must-have reference for a wide range of clinicians and practitioners – as well as researchers and graduate students – in clinical child, school and developmental psychology; child and adolescent psychiatry; social work; rehabilitation medicine/therapy; education and general practice/family medicine. It will also serve as an important resource for parents and caregivers with its focus on translating the current state of knowledge relevant to understanding adolescents and adults with ASD into practical and relevant recommendations on how best to support them.
  multisystemic therapy for conduct disorder: Community and In-Home Behavioral Health Treatment Lynne Rice Westbrook, 2014-05-16 Learn how you can cut down on rapport-building time, make your services accessible to more people, and put your consumers at ease during treatment by offering in-home and natural community-based behavioral health services. This book examines the impact that the environment can have on the comfort level, perception, ability to connect, and general mindset of consumers during treatment. Home and natural community-based services have the potential to help adults, youth, and children live in their own homes and natural communities with specific supports in place that can address their behavioral health needs. Lynne Rice Westbrook examines these treatment settings from the most restrictive to the least restrictive, and demonstrates how such services can be implemented to bring coverage to remote, rural, and underserved areas. Providing services in the consumer’s community allows children, youth, adults, and families to receive treatment they may not be able to access otherwise, and to stay together in their own community. This book provides a detailed map of the benefits, challenges and proposed solutions, and the steps professionals need to take in order to help change the tapestry of behavioral health provision one home, one healing at a time.
  multisystemic therapy for conduct disorder: Emotion Regulation and Psychopathology in Children and Adolescents Cecilia A. Essau, Sara S. LeBlanc, Thomas H. Ollendick, 2017-05-19 Emotions are a cardinal component of everyday life, affecting one's ability to function in an adaptive manner and influencing both intrapersonal and interpersonal processes such as self-esteem and relationship satisfaction. However, when emotions are overpowering, they can become debilitating and intrusive in daily life. In general, emotion regulation competencies become differentiated as a function of development. Children tend to seek support from adults or use behavioral techniques to regulate their emotions. As children reach adolescence, they become increasingly self-reliant, engaging in planful problem solving and utilizing cognitive strategies (for example, reappraisal) more frequently when faced with stressful life events. While the majority of children and adolescents will successfully navigate these developmental stages by cultivating adaptive coping skills, for some, this marks the beginning of lifelong challenges with emotion regulation and resultant dysregulation. This book provides a guide to dealing with these problems, with contributions from leading experts in the field. Divided into 4 sections, it starts by providing an introduction to the field of emotion regulation in adolescents, touching upon the cultural, social, biological, and developmental issues related to this topic. Section two discusses several psychological disorders impacting adolescents such as anxiety, depression and conduct problems, while also discussing the underlying role emotion regulation plays in the development, maintenance and propagation of these disorders. In addition, this section considers the implication for treatment by discussing the latest evidence-based intervention approaches. The third section focuses on the role of emotion regulation in specific behaviour/populations, such as children of abuse and neglect, as well as adolescents who engage in nonsuicidal self-injury. The final section includes an epilogue, discussing emergent areas of research, answering questions of a theoretical, psychological, and empirical nature. For all those working in the field of mental health, whether novice or experienced, the book provides a valuable guide to understanding and treating these increasingly common problems.
  multisystemic therapy for conduct disorder: Developmental Pathways to Disruptive, Impulse-Control, and Conduct Disorders Michelle M. Martel, 2018-06-15 Developmental Pathways to Disruptive, Impulse-Control, and Conduct Disorders provides essential understanding on how disruptive behavior disorder (DBD) is characterized, its early markers and etiology, and the empirically-based treatment for the disorder. The book covers features and assessment of various DBDs, including oppositional-defiant disorder, conduct disorder, and antisocial personality disorder, the psychological markers of externalizing problems, such as irritability and anger, common elements of effective evidence-based treatments for DBD for behavioral treatments, cognitive therapies, and family and community therapies. A final section discusses new and emerging insights in the prevention and treatment of DBD. - Provides a critical foundation for understanding how disruptive behavior disorder (DBD) is defined - Looks at early markers and etiology of DBD - Goes beyond the surface-level treatment provided by other books, offering in-depth coverage of various DBDs, such as oppositional-defiant disorder and antisocial personality disorder - Examines the causal factors and developmental pathways implicated in DBD - Includes cutting-edge insights into the prevention of DBD prior to the emergence of symptoms
  multisystemic therapy for conduct disorder: Innovations in Adolescent Substance Abuse Interventions Eric Wagner, Holly Waldron, 2001-09-14 Innovations in Adolescent Substance Abuse Interventions focuses on developmentally appropriate approaches to the assessment, prevention, or treatment of substance use problems among adolescents. Organized into 16 chapters, this book begins with an assessment of adolescent substance use; theory, methods, and effectiveness of a drug abuse prevention approach; and problem behavior prevention programming for schools and community groups. Some chapters follow on the community-, family- and school-based interventions for adolescents with substance use problems. Other chapters explain psychopharmacological therapy; the assertive aftercare protocol for adolescent substance abusers; and twelve-step-based interventions for adolescents.