...Programmatic Assessment: Treatment of Conduct Disorder Jasmine Collins CCMH 551 October 30, 2014 Jane Winslow MA LMFT Programmatic Assessment: Treatment of Conduct Disorder The author currently works with adolescents in a level 14, locked down group home facility. Her experience has been working with clients with various mental illnesses and the majority of the population display danger to self and danger to others behaviors. Many of her clients display conduct disorders as a result of their severe neglect and abuse they suffered as a child. Her clients who have Conduct Disorders do not respect authority, have little regard for others, and breaks major rules; they also exhibit aggressive behaviors that threaten physical violence, theft, property damage, or attempting to run away. Often times their continued AWOL behaviors and being a flight risk is what gets them place in a level 14 facility. A client with a Conduct Disorder is often times resentful and short-tempered. The basis of Conduct Disorder is a combination of genetic susceptibility and environmental factors. Treatment plans should include behavior therapy with the client, family therapy, if they family is involved and medication support from a psychiatrist. In this paper the author will discuss treatment and intervention strategies to work with people who have this disorder. In addition, the author will describe the theoretical basis for the approaches, present how the counselor would work individually with...
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...This research paper shows how dangerous and life-threatening anorexia is on adolescence, as well as, how self-image, family issues, and the media influence anorexia. Anorexia in Adolescence Adolescence is a chaotic time in the life of a growing teenager in which he or she experiences many physical as well as emotional changes. Not knowing where they stand in the world yet and trying to figure themselves out, adolescents may fall subject to influences and become victims of such horrible things as eating disorders. During adolescence a major importance in life is to be accepted and to fit in somewhere which brings about the issue of eating disorders. In order for them to be accepted and feel as if they are able to fit in with the status quo, some adolescents, mostly girls, will develop an eating disorder during adolescence. Anorexia Nervosa is one of the leading eating disorders in adolescents and is a serious psychiatric illness with both psychological and medical effects that usually onset during adolescence. Becoming an increasingly prominent illness in Adolescent girls, in some cases boys, for many...
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...Abuse in Adolescents; specifically the development, progression and biopsychosocial of dependency and abuse in the adolescent population. The definition of epidemiology and diagnosis will be addressed. Lastly three treatment options including the range of severity will be provided. There is difference between substance abuse and substance dependence. The distinction between the two is characterized by the role they play in a person’s life. Substance dependence is defined in terms of physiological and behavioral symptoms of substance abuse, and substance abuse in terms of social interaction and consequences. (Wikipedia, 2008) Substance abuse refers to the repeated and excessive use of drugs that are illegal or harmful to the individual and causes significant adverse consequences. Symptoms in adolescents who are abusing and using substances include: “failure to meet family or school obligations, interpersonal conflicts, legal problems. Other adverse consequences include accidents or injuries, blackouts and risky sexual behavior.” (Wikipedia, 2008) Substance dependence is when the frequent and repetitive use of drugs becomes habitual and a physical dependence occurs. Substance dependence in adolescents is identifiable by negative physical symptoms, which usually includes tolerance of the drug (requiring higher doses to achieve the same effect) and withdrawal, symptoms experienced when use of the drug is abruptly discontinued. (Wikipedia, 2008) Adolescents are more...
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...The emotional, psychological effects on adolescent children who have witnessed domestic abuse Kevin Day Pierce College April 20,2014 Introduction and population of interest Adolescents who witness domestic violence between their caretakers present emotional, behavioral and psychological issues. Oftentimes, these families are involved in the child welfare system, due to the negative violence and discord in the households, which places children at risk. This population is of great interest, as that studies have shown adolescents who witness domestic violence are vulnerable and do not have the capacity to understand nor cope with the trauma. According to Osofsky (2003), adolescents experience intense stresses that include fear of death and fear of loss of their parent. The negative effects result from children having to integrate the experience of violence and child welfare involvement, while living in a stressful environment. As a future clinician, I would like to utilize different therapy methods and specific strategies in treating these individuals. Integrated review of literature Children who have been involved in the child welfare system have experienced or witnessed some form of abuse or neglect, which causes them to have behaviour, emotional and psychological issues. Some of their behaviors, which are moderate to severe include: hitting, pushing, kicking and threatening others. Moylan, Herrenkohl, Sousa, Tajima, Herrenkohl, & Russo...
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...social development. Risk factors include parental conflict, a family history of depression, poor peer relationship, negative thinking, and deficit in coping skills. Treatment criteria of children and adults are the same, with the exception that children may display irritability rather than depressed or sad mood, and loss of weight may be seen as a failure gain appropriate weight milestones. Diagnosis and treatment should take into account developmental stage, suicidality, severity of depression, and social and environmental factors. The recommended therapies for mild depression include interpersonal therapy and cognitive behavior therapy and serve as appropriate adjuvant to medical treatments for those with moderate and severe depression. This paper explore depression among children, outlines different types of diagnosis, as well as the parameters for rare situations in which practitioners can try antidepressants when psychotherapeutic options fail and the depression is in severe stage. Introduction About 2.8 percent of children younger than 13 years suffer from depression at any given point in time (Clark, Jansen, & Cloy, 2012). The incidence of depression among children is a major concern because of the damaging and acute consequences associated with the disorder. Research shows that 60 percent of adolescents with depression experience recurrences throughout adulthood (Clark, Jansen, & Cloy, 2012). Moreover, adults with history of depression have high chances of committing...
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...Substance Abuse Treatment Substance abuse is considered a maladaptive pattern of substance use leading to clinically significant impairment or distress as manifested in a twelve month period by at least one of four criteria: (1) recurrent substance use resulting in failure to fulfill major obligations at work, school or home (e.g., poor performance at school or work, neglect of children or younger siblings); (2) recurrent substance use in hazardous situations (e.g., driving while intoxicated); (3) recurrent substance-related legal problems (e.g., DUIs); and (4) continued substance use despite having recurrent interpersonal problems related to substance abuse (e.g., arguments with family members about consequences of intoxication) (Sussman, Skara, Ames, 2008). The most commonly abused substances include alcohol, tobacco, and illegal and prescription drugs. Often times, a user will develop an addiction to one of these substances. When an individual abuses a substance or develops an addiction, and require the use of a rehabilitation service, he or she may either be voluntarily or involuntarily admitted, such as through the Department of Corrections or drug courts. Substance abuse treatment has proven to be a successful rehabilitation tool. Empirical evidence has shown that substance abuse treatment is a cost effective method for addressing substance abuse and that treatment is effective in limiting substance abuse, criminal activity, and improving quality of life outcomes...
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...Comprehensive assessment Parent teacher Situational variability, and Important tio have different views of the situation for diagnosis Equally important is the need for gathering information about the child's parents and siblings, which provides a context for understanding how problem behaviors manifest. This information also often serves as a basis for determining how well parents and other caretakers will be able to implement treatment strategies. The clinical evaluations of ADHD must be comprehensive and multidimensional in nature, so as to capture its situational variability, its associated features, and its impact on home, school, and social functioning. This multi-method assessment approach should include: parent and child interviews parent- and teacher-completed child behavior rating scales parent self-report measures clinic-based psychological tests review of prior school and medical records individually administered intelligence testing, educational achievement testing, or screening for learning disabilities (only necessary if not completed within the past year a standard pediatric examination or neurodevelopmental screening to rule out any unusual medical conditions that might produce ADHD-like symptoms additional assessment procedures may be recommended, including vision and hearing screening, as well as formal speech and language assessment. The Key Components of a Comprehensive Assessment of AD/HD," by Arthur Anastopoulos, Ph.D., E. Paige Temple, M...
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...Self-harm Among Adolescents What is self-harm? Self-harm is deliberate damage of the body that is intentionally not life threatening, often repetitive in nature, and usually considered socially unacceptable. In addition, 80% of self-harm involves stabbing or cutting the skin with a sharp object (Greydanus, & Shek, 2009). In order to better understand self-harm, this issue must be clearly defined to avoid inaccurate and misleading terminology since self-harm covers a wide range of behaviors, some of which are directly related to suicide and some not. Self-harm (SH) or deliberate self-harm (DSH), including self-injury (SI) and self-poisoning (SP), is defined as the intentional direct injury of body tissue without suicidal intent (Laye-Gindhu, Klonsky, Muehlenkamp, J.J ). However, many acts of self-harm are an attempt to communicate with others to influence or secure help from them, or are a way of obtaining relief from difficult and otherwise overwhelming situation or emotional state (Hjelmeland et al., 2002). One way to better understand this behavior is to consider the psychological correlates of self-harm, reasons why adolescents self-harm, and the various treatments available. Self-harm is listed in the Diagnostic and Statistical Manual of Mental Disorders (DSM-1V-TR) (1994) as a symptom of borderline personality disorder. However, patients with other diagnoses may also self-harm, including those with depression, and anxiety disorders, substance abuse, eating disorders...
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...substances include alcohol, tobacco, and illegal and prescription drugs. Often times, a user will develop an addiction to one of these substances. When an individual abuses a substance or develops an addiction, and require the use of a rehabilitation service, he or she may either be voluntarily or involuntarily admitted, such as through the Department of Corrections or drug courts. Substance abuse treatment has proven to be a successful rehabilitation tool. Empirical evidence has shown that substance abuse treatment is a cost effective method for addressing substance abuse and that treatment is effective in limiting substance abuse, criminal activity, and improving quality of life outcomes for as many as five years after treatment (Brucker, 2010). Research from the 2009 National Survey on Drug Use and Health shows an estimated 22.5 million persons over the age of twelve, 8.9% of the population, twelve years or older, were classified as having a substance abuse problem. Of those, 3.2 million were classified as abusing both alcohol and illicit drugs. 4.3 million people received treatment for substance...
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...Running head: Juvenile Reentry Juvenile Reentry Making an Effective Transition Jodi Calvert Capella University PSF 5372 – History of the Juvenile Criminal Justice System Abstract This paper explores the transformation of the Juvenile Justice System over the past century and how it impacts today’s youth. Juvenile delinquency has become a well-known phenomenon as youth have taken experimentation and violence to a new level. More adolescents are being diagnosed with medical disorders while many find themselves not having the means to access the proper treatment. Family and moral standards are not as they were a century ago and the economic strain of today can make it difficult for children to develop the necessary skills to transition through their developmental stages. Chaos, confusion and loss of identity play a significant role in many of the adolescents that find themselves in contact with the Juvenile Justice System. New interventions for these adolescents are greatly needed to improve not only their own well being, but to create a prosperous community. Juvenile Reentry Juveniles are released from institutions across the country everyday, but many do not have the knowledge required to make permanent changes for themselves, their families, and their communities. The first Juvenile Court in the United States was established in Cook County, Illinois in 1899 and within 25 years all but two states had established separate juvenile justice...
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...Juveniles being tried as adults Student’s name University affiliation Juveniles being tried as adults Introduction The first juvenile court started in the United States of America in 1899. The two basic principles on which the court juvenile court were founded are one, and juveniles were not mature enough to take responsibility of their actions compared to adults and two, it was easier to rehabilitate juveniles as compared to adult criminals (Grisso & Schwartz, 2000). In more than a century, these principles remained the benchmarks of the juvenile courts as they expanded from Chicago, their original birthplace, into other states and eventually in other parts of the world. However, in the recent year rising incidences of juvenile criminals being tried as adults has increased as it was before the advent of the first juvenile court. Much of this stems from the public outrage against the children who, in high numbers, are engaging in violent crimes. Many countries have adopted legislation that permits them to juveniles to be tried as adults. In some countries, there are provisions that allow prosecutors to try children as young as 14 years under certain circumstances (Grisso & Schwartz, 2000). Juvenile courts establishment aimed at separating the youthful offenders from the adult criminals and thereafter processing and rehabilitating them in forgiving and less punitive manner compared to the adult criminal system (Redding & Fuller, 2004)...
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...United States and is growing every year. Factors such as genetics and environmental factors will be discussed as they relate to heroin addicts. Trends with prescription pain medication and their effects on heroin use will be discussed. This paper will also highlight the prevalence of heroin in the United States. Heroin affects different groups of people in all walks of life. Treatment for heroin will be discussed in the latter portion of this paper. This will highlight different options to fit specific needs. Addiction: a physical dependency on a substance (Doweiko, 2015), a chronic brain disease that causes compulsive substance use despite harmful consequences, (Addiction, 2015). There is no universally accepted way to define addiction. It seems that it is easier to qualify behavior as an addiction than it is to define the word itself. For the purpose of this paper we will use the four general categories of the DSM-5 to help identify and understand heroin addiction. This paper will serve to provide information about heroin addiction’s possible causes, prevalence and treatment. What causes heroin addiction? The causes of heroin addiction are not clear. As with most drugs it is thought that the user is trying to feel better or self-medicate for some underlying issue. There are two main factors to consider when searching for a cause of heroin addiction: environmental factors and genetic factors. The attitude about drugs from a person’s family...
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...interest not only as a technique, but also as a theoretical approach to counseling. The number of members in the American Association for Marital and Family Therapy (AAMFT) has doubled since 1978 (M. Schoettle, personal communication, September 16, 1986). Researchers have encouraged the use of family counseling in school settings (Goodman & Kjonaas, 1984), as well as with college students (Held & Bellows, 1983). Substance use disorder treatment programs can use family therapists to apply therapeutic approaches that have been proven effective with adolescents and their families. The goal, while working together as a family, is to equip parents with the skills and resources needed to address the difficulties which may arise during adolescent years. Family therapy also fits well into the regimen of treatment in which case management is used; it has also been shown effective in home-based treatment (Comfort and Shirley, 1990; Thompson et al. 1984). References Comfort, M., and Shirley, T.E. Family treatment for homeless Treatment Quarterly. 1990; 7(21): 129-147. Goodman, R.W. , & Kjonaas, D. (1984). Elementary school family counseling. Journal of Counseling and Development, 63, 255-257. Held, B.S. , & Bellows, D.C. (1983). A family system approach to crisis reactions in college students. Journal of Marital and Family Therapy, 9, 365-374. Thompson, T. Brokerage model rehabilitation system for opiate dependence: A behavioral analysis, Behavioral Monogram Series...
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...Discuss the impact of chronic medical conditions on adolescents (12-18yo) and identify ways of promoting resilience or positive development (1300 min-1500 max words). A chronic or long-term illness results in major physical and psychological changes to the individual. The illness requires them to adjust to the burdens of the therapy implicated to treat the condition. There are multiple emotional, cognitive, motivational and behavioral factors that are stressed during the ongoing illness that hinders the individuals ability to develop and function healthily within Sigmund Freuds psychodynamic structure. Additional theories according to B.F Skinner, Mccrae & Costa and Carl Rogers compliment the idea that chronic illness will impact the individual’s ability to keep a positive self-esteem and develop socially and autonomously through adolescents. We will look into the specific factors that are impacted by chronic illness’, how exactly they relate to the responses of adolescent individual, how it affects their relationships with families and medical staff, and identify ways in which we can promote positive development despite the burden of a wide range of chronic illness’. For Adolescents and young adults, gaining autonomy is essential which is imposed while enduring management of a chronic illness. Obviously with illness’ such as cancer, Sickle cell disease, Cystic Fibrosis and asthma; the vulnerability involved with daily activities directly affect ones confidence in behaving...
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...Adolescent Substance Abuse Isaiah.R 3/27/14 In society today, a common problem among teenagers is the use of drugs. Teen age years are probably the most challenging periods of life. It is a stage of finding yourself versus confusion of knowing oneself. Belonging and being accepted in a group seems to be very important, as well as being “cool”. Troubled, teens turn to things such as drugs to help Suppress or ease the emotional/mental pain of things such as the common rejection. During these years of maturing, teenagers encounter their share of positive and negative experiences. Peer pressure, curiosity, and the availability of drugs are some of the factors that youthful and vulnerable teenagers have to cope with in their young lives. One of the significant reasons for teenage drug use is peer pressure, particularly from the influences among friends, acquaintances, school, and the media. If a teenager’s main social group is using drugs, then there is a strong pressure due to the fact that drugs are present and can easily be offered. Also, the person might get convinced to think that there is nothing wrong with trying drugs because “everybody else is doing it.” In the effect that teenagers will try drugs just to fit in the social norms, they might do it to impress their buddies to be considered “cool” as part of being in the group and gain acceptance by friends. The issue of using drugs is everywhere in this country and around the world. It’s available and accessible...
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