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Contextual Residential Treatment: Dialectical and Behavioral Interventions with Adolescents
Pazaratz, Don
Charles C. Thomas, Publishers / Softcover / 2013-10-01 / 0398088934
Infant, Child & Adolescent / Dialectical Behavior Therapy (DBT)
price: $77.50
310 pages
In Stock (Ships within one business day)

This book is written for all mental health clinicians, allied professionals, line staff, social workers, and students whose focus is on the adolescent in residential treatment and the problems facing the aging-out young adult and his transition to independence. Readers will find that the book elucidates upon the fundamentals of assessment, clinical descriptions of theoretical constructs, and the application of technique. All of these domains are regarded as areas of interest and concern for front line staff during their supervision and monitoring of adolescents. This book also addresses the role of the social worker during interventions with families and while conducting group work, and reviews guidelines for treatment staff that will enable them to assess a youth’s overall development, self-esteem, and sense of self.Assessments of youngsters include a description of developmental maturation, the level of stability or self-control, and the type of support or structure needed to enhance the youth’s life. There is also a comprehensive overview of contextual practice, which details an explicit theoretical basis for understanding the process that brings about change. Of importance for residential staff is to be aware of the effect that expectations within the environment and communication patterns have on youngsters. In this regard the reader will be shown how to approach the youth on his level of understanding and relating, and to recognize which youngsters have learned to survive by not talking. Finally, there is information on how to connect with withdrawn youth, to encourage them to be more open in relationships as well as to deal with their feelings. It will also be of interest to researchers, practitioners, educators, and policymakers who seek to refine their skills and knowledge of residential treatment and to learn specifically about contextual practice.


?1.?Theoretical Considerations of Residential Treatment
Nature of the Problem
Emotional Disturbance
Out-of-Home Placement
Placement Factors
Which Youth Need Residential Treatment?
Active Intervention
What Do Residential Programs Look Like?
Group Home Methods
Placement as Enacted
Group Home Expectations
Placement Issues
Residential Interactions
Front Line Workers
Consistency and Constancy
?2.?Understanding the Family Introduction
Placement Conditions
Family Dynamics
Character Development
Search for Understanding
Family Alliance (Contract)
Family Worker
Family Participation
Family Treatment Plan
The Family Connection
Case Illustration (Family Counseling)
Discharge from Treatment
Post-Discharge Family Counseling
Parenting Groups
Parent-Effectiveness Training
?3.?Foundation of Contextual Residential Treatment Introduction
The Contextual Approach
Intervention Techniques
Interactional Sequences
Relationship Building
Contextual Experiences
Understanding the Holding Environment Contextually
Contextual Methodology
The Person-Centered Approach
Contracts, Case Formulation, and Treatment Plan
Family Issues
Cultural Competency
Cultural and Ethnic Differences
Family Cultural Influence
Staff Development and Training
Staff-Resident Alliance
Expressive Communication
?4.?Dialectical and Behavioral Interventions
Residential Placement and the Emergence of the Self
Psychosocial Assessment
Contextual Learning
Behavior and Conditioning
Reinforcements as Enacted
Reinforcement Methodology
Reinforcement Rationale
Implementation Strategies
Level System
Limitations of Reinforcements
Dialectical/Behavioural Interventions: An Overview
Task-Centered Contracts
Reinforcement Charts
?5.?The Social Worker’s Role with Families Throughout the Placement/Treatment Process
The Social Worker’s Role
Family Evaluation
Family Issues
Treatment Issues
Placement Conditions
Family Sessions
Family Resistance
Transition Issues
Summary of Therapeutic Techniques
Efficacy of Family Therapy
In Conclusion, the Social Worker as a Therapist
?6.?Clinical Illustration of Contextual Residential Treatment and Dialectics
The Setting
Program Philosophy
The Nature of the Homes
Role of Therapist-Practitioners (TPs)
Case Study: Ken
Case Facts and Planning
Treatment Plan
Autism Spectrum Disorder
Contextual Issues
Case Study: Jenny
Summary of Jenny
Case Study: John
Case Facts and Planning
Intervention with John
Mental State Examination
Medication for Ken, Jenny, and John
?7.?Adolescent Self-Deficits, Substance Use, and Resistance
Family Dynamics
Socialization and the Development of Values
Adolescent Distress
Factors that Influence Substance Use
Stages of Substance Use
Contextual Counseling Factors
Implication for Intervention
Drug Use During Residential Placement
Treatment Resistance
8.?Treatment Classes for At-Risk Adolescents
Public Education
Rationale for Treatment Classes
Psychoeducational Assessment
Treatment Class Operationally
Classroom Management
Treatment Class Philosophy
Specialized Curriculum (Expressive Therapies)
? Music Therapy
??Art Therapy
Treatment Classes as Summarized
9.?Therapeutic Activities and Groups
Therapeutic Activities
Activities Understood Contextually
Summary of Therapeutic Activities
Group Dynamics
Groups and Treatment
10.?Contextual Residential Treatment as Summarized
Emotionally Disturbed Youth Understood Contextually
Contextual Youth Care Practice
Principles of Contextual Practice
Contextual Techniques
Reeducative Function of the Contextual Practitioner
Contextual Interactions
Contextual Learning
Professional Boundaries
The Difficult Adolescent
Dialectical and Behavioral Issues
Level/Reinforcement System
Final Thoughts on Contextual Residential Treatment
Name Index
Subject Index

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Charles C. Thomas
Dialectical Behavior Therapy (DBT)
Infant, Child & Adolescent
Is it Sensory or Behavioral