How do we work with youth with resistance?
Working with resistance is a critical aspect of working with adolescents. We can engage resistance skillfully and help youth gain more insight into their behavior while at the same time practicing self-care. Or we can react unskillfully and most likely make the situation worse and have a much higher potential for burnout.
How do you deal with a resistant teen?
Whenever a youth becomes resistant, consider that the youth is in some way protecting her or himself. This takes the focus away from the idea that the youth is “doing something to you” (i.e., an ego-based interpretation of what’s happening) and towards the idea that the teen is in some way protecting him or herself.
What are some family-based prevention approaches for adolescent substance abuse?
There are a variety of effective family-based prevention approaches for adolescent substance abuse. Some focus exclusively on providing parents with the skills needed to keep their children away from drugs.
Are You dealing with resistance in your classroom?
Whether you’re a teacher who’s overworked and underpaid and constantly dealing with resistance from your class, or a therapist who specializes in working with trauma, resistance shows itself in many forms and it’s in the best interest of both you and the youth you serve to practice skillfully engaging resistance.
How do you deal with a resistant teenager?
7 Keys to Handling Difficult TeenagersAvoid Giving Away Your Power. ... Establish Clear Boundaries. ... Utilize Assertive and Effective Communication. ... When Dealing with a Group of Difficult Teens, Focus on the Leader. ... In Mild Situations, Maintain Humor and Show Empathy. ... Give Them a Chance to Help Solve Problems (If Appropriate)More items...•
What are useful interventions for adolescent mental disorders?
Intervention strategies included cognitive-behavioral, relaxation, social skills training, general behavior, social support, mindfulness, meditation, psychoeducational, acceptance and commitment therapy, interpersonal psychotherapy, resilience training, and forgiveness programs.
How do you manage problems during adolescent?
Facing The Challenges Of AdolescenceKnow your values. Your values are what you believe in, what you think is right or wrong, and what is most important to you. ... Draw up a plan for your life. ... Develop yourself. ... Have a role model. ... Make decisions. ... Be Assertive. ... Learn a Skill. ... Take advantage of holiday periods.More items...
Why interventions to influence adolescent behavior often fail but could succeed?
The authors propose the hypothesis that traditional interventions fail when they do not align with adolescents' enhanced desire to feel respected and be accorded status; however, interventions that do align with this desire can motivate internalized, positive behavior change.
What are early intervention strategies for mental health?
An early intervention approach aims to identify the early signs and symptoms of a mental health condition and prevent it from progressing into a diagnosable illness. This includes supporting children experiencing the first episode of a mental health condition.
Which interventions are the most important in the treatment of mental illness?
1. Mental Health Crisis Intervention. One of the most important types of interventions includes mental health crisis intervention. In a crisis situation, the person experiencing mental health distress might be in immediate danger or might pose a threat to themselves and/or others.
How can a teacher help an adolescent?
Provide opportunities for students to interact through reading. To provide students with opportunities for interaction, teachers can: Create opportunities for small groups of students to discuss their reading, Structure groups carefully so that students with differing abilities are able to talk about a common topic, ...
How do you change adolescent behavior?
More Tips To Deal With Teen BehaviorCreate A Trusting Relationship. Trust is important for any relationship. ... Empathize. Remember, you were a teenager once. ... Respect Them. Do you want your teen to respect you? ... Offer Help. Most teenagers can take care of themselves and may not need your help. ... Show Them You Care.
What are the main influences on adolescent development?
Research shows there are four main types of relationships that influence an adolescent: parents, peers, community, and society.
What factors influence adolescent development?
Adolescent development, which implies biological, cognitive and psychosocial changes, is related to the existing social formations and processes. Family, peer groups, neighborhood and wider commu- nity, they all influence this development.
How long after LST intervention did the student have a decrease in alcohol use?
Students who received LST were compared to controls six years after the intervention, and findings revealed a significant decrease in cigarette smoking, alcohol use (drunkenness), and concurrent tobacco, alcohol, and marijuana use in the LST group.
Why are middle schoolers most often targeted in prevention efforts?
Middle or junior high school age students are most often targeted in prevention efforts because early adolescence is the time of life when substance use experimentation often begins to occur. A large body of research has examined the efficacy and effectiveness of prevention programs for adolescent substance abuse.
What is community based drug prevention?
Community-based drug abuse prevention programs include some combination of school, family, mass media, public policy, and community organization components. Community programs present that present a coordinated , comprehensive message across multiple delivery components are most effective in terms of changing behavior.
What is resistance skills?
Resistance skills programs also typically include content to increase students’ awareness of the techniques used by advertisers to promote the sale of tobacco products or alcoholic beverages. Students are taught techniques for formulating counter-arguments to the appealing but misleading messages used by advertisers.
What is prevention terminology?
Contemporary terminology for classifying interventions, initially proposed by the Institute of Medicine in 1994 (16), incorporates a continuum of care that includes prevention, treatment, and maintenance.
How many facilitators are needed for a CLFC?
It is recommended that two or more facilitators run each of the parent and youth sessions in order to facilitate a team approach that enhances learning. If CLFC is provided over a 20-week period, these four facilitators can work with up to 30 families (one day per week, four hours a day).
What are some examples of protective parenting practices?
Examples of protective parenting practices include firm and consistent limit-setting, careful monitoring, nurturing and open communication patterns with children (13).
What is resistance in therapy?
Resistance to the therapist’s general approach to therapy (e.g., involving discrepancies in general expectancies and/or objectives for treatment) Resistance to specific in-session techniques (e.g., session structure, particular interventions, etc.) Resistance to words or phrases used by the therapist. Although a strong working alliance tends ...
What is psychological resistance?
Sigmund Freud originally described psychological resistance as a phenomenon wherein patients unconsciously “cling to their disease” through “tenacious” and “critical objections” in order to repress distressing thoughts, emotions and experiences as they are raised by the therapist (Freud, 1904; 1920; 1940).
What is realistic resistance?
Broadly defined, realistic resistance refers to clients’ conscious, deliberate opposition to therapeutic initiatives that they fail to understand or accept.
Should therapists avoid alliance ruptures?
In fact, rather than allow for a client’s resistance (whether communicated directly or indirectly to the therapist) to dictate the course of therapy, therapists should not avoid potential alliance ruptures and instead work with and address resistance as it arises.
Why do adolescents engage in risky behaviour?
Fischhoff et al(2001) found that adolescents engage in risky behaviour because they may consider themselves to be invulnerable to danger.
What are the developmental aspects of resilience?
Developmental aspects of resilience Adolescence is a time of rapid development and change, with important consequences, some of which include the adoption of risky behaviour. Erikson (1968) hypothesised that the developmental stage of identity can result in the adolescent taking unneccesary risks.
What is the focus of nursing care for adolescents?
Although the focus of nurses includes health promotion and health protection, early detection and prompt treatment of adolescents, the primary focus is often on education.
Is resilience a process or outcome?
Although there is controversy as to whether resilience is a characteristic, a process, or an outcome, the construct has been characterised by many researchers as a dynamic process among factors that may mediate between an individual, his or her environment, and an outcome.
What to do when a youth becomes resistant?
Whenever a youth becomes resistant, consider that the youth is in some way protecting her or himself. This takes the focus away from the idea that the youth is “doing something to you” (i.e., an ego-based interpretation of what’s happening) and towards the idea that the teen is in some way protecting him or herself.
What is the situation when a youth becomes resistant to your curriculum?
Situation 1: Your teaching core curriculum (math, English, etc.) and a youth becomes resistant to your curriculum in the form of being the class clown, disrupting your class. Possible Reflection (potentially ask the youth to talk to you one on one and not in front of the class): “You seem to have a lot of social power.
How to practice mindfulness in the moment?
A great way to practice mindfulness in the moment is to sit in a comfortable position, close your eyes (if you’re comfortable with that) and focus your awareness on your breathing. Notice the breath as you breathe in; notice the breath as you breathe out.
Is working with teens challenging?
February 9, 2016. Working with teens can be a very fulfilling and rewarding endeavor. It can also be very challenging. Teens can test boundaries and become resistant to counseling interventions, classroom curriculum, or even towards us as adults personally. Ultimately this has the potential to make our work lives more difficult.
What are the mental health problems that children and adolescents have?
Health care systems, organizations, and providers that care for children and adolescents with mental health problems including behavioral disorders (e.g., conduct disorder, attention deficit hyperactivity disorder, oppositional defiant disorder) and substance use disorders
What is a high risk study?
A study with high risk of bias has significant methodological flaws (i.e., stemming from serious errors in design or analysis) that may invalidate its results. We will consider the risk of bias for each relevant outcome of a study. Two independent reviewers will assess the risk of bias for each study.
What is D/I/QI in mental health?
The recent proliferation of D/I/QI strategies for children and adolescents with mental health problems indicates that the existing body of evidence stands poised for an objective systematic review. Decisionmakers are in critical need of information about D/I/QI strategies to improve children’s mental health care. An improved understanding of the comparative benefits, harms, and modifiers of the available strategies to improve mental health care for children and adolescents may help guide providers of care, administrators of care facilities, organizations, and health systems and inform insurance coverage decisions and other policy decisionmaking for children and adolescents with mental health care needs.
What is a therapeutic alliance with provider?
therapeutic alliance with provider. Final health or patient-centered outcomes (at least one final health or patient-centered outcome is required for KQs 1, 3 unless strategy uses an intervention that is an EBP) Change in mental health status, including symptom change, response, remission, relapse, and recurrence.
Adolescent Community Reinforcement Approach (A-CRA)
A-CRA is an intervention that seeks to help adolescents achieve and maintain abstinence from drugs by replacing influences in their lives that had reinforced substance use with healthier family, social, and educational or vocational reinforcers.
Cognitive-Behavioral Therapy (CBT)
CBT strategies are based on the theory that learning processes play a critical role in the development of problem behaviors like drug abuse. A core element of CBT is teaching participants how to anticipate problems and helping them develop effective coping strategies.
Contingency Management (CM)
Research has demonstrated the effectiveness of treatment using immediate and tangible reinforcements for positive behaviors to modify problem behaviors like substance abuse.
Motivational Enhancement Therapy (MET)
MET is a counseling approach that helps adolescents resolve their ambivalence about engaging in treatment and quitting their drug use.
Twelve-Step Facilitation Therapy
Twelve-Step Facilitation Therapy is designed to increase the likelihood that an adolescent with a drug abuse problem will become affiliated and actively involved in a 12-step program like Alcoholics Anonymous (AA) or Narcotics Anonymous (NA).
Which model of therapy has the most supporting evidence?
For behavioral treatments, AACAP concluded that family therapy models "have the most supporting evidence" and "individual approaches such as cognitive-behavioral therapy, both alone and with motivational enhancement therapy, have been shown to be efficacious.".
What is the AACAP recommendation for mental health?
14 The AACAP also recommended that psychiatrists consider co-occurring mental health disorders, since the majority of adolescents with substance use problems present with a co-occurring mental health diagnosis. Recommendations made in the 2005 PP were limited by a relative lack of rigorous trials at the time.
What is the role of key informants in a research study?
Within the EPC program, the Key Informant role is to provide input into identifying the Key Questions for research that will inform healthcare decisions. The EPC solicits input from Key Informants when developing questions for systematic review or when identifying high priority research gaps and needed new research. Key Informants are not involved in analyzing the evidence or writing the report and have not reviewed the report, except as given the opportunity to do so through the peer or public review mechanism.
What is integrated treatment?
Integrated treatment: a treatment approach that combines an intervention for substance use and an intervention for a co-occurring mental health disorder. Motivational interviewing/motivational enhancement therapy: a therapy approach that focuses on building the adolescent's motivation to reduce his/her substance use.
What is family system therapy?
Family systems therapy: a family-focused therapy approach that attempts to restructure problematic family interaction patterns associated with the adolescent's substance use. Functional family therapy: a family-focused therapy approach that integrates principles of both systems and behavioral approaches.
What is considered a limited (or experimental) substance use that has not been deemed to be at least "problem
Sedatives, hypnotics, or anxiolytics (e.g., benzodiazepines, carbamates, barbiturates, methaqualone) Exclude limited (or experimental) substance use that has not been deemed to be at least "problematic". Attention deficit hyperactivity disorder (ADHD), depression, other internalizing and externalizing disorders.
What is cognitive behavioral therapy?
Cognitive behavioral therapy: a therapy approach that aims to modify cognitive processes, beliefs, individual behaviors, or environmental reinforcers associated with the adolescent's substance use. Variants of this approach include cognitive therapy, dialectical behavior therapy, and the adolescent community reinforcement approach.