Download Free The Evaluation And Care Of Severely Disturbed Children And Their Families Book in PDF and EPUB Free Download. You can read online The Evaluation And Care Of Severely Disturbed Children And Their Families and write the review.

This book, which proposes a developmental view of short-term inpatient treatment for severely disturbed children, is much needed in our field. It is particularly relevant, emotionally engaging, and a pleasure to read because the writers who are the actual participants and leaders in the milieu program, discuss their own experiences with a variety of children. The principles of milieu therapy are beautifully described and its application to a diverse ethnic population of sick children is clearly delineated. I congratulate Leon Hoffman and his co-workers for bringing to the field of child psychiatry a timely and helpful work. Irving N. Berlin, M. D. Professor of Psychiatry and Pediatrics Director, Division of Child and Adolescent Psychiatry, and Director, Children's Psychiatric Center, University of New Mexico School of Medicine, Albuquerque, New Mexico PREFACE Children who require hospital or residential treatment need an environment that provides a structure to their daily activities. Much of the literature on milieu treatment is inadequate because of a lack of integration between the various theoretical frames of reference and their practical application. Berlin has stressed the importance of a develop mental frame of reference in the organization of a hospital child psychiatry unit. * The Mount Sinai Medical Center is a large urban institution located on the fringes of a New York City ghetto.
Originally published in 1992 this was a much-needed book that shows how important it is to establish a therapeutic alliance with the parents of severely disturbed young people in order to improve the success of counseling with them. It also explores methods of how to ease the difficulties encountered in establishing such a relationship with the parents or guardians. In this title, the insights of psychoanalysis are used to understand reactions to parents and to develop an empathic approach to them through a new theoretical framework. Although in the popular view, a psychoanalytic approach is considered to be opposed to parents, this volume is testimony to the unique contribution such an approach can make to the support of parents and, thereby, their children. A major and unique emphasis of Severely Disturbed Youngsters is placed on exploring the feelings, reactions, and sensitivities of the therapist that can interfere with this important aspect of treatment. The thrust of the book is to put the understanding of this interference in a theoretical context and to indicate ways of coping with the interference.
Among other revolutionary developments of today's world is the so-called "knowledge explosion". So much is being written so fast about so many things that it is becoming well-nigh ir--retrievable. One consequently can never be sure that he knows what there is to know about many kinds of phenomena or types of problems existing in the modern world due to the chance that something exists in written form that simply cannot be found, so bulky is the load of literature. The common idea that only the sick child, and never the well, needs special emotional supports and helps from the adult is simply an error. For the well child is not immune from pile-ups of severe emotional intensity when overwhelmed by confusion and conflicts from within. Certainly, the normal kid can be ex--pected to handle such crises either from within or without better than his sick peer on the average, but that does not mean always; and the critical issue for the well child is: is he ready at the time they hit? If not, he needs, quite unmistakably, emotional first aid from the adult - parent, teacher, camp counsellor (or what have you) - who is in charge of his life at that moment. The reader will find that what the authors describe in The Other 23 Hours as the everyday requirement diet, as far as child handling is concerned for their disturbed children, is transferable to the normal crises of normal child--hood.
As residential treatment centers and psychiatric hospitals are increasingly asked to document their effectiveness, it is essential for mental health care providers to demonstrate the efficacy and cost-effectiveness of the services they provide. Outcome Assessment in Residential Treatment helps health care providers demonstrate that their planned treatment is necessary and active rather than simply custodial. A practitioner’s guide to conducting treatment outcome assessment projects, this innovative book presents readers with historical perspectives, current issues, and practical suggestions for implementing an outcome assessment project. Outcome Assessment in Residential Treatment guides psychiatrists, psychologists, mental health practitioners, and social program administrators in addressing which therapeutic components contribute to the goals and objectives of their programs and which may require modification, radical revision, or even elimination. It helps residential treatment centers and psychiatric treatment facilities document treatment successes and better understand which factors (within the client, family, environment, treatment setting, or combinations therein) predict successful outcome. This objective data empowers readers to influence government and industry, enhance public awareness of the needs of severely disturbed children and youth, and validate the usefulness of intensive psychiatric treatment. Unlike other books on treatment outcome, Outcome Assessment in Residential Treatment tells readers how to determine clinically significant improvement and not simply statistically significant change. It gives practical, detailed, proven advice on how to carry out studies that will benefit residential treatment centers and the psychiatric and mental health fields. Contributors provide tools to validate/demonstrate that psychiatric and mental health treatments are effective. They offer insight into: planning a treatment outcome project recognizing ethical, practical, methodological, logistical, and clinical considerations in implementing a treatment outcome project selecting instruments to assess treatment outcome and measuring success comparing different outcome measures Health care providers must have accurate information about treatment outcomes to demonstrate that specific services are beneficial, cost-effective, and well-received by the client. Outcome Assessment in Residential Treatment helps readers evaluate the impact a treatment program has on a client’s clinical status and psychosocial and educational functioning, making it possible to provide an objective yardstick for the payer’s evaluation of the quality of care provided. Psychiatrists, psychologists, mental health practitioners, and social program administrators will find Outcome Assessment in Residential Treatment an essential guide to evaluating and understanding the relative effects of specific interventions or procedures on the quality and effectiveness of their services. They will use this information to make appropriate changes which guarantee that they best meet their clients’mental health care needs.
Over the last two decades, there has been an increasing appreciation of the importance of the family context in child therapy. In her previous, highly acclaimed book Children in Family Context, Lee Combrinck-Graham and her colleagues bridged the fields of child therapy and family therapy with an exploration of basic issues. Building upon that work, this volume describes actual programs that are based on the notion that family connections are substantial resources for healing and recovery even when the family is a very troubled one. With a particular focus on work with severely fractured families, most of these programs attempt to keep children connected with their own families despite circumstances that sometimes prevent them from living together. Detailing a wide variety of situations, chapters cover cases involving children who are emotionally and behaviorally disturbed, children with psychiatric disorders, abusive parents, and parents with substance abuse problems. Where family preservation is not possible, chapter authors discuss new strategies to keep families involved in the treatment process. Laying the groundwork for a comprehensive family-centered system of care, chapters describe a broad range of innovative approaches including programs that: * Utilize the community "families" of inner city youth * Involve families in their own evaluation and planning * Advocate changing school counselors to school-based family therapists * Have foster parents collaborate with biological parents. Each program is fully detailed to include a complete description, a discussion of the value of this approach, and at least one actual example to illustrate how it works. Taken together, the programs described in this book represent a significant shift in focus for mental health professionals working with children. Further illuminating the key role played by family connection in child health, CHILDREN IN FAMILIES AT RISK is essential reading for all practitioners who work with children and families. Written in an accessible style, it serves as a teaching text for advanced courses in family therapy and child psychotherapy. The book will also provide valuable insights for school professionals, child welfare workers, policy makers, teachers, and attorneys and family court judges.