Index

A

Accountability promotion, empathy for, 61
Achenbach CBCL, 17
Acts of service, 125, 139, 140–141, 233, 244
Admission, rolling style of, 11, 28, 29–30, 33–34, 163
Adolescent Coping with Depression Course, 9–10
Adolescents
depression, cognitive behavioral therapy for, 3–4
response to empathy busters, 87
Agreement versus empathy, 61–62
Ambivalence, 35, 44, 171–172, 178
Anxiety, 189–190, 194
Anxiety disorders, comorbidity of, 189
Arousal, lowering, 38–42, 41, 41, 41–42, 45, 100
arousal escalation, interrupting cycles of, 38–39, 45
empathy to disarm and, 60
enmeshment, 38, 45
feelings triggers, 40
feelings, contagiousness of, 38, 45
interpersonal boundaries, 40–41, 46–47
nonverbal calming techniques, 39, 46, 46
“Taming Bambi” metaphor, 39–40, 46
teens, discussion about, 40, 41
Assertiveness communication, 134
See also Communication
formula, 230–231, 236, 242
practice with, 120–121, 130, 231–232, 236–237, 239
positive feelings using, expressing, 121, 130, 232, 237–238

B

Battles, picking, 100, 218, 222
B.M.W. (acronym), 87
Business cards
MaPS Teen IOP program, 166, 194, 238
PACK Teen IOP program, 30, 54, 68

C

Child mental health provider
misdistribution, 1
shortage, 1
Children’s Colorado Hospital
Clay basketball metaphor, 62–63
Cognitive behavioral therapy (CBT), 3–4
paradigm, 145–146, 151, 245–246, 252
trauma-focused, 4
Cognitive distortions (CDs), 145, 246, 247, 247
Cognitive restructuring, 145, 245
Collaborative problem solving, 4
Communication, 263, 263
assertive, 236, 236, 236, 236, 236
formula, 230–231, 236, 242
positive feelings using, expressing, 121, 130, 232, 237–238
practice with, 120–121, 130, 231–232, 236–237, 239
review test on, 117
styles of, 118–120, 136, 229–230, 236, 242
test, 116, 133
Compliance
PACK Teen IOP program, 25
MaPS Teen IOP program, 25
Conflict
intrapsychic, 4
resolution
empathy for, 60, 200, 206
skills, 263
Cooperation
builders, 121–123, 131
building role-plays, 123–124, 131
busters, 116–117, 135, 137
Coping skills, 56–57, 187–188
Coping statements, 152–153, 162, 249–250, 253
Cost-effectiveness, 5
of PACK Teen IOP program, 25
of MaPS Teen IOP program, 25
Council on Graduate Medical Education (COGME)
on child mental health provider shortage, 1

D

D.I.R.T. (acronym), 101, 101–102, 105, 105, 107
for family conflicts, 221
own-experience, 222
practice with, 222
problem-solving with, 216–217, 219, 221, 223, 226
sample scenarios for, 226
D.R.R.A.M.P.P. (acronym), 201–202, 206

E

Egg catching metaphor, 63
Empathy, 59–64, 66–68, 263
for accountability promotion, 61
barriers to, overcoming, 77–79, 77, 77, 78, 78, 78, 78, 78, 78, 78, 79, 92
begets empathy, 60
busters, 73–75, 86, 87, 91, 202–204, 207, 212
for conflict resolution, 60, 200, 206
defined, 59, 200–201, 206, 212
to disarm and lower arousal, 60
distinguished from agreement, 61–62
empiric evidence base for, 62
family interviews, 214
formulas, 86–87, 201, 212, 233
imagery exercise, 62–63, 62–63, 63, 63
parental resistance to, 63–64
for relationship building, 61, 199, 206
role-plays, 81–82, 88, 204, 207–208, 213
self-esteem and, 61
test, 73, 75, 86
Enmeshment, 38, 40–41, 45
Evidence-based protocols, 5–6

F

Family
See also individual entries
as closed system, 29, 164
-based approaches, 3
Family-focused therapy (FFT), 3
charades, 202, 207, 211
clues, 199
contagiousness of, 38, 45
identification and somatic monitoring, 36, 44–45, 172–173, 178–179
intensities, 35, 44, 172, 178
mixed, 35, 44, 171–172, 178
in others, identifying, 75, 199, 206
overview of, 34–35, 44, 171, 178
triggers, 40, 46, 174, 179
vocabulary, 35, 44, 75–76, 172, 178, 201, 206
Fight-or-flight response, 36–37, 45, 46, 173–174, 179
Fiscal challenges to child mental health, 2

G

Good listener, being, 201, 206
“Guess My Toxic Assumption”, 149, 161

H

Handouts
MaPS Teen IOP program, 166, 180, 182, 183, 185, 186, 194, 195, 196, 197, 198, 222, 223, 225, 228, 238, 242, 243, 244
PACK Teen IOP program, 30, 47, 48, 50, 51, 52, 54, 54, 55, 55, 68, 69, 70, 71, 72
Healing, psychological, 29
Hot-headed versus cool-headed responses, 215–216, 221, 221

I

Identity
consolation, 40
formation, 40–41, 175
Imagery exercise, empathy, 62–63, 62–63, 63, 63
Intensive outpatient program (IOP), 5, 6
2′×4′ methodology of, 6–8
manualized, 6
Interpersonal boundaries, 40–41, 46–47, 174–176
Intrapsychic conflict, 4

L

Limitations of treatments, 4–6
Love languages, 124–126, 131, 139, 140–141, 232–234, 238, 238, 243, 244
acts of service, 125, 233
physical touch, 125, 233
quality time, 125, 233
words of affirmation, 124–125, 232–233
worksheet, 238

M

Managed care, 2
Mastery of Psychosocial Skills (MaPS) Teen IOP program
business cards, 166
See also Business cards
caregiver participation, 12
charting, 12–13
Children’s Colorado Hospital format, 15
components of, 14
group sessions, 14
insurance criteria for, meeting, 14
creative arts therapy component, 15–16
family homework, 166
fiscal sustainability, 13
fun question, 164
group format and size, 11
guiding principles and goals, 9–10
handouts, 166, 169
See also Handouts
individual or family and care coordination session, 16
insurance contracting, 13
intake process, 16
limit setting, strategies for, 13
Module 1
family homework, 176, 180
feelings, See Feelings
fight-or-flight response, 173–174
handouts, 182, 183, 185, 186
icebreaker exercise, 170
interpersonal boundaries, 174–176, 179–186
interpersonal scenario cards, 184
introduction and guidelines, 170, 178
review, 170
self-experience, discussion about, 176
summary outline, 177, 177, 177, 177, 177, 178, 178–179, 178, 178, 178, 178–179, 179, 179, 179–186, 180, 180, 180
treatment goals, 170–171
Module 2, 187
business cards, 194
coping skills, 187–188, 194
family homework, 192, 194
handouts, 194, 195, 196, 197, 198
healthy habits, 188–190, 189, 189–190, 194, 194
icebreaker exercise, 187, 193
introduction and guidelines, 187, 193
relaxation training, 190–192, 191–192, 194–198
review, 187
self-experience, discussion about, 192, 194
summary outline, 193, 193, 193, 193, 193, 194, 194, 194, 194–198, 194, 194, 194, 194
workshop guidelines, 193
Module 3, 199–204
empathy, See Empathy
family homework, 208
feelings, See Feelings
good listener, being, 201, 206
handouts, 208
homework and relaxation exercise, 204
introduction and guidelines, 196, 205, 205
mirroring, 202, 202, 207
self-experience, discussion about, 204
summary outline, 205–214, 205, 205, 205, 205, 205, 206, 206, 206, 206, 206, 206, 207, 207, 207, 207–208, 208, 208, 208
workshop guidelines, 205
Module 4, 215–219
battles, picking, 218, 222
family homework, 219, 222
handouts, 222, 223, 225, 228
hot-headed versus cool-headed responses, 215–216, 221, 221
positive versus negative consequences, 221
Problem-Solving Together, See Problem-Solving Together (PST)
self-experience, discussion about, 216, 221, 222
summary outline, 220–228, 220, 220, 220, 220, 221, 221, 221, 221, 221, 221, 221, 222, 222, 222, 222, 222, 222
workshop guidelines, 220
zoning behaviors, 218–219, 222
business cards, 238
communication, See Communication
family homework, 234, 238
handouts, 238, 238, 242, 243, 244
introductions, 235
love languages, See Love languages
materials, 235
review, 235
summary outline, 235–244, 235, 235, 235, 235, 236, 236, 236–237, 237–238, 238, 238, 238, 238, 238, 238
workshop guidelines, 235
Module 6, 245
handouts, 257, 258, 259, 260
introductions, 251
materials, 251
review, 251
sample and blank scenario cards, 254
workshop guidelines, 251
organization of materials, 10–11
outcome measures, 17, 19
attendance, 25
cost-effectiveness, 25
method, 19–20
results, 21–24
retention, 25
past topic review, 166
patient introductions
established, 165
patient orientation, 163
provider preparation, 12
provider teams, 12
provider training, 13
rolling admission, 11
scheduling, 11
self-experience, discussion about, 166
settings and service delivery options, 10
summary outline, 167–168, 167, 167, 167, 167–169, 168, 168, 168, 168, 168
syllabus and checklist, 169
target population for, 9
teen resistance, managing, 163–164
workshop format, 166
Mirroring, 76–77, 87, 87, 88, 120, 202, 207, 233
stems, 202, 242
Mixed feelings, 35, 44, 171–172, 178
Mood disorders, comorbidity of, 189
Multifamily psychoeducational groups (MFPG), 3

N

Nonverbal calming techniques, 39, 46, 46

O

Obsessive compulsive disorder (OCD)
cognitive behavioral therapy for, 3–4
Ohio Youth Scales, 17, 17, 19
O.S.P.L.A.T.T. (acronym), 116–117, 129

P

Parental resistance
See also Parents
to empathy, 63–64, 82–83
managing, 29
responding to, 126
Parenting Approaches for Challenging Kids (PACK) Teen IOP program, 27
business cards, 30
See also Business cards
caregiver participation, 12
charting, 12–13
Children’s Colorado Hospital format, 15
components of, 14
group sessions, 14
insurance criteria for, meeting, 14
creative arts therapy component, 15–16
family homework, 29–30, 41, 47
fiscal sustainability, 13
group format and size, 11
guiding principles and goals, 9–10
handouts, 30
See also Handouts
individual or family and care coordination session, 16
insurance contracting, 13
intake process, 16
limit setting, strategies for, 13
Module 1
arousal, lowering, 38–39, 38, 38, 38–42, 39, 39–40, 40, 40, 40–41, 41, 41, 41–42, 45
guidelines, 33, 43
handouts/business cards, 32, 47, 47, 48, 48, 50, 50, 51, 51, 52, 52, 54, 54, 55, 55
mantras, 47, 53
review, 33, 43
summary outline, 43, 43, 43, 43, 43, 43, 43, 44, 44–45, 44, 44, 44, 44–55, 45, 45, 45, 46, 46, 46, 46, 46, 46–47, 47, 47, 47, 47, 47, 47
treatment goals, 33–34
wrap up and answer questions, 47, 47
organization of materials, 10–11
outcome measures, 17
attendance, 25
cost-effectiveness, 25
method, 19–20
results, 21–24
retention, 25
Module 2, 56
coping skills, 56–57, 66, 66
handouts/business cards, 69, 70, 71, 72
healthy habits, 57–59, 58–59, 66–72, 66
materials, 65
parent introductions and check-ins, 56, 65, 65
parent orientation, 56, 65
parental empathy, See Empathy
review, 65
summary outline, 65, 65, 65, 65, 65, 65, 65, 66, 66, 66–68, 66, 66–72, 68
workshop guidelines, 56, 65
Module 3, 73
3-minute rule, 79–80, 87–88, 87–88
answer questions, 88
empathy, See Empathy
family homework, 83, 88
feelings in others, identifying, 75, 86
feelings vocabulary, 75–76, 87
handouts/business cards, 89, 90, 91, 92, 93, 94, 95, 96, 97
joint session, 83–84, 88–89
mantras, 88
materials, 85
metamessages, 87, 87
mirroring, 76–77, 87, 87, 88
parent introductions and check-ins, 73, 85, 85
parent orientation, 73, 85
parental resistance, 82–83
review, 88
summary outline, 85
workshop guidelines, 73, 85
wrap up, 88
Module 4, 98
answer questions, 108
arousal, lowering, 100
battles, picking, 100
family homework, 108
handouts/business cards, 108, 109, 110, 111, 112, 113, 114–115
joint session, 108
mantras, 108
materials, 106
parent orientation, 106
parental resistance, 98–99
parents introductions and check-ins, 106, 106
Problem-Solving Together, See Problem-Solving Together (PST)
review, 108
summary outline, 106–115
troubleshooting, 108
win–win conflict resolution, 98, 106
workgroup guidelines, 106
wrap up, 108
zoning behaviors, 100–101
Module 5, 116
answer questions, 131, 131, 132, 132
communication, See Communication
cooperation builders, 121–123, 131, 137
cooperation building role-plays, 123–124, 131
cooperation busters, 116–117, 135
family homework, 126, 131
handouts/business cards, 132, 133, 134, 135, 136, 137, 138, 139, 140–141, 144
joint session, 126–127, 132
love languages, See Love languages
mantras, 131
materials, 128
parent introductions and check-ins, 116, 128, 128
patient orientation, 128
positive feelings using assertiveness formula, expressing, 121, 130
responding to parental resistance, 126
review, 131, 131, 132, 132
summary outline, 128–144, 128, 128, 128, 128, 128, 129, 129, 129, 129, 129, 130, 130, 131, 131, 131, 131, 131, 131, 131, 132, 132, 133, 134, 135, 136, 137, 138, 139, 140–141, 144
teen, discussion about, 118, 131
workshop guidelines, 128
wrap up, 131, 131, 132, 132
Module 6, 145
answer questions, 153
family homework, 149, 153
handouts/business cards, 153, 154, 155, 156, 157, 158, 159, 160, 161, 162
joint session, 149, 153
mantras, 153
materials, 150
parent instructions and check-ins, 150, 150
parent orientation, 150
review, 151
review, 153
self-talk, 148–149, 148–149
summary outline, 150–152, 150, 150, 150, 150, 150, 151, 151, 151, 152, 152, 152, 152, 152–153, 152, 152–162, 153, 153, 153, 153, 153
thought correction, 145–146, 145–148, 146–147, 147–148, 148, 148
workshop guidelines, 150
wrap up, 153
parental resistance, managing, 29
parent introductions and check-ins, 31–32
established, 27, 43
new, 28, 43
parent orientation, 28, 43
past topic review, 29–30
provider preparation, 12
provider teams, 12
provider training, 13
rolling admission, 11
scheduling, 11
self-experience, sharing and discussing about, 30
settings and service delivery options, 10
target population, 9
workshop guidelines, 27
workshop format, 29–30
Parent management training (PMT), 4
Parents
See also Parental resistance
blame/judgment, 77
distress, 78
hidden agenda, 77
insincerity, 78
orientation, 28, 43
role in child mental health treatment, 2–3
and teens, conflict between, 2–3
training, 263
Physical touch, 125, 139, 140–141, 233, 244
Positive feelings using assertiveness formula, expressing, 121
“Precision Catch”, 119, 130, 230, 230, 237, 237
Problem-solving skills, 263
Problem-Solving Together (PST), 80, 101–105, 107, 107, 107, 107, 107, 111, 112, 113, 119
5 D’s of, 101–102, 105, 107
background evidence base for, 215
with D.I.R.T., 216–217, 219, 221, 223, 226
group introduction to, 215
introduction to, 221
parent version of, 107
to resolve family conflict, 217
role-plays, 104–105
setting stage for, 99–100, 107
teen version of, 107
Psychodynamic approaches, 4
Psychosocial skills, 263, 263
training, 7

Q

Quality time, 125, 139, 140–141, 233, 244

R

Realistic reframe, 148, 152, 248, 253
Relationship building, empathy for, 61, 199, 206
Relaxation training, 190–192, 191–192, 194–198
Research-based protocols to real world, challenges translating, 2
Retention
of MaPS Teen IOP program, 25
of PACK Teen IOP program, 25
Role-plays
cooperation building, 123–124, 131
empathy, 81–82, 88, 204, 207–208, 213
Problem-Solving Together, 104–105

S

Self-esteem, and empathy, 61
challenging, 148–149, 152, 249, 253
coping statements, 152–153, 162, 249–250, 253
family homework, 250, 253–254
Sense of self, 40–41, 175
Skillstreaming, 7
Somatic monitoring, feelings identification and, 36, 44–45, 172–173, 178–179
S.S.S.S.S.L.U.R.P.P.E.D.D. (acronym), 73–74, 86
Stress, 189–190, 194
S.U.D.S. (acronym), 202–203, 207, 212

T

“Taming Bambi” metaphor, 39–40, 46
Teens
escalation, 78
resistance, managing, 78, 163–164
Temporary tattoo metaphor, 63
“Thinking Straight” game, 157, 248, 253, 253, 255
cognitive-behavioral therapy paradigm, 145–146, 151, 245–246, 252
realistic reframe, 148, 152, 248, 253
“Thinking Straight” game, 248, 253, 253, 255
thought records, 148, 152, 248, 253
challenging, 147–148, 152, 152
Thought records, 148, 152, 248, 253
Threat response, 37–38, 46
3-minute rule, 79–80, 87–88, 87–88
Toxic assumptions (TAs), 146–147, 151, 246–247, 252
types of, 154, 257
Trauma-focused cognitive behavioral therapy (TF-CBT), 4
Treat refractory, 5

U

US Surgeon General
on child mental health provider misdistribution, 1

V

“Vegas Rule, The”, 165–166

W

Win–win conflict resolution, 98, 119, 119, 130, 217–218, 230, 237, 237
Words of affirmation, 124–125, 139, 140–141, 232–233, 244

Z

Zoning behaviors, 100–101, 218–219, 222