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Unconditional Care: Relationship-Based, Behavioral Intervention with Vulnerable Children and Families

✍ Scribed by John S. Sprinson, Ken Berrick


Publisher
Oxford University Press, USA
Year
2010
Tongue
English
Leaves
304
Category
Library

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✦ Synopsis


This clinician-friendly guide presents a model for engaging the most challenging children and families who are served by the child welfare, mental health, juvenile justice, and special educations systems. These children are among the most troubled clients that treatment providers will ever encounter. They have been failed by every adult, every treatment modality, and every system of care that they have encountered. Unconditional Care, a breakthrough guide from the founder and clinical director of California's Seneca Center for Children and Families, offers both a theoretical model and practical guidelines for working with this most difficult group of children. The approach weaves together attachment theory and learning theory into a coherent relationship-based intervention strategy built around a no-fail policy: a child can never be discharged from a program for exhibiting the behaviors that resulted in the placement. Professionals working with these families instead focus on re-building relationships that teach children to secure safe and supportive relationships with caregivers using new behaviors and skills to replace the destructive ones that have, until now, organized their worldview. The concept of unconditional care allows, for the first time, a safe space for youth to reconstruct their perceptions of themselves and those who care for them. Rich case examples, quick-reference bullets and boxes, and sample assessment and planning worksheets make this a handy clinical reference and training tool for mental health and child welfare professionals.

✦ Table of Contents


Contents......Page 12
Introduction......Page 16
1 Relationship and Engagement as Treatment......Page 24
Opportunities for Engagement......Page 27
Risk Factors and Vulnerabilities......Page 32
Strengths, Protective Factors, and Exceptions......Page 48
A Final Note on Assessment, Treatment Planning, and Intervention......Page 50
Some Examples of Relationship in Practice......Page 51
Commonalities of the Case Examples......Page 53
Attachment Principles of Assessment and Intervention......Page 54
Relationship, Attachment, and the Development of Psychopathology......Page 70
From Attachment Theory to "Relationship-Based Intervention"......Page 79
4 Assessment, Diagnosis, and Case Formulation......Page 86
Current Relationships as They Emerge in Program......Page 91
Strengths of the Child and the Family......Page 93
Adaptive Capacities......Page 94
Other Observational Categories......Page 96
5 Relational Assessment and Intervention......Page 100
Underlying Assumptions in Two Diagnostic Models......Page 101
Assessment and Description of the Internal Working Model......Page 104
The Child’s Experience with Caretakers......Page 108
The Child’s Current Interpersonal Behavior......Page 120
Relational Intervention: Using the Description of the Child’s Internal Working Model to Drive Treatment......Page 130
6 Positive Behavioral Intervention......Page 136
Behavioral Intervention and Relationship-Based Work......Page 137
Why Do Behavioral Intervention?......Page 139
Methods of Behavioral Intervention......Page 142
The Behavior Itself......Page 143
Useful Dimensions for Describing Behavior......Page 145
Criteria for Evaluating Descriptions......Page 147
Behavioral Assessment I: How Much of the Behavior Is Happening? Does It Meet a Defined Standard?......Page 149
Behavioral Assessment II: Attempting to Discern the Function of Behavior......Page 151
The Questions that Drive a Functional Analysis......Page 153
Key Ingredients in Implementing Positive Behavioral Change......Page 159
General Considerations on the Use of Negative Consequences......Page 174
7 Phases of Treatment and Key Activities......Page 176
Preintake and Initial Screening......Page 177
Assessment......Page 178
Behavioral Intervention......Page 186
Relational Assessment and Treatment......Page 192
The Treatment Process Flowchart......Page 196
The Case of David S.......Page 199
The Case of Sarah P.......Page 225
Afterword: A Note Regarding Values......Page 252
Love and Compassion......Page 253
Curiosity......Page 254
Joy......Page 255
Appendix A: Relational Assessment Worksheet......Page 258
Appendix B: Relational Treatment Plan......Page 262
Appendix C: Target Behavior Definition Form......Page 263
Appendix D: Behavioral Assessment Planning Worksheet......Page 266
Appendix E: Observation Form–Frequency......Page 270
Appendix G: Observation Form–Frequency/Duration......Page 271
Appendix H: Observation Form–Duration......Page 272
Appendix I: Functional Assessment Worksheet......Page 273
Appendix J: Client Variables Form......Page 278
Appendix L: ABC Observation Form......Page 280
Appendix M: Behavior Log......Page 281
Appendix N: Replacement Behavior Worksheet......Page 282
Appendix O: Behavioral Treatment Plan Worksheet......Page 284
Notes......Page 288
References......Page 290
A......Page 298
B......Page 299
F......Page 300
P......Page 301
R......Page 302
T......Page 303
Y......Page 304


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