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226 -10 Issues Unique to Treating Adolescents
Currently unavailable
226 -10 Issues Unique to Treating Adolescents
ratings:
Length:
62 minutes
Released:
Feb 10, 2018
Format:
Podcast episode
Description
TIPs 31 and 32
Screening, Assessment and Treatment of Adolescents
Dr. Dawn-Elise Snipes, PhD, LMHC
Objectives
~ Identify 10 Unique Issues to the Assessment and Treatment of Adolescents
Not Little Adults
~ Adolescent treatment requires an awareness of:
~ Developmental stages
~ Adolescent culture
Adolescent Development
~ Cognitive
~ Early Adolescence
~ Emphasizes immediate reactions to behavior
~ May not be fully aware of later consequences
~ Impulse control areas of brain are not fully developed
~ Late Adolescence
~ Greater use of inductive/deductive reasoning
~ More introspective and more sensitive to later consequences
Developmental Tasks
~ Family Independence
~ Beginning rejection of parental guidelines
~ Ambivalence about wishes
~ Insistence on independence, privacy
~ May have overt rebellion, limit testing, withdrawal
~ Peers
~ Early: Most often “best” friend is same sex
~ Late: Dating, risk taking, need to please peers
Developmental Tasks cont…
~ School and Vocation
~ Beginning to identify skills, interests
~ Starting part-time job
~ Self Identity and Esteem
~ Am I normal?
~ Conformity–behavior that meets peer group values
~ Some continue to pursue group/peer acceptance
~ Some are able to reject group pressure if not in self-interest
Professional Approach
~ Early Adolescents
~ Provide firm, direct support
~ Convey limits–simple concrete choices
~ Do not align with parents, be an objective caring adult
~ Help the client explore dialectics
~ Sexual decisions–directly encourage to wait
~ Encourage parental presence in clinic, but interview teen alone
Professional Approach cont…
~ Late Adolescence
~ Be an objective sounding board (but let adolescents solve own problems)
~ Negotiate choices
~ Be role model
~ Don't get too much history (“grandiose stories”)
~ Confront gently–about consequences, responsibilities
~ Consider “What gives them status in the eyes of peers?”
~ Use peer group sessions
~ Adapt systems to crises, walk-ins, impulsiveness, testing
~ Ensure confidentiality
~ Allow teens to seek care independently
Screening and Assessment
Screening and Assessment
~ Selection of instruments is guided by:
~ Reliability and validity of the tool
~ Its appropriateness to an adolescent population
~ Type of settings in which the instrument was developed
~ Intended purpose of the instrument
Features of Instruments
~ Short in duration
~ High test-retest reliability
~ Evidence of convergent validity (i.e., the instrument is strongly correlated with other instruments that purport to measure similar constructs)
~ Predictive validity (i.e. school performance, relapse)
~ Normed on adolescents
~ Ability to measure meaningful behavioral and attitude changes over time
~ Sample Screening Forms
~ Depression Screening Tools
~ Drug & Alcohol Use Screening Tools
~ Bipolar Disorder Screening Tools
~ Suicide Risk Screening Tools
~ Anxiety Disorders Screening Tools
~ Trauma Screening Tools
Family Assessment
~ Adolescents may define family in nontraditional ways.
~ The law and society may define family in ways that differ from the actual experiences of youth.
~ Cultural and ethnic differences in family structures should be respected.
~ The core problem may reside outside the adolescent and the substance use is a symptom.
Screening Indicators
~ Problems during childhood or early adolescence
~ School issues
~ Peer involvement in delinquent behaviors
~ Daily use of one or more s
Screening, Assessment and Treatment of Adolescents
Dr. Dawn-Elise Snipes, PhD, LMHC
Objectives
~ Identify 10 Unique Issues to the Assessment and Treatment of Adolescents
Not Little Adults
~ Adolescent treatment requires an awareness of:
~ Developmental stages
~ Adolescent culture
Adolescent Development
~ Cognitive
~ Early Adolescence
~ Emphasizes immediate reactions to behavior
~ May not be fully aware of later consequences
~ Impulse control areas of brain are not fully developed
~ Late Adolescence
~ Greater use of inductive/deductive reasoning
~ More introspective and more sensitive to later consequences
Developmental Tasks
~ Family Independence
~ Beginning rejection of parental guidelines
~ Ambivalence about wishes
~ Insistence on independence, privacy
~ May have overt rebellion, limit testing, withdrawal
~ Peers
~ Early: Most often “best” friend is same sex
~ Late: Dating, risk taking, need to please peers
Developmental Tasks cont…
~ School and Vocation
~ Beginning to identify skills, interests
~ Starting part-time job
~ Self Identity and Esteem
~ Am I normal?
~ Conformity–behavior that meets peer group values
~ Some continue to pursue group/peer acceptance
~ Some are able to reject group pressure if not in self-interest
Professional Approach
~ Early Adolescents
~ Provide firm, direct support
~ Convey limits–simple concrete choices
~ Do not align with parents, be an objective caring adult
~ Help the client explore dialectics
~ Sexual decisions–directly encourage to wait
~ Encourage parental presence in clinic, but interview teen alone
Professional Approach cont…
~ Late Adolescence
~ Be an objective sounding board (but let adolescents solve own problems)
~ Negotiate choices
~ Be role model
~ Don't get too much history (“grandiose stories”)
~ Confront gently–about consequences, responsibilities
~ Consider “What gives them status in the eyes of peers?”
~ Use peer group sessions
~ Adapt systems to crises, walk-ins, impulsiveness, testing
~ Ensure confidentiality
~ Allow teens to seek care independently
Screening and Assessment
Screening and Assessment
~ Selection of instruments is guided by:
~ Reliability and validity of the tool
~ Its appropriateness to an adolescent population
~ Type of settings in which the instrument was developed
~ Intended purpose of the instrument
Features of Instruments
~ Short in duration
~ High test-retest reliability
~ Evidence of convergent validity (i.e., the instrument is strongly correlated with other instruments that purport to measure similar constructs)
~ Predictive validity (i.e. school performance, relapse)
~ Normed on adolescents
~ Ability to measure meaningful behavioral and attitude changes over time
~ Sample Screening Forms
~ Depression Screening Tools
~ Drug & Alcohol Use Screening Tools
~ Bipolar Disorder Screening Tools
~ Suicide Risk Screening Tools
~ Anxiety Disorders Screening Tools
~ Trauma Screening Tools
Family Assessment
~ Adolescents may define family in nontraditional ways.
~ The law and society may define family in ways that differ from the actual experiences of youth.
~ Cultural and ethnic differences in family structures should be respected.
~ The core problem may reside outside the adolescent and the substance use is a symptom.
Screening Indicators
~ Problems during childhood or early adolescence
~ School issues
~ Peer involvement in delinquent behaviors
~ Daily use of one or more s
Released:
Feb 10, 2018
Format:
Podcast episode
Titles in the series (100)
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