Nowak-Scibelli 1985 Group treatment for women incestuously abused as children. The potential variances of tailoring in health behavior interventions. The authors gratefully acknowledge early manuscript review and suggestions by outside experts: Sue Curry, Ph. Heide 1987a Differential developmental progress of maltreated children in day treatment. The Gottman Method uses couples counseling techniques to increase affection, closeness, and respect. Parents who received the child management component were more likely to talk to their child during a role-playing disciplinary situation, were less likely to verbally attack their child, and were more likely to reinforce their child's good behavior.
Limited resources often prevent child protection agencies from responding to increasing numbers of reports see Chapter 3 within the 24 or 48 hours mandated by state child welfare legislation Child Welfare League of America, 1986. Brief Interventions for Dependent Use Most studies of brief interventions for alcohol use that had the goal of changing drinking behavior have included only subjects who did not meet criteria for alcohol dependence and explicitly excluded dependent drinkers with significant withdrawal symptoms. Every chapter provides a blend of theory, practice and guided, personalized application. What could have been done to prevent those problems? Goins 1988 Effects of adult and peer social initiations on the social behavior of withdrawn, maltreated preschool children. Broadening the evidence base for evidence-based guidelines: A research agenda based on the work of the U.
Techniques to increase the accuracy of self-reports have been employed in recent studies ,. Her research agenda is focused on evaluating a brief bystander intervention program for elementary, middle and high school students. Am J Public Health 2000;90 5 :786-789. Fleischman 1985 Reducing out-of-home placements of abused children: Two controlled field studies. Agencies reported their most successful activities as public education, legal assistance and ombudsman services, respite and other caregiver services, and influencing legislation. The results showed that increasing rates of physician advice alone would yield an additional 63,000 quitters per year. A therapist will ask you to describe your problems in narrative form, and then help you to rewrite the negative parts of the story.
Self-Help Services for Abusive Adults Self-help support and treatment programs are based on the premise that individuals can benefit from learning about the victimization experiences of others. Analytic Framework 2: Can Interventions in the Clinical Setting Influence People to Change Their Behavior? Well-delivered advice supports the patient's self-determination. New York: The Annie E. For instance, having a system in place to identify and document tobacco-use status triples the odds of clinician intervention. Upon learning that clients are currently participating in or affected by bullying, counselors can assist them in developing alternative behaviors. Kaufman 1981a A competency-based parent training program for abusive parents. In addition, although treatment programs may be targeted to victims of a specific form of maltreatment, populations served by these programs may include victims of multiple forms of abuse.
Promoting Health: Intervention Strategies from Social and Behavioral Research. Analysis is needed of the interaction among different agencies involved in intervention and treatment and the degree to which decisions made by one agency affect outcomes in others. Little is known about treatments recommended for abused children in medical settings, and even less is known about specific treatment outcomes. J Consult Clin Psychol 1991;59 3 :439-448. Buck 1978 Betrayal of Innocence: Incest and its Devastation.
Guilt is one of the most common emotions that accompanies trauma. Telephone counseling and well-developed self-help materials provide additional channels for efficiently delivering effective interventions. The Five A's Organizational Construct for Clinical Counseling Background The Four A's construct ask, advise, assist, arrange was originally developed by the National Cancer Institute to guide physician intervention in smoking cessation. Even at a population level, overall risk factors typically change only 1 percent to 20 percent. However, the generalizability of these findings is limited by methodological problems, including the absence of clear targets for certain conditions Nichol et al. In one study of sexual abuse cases referred for prosecution, approximately 8 percent of child victims testified Goodman et al. Luztker 1991 A comprehensive 5-year plan for evaluating Project 12-Ways: An ecobehavioral approach for treating and preventing child abuse and neglect.
Definitive conclusions about the Page 262 generalizability of the findings from studies of family-oriented programs in reducing subsequent maltreatment are difficult to develop because the participants in these programs often present varied types of parental dysfunction. In fact, family involvement is one of the primary reasons many end up seeking treatment, as well as one of the biggest factors in preventing substance abuse altogether. Large-scale evaluation studies of child neglect should be developed to determine types of interventions that can mitigate chronic neglectful behaviors among offending parents and improve outcomes for children victimized by neglect. The unabated impact of health-damaging behaviors among Americans makes it imperative that health care providers and health care systems seriously consider these behavioral issues and accept the challenge of routinely providing quality behavioral counseling interventions where proven effective. One evaluation of Parents Anonymous, conducted by Behavior Associates, found that physical abuse stopped after one month of attendance and verbal abuse showed a significant decrease after two months of attendance Ehresman, 1988. Promoting Health: Intervention Strategies from Social and Behavioral Research.
Taylor 1987 The ecology of child maltreatment: Identifying and characterizing high-risk neighborhoods. Thus, omission of any key dimension in research or practice reduces the likelihood of successfully addressing problem behaviors, such as smoking. Promising, if not substantial, empirical evidence supports the validity of all eight theories in predicting or changing health behavior. The outcome measures used in evaluations of intensive family preservation services are 1 prevention of child removal and 2 reduction in the length of stay in placement outside the home. Brief Interventions and Brief Therapies for Substance Abuse. Am J Prev Med 1999; 17 4 :269-274. When done well, it is a powerful technique for understanding and facilitating change in clients.
Am J Prev Med 1986;2 2 :82-88. Evidence also suggests that treatment gains are not maintained when compared with a comparison group Wesch and Lutzker, 1991. As mentioned, there are crises that might be considered minimal, while others may be catastrophic. Some research indicates that the potential for brief interventions to reduce the harm, problems, and costs associated with moderate to heavy alcohol use by risky drinkers significantly surpasses the effectiveness from applications of brief interventions on substance-dependent individuals. The Clinician-Patient Relationship As our understanding of behavioral counseling interventions has become more sophisticated, interventions have evolved beyond the limits of one-on-one interactions between a clinician and a patient. There may be differential attrition in groups at followup, and these dropouts can be ignored or excluded from analyses ; ; , or there could be contamination because the comparison group could be seeking additional treatment during the course of the research ; ;. Those who often battle more conflict with themselves over whether or not to seek help.