John A. Fairbank, Sharon R. Booth, and John F. Curry
- Published in print:
- 2002
- Published Online:
- January 2009
- ISBN:
- 9780195134575
- eISBN:
- 9780199864065
- Item type:
- chapter
- Publisher:
- Oxford University Press
- DOI:
- 10.1093/acprof:oso/9780195134575.003.0010
- Subject:
- Social Work, Health and Mental Health, Communities and Organizations
Many adolescents with substance-use disorder (SUD) have a history of trauma and symptoms of post-traumatic stress disorder (PTSD). Integrated cognitive behavior therapy (CBT) for co-occurring PTSD ...
More
Many adolescents with substance-use disorder (SUD) have a history of trauma and symptoms of post-traumatic stress disorder (PTSD). Integrated cognitive behavior therapy (CBT) for co-occurring PTSD and SUD in adolescents is a phased intervention approach in which the same clinician or team of clinicians provides treatment for both disorders at the same time. This chapter discusses psychosocial conceptual models of the etiology of PTSD and the role of substance abuse, theory of change, target population, and CBT intervention parameters for integrated PTSD and SUD treatment programs.Less
Many adolescents with substance-use disorder (SUD) have a history of trauma and symptoms of post-traumatic stress disorder (PTSD). Integrated cognitive behavior therapy (CBT) for co-occurring PTSD and SUD in adolescents is a phased intervention approach in which the same clinician or team of clinicians provides treatment for both disorders at the same time. This chapter discusses psychosocial conceptual models of the etiology of PTSD and the role of substance abuse, theory of change, target population, and CBT intervention parameters for integrated PTSD and SUD treatment programs.
Jacqueline Corcoran
- Published in print:
- 2010
- Published Online:
- September 2010
- ISBN:
- 9780195375718
- eISBN:
- 9780199865529
- Item type:
- chapter
- Publisher:
- Oxford University Press
- DOI:
- 10.1093/acprof:oso/9780195375718.003.0006
- Subject:
- Social Work, Children and Families, Health and Mental Health
This chapter reviews the evidence basis for the treatment of post-traumatic stress disorder (PTSD) in children and adolescents. The bulk of the research involves cognitive-behavioral therapy ...
More
This chapter reviews the evidence basis for the treatment of post-traumatic stress disorder (PTSD) in children and adolescents. The bulk of the research involves cognitive-behavioral therapy featuring exposure and cognitive restructuring. Sexual abuse as a trauma has received the most attention in the treatment outcome literature. These interventions are evaluated for how well they address risk factors for the development of anxiety and adjustment for afflicted youth. Further study is needed on interventions for ethnic minority populations and those that are typically employed in clinical practice settings, such as play therapy, art therapy, psychodynamic therapy, and medication.Less
This chapter reviews the evidence basis for the treatment of post-traumatic stress disorder (PTSD) in children and adolescents. The bulk of the research involves cognitive-behavioral therapy featuring exposure and cognitive restructuring. Sexual abuse as a trauma has received the most attention in the treatment outcome literature. These interventions are evaluated for how well they address risk factors for the development of anxiety and adjustment for afflicted youth. Further study is needed on interventions for ethnic minority populations and those that are typically employed in clinical practice settings, such as play therapy, art therapy, psychodynamic therapy, and medication.
CHERYL REGEHR and TED BOBER
- Published in print:
- 2005
- Published Online:
- January 2009
- ISBN:
- 9780195165029
- eISBN:
- 9780199864089
- Item type:
- chapter
- Publisher:
- Oxford University Press
- DOI:
- 10.1093/acprof:oso/9780195165029.003.0005
- Subject:
- Social Work, Health and Mental Health
The training and personality style of emergency responders prepares them to deal with high drama situations. However, this exposure has an impact on their emotional and psychological well-being. This ...
More
The training and personality style of emergency responders prepares them to deal with high drama situations. However, this exposure has an impact on their emotional and psychological well-being. This chapter discusses the symptoms of post-traumatic stress and the various levels of symptoms that people can experience from mild distress to symptoms that significantly affect function. Factors associated with higher levels of symptoms based on previous research are also reviewed. The coping mechanism most frequently described by emergency responders involves the deliberate use of cognitive strategies such as conscious attempts to shut out the emotional reactions of family members of the victim, visualizing the next technical step to be accomplished, and shutting down their own emotions. Other types of strategies involve having a positive personal life, talking to family, exercise, and blowing off steam with colleagues. The effectiveness of various strategies for self-care and coping are discussed.Less
The training and personality style of emergency responders prepares them to deal with high drama situations. However, this exposure has an impact on their emotional and psychological well-being. This chapter discusses the symptoms of post-traumatic stress and the various levels of symptoms that people can experience from mild distress to symptoms that significantly affect function. Factors associated with higher levels of symptoms based on previous research are also reviewed. The coping mechanism most frequently described by emergency responders involves the deliberate use of cognitive strategies such as conscious attempts to shut out the emotional reactions of family members of the victim, visualizing the next technical step to be accomplished, and shutting down their own emotions. Other types of strategies involve having a positive personal life, talking to family, exercise, and blowing off steam with colleagues. The effectiveness of various strategies for self-care and coping are discussed.
Sandra L. Bloom and Brian Farragher
- Published in print:
- 2010
- Published Online:
- January 2011
- ISBN:
- 9780195374803
- eISBN:
- 9780199865420
- Item type:
- chapter
- Publisher:
- Oxford University Press
- DOI:
- 10.1093/acprof:oso/9780195374803.003.0004
- Subject:
- Social Work, Health and Mental Health
If we are to solve the multiple crises facing human service delivery we need a different way of understanding human nature and human dysfunction, one that incorporates 150 years of accumulated ...
More
If we are to solve the multiple crises facing human service delivery we need a different way of understanding human nature and human dysfunction, one that incorporates 150 years of accumulated scientific knowledge and clinical wisdom. To understand what we are going to “diagnose” and “prescribe” for our troubled social service and mental health organizations, people need to have a working knowledge about the psychobiology of trauma and adversity, what it does to individuals, particularly when trauma is repetitive, occurs in early development, and is a result of interpersonal violence. Using a computer metaphor, this chapter discusses how attachment is the “operating system” for people, the master program that allows other human functions to work. Trauma disrupts attachment and like a computer virus, wrecks havoc in unpredictable ways, with the total life experience of the person involved. Creating trauma-informed cultures requires radical change in thinking, behavior, and attitudes.Less
If we are to solve the multiple crises facing human service delivery we need a different way of understanding human nature and human dysfunction, one that incorporates 150 years of accumulated scientific knowledge and clinical wisdom. To understand what we are going to “diagnose” and “prescribe” for our troubled social service and mental health organizations, people need to have a working knowledge about the psychobiology of trauma and adversity, what it does to individuals, particularly when trauma is repetitive, occurs in early development, and is a result of interpersonal violence. Using a computer metaphor, this chapter discusses how attachment is the “operating system” for people, the master program that allows other human functions to work. Trauma disrupts attachment and like a computer virus, wrecks havoc in unpredictable ways, with the total life experience of the person involved. Creating trauma-informed cultures requires radical change in thinking, behavior, and attitudes.
