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01 Schools & Behavior Health Rehabilitation Services

In Pennsylvania the Office of Medical Assistance [Medicaid] has developed the use of managed care organizations in an attempt to save money. This article explores suggestions as to how to bring a very fragmented system of child services together in creative ways to enable children with problems in living to improve social performance. Behavioral health is the current metaphor for ‘mental illness’ a metaphor for problems in living that makes the person appear to be bizarre.

04 Developing a Plan of Change

The goal of assessment is not to create a diagnostic label, but rather to provide a profile of functioning that will yield concrete guidelines for selection of intervention strategies. The reason that assessment is so dangerous is that people exhibit a tendency to focus on positive or confirming instances when they gather and evaluate information relevant to a given belief or hypothesis.

03 The Meta Model

Assessment often results in a process in which the child is asked to change his/her behavior without the slightest notion or, perhaps, even interest of whether the child actually wants to change. In most cases, the child, if asked, is likely to indicate that it is not s/he, but others, who need to change if the world is to be a better place. Human service workers tend to reject this ‘other’ notion, even when they know that it is true. The problems of dealing with an ecosystem seem simply much too difficult, are not a funded category, and, by the way, are really not ‘in my job description’.

02 Sociometry

Personal support systems are a well known concern for people suffering from what is commonly known as ‘chronic mental illness’. Healthy individuals live in functional psychosocial kinship systems of mutual independence of between twenty and twenty-five persons. People with thought disorders have networks averaging thirteen in size. If social competence is a cause, not an effect – we will need to begin to address the issue at an early stage in child development.

01 Functional Cognitive Behavior Assessment

A functional cognitive behavior assessment [FCBA] is considered a vital part of any psychological evaluation for either mental health or educational issues. The process not only provides a clinical team with considerable information about the nature of the child interactions with peers and child managers, but it begins to develop insight into the ‘inner logic’ of the child and the people in the child’s ecosystem.

13 Social Competence

INTRODUCTION The advent of competence approaches is a fairly late development in the human services professions. Until recent years, these professions have been dominated by defect approaches, the medical and psychoanalytic models their best know examples. Adherents...

12 School-wide Effective Behavioral Support

CLINICAL PROMPT - To be used AFTER the protocol is understood. School-wide effective behavioral supports may require a restructuring of the beliefs to implement a process of changing messages in the culture. There must be psychoeducation, e.g., an explanation of the...

11 Culture Restructuring

CLINICAL PROMPT - To be used AFTER the protocol is understood. Cognitive Restructuring is a process of changing messages in the culture. There must be psychoeducation, e.g., an explanation of the concepts required to make the change. There must be a growing awareness...

04 Obsessive Compulsive Disorder

The enclosed protocol, techniques and procedures were adapted materials from several source. Probably the major source, at least in terms of format, is ‘OCD in Children’ [the Guilford Press, 1998]. In addition, we selected articles by Steven Phillipson from his web...

17 Covert Modeling

The enclosed techniques and procedures were developed with materials from a workbook of cognitive behavior techniques titled “Thoughts & Feelings and written by Matthew McKay, Martha Davis, and Patrick Fanning. The workbook was published by New Harbinger Publications,...

05 ADHD

Self Control Introduction We are the sum total of what we think. One cannot act different than the way they think [unless, of course they are ‘acting’!]. Therefore, change can only occur when the person thinks differently. Interventions that help people think about...

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