Group Treatment Programs for Juveniles: A Best Evidence Synthesis

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Group Treatment Programs for Juveniles: A Best Evidence Synthesis Birmingham Presents Lee A. Underwood, Psy.D., USA Consulting Group April 21, 2006

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Introductory Thought I have arrived at a startling conclusion. I am the conclusive component in the treatment of adolescents. It is my own approach that makes the atmosphere. It is my day by day state of mind that makes the climate. As a Provider, I have enormous energy to make an adolescent's life hopeless or glad. I can embarrass or cleverness, hurt or recuperate. In all circumstances, it is my reaction that chooses whether an emergency will be raised or de-heightened, and the young acculturated or de-refined—Haim Ginnott, 1977

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OVERVIEW Prevalence, Awareness and Challenges Delinquency & Mental Health Trends in Community-Based Programs Common Community Models Cultural Competency & Bias

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Prevalence, Awareness and Challenges

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Prevalence Rates U.S. Speaks to 2% of World's Population U.S. has 25% of World's Prisoners U.S. Populace of Racial Minorities are 27-30% U.S. Populace of African-Americans is roughly14% of the 25% and 15% of the 25% are Hispanic discussing the 2 Million Incarcerated, almost 70% are African-Americans and Hispanic talking

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Prevalence Rates One out of 5 African-Americans Males are in Prison Between the Ages of 18-24 There are more African-American Males in Prison than in College 9% of Hispanic-Americans contrasted with 3% of White-Americans are in secure settings

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Prevalence Rates According to the U.S. Enumeration concerning information on separation, kid guardianship and kid bolster, half of all white youngsters and 75% of all dark and cocoa kids conceived in the most recent two decades are probably going to live for some segment of their youth with just their moms.

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Prevalence Rates "Youngsters experiencing childhood in homes with missing fathers will probably fizzle or drop out of school, take part in early sexual action, create medication and liquor issues, and encounter or execute savagery in more prominent numbers than kids experiencing childhood in homes with fathers display." Benson Cooke

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Prevalence Rates Each year more than one million kids encounter the separation of their folks. In 1996, of 1,310 separations in the District of Columbia, about half (46.4%) included youngsters. More than 1/5 or (26%) of the truant fathers live in an alternate state than do their kids. Roughly 40% of the youngsters who are bastard have not seen their dad in no less than a year, and around half have never gone to in their dad's home

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Prevalence Rates Boys & Girls are 3-4 times more inclined to be casualties of sexual manhandle than young men. Young ladies will probably be misled physically, and sexually by a relative. Misled young ladies will probably display genuine emotional wellness side effects.

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Prevalence Rates Cont'd Boys & Girls Cont'd Girls have higher pervasiveness rates of sorrow, nervousness, PTSD, eating, resting, somatization and marginal identity issue and elements. Young ladies have higher rates of co-happening emotional wellness and substance utilize rates. Young ladies will probably flee from home to escape savagery.

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Prevalence Rates Cont'd Boys & Girls Cont'd Boys and young ladies react distinctively to mishandle. Young men for the most part get to be forceful. Young ladies have a tendency to disguise the harm, now and again getting to be forceful and different times getting to be discouraged, or both in the meantime. Young men have a tendency to minimize their negative feelings.

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Prevalence Rates Cont'd Boys & Girls Cont'd Boys have a tendency to have problematic connections, overcompensate for control and serious their feelings. Introductory treatment for young ladies ought to concentrate on strengthening. Beginning treatment for young men ought to concentrate on connections and on growing their enthusiastic collection.

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Implications? What are the Implications? How does this information move you? What do you do to propagate the information? What do you do to take out the information? How confident is change? What does this say in regards to staff mindfulness How does individual and expert limits fit in?

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Delinquency & Mental Health Risk & Protective Factors

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QUOTE "The criminally-disapproved of juvenile resemble a privateer who cruises under his own banner without respect to ship or team aside from that it serves his own particular great." ANONYMOUS

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Delinquency & Mental Health Delinquency and emotional wellness are interwoven and commonly invigorate each other. Detaching misconduct hazard elements from emotional wellness chance elements is troublesome. Wrongdoing and psychological wellness builds tend to cover. Picking the best treatment arrangement framework is untrustworthy done. Understanding indicators of misconduct and emotional wellness can diminish recidivism in both regions.

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QUOTE "Treatment lays on the fundamental technique of making the customer so obviously mindful of his example of untrustworthy imagining that he can't proceed with them aside from by a full cognizant and ponder decision." JOHN BUSH

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Risk & Protective Factors Risk Factors Protective Factors Strength-based Factors

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Risk Factors Risk variables allude to the probability of an adolescent's proceeded with inclusion in criminal conduct. Chance variables are identified with the probability of recidivating over into tyke mind frameworks. When one comprehends the key hazard components, there is a highly enhanced exactness and dependability in the treatment and aftercare arranging process. An arrangement of experimentally bolstered factors (hazard variables) have been recognized and connected with reprobate and criminal conduct.

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Individual (self-regard, therapeutic, identity) Peer (degenerate affiliations, expert social companions, group alliance, withdrawn dispositions) Family (limits, structure, consistence, rules, connectedness, criminal good examples) Neighborhood (destitution, standoffish, criminal good examples, training) Substance Abuse (utilize designs, related practices, family substance utilize designs) Childhood Abuse (I.e., sexual, physical, passionate)

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Specific Risk Factors Children with inabilities or mental hindrance For sexual mishandle, hazard increments with age Females more prone to be sexually manhandled than guys (yet guys DO get sexually mishandled) Difficult/ease back to warm up kids

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Specific Risk Factors Within Families Substance mishandle inside family Childhood history of mishandle Witnessing aggressive behavior at home Lack of child rearing abilities Neglect and deserting Coercive tyke raising Lack of family warmth & limits

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Specific Risk Factors Within Community Poverty & devastated situations Dangerous/savage neighborhood Poor school regions Lack of access to medicinal care, and so on. Parental unemployment & vagrancy Deviant companion affiliation Personal & institutional bigotry

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Protective Factors Protective elements allude to interior and outer emotionally supportive networks that cushion the contrary impacts of injury. Inward components incorporate strength, self-evaluation and logical styles. Outside elements incorporate the defensive part of parental figure supervision and checking.

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Protective components allude to interior and outer emotionally supportive networks that cradle the pessimistic impacts of injury Protective Factors Internal Factors External Factors Resiliency Self Appraisal Explanatory styles Protective part of guardian Supervision Monitoring

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General Protective Factors Stable families Emotional prosperity of youth & family Parental checking & supervision Community investment School participation Prosocial way of life

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General Protective Factors (Additional) Disrupted connections Family standoffish qualities Harsh parental train Lack of parental observing Feeling of enthusiastic pain that is weakening Neurological disabilities Substance utilize Poor parent-tyke connections Neglect Coercive tyke raising Lack of warmth and friendship Inconsistent child rearing Violence Sexual Abuse

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Specific Protective Factors Youth Personality Easy rhythm & approach Positive Disposition Active adapting abilities Positive self-regard Good social aptitudes Internal locus of control Balance between independence & help-looking for

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Specific Protective Factors Families Secure connection Supportive family environment Household rules/structure Parent checking Extended family help and bolster Parental model – great adapting aptitudes High family desires High parental instruction

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Specific Protective Factors Families Positive associations with relatives Opportunities for self-improvement & advancement Supportive and sustaining association with no less than one parent Cohesiveness and expressiveness Consistent family teach Rules in arranging and working the home

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Strength-based Factors A faith in the integrity of people as opposed to review the young who does not show abilities as insufficient; it is trusted the adolescent has not had the encounters or chances to acing key abilities. Given the aptitudes, youth can rise above their present circumstance. A conviction that young are roused by how others react to them. At the point when grown-ups complement the positive ranges in an adolescent's life, this may bring about elevated inspiration.

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Strengths-construct Factors A center with respect to the inside and outer assets of people rather the exclusively the young's conditions. Expressly looking for and expanding upon the individual qualities instead of the individual's restrictions. Less concentrate on pathologies and shortfalls An attention on past victories and routes in which the triumphs were accomplished. An attention on survivor abilities as opposed to casualty reactions.

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Strength-construct Factors A center in light of individual achievements and the going with ventures to accomplish such Recognition of interpersonal quality