Unconditional Care Relationship-Based, Behavioral Intervention with Vulnerable Children and Families

by Sprinson, John S.; Berrick, Ken

• ISBN13: 9780199733033
• ISBN10: 0199733031
• Format: Paperback
• Copyright: 2010-01-26
• Publisher: Oxford University Press

Summary

This Clinician-Friendly Guide presents a model for engaging the most challenging children and families who are served by the child welfare, mental health, juvenile justice, and special education systems. These children have been failed by every adult, every treatment modality, and every system of care that they have encountered.

Author Biography

John S. Sprinson, PhD, is Clinical Director of Seneca Center for Children.
Ken Berrick is Founder and Chief Executive Officer of Seneca Center for Children.

Table of Contents

Introduction	p. xv
Relationship and Engagement as Treatment	p. 1
Opportunities for Engagement	p. 4
Strengths and Risk Factors of Children with Intensive Needs	p. 9
Risk Factors and Vulnerabilities	p. 9
Strengths, Protective Factors, and Exceptions	p. 25
A Final Note on Assessment, Treatment Planning, and Intervention	p. 27
Attachment	p. 28
Some Examples of Relationship in Practice	p. 28
Commonalities of the Case Examples	p. 30
Attachment Principles of Assessment and Intervention	p. 31
Relationship, Attachment, and the Development of Psychopathology	p. 47
From Attachment Theory to "Relationship-Based Intervention"	p. 56
Assessment, Diagnosis, and Case Formulation	p. 63
History of the Child and the Parents' Attachments	p. 68
Current Relationships as They Emerge in Program	p. 68
Traumatic Events	p. 70
Strengths of the Child and the Family	p. 70
Adaptive Capacities	p. 71
Other Observational Categories	p. 73
Relational Assessment and Intervention	p. 77
Underlying Assumptions in Two Diagnostic Models	p. 78
Assessment and Description of the Internal Working Model	p. 81
The Child's Experience with Caretakers	p. 85
The Child's Current Interpersonal Behavior	p. 97
Relational Intervention: Using the Description of the Child's Internal Working Model to Drive Treatment	p. 107
Positive Behavioral Intervention	p. 113
Behavioral Intervention and Relationship-Based Work	p. 114
Why Do Behavioral Intervention?	p. 116
Methods of Behavioral Intervention	p. 119
The Behavior Itself	p. 120
Useful Dimensions for Describing Behavior	p. 122
Criteria for Evaluating Descriptions	p. 124
Behavioral Assessment I: How Much of the Behavior Is Happening? Does It Meet a Defined Standard?	p. 126
Behavioral Assessment II: Attempting to Discern the Function of Behavior	p. 128
The Questions that Drive a Functional Analysis	p. 130
Key Ingredients in Implementing Positive Behavioral Change	p. 136
General Considerations on the Use of Negative Consequences	p. 151
Phases of Treatment and Key Activities	p. 153
Preintake and Initial Screening	p. 154
Assessment	p. 155
Behavioral Intervention	p. 163
Relational Assessment and Treatment	p. 169
The Treatment Process Flowchart	p. 173
Case Illustrations of the Model	p. 176
The Case of David S.	p. 176
The Case of Sarah P.	p. 202
Afterword
A Note Regarding Values	p. 229
Love and Compassion	p. 230
Respect	p. 231
Curiosity	p. 231
Hope and Courage	p. 232
Joy	p. 232
Appendices	p. 235
Relational Assessment Worksheet	p. 235
Relational Treatment Plan	p. 239
Target Behavior Definition Form	p. 240
Behavioral Assessment Planning Worksheet	p. 243
Observation Form-Frequency	p. 247
Observation Form-Intensity	p. 248
Observation Form-Frequency/Duration	p. 248
Observation Form-Duration	p. 249
Functional Assessment Worksheet	p. 250
Client Variables Form	p. 255
Functional Behavior Assessment Form	p. 257
ABC Observation Form	p. 257
Behavior Log	p. 258
Replacement Behavior Worksheet	p. 259
Behavioral Treatment Plan Worksheet	p. 261
Notes	p. 265
References	p. 267
Index	p. 275
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