Archive for the 'Conduct disorder' Category

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Effective delinquency treatment

Wednesday Social Programs that Work, an organization dedicated to , recognized the Multidimensional Treatment Foster Care (MFTC) program as having strong evidence of its benefits for youths who have many strongly delinquent behavior problems. The developers of the MTFC program include Patricia Chamberlain, Ph.D., John Reid, Ph.D., Philip A. Fisher, Ph.D., and Gerard Bouwman; they are closely associated with the Oregon Social Learning Center (a long-time resident of EBD Blog’s Web resources list). Over the last ~10 years the researchers have conduct multiple randomized clinical trials testing the intervention, and they have consistently found positive outcomes for the youths and their families.

Multidimensional Treatment Foster Care (A foster care intervention for severely delinquent youths)

Randomized controlled trials show sizable reductions in youths’ criminal activity.

Description of the intervention: The Multidimensional Treatment Foster Care program provides severely delinquent youths with foster care in families trained in behavior management, and emphasizes preventing contact with delinquent peers. Typical community treatment for such youth, by contrast, often involves referral to a group care facility with other troubled youth.

As an example of the program’s behavior management techniques, foster parents track and regulate the youths’ behaviors using a point system, with youths receiving points for positive behaviors (e.g., completing chores, attending school regularly), and losing points for negative behaviors (e.g., not completing homework, or not listening to an adult). As youths accumulate more points, they are afforded more freedom from adult supervision.

The program provides the youths and their families with individual and family therapy during their participation in the program, and program case managers closely supervise the youths/families through daily phone calls and weekly foster parent group meetings. The average length of stay in the program is 6-7 months. The average cost is about $3,600 per month (2008 dollars), which is 30 to 50 percent lower than the cost of residential group care (the typical alternative treatment, in which youths are placed in group homes with other offenders, and often provided family therapy.)

Link for the SPTW Web page about the evidence for MFTC (source for the quoted material) and to the Web site that supports adoption of the program.

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Effective child management for parents

In a systematic review of the research about parent training, Jennifer Wyatt Kaminski and colleagues of the US Centers for Disease Control identified factors that contribute to the effectiveness of programs that help parents manage the problematic behavior of their children. Of the 18 factors that they examined, only five proved to be important. Parent training programs that taught parents to respond consistently to problems, practice positive interactions, use time out, and required them to practice these skills with their own children led to greater effects on children’s externalizing behavior, but those that emphasized promoting children’s social skills had smaller effects on externalizing behavior.
Continue reading ‘Effective child management for parents’

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New therapy

Here’s a description of a highly touted intervention.

[Method X] is recognized worldwide as a general method to reinforce the body’s protective abilities for people of all ages who suffer from various disorders and pre-illness conditions, i.e. practically healthy people.

[Method X] involves the organized interaction between [therapy agent] and person, with optimal conditions to offer benefits to the person as well as the [therapy agent].

[Method X] can assist in the following tasks:

- Correction of psychological development for people with nervous system disorders
- Development of cognitive activity for people with psycho-neurological disorders
- Development of children’s speech
- Removal of chronic pain
- Reduction of neurological and vegetative-vascular reactions
- Relief from psychosomatic conditions
- Reduction of unintentional movements, tics and spasms
- Rehabilitation of people, victims of violence or other stressful situations
- Psycho-emotional training for specialists whose work is connected with extremely stressful situations
- Leisure and relaxation for healthy people–children and adults

The main component of [Method X] is the psychological effect from the interaction between [the client] and [the therapy assistant] in an unaccustomed environment and the physical therapy effect from [Y and Z] made by these [therapists].

Would you want to use this therapy for yourself or your child?

I would! But, that’s because I know what the therapy is.

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PDX RTC

RTC at PDX banner

The paper mail included a copy of Focal Point, the periodical from the Research and Training Center (RTC) on Family Support and Children’s Mental Health at Portland (OR, US) State University. As usual, it includes many worthwhile articles. It reminded me that I should reminder readers of EBD Blog about the RTC.

Continue reading ‘PDX RTC’

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Schools’ legal responsibilities

Over on WrightsLaw, Sue Whitney Heath responded to a question from a parent about a school that made a questionable decision about a student’s school placement. Under the headline “Behavior Problems: It Isn’t Okay Just to Teach the Easy Kids,” Ms. Heath provides advice to the parent about how to address the problem.

Your son is either misbehaving and the school should follow the rules for kids who misbehave, or he is behaving like a kid with anxiety and ODD, so the school staff need to deal with this as an educational issue.

It is okay for the school:

  • to provide a teacher who is able to teach your son.
  • to expect all teachers to follow the steps in school policies for disciplining students.
  • to get teachers more training in classroom management and discipline when they need it.

It is not okay:

  • just to teach the easy kids.
  • for a teacher to take his personal issues into the classroom.

There’s lots of detail at the site. Here’s a link to the full entry.

Link to on-line version of the Wrightslaw newsletter.

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Consortium to Prevent School Violence launched

Today is the official launch of the Consortium to Prevent School Violence (CPSV). The consortium will provide many resources including fact sheets, research summaries, training resources, and more.

The Consortium to Prevent School Violence (CPSV) seeks to promote the effective implementation of school violence prevention practices that are:

Based in high-quality scientific research

Proven to prevent and reduce school violence

Following the school shootings of Fall 2006, a group of 20 researchers and practitioners in the field of school violence prevention collaborated on the creation of a position statement on the school shootings. In the process, it became apparent that an alliance of researchers and practitioners in school violence prevention to further the common goal of reducing school violence would be highly valuable.

The Consortium is primarily a volunteer effort.

Visit CPSV on the Web. Snag a copy of CPSV press release about the launch.

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Youth convicted of murder

In “Crown seeks 10-year term for young killer,” Sherri Zickefoose of the Calgary (Alta, CA) Herald reported about the trial of a 14-year-old girl who was convicted of first-degree murder last summer for her contributing to the stabbing deaths of a family of three. The girl was 12 at the time of the murders.

Noting that the “prosecutor says girl is ‘significantly disturbed’ and fails to show any remorse” and has requested the maximum punishment, Ms. Zickefoose reported that Justice Scott Brooker is reviewing psychiatric reports.

He is also reviewing a media request to view the reports on which he will base the girl’s sentence.

The girl, who cannot be identified, has both oppositional defiance disorder and conduct disorder, according to psychiatric reports, the hearing in Court of Queen’s Bench was told.

“The young person does not recognize that she has committed a crime, nor does she have any insight into her condition,” said Crown prosecutor Stephanie Cleary, calling the girl “seriously disturbed” and saying she shows no remorse or acceptance of criminal responsibility for her role in the triple slaying.

Court heard the girl suffers from dependency issues, anxiety and depression, and is prone to immature problem-solving and wishful fantasies, though a psychologist hired by the defence said she had no homicidal or sadistic tendencies.

Jeremy Steinke stands accused of actually stabbing the family members, at the encouragement of the girl. Shortly after the girl and Mr. Steinke were arrested, she agreed to marry Mr. Steinke, according to reports in multiple sources. In a story that appeared on MacLeans.ca, James Stevensonof The Canadian Press reported about the jailhouse romance.

Just 18 months ago, the girl and Steinke were arrested in the back of a pickup truck in Leader, Sask. as police combed her blood-soaked house in suburban Medicine Hat.

In the following days, the two exchanged a series of crudely written prison-house

love letters full of spelling mistakes that culminated in Steinke asking for her hand in marriage. The girl, now Canada’s youngest convicted multiple killer, said yes.

“Ahahaha! I never thought I’d find myself hystericaly (sic) laughing in a holding cell in these kinds of circumstances,” wrote the girl. “But still! ahaha you make me so happy! Yes! Yes! I will, I would love to.”

There’s a lot to this story. Whatever the sentence, I hope she gets some good intervention.

Here are some links:

Ms. Zickefoose’s story;
Mr. Stevenson’s coverage of the girl breaking the engagement to Mr. Steinke;
Victoria Times Colonist coverage;

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Who has rights?

When should a student’s right to participate in education be denied because his or her behavior is inimical to rights of other students’ to benefit from education? When is one student’s behavior so problemsome that his “right” to be in a classroom is trumped by his peers’ right to participate in an orderly learning environment?

Most educators, I would hazard a guess, want to make it possible for students to participate in a minimally restrictive environment. Although the “least restrictive environment” clause of the US special education law is buried pretty deeply in the structural outline of legal guarantees, it is advocated strongly by many people (educators, parents, attorneys, etc.) concerned about special education. And, many advocates argue that it—the “right” to the “least restrictive environment”—is the ace of trumps.

Is it? When does the balance shift from the access rights of an individual to the access rights of the individual’s peers? When are the interests of an individual to participate in “mainstream” education of lesser importance than the interests of peer students’ access to an environment that is conducive to learning (i.e., not disrupted)?

These and some other matters are the likely subjects of discussion at a forthcoming meeting on classroom disruptions. Suitably scheduled for Hallowe’en, the meeting will be held in Washington (DC, US). here’s the basic info:

Class Disrupted: Disorder and Its Effects on Learning and School Culture

October 31, 2007

Location: Washington, DC

Many teachers and principals struggle to create and maintain positive classroom and school cultures–free of disruption, disrespect, bullying, intimidation, and violence. While public school systems are rightly focused on meeting AYP and the other requirements of No Child Left Behind, they must also address the fact that without order and respect, little learning and progress can be achieved. Student misbehavior that goes unaddressed in the hallways and the classroom undermines instruction, stifles the development of character and social skills, and contributes to teacher burnout. This forum will:

* Examine disorderly conditions in schools, including factors contributing to the problem, looking beyond traditional concerns about safety and violence, to acts of disrespect, disregard for school rules, and disruptive behavior;
* Highlight the consequences of disorder in schools, specifically on learning and culture;
* Present new ideas on how law impacts student discipline at the school level; and
* Share key perspectives on what must be done to help restore respect and order and maintain safe and productive schools.

Date: October 31, 2007
Time: 8:00 a.m. – 2:30 p.m.
Registration begins at 8:00 a.m.
Lunch will be provided
Location:

Carnegie Endowment for International Peace
1779 Massachusetts Ave., N.W.
Washington, D.C.

If you’re interested in this topic, contact RSVP@cgood.org. (or for more information, contact Ali Kliegman at akliegman [at] cgood.org or 212.681.8199 x14.

Flash of the electrons to Elona Hartjes of Teachers At Risk whose post, “Class Disrupted: Disorder and Its Effects on Learning and School Culture” brought this to my attention.

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Disciplinary policy: Proactive problem-solving

According to a story in the Richmond (VA, US) Times-Dispatch, the Richmond Public Schools have collaborated with a statewide legal-aid group called JustChildren to address problems arising when discipline rules conflict with the right to an education under US and VA laws that is due to students with disabilities. In the article, Olympia Meola describes efforts to ensure that children with disabilities who are subject to disciplinary rules because of misconduct are not suspended or expelled inappropriately.

This week, JustChildren and Richmond schools entered a broad agreement aimed at improving services for all special-education students who are disciplined for violating the student code of conduct in school.

“There was good will, there were good people, and the teachers would rally around that individual child, but we were fishing kids out of the stream one at a time,” she said. “We needed to step back and make the system as a whole better.”

The agreement with Richmond schools is a first for JustChildren, and it’s intended to help the schools boost services for students who are facing a disciplinary hearing or have been suspended or expelled. During the 2006-07 school year, 166 exceptional-education students in Richmond schools had a disciplinary hearing.

JustChildren approached the Richmond school system with the partnership idea about nine months ago. The move was spurred not by one particularly egregious case, but rather by the cumulative effect of many cases, and the fact that JustChildren’s growth has allowed the organization to do more expansive work, said Andrew Block, the program’s legal director.

The intersection of disciplinary rules and disabilities has been a lightening rod in special educational policy. Why, some people wonder, aren’t rules applied equitably regardless of whether students have disabilities? Why, some other people wonder, should a problem that is manifestation of a student’s disability cause her or him to lose access to educational services? I’m very glad to see advocates and a local education agency addressing this issue in a positive and reasoned manner.

Link to Ms. Meola’s story. Learn more about JustChildren, which is one of several programs of the Legal Aid Justice Center.

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TECBD 2007

The annual meeting of Teacher Educators for Children with Behavioral Disorders (TECBD), now named after Rob Rutherford who founded it, will be held 15-17 November 2007 in Tempe (AZ, US). Steve Forness, Cheryl George, and John Maag are among the people who’ll be speaking this year.

Every year, EBDBlog has announced the call for papers, so this is nothing new. There is still time to propose a presentation for this year’s meeting. Potential presenters may submit proposals for sessions using the TECBD site.

Link to the Web site for TECBD. Link for proposing presentations.

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MST redux

Multisystemic Therapy, on which I’ve reported previously, received another boost recently. Over on Social Programs that Work, a new study was added to the corpus of studies supporting the efficacy of Multisystemic Therapy. The new study by Jane Timmons-Mitchell and colleagues extends the literature about the value of this method for addressing Emotional and Behavioral Disorders.
Continue reading ‘MST redux’

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NARSAD 2007

NARSAD: The Mental Health Research Association announced its grants for 2007, including 23 Distinguished Investigators and 222 Young Investigators. The awards represent more than $15 million in grants, and many of them are relevant to Emotional and Behavioral Disorders among children and youths.
Continue reading ‘NARSAD 2007′

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