Showing posts with label Evidence-base. Show all posts
Showing posts with label Evidence-base. Show all posts
Apr 22, 2012
Attachment-Focused Treatment Institute
A collaboration between the Academy for Human Development's Graduate Counseling program (a University in Singapore) and the Center for Family Development. This Institute provides training and certification in Attachment-Focused Therapy, Attachment-Focused Family Therapy, and certification as an Attachment-Focused Professional (for residential treatment center milieu staff, teachers, therapeutic foster parents, occupational therapists, and others who wish to use attachment-facilitating methods in their work.
In addition, the Institute providers certification for organizations (Group Homes, Foster Care agencies, Residential Treatment Centers, Wilderness Program, and Therapeutic Boarding Schools as a Certified Attachment-Focused Organization.
See the Institute's Facebook page.
May 20, 2009
Therapeuctic Crisis Intervention
I found this article quite interesting and valuable:
Josh Lechter, assistant director of child care for the Community-Based Acute Treatment program at Walker, has written a paper featured in the most recent issue of Refocus, the Residential Child Care Project newsletter published by Cornell University.tci
His paper, Using TCI’s Family Care Provider Training To Break Down Language Barriers Between Residential Treatment and Life at Home, discusses the success of a new initiative at Walker to share therapeutic crisis intervention training and techniques with the families of Walker students.
Therapeutic Crisis Intervention For Family Care Providers (TCIF) is a curriculum-based class adapted from the same crisis prevention and behavior management skills taught to The Walker School staff. Developed by the The Family Life Development Center at Cornell University, the 5-day course involves modeling and role playing to familiarize family members with strategies and techniques for deescalating problems and emotionally volatile situations with their children at home. According to the developers at Cornell, Walker is the first organization to offer TCIF training to the families of children with serious emotional and behavior issues.
Judging from the enthusiastic response of participating families, the availability of this specialized training for parents and caregivers will help to improve the likelihood of a child’s successful transition from residential treatment to home and community. In the paper, Lechter recounts the comments of several grateful parents, including one who said, “the course was a blessing. I now do not feel alone in helping my children with their mental health needs.”
See this article for more details
http://www.walkerschool.org/upload/REFOCUS_VOL_14.pdf
Josh Lechter, assistant director of child care for the Community-Based Acute Treatment program at Walker, has written a paper featured in the most recent issue of Refocus, the Residential Child Care Project newsletter published by Cornell University.tci
His paper, Using TCI’s Family Care Provider Training To Break Down Language Barriers Between Residential Treatment and Life at Home, discusses the success of a new initiative at Walker to share therapeutic crisis intervention training and techniques with the families of Walker students.
Therapeutic Crisis Intervention For Family Care Providers (TCIF) is a curriculum-based class adapted from the same crisis prevention and behavior management skills taught to The Walker School staff. Developed by the The Family Life Development Center at Cornell University, the 5-day course involves modeling and role playing to familiarize family members with strategies and techniques for deescalating problems and emotionally volatile situations with their children at home. According to the developers at Cornell, Walker is the first organization to offer TCIF training to the families of children with serious emotional and behavior issues.
Judging from the enthusiastic response of participating families, the availability of this specialized training for parents and caregivers will help to improve the likelihood of a child’s successful transition from residential treatment to home and community. In the paper, Lechter recounts the comments of several grateful parents, including one who said, “the course was a blessing. I now do not feel alone in helping my children with their mental health needs.”
See this article for more details
http://www.walkerschool.org/upload/REFOCUS_VOL_14.pdf
Apr 10, 2009
Good Resource
A great resource is the Psychology Wiki. Since this is administered by identified persons and experts, not just anyone who wants to edit and administer, the material is much more reliable and vetted. There are excellent articles there about
Dyadic Developmental Psychotherapy
Complex Trauma
Attachment Theory
Attachment Therapy
Reactive Attachment Disorder
and many other topics.
Go to:
http://psychology.wikia.com/wiki/Main_Page
to find it. I encourage you to look at the site for reliable information and to register and edit where you feel you have something to add.
Dyadic Developmental Psychotherapy
Complex Trauma
Attachment Theory
Attachment Therapy
Reactive Attachment Disorder
and many other topics.
Go to:
http://psychology.wikia.com/wiki/Main_Page
to find it. I encourage you to look at the site for reliable information and to register and edit where you feel you have something to add.
Apr 5, 2009
Dyadic Developmetal Psychotherapy receives support
The new book, Treating Complex Traumatic Stress Disorder, edited by Christine Courtois and Julian Ford, The Guilford Press, NY, 2009, supports the various elements, principles, and techniques of Dyadic Developmental Psychotherapy. The chapter on family therapy approaches states, "Meta-analytic studies have found family based treatments to be more effective than treatment as usual (TAU)...The strongest evidence for the efficacy of family therapy for traumatic stress disorders is provided by studies with families of traumatized toddlers and preschool- or early elementary school-aged children." pp394-395.
The book describes the importance of affect regulation, focusing on attachment relationships in treatment, attention to developmental level and processes, emotional regulation, titrated exposure to traumatic memories, therapeutic alliance, intersubjectivity, and other topics that are core principles and methods of Dyadic Developmental Psychotherapy. It is heartening to find additional support for the use of DDP in the treatment of attachment and trauma disorders.
The book describes practice principles for treating children with complex traumatic stress disorder which are quite consistent with previous material published about DDP over the last several years:
1. Safety First
2. A relational bridge must be developed to engage, retain, and maximally benefit the child and caregiver(s).
3. Diagnosis, treatment planning, and outcome monitoring are always relational.
4. Diagnosis, treatment planning, and outcome monitoring are always strengths-based.
5. All phases of treatment should aim to enhance self-regulation competencies.
5a. Emotional regulation.
5b. Attention, memory, decision making (information processing).
5c. Self-regulation of consciousness and motivation.
5d. Bodily self-regulation.
5e. Relational self-regulation.
6. Determining with whom, when, and how to address traumatic memories.
7. Preventing and managing relational discontinuities and psychosocial crises.
from pages 67-78.
As described and elaborated in the book, these principles have also been previously described and elaborated on in various publications about DDP (several books and journal articles).
The book describes the importance of affect regulation, focusing on attachment relationships in treatment, attention to developmental level and processes, emotional regulation, titrated exposure to traumatic memories, therapeutic alliance, intersubjectivity, and other topics that are core principles and methods of Dyadic Developmental Psychotherapy. It is heartening to find additional support for the use of DDP in the treatment of attachment and trauma disorders.
The book describes practice principles for treating children with complex traumatic stress disorder which are quite consistent with previous material published about DDP over the last several years:
1. Safety First
2. A relational bridge must be developed to engage, retain, and maximally benefit the child and caregiver(s).
3. Diagnosis, treatment planning, and outcome monitoring are always relational.
4. Diagnosis, treatment planning, and outcome monitoring are always strengths-based.
5. All phases of treatment should aim to enhance self-regulation competencies.
5a. Emotional regulation.
5b. Attention, memory, decision making (information processing).
5c. Self-regulation of consciousness and motivation.
5d. Bodily self-regulation.
5e. Relational self-regulation.
6. Determining with whom, when, and how to address traumatic memories.
7. Preventing and managing relational discontinuities and psychosocial crises.
from pages 67-78.
As described and elaborated in the book, these principles have also been previously described and elaborated on in various publications about DDP (several books and journal articles).
Mar 12, 2009
Article about Dyadic Developmental Psychotherapy
A very nice summary about Dyadic Developmental Psychotherapy, which is an evidence-based and effective treatment for trauma and attachment disorders can be found at
http://psychology.wikia.com/wiki/Dyadic_Developmental_Psychotherapy
While most Wiki's, especially Wikipedia, are not reliable sources of information since articles and subjects can be taken over by zealots with one or another bias or ax to grind, the Psychology wiki encourages people to register and use their real professional identity and the articles are pretty well vetted.
http://psychology.wikia.com/wiki/Dyadic_Developmental_Psychotherapy
While most Wiki's, especially Wikipedia, are not reliable sources of information since articles and subjects can be taken over by zealots with one or another bias or ax to grind, the Psychology wiki encourages people to register and use their real professional identity and the articles are pretty well vetted.
Feb 27, 2009
Evidence-Based and Emprically Supported Treatment: DDP
A recent article, Becker-Weidman, A., & Hughes, D., (2008) “Dyadic Developmental Psychotherapy: An evidence-based treatment for children with complex trauma and disorders of attachment,” Child & Adolescent Social Work, 13, pp.329-337, described the evidence-based and empirically supported treatment, Dyadic Developmental Psychotherapy. This article presents the empirical support for this treatment and the strong empirical support for the various elements of DDP. Anyone interested can contact me to get a PDF reprint.
Dec 7, 2008
Dyadic Developmental Psychotherapy Institute
The Dyadic Developmental Psychotherapy Institute (DDPI) has been formed to allow therapist to become appropriately trained and certified as practitioners and/or consultants of Dyadic Developmental Psychotherapy(DDP). The DDPI has a certification process to become a certified practitioner of DDP and to become a certified consultant of DDP.
Dyadic Developmental Psychotherapy, which is an effective and evidence-based treatment (Becker-Weidman & Hughes, 2008) has been developing for over a decade now. The purpose of the Institute and its certification program is to ensure that practitioners of the model adhere to its basic principles and to maintain integrity of the model. Dyadic Developmental Psychotherpay, Dyadic Developmental Psychotherapy Institute, Certified Dyadic Developmental Psychotherapy Psychotherapist, Certified Dyadic Developmenal Psychotherapy Consultant, Certified Dyadic Developmental Psychotherapy Trainers, DDP, DDPI, CDDPP, CDDPC, and CDDPT are all registered service marks/trademarks of the DDPI and may only be used with its permission.
DDPI will provide a certification process for those clinicians who are utilizing the DDP model of treatment and who wish to become certified in having demonstrated their knowledge of its core principles and their competence in its implementation in their practice. To be certified clinicians will have completed a minimum number of hours both in DDP course participation as well as in receiving consultation of their utilization of DDP in their treatment (through video review). Clinicians will also be certified to be DDP consultants, who are responsible for the providing consultation to those applying to become DDP certified therapists.
REFERENCES
Becker-Weidman, A. (2006a). Treatment for children with trauma-attachment disorders: Dyadic Developmental Psychotherapy. Child and Adolescent Social Work Journal, March, 2006.
Becker-Weidman, A. (2006b). Dyadic Developmental Psychotherapy: a multi-year follow-up. In New Developments in Child Abuse Research S.M. Sturt, Ed. Nova Science Publishers.
Becker-Weidman, A., (2007) “Treatment For Children with Reactive Attachment Disorder: Dyadic Developmental Psychotherapy,”
http://www.center4familydevelop.com/research.pdf
Becker-Weidman, A., & Hughes, D., (2008) “Dyadic Developmental Psychotherapy: An evidence-based treatment for children with complex trauma and disorders of attachment,” Child & Adolescent Social Work, 13, pp.329-337.
Becker-Weidman, A. & Shell, D. Eds. (2005, 2nd Printing 2008). Creating Capacity for . Oklahoma City OK: Wood ‘N’ Barnes, Williamsville, NY: Center For Family Development
Bowlby, J., (1988). A Secure Base: Parent-Child Attachment and Healthy Human Development. NY: Basic.
Holmes, J., (1993). John Bowlby Attachment Theory. London: Routledge.
Hughes, D. (1997). Facilitating Developmental Attachment: The Road to Emotional
Dyadic Developmental Psychotherapy, which is an effective and evidence-based treatment (Becker-Weidman & Hughes, 2008) has been developing for over a decade now. The purpose of the Institute and its certification program is to ensure that practitioners of the model adhere to its basic principles and to maintain integrity of the model. Dyadic Developmental Psychotherpay, Dyadic Developmental Psychotherapy Institute, Certified Dyadic Developmental Psychotherapy Psychotherapist, Certified Dyadic Developmenal Psychotherapy Consultant, Certified Dyadic Developmental Psychotherapy Trainers, DDP, DDPI, CDDPP, CDDPC, and CDDPT are all registered service marks/trademarks of the DDPI and may only be used with its permission.
DDPI will provide a certification process for those clinicians who are utilizing the DDP model of treatment and who wish to become certified in having demonstrated their knowledge of its core principles and their competence in its implementation in their practice. To be certified clinicians will have completed a minimum number of hours both in DDP course participation as well as in receiving consultation of their utilization of DDP in their treatment (through video review). Clinicians will also be certified to be DDP consultants, who are responsible for the providing consultation to those applying to become DDP certified therapists.
REFERENCES
Becker-Weidman, A. (2006a). Treatment for children with trauma-attachment disorders: Dyadic Developmental Psychotherapy. Child and Adolescent Social Work Journal, March, 2006.
Becker-Weidman, A. (2006b). Dyadic Developmental Psychotherapy: a multi-year follow-up. In New Developments in Child Abuse Research S.M. Sturt, Ed. Nova Science Publishers.
Becker-Weidman, A., (2007) “Treatment For Children with Reactive Attachment Disorder: Dyadic Developmental Psychotherapy,”
http://www.center4familydevelop.com/research.pdf
Becker-Weidman, A., & Hughes, D., (2008) “Dyadic Developmental Psychotherapy: An evidence-based treatment for children with complex trauma and disorders of attachment,” Child & Adolescent Social Work, 13, pp.329-337.
Becker-Weidman, A. & Shell, D. Eds. (2005, 2nd Printing 2008). Creating Capacity for . Oklahoma City OK: Wood ‘N’ Barnes, Williamsville, NY: Center For Family Development
Bowlby, J., (1988). A Secure Base: Parent-Child Attachment and Healthy Human Development. NY: Basic.
Holmes, J., (1993). John Bowlby Attachment Theory. London: Routledge.
Hughes, D. (1997). Facilitating Developmental Attachment: The Road to Emotional
Recovery and Behavioral Change in Foster and Adopted Children (1997).
Hughes, D. (1998). Building the Bonds of Attachment: Awakening Love in Deeply
Troubled Children.
Hughes, D. (2003). Psychological Interventions for the Spectrum of Attachment
Disorders and Intrafamilial Trauma. Attachment and Human Development, 5,
271-277.
Hughes, D. (2004). An Attachment-Based Treatment for Maltreated Children and Youth.
Attachment and Human Development, 6, 263-278.
Hughes, D. (2006). Building the Bonds of Attachment: Awakening Love in Deeply
Troubled Children.2nd Edition.
Hughes, D. (2007). Attachment-focused family therapy.
Oct 26, 2008
Dyadic Developmental Psychotherapy: An evidence based and effective treatment
Dyadic Developmental Psychotherapy is an effective and evidence-based treatment for trauma and attachment disorders. There have been a few empirical follow-up studies published in professional peer-reviewed publications following a group of families that received DDP and a group who received other forms of treatment. These studies demonstrated that the children treated with DDP had clinically and statistically significant reductions in various scales of the Child Behavior Checklist (Achenbach) while those who received other treatments (play therapy, residential treatment, group therapy, family therapy, etc) from other providers showed no changes and, after four years, actually showed clinically and statistically significant deteriorations in their behavior.
Craven & Lee (2006) determined that DDP is a supported and acceptable treatment (category 3 in a sixlevel system). However, their review only included results from a partial preliminary presentation of an ongoing follow-up study, which was subsequently completed and published in 2006. This initial study compared the results DDP with other forms of treatment, ‘usual care’, 1 year after treatment ended. A second study extended these results out to 4 years after treatment ended. Based on the Craven & Lee classifications (Saunders et al. 2004), inclusion of
those studies would have resulted in DDP being classified as an evidence-based category 2, ‘Supported and probably efficacious’. Other than lacking two randomized controlled studies, DDP would have be classified as a category 1, "Well supported efficacious treatment," the highest level.
The interested reader may want to look at the following references for further details:
Becker-Weidman, A., (2006)“Treatment for Children with Trauma-Attachment Disorders: Dyadic Developmental Psychotherapy,” Child and Adolescent Social Work Journal. Vol. 23 #2, April 2006, pp 147-171.
Oklahoma City , OK
Craven, P. & Lee, R. (2006) Therapeutic interventions for foster children: a systematic research synthesis. Research on Social Work Practice, 16, 287–304.
Saunders, B., Berliner, L. & Hanson, R. (2004) Child physical and sexual abuse: guidelines for treatment. Available at: http://academicdepartments.musc.edu/ncvc/resources_prof/
Craven & Lee (2006) determined that DDP is a supported and acceptable treatment (category 3 in a sixlevel system). However, their review only included results from a partial preliminary presentation of an ongoing follow-up study, which was subsequently completed and published in 2006. This initial study compared the results DDP with other forms of treatment, ‘usual care’, 1 year after treatment ended. A second study extended these results out to 4 years after treatment ended. Based on the Craven & Lee classifications (Saunders et al. 2004), inclusion of
those studies would have resulted in DDP being classified as an evidence-based category 2, ‘Supported and probably efficacious’. Other than lacking two randomized controlled studies, DDP would have be classified as a category 1, "Well supported efficacious treatment," the highest level.
The interested reader may want to look at the following references for further details:
Becker-Weidman, A., (2006)“Treatment for Children with Trauma-Attachment Disorders: Dyadic Developmental Psychotherapy,” Child and Adolescent Social Work Journal. Vol. 23 #2, April 2006, pp 147-171.
Becker-Weidman, A., (2007) “Treatment For Children with Reactive Attachment Disorder: Dyadic Developmental Psychotherapy,” http://www.center4familydevelop.com/research.pdf
Becker-Weidman, A., & Hughes, D., (2008) “Dyadic Developmental Psychotherapy: An evidence-based treatment for children with complex trauma and disorders of attachment,” Child & Adolescent Social Work, 13, pp.329-337.
Craven, P. & Lee, R. (2006) Therapeutic interventions for foster children: a systematic research synthesis. Research on Social Work Practice, 16, 287–304.
Saunders, B., Berliner, L. & Hanson, R. (2004) Child physical and sexual abuse: guidelines for treatment. Available at: http://academicdepartments.musc.edu/ncvc/resources_prof/
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