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Includes treatment issues not covered elsewhere
This one-of-a-kind resource for mental health professionals in multiple settings is a comprehensive guide to treatment issues unique to children and families who have a relationship with the foster care system. With a focus on understanding how to negotiate the child welfare system, the book identifies and addresses mental health and behavioral issues specific to this population and provides proven, effective treatment interventions. It brings together in one place the myriad of current resources available to help such children and families, and addresses situations that span removal from the home to kin or foster care, to reunification, adoption, or other permanent family connections.
Broad in scope and depth, the text includes treatment issues not discussed elsewhere, such as how to cope with acting out in the foster home, how to draft a behavior modification plan, and how to maneuver through the court process. It delivers evidence-based guidelines for engaging and collaborating with multiple parties including other professionals, addressing crises, and assisting with transitions. The book covers assessment from the perspectives of the client, caseworker, and therapist, and discusses the use of medications, complications, and barriers to effective treatment. Strategies are also directed at such specific issues as sexual abuse, physical abuse, substance abuse, neglect, trauma, and attachment. Of special interest is a focus on the worldview of the parties involved in the child welfare system, including the child, the family, the birth parent, and the foster parent. Additionally, the text provides behavior modification plans that work and social skills training. Chapters weave case studies, ethical issues, multicultural concerns, and current research into a highly accessible guide.
Key Features:
Sheri Pickover, PhD, LPC, is an associate professor and counselor educator at the University of Detroit Mercy in Detroit, Michigan.
Part One: The Child Welfare System
Chapter 1: Introduction to the Child Welfare System
Child Maltreatment
Physical Abuse
Sexual Abuse
Neglect
Ramifications of Child Maltreatment
How Children Enter the Foster Care System
Initial Abuse/Neglect Report
Initial Placement
The State and Court Systems
Child Welfare Agencies
Foster Care Case Management
Mental Health Treatment
Adoption
Residential Treatment
Supervised/Independent Living
References
Part Two: The Client World View
Chapter 2: The Child Perspective
Placement
First removal
Multiple Losses
Guilt, Blame and Shame
Pervasive Fearfulness
Treatment Issues Related to Placement
Adjusting to Child Welfare System
Educational Adjustment
Foster Care Placement Instability
Consequences of Placement Instability
Constant Sense of Danger
Long Term Foster Care
Relationships
Cultural Values
Chapter 3: The Adult Perspective
Treatment Issues Unique to Birth Parents
Issues that Led to Removal
Ambiguous Loss/Grief
Loss of Parental Control
Strengths
Treatment Issues Unique to Foster and Adoptive Parents
Attachment and Loss
Vicarious Trauma
Lack of Support and Training
Unrealistic Expectations
Foster Parent Strengths
Conclusion
Part Three: Therapeutic Interventions
Chapter 4: Beginning Therapy
The Challenge of Building Rapport
How to Build Rapport
Nonverbal Communication.
Simple Interactions
Explanations of Therapy and Confidentiality
Parent Involvement
Rapport as a Perpetual Goal
Tips for Building Rapport by Age Group
Children ages 3-11
Adolescents/Young Adults
Addressing Common Barriers to Treatment
Continuous Crises
Negative View of Therapy
Unrealistic Outcomes
Handling Resistance
Reframe Resistance
Balance Control & Safety
Be a Therapist
Chapter 5: Assessment
How to Approach Assessment in Child Welfare
Assessment as an Intervention Process
Merging of Multiple Viewpoints
Assessment: Strengths and Concerns
Step 1: Identify Strengths
Step 2: Identify Presenting Concerns
Safety Concerns
Current Environmental & Relational Concerns
Development Concerns
Abuse and Neglect Concerns
Attachment Concerns
Grief & Loss Concerns
Trauma Concerns
Addiction Concerns
Chapter 6: Diagnosis, Medication & Child Welfare
Diagnosis
Common Diagnoses
Accurate Diagnosing
Medication
Overcoming Barriers to Accurate Diagnosing
Chapter 7: Treating Attachment
Attachment Theory
How Attachment Impacts Development
Attachment and Cognitive/Social Skill Development
Assessment
Insecure Attachment Behaviors
Treating Attachment Disorders
Attend to Attachment Concerns
Play Therapy
Ego Strength Development
Creating New Attachment Patterns
Restructuring the Attachment System
Transitional Objects
Building Quality Relationships with Unattached Children
Chapter 8: Treatment for Loss and Transitions
Treating Childhood Grief in Foster Care
Facilitate the Expression of Grief: Witness and Validate
Provide Psychoeducation about Grief and Child Welfare
Engage in Mourning Rituals
Collaboration and Intervention through Transitions
Initial Removal
Replacements
Reunification
Termination of Parental Rights
Transition to Adulthood and Aging Out of the System
Ending the Therapeutic Relationship
Chapter 9: Treating Trauma
Neurobiological Implications
Wired to Survive
Senses versus Sense
Traumatic Abuse, Neglect & Loss
Traumatic Losses
Physical Abuse and Domestic Violence
Treating Trauma Reactions
Start with the Therapeutic Relationship and Space
Family and Systemic Engagement
Psychoeducation
Bad Storms
Scary Movies
Upstairs and Downstairs Brain
Creating a Trauma Narrative
Lowering Arousal
Addressing Re-Experiencing
Replacing Avoidance
Changing the Victim Mindset
Resources
Chapter 10: Behavior Modification & Social Skills
Negative Attention Seeking Behavior
Brief Behavior Theory Review
Classical Conditioning
Classical Conditioning Treatment Steps
Operant Conditioning
Behavior Elimination
Addressing Behavior Problems
Behavior Modification Charts
Behavior Modification Examples
Example 1: Daily Chart (Ratio)
Example 2: Broad Behavior Chart
Example 3: Shaping Behavior Chart (interval)
Example 4: Creative/Paradoxical Interventions
Group Therapy for Social Skills & Anger Management
Social Skills
Anger Management Groups
Part Four: Working with Adults in Child Welfare
Chapter 11: Engaging Families in Treatment
Birth Parents
A Family Focused Approach
Engagement Techniques
Building Empathy
Denouncing Self As Expert
Building on Child and Parent Strengths
Maintaining Dignity
Family Therapy
Family Therapy Resources
Foster & Adoptive Parents
Overcoming Barriers
Chapter 12: Collaborating with Professionals
Effectively Approaching Collaboration
Ethical Issues
Court Reports and Testimony
Mandated Reporting
Opportunities for Collaboration
Child Welfare Staff
Other Mental Health Providers
Medical Professionals
Legal Professionals
Educational Professionals
Resources for Collaborating with Professionals
Chapter 13: Burnout, Countertransference, Ethics and Wellness
Countertransference
Burnout
Ethics
Boundaries & Confidentiality
Coping Strategies
Wellness
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