Adolescent ProgramA program for parents,
schools and community agencies
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Rationale for the programExploring Together is a short-term, multifaceted group treatment program for adolescents with emotional and behavioural problems. Adolescents with antisocial/disruptive behaviour disorders are a serious concern to parents, teachers and the community due to the prevalence of these problems, their stability over time, the damage they cause to others and themselves as well as the financial and emotional costs to their families and society. Many of these students also present with other problem behaviours such as learning difficulties and substance abuse and are at high risk of leaving school prematurely. Adolescents with these disruptive behaviour disorders require intensive intervention if dysfunctional patterns are not to become permanent and deteriorate into severe mental disorders and family breakdown. The earlier Exploring Together program for primary school children has been successfully conducted in clinics, community agencies and schools. A comprehensive evaluation has shown significant improvements in children's problematic behaviour and social skills being reported by both teachers and parents. Based on this success, the Exploring Together program for adolescents has been developed and trialled. The Exploring Together Program is mainly cognitive-behavioural in orientation, but it is also informed by psychodynamic and systems theories. Techniques from these modalities are incorporated into the group process used in the Program. In order to effectively change the adolescent's antisocial behaviour, the program uses a multifaceted treatment approach which includes the adolescent, their parents and teachers. It focuses on the development of social skills, parenting practices and the strengthening of family units. Families and adolescents who may be helpedFamilies with adolescents aged 12-16 years, with emotional and behavioural problems including:
The program for adolescents and their families aims to
Program outlines1. Adolescents' group: This group focuses on teaching the adolescent the following skills in order to reduce their aggressive behaviour whilst improving peer interactions. Skills include:anger management, assertion, problem-solving, decision making and conflict resolution. The peer group setting provides a context in which adolescents can discuss issues such as sexuality, body image/eating disorders, depression/suicidality, conflict within families, friendships, problems at school and the future as well as practise their new skills. 2. Parents' group:
Through discussion this
group aims to:
3. Interactive/ Combined group: Through dealing directly with each parent and adolescent dyad this group
aims to:
4. Parent evenings: These are attended by both mothers and fathers or the parent attending
the group and a support person. The focus is on adults working together
and supporting each other in providing an appropriate environment for
their adolescents' development. 5. Teacher meetings: The aim of these meetings is to promote a consistent approach in the
management of the adolescent across the different systems in the adolescents'
life. The meetings also provide the opportunity for two-way feedback between
teachers and group leaders as well as offering support for dealing with
the adolescent in the school setting. Structure and content of the 'Exploring Together Preschool Program'The Exploring Together Program involves 6-8 families participating in group work over 10 consecutive weeks, plus pre-group and post-group family interviews for assessment, evaluation and feedback. Group work consists of separate concurrent groups for adolescents and parents, followed by a combined parent-adolescent group. Meetings with the partners of the parent attending the group take place twice during the 10 week program. Leaders also meet with the adolescents' teachers on two occasions during this period. Four leaders are required to run each program (two for the adolescents' group and two for the parentsŐ group). At least two of these leaders must have attended Exploring Together Training. The time commitment for each leader is at least 3 hours per week. This includes preparation time, group time, post-group debriefing and planning. Adolescent's group
- 2 leaders / 1 hour 15 minutes (pre group) Initial
assessment interviews What does exploring together achieve?At the end of the
program both parents and teachers have reported improvement in the adolescents
behaviour, particularly in the way they relate to their peers and conduct
themselves at school. Adolescents report that peer and parent-adolescent
relationships have also improved.
The Exploring Together Program for Adolescents was supported by a Child
and Adolescent Mental Health Services (CAMHS) Innovative Project Grant
from the Department of Human Services. |
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