Sources: Society for Clinical Child & Adolescent Psych. Link Psychiatry MMC (DBT) Link
Cognitive Behavioral Therapy
"Cognitive Behavioral Therapy (CBT) is the term used for a group of psychological treatments that are based on scientific evidence. These treatments have been proven to be effective in treating many psychological disorders... Cognitive and behavioral therapies usually are short-term treatments (i.e., often between 6-20 sessions) that focus on teaching clients specific skills. CBT is different from many other therapy approaches by focusing on the ways that a person's cognitions (i.e., thoughts), emotions, and behaviors are connected and affect one another. Because emotions, thoughts, and behaviors are all linked, CBT approaches allow for therapists to intervene at different points in the cycle. Association for Behavioral and Cognitive Therapies
Dialectical Behavior Therapy
"Dialectical behavior therapy (DBT) is a comprehensive, evidence-based treatment for borderline personality disorder (BPD). The patient populations for which DBT has the most empirical support include parasuicidal women with borderline personality disorder (BPD), but there have been promising findings for patients with BPD and substance use disorders (SUDs), persons who meet criteria for binge-eating disorder, and depressed elderly patients. Although DBT has many similarities with other cognitive-behavioral approaches, several critical and unique elements must be in place for the treatment to constitute DBT. Some of these elements include (a) serving the five functions of treatment, (b) the biosocial theory and focusing on emotions in treatment, (c) a consistent dialectical philosophy, and (d) mindfulness and acceptance-oriented interventions." Psychiatry MMC (DBT) Link
Trauma-Informed Practices
A trauma-informed approach is defined by SAMHSA as "a program, organization, or system that realizes the widespread impact of trauma and understands potential paths for recovery; recognizes the signs and symptoms of trauma in clients, families, staff, and others involved with the system; and responds by fully integrating knowledge about trauma into policies, procedures, and practices, and seeks to actively resist re-traumatization. 90 percent of clients in public behavioral health care settings have experienced trauma. If trauma goes unaddressed, people with mental illnesses and addictions will have poor physical health outcomes and ignoring trauma can hinder recovery. To ensure the best possible health outcomes, all care — in all health settings — must address trauma in a safe and sensitive way."
Become trauma aware and knowledgeable about the impact and consequences of traumatic experiences for individuals, families, and communities.
Evaluate and initiate use of appropriate trauma-related screening and assessment tools.
Implement interventions from a collaborative, strengths-based approach, appreciating the resilience of trauma survivors.
Learn the core principles and practices that reflect TIC.
Anticipate the need for specific trauma-informed treatment planning strategies that support the individual’s recovery.
Decrease the inadvertent retraumatization that can occur from implementing standard organizational policies, procedures, and interventions with individuals, including clients and staff, who have experienced trauma or are exposed to secondary trauma.
Evaluate and build a trauma-informed organization and workforce.
In the Movie "Paper Tigers", a high school tries a new approach to discipline. Suspensions drop by 85%.
