A meta-systems approach to evidence-based practice for children and adolescents. The authors reviewed 615 treatments from 322 randomized trials to develop the common components or elements of the evidence-based interventions. Journal of Consulting and Clinical Psychology 77.3: 566–579.ĭiscusses an innovative approach to mapping evidence-based treatments for children and adolescents in order to improve implementation and dissemination. Mapping evidence-based treatments for children and adolescents: Application of the distillation and matching model to 615 treatments from 322 randomized trials. Distilling the elements of evidence-based interventions to enhance practitioner’s use of effective strategies in work with adolescents is a promising approach (see Chorpita and Daleiden 2009).Ĭhorpita, B. F., and E. L. In addition, interventions selected need to address developmentally appropriate practice strategies (see Meschke, et al. Using a meta-systems framework to understand how best to intervene with adolescents and their families helps practitioners to engage in interventions that promote positive outcomes for adolescents and that address barriers in access, resources, and treatment options (see Kazak, et al. Many adolescents who experience mental disorders do not receive mental health services and racial and ethnic minority youth are less likely than white youth to receive services (see Merikangas, et al. Disseminating these evidence-based interventions in a range of child-serving systems, addressing system inequities, and addressing disparities in service access and outcomes are critical issues facing practitioners, researchers, administrators and policymakers working with adolescents and their families. Many of these effective interventions address unique challenges faced by racial and ethnic minority youth, lesbian, gay, bisexual, transgender and questioning youth, youth with comorbid conditions, and youth who experience traumatic events. These interventions include: behavioral therapy, brief strategic family therapy, cognitive-behavioral therapy, dialectical behavior therapy, family focused therapy, interpersonal therapy, motivational enhancement interventions, multidimensional family therapy, multidimensional treatment foster care, and multisystemic therapy. There is a wide range of effective interventions in working with adolescents experiencing internalizing disorders, externalizing disorders, or substance abuse disorders. Helping adolescents to confront adversity and develop mechanisms that promote resiliency is critical, especially for adolescents who are at risk of emotional or behavioral problems. Social work practice with adolescents involves working not just with the adolescents but also with their families, schools, and neighborhoods. The review explores facilitators of connection for marginalized youth, as well as barriers to connection for these young people.Intervening in the lives of adolescents is challenging. It then reviews the benefits young people derive from mutually empathic connections with others.
It discusses the unique developmental context of marginalized youth, including experiences with trauma, mental illness, marginalization, and involvement in public systems of care. This critical review of the literature explores the research on the relational experiences of marginalized young people living with emotional and behavioral challenges. Experiences of trauma, marginalization, and involvement in public systems of care can place these youth at heightened risk for mental health difficulties, all of which can pose particular challenges for interpersonal relationships. Given that social isolation poses serious risks to health and well-being, the relational experiences of marginalized youth are a critical component of the transition to adulthood. While most descriptions of these young people highlight their difficulties achieving self-sufficiency, the ability to form connections with others is an equally significant marker of adult maturity. For marginalized youth, the transition to adulthood is a stage of life in which inequalities can be either magnified or reduced.
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