DIFFICULT TEENS! Who don’t want to be here…..at ALL. Options: Rewards/Incentives Insight What is this teen interested in? Conceptualize TF-CBT as fit for Any way to tie components to interests? distress/symptoms Can the caregiver give rewards after What are other outcomes, that TF-CBT session (go to ice cream, more phone participation is related to, that he/she time) might be interested in (get foster Rewards for participating in session? parent their back”, stabilize for a “off Candy, iPod/Pandora time, end placement change)? session early, game on phone, Tie components to current, real-life computer game stressors (visits, boyfriend problems) Creativity Caregiver Involvement Videos (you tube, other), books What is the relationship with Pop Culture their caregiver? More reading and writing than talking? Any way to use the caregiver in to Will typing engage the youth? engage the person? Fostering Hope has flip cameras we can Have them in the room, come into the loan out, if you want to try them room for part of the session? Create materials for a sibling/niece, advice giving? Parent-related Issues Youth who say they don’t Does the youth want to be back with need treatment his/her parents? Prove it to you: 1 session Is a parent who can be engaged, psychoeducation, 2 sessions of Trauma even if in a limited way? Narrative (tell details, thoughts, and What is the reunification plan? feelings for 2-4 events), 1 session of looking at thoughts—focused work (cognitive restructuring) Remember: Motivational Interviewing techniques are often your best shot, spending some time getting buy in is A OK (otherwise, you’re struggling for power and convincing, which we know doesn’t work and doesn’t feel good). Some adolescents simply do not want to be in treatment, and even if you use all your best skills and some of these….it may not work Try your best, but for some, right now may not be the best time, we can’t force them, and we want them to (ideally) leave thinking that therapy can be helpful
DIFFICULT TEENS! Who don’t want to be here…..at ALL. Options: Rewards/Incentives What is this teen interested in? Any way to tie components to interests? Can the caregiver give rewards after session (go to ice cream, more phone time) Rewards for participating in session? Candy, iPod/Pandora time, end session early, game on phone, computer game Insight Conceptualize TF-CBT as fit for distress/symptoms What are other outcomes, that TF-CBT participation is related to, that he/she might be interested in (get foster parent “off their back”, stabilize for a placement change)? Tie components to current, real-life stressors (visits, boyfriend problems) Creativity Videos (you tube, other), books Pop Culture More reading and writing than talking? Will typing engage the youth? Fostering Hope has flip cameras we can loan out, if you want to try them Create materials for a sibling/niece, advice giving? Caregiver Involvement What is the relationship with their caregiver? Any way to use the caregiver in to engage the person? Have them in the room, come into the room for part of the session? Parent-related Issues Does the youth want to be back with his/her parents? Is a parent who can be engaged, even if in a limited way? What is the reunification plan? Youth who say they don’t need treatment Prove it to you: 1 session psychoeducation, 2 sessions of Trauma Narrative (tell details, thoughts, and feelings for 2-4 events), 1 session of looking at thoughts—focused work (cognitive restructuring) Remember: Motivational Interviewing techniques are often your best shot, spending some time getting buy in is A OK (otherwise, you’re struggling for power and convincing, which we know doesn’t work and doesn’t feel good). Some adolescents simply do not want to be in treatment, and even if you use all your best skills and some of these….it may not work Try your best, but for some, right now may not be the best time, we can’t force them, and we want them to (ideally) leave thinking that therapy can be helpful
DIFFICULT%20TEENS%20handout.docx