comorbid bipolar disorder
Practitioners are often surprised and incredulous when they realize that counseling programs demonstrated an identical approach to the needs of many children. Without Clearly, the subtle differences between the cases only require a prescription?
They suspect that the programs have been designed in a theoretical world where orderly children into neat categories. But in the "real world", this should be an oversimplification. Children often suffer from several disorders, simultaneously.
In truth, most of the software designers know very well the complexity. Writing in the Journal of Children's Services, Carolyn Webster-Stratton, creator of the incredible year, he notes, for example, that children referred to clinics with mental health problems behavior often have other problems such as attention deficit disorder, hyperactivity, learning and language delays and autism spectrum disorders.
Since she and Reid Jamila studies of children with behavioral problems indicates that over 40% also suffered from ADHD.
Recognized that although all children can benefit from some variation of The Incredible Years, it would be delivered more effectively through the adoption of his other issues into account.
Describing the development experience of The Incredible Years Program of the dinosaur, to explain how it was to find out what were the basic elements necessary for all children, and which parts could be adapted to individual needs, without compromising loyalty program.
The dinosaur curriculum is for children already experiencing difficulties. It is designed to strengthen social skills, emotional and academic and has been shown in randomized controlled trials to significantly reduce behavior problems.
The program is designed for children of different ages, offering appropriate content development. Usually delivered to groups of six specially trained counselors, therapists or teachers, the key messages are transmitted using videos, role playing, puppets, and activities troubleshooting.
The recent adjustment to be more suitable for children with ADHD, learning difficulties and autistic spectrum disorders.
"The way we teach the skills, level of sophistication with which they are submitted and the time devoted to each content area must depend on the emotional and behavioral needs of each child and their level of development, "said Reid and Webster-Stratton said.
For example, for children with ADHD, the intervention was modified to include more living activities such as songs, role plays and movement.
The normal routine includes half hour of 'circle time' in which children are expected to pay attention to the therapist. In this adaptation ADHD has been divided into three periods shorter.
The new version also has several additions. Children are given more physical space for more about where they can vent, sessions also end up with an additional 20 minutes of playing time led.
However, The Incredible Years team advise caution for the adaptation of proven programs. "The therapists deliver the program should be very familiar with the basic content, methods and processes before making adjustments," they say.
Looking ahead, plan to conduct further research on the effectiveness of the Incredible Years with children suffering from a combination of disorders, and urge software developers to do the same.
See: Webster-Stratton C, Reid J (2008), "The adaptation of The Incredible Years Child Dinosaur Social, emotional, and problem-solving intervention to address comorbid diagnoses, "Journal of Children's Services, 3, 3, pp 17-30
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