This article describes an effort to implement and examine dialectical behavior therapy's (DBT) effectiveness in a community mental health setting. Modifications made to address unique aspects of community mental health settings are described. Barriers encountered in implementation of DBT treatment in community mental health settings, such as staff…

This article highlights the inclusion of Mode Deactivation Therapy as a treatment modality for families in crisis. As an empirically validated treatment, Mode Deactivation Therapy has been effective in treating a wide variety of psychological issues. Mode Deactivation Therapy, (MDT) was developed to treat adolescents with disorders of conduct…

Co-morbidity between posttraumatic stress disorder (PTSD) and substance use disorders (SUD) is high and there is a need for empirically validated treatments designed to address PTSD among SUD patients. One effective PTSD treatment that may be useful in treating PTSD-SUD is exposure therapy. This paper reviews the relationship between comorbid PTSD…

This review explores evidence-based treatment for depression within the college and university population. Treatments for depression in adults are among the most rigorous studied treatment modalities in the psychotherapy literature, providing consistent evidence for the efficacy of at least two treatments, cognitive behavioral therapy and…

In spring 1994, the author was hired to be the assistant principal at McLoughlin Middle School in Medford, Oregon. Disciplinary referrals in the 804-student school were on the rise. Teachers were frustrated, students were anxious, and parents were concerned. Casting about for a solution, she heard about a two-day workshop on schoolwide discipline…

Several methods for evaluating the influence of antecedents on challenging behaviour have been described in the literature, however the portability of these methods within the classroom has been questionable. The purpose of this paper will be to provide a practical understanding of evidence-based practices used in the assessment and management of…

This study prospectively follows 135 children 5-12 years of age with sexual behavior problems from a randomized trial comparing a 12-session group cognitive-behavioral therapy (CBT) with group play therapy and follows 156 general clinic children with nonsexual behavior problems. Ten-year follow-up data on future juvenile and adult arrests and…

A new cognitive therapy (CT) program was compared with an established behavioral treatment. Sixty-two patients meeting Diagnostic and Statistical Manual of Mental Disorders (4th ed.; American Psychiatric Association, 1994) criteria for social phobia were randomly assigned to CT, exposure plus applied relaxation (EXP = AR), or wait-list (WAIT). CT…

The thought of children barely old enough to read singling out and tormenting other youngsters is disturbing and uncomfortable to contemplate. Yet researchers have found that bullying begins among preschool children and peaks in grades six through eight. It is a reality of which elementary school teachers are acutely aware and one that no school…

Education professionals consistently rank disruptive/aggressive student behavior as persistent and troubling, reporting various types of maladaptive behaviors ranging from talking out in class to assault. Researchers suggest that childhood aggression accounts for a high proportion of the referrals to special education for emotional and behavioral…

We evaluated interventions designed to reduce multiply controlled problem behavior exhibited by a young boy with developmental disabilities, using a multiple baseline design. Each intervention was designed to address a specific social function of problem behavior. Results showed that the separate interventions were useful in reducing problem…

The phenomenon of pica has been described within the literature in many ways, from a socially acceptable practice to a life threatening behavior. Recent prevalence rates of pica indicate relatively low occurrence of this phenomenon that makes it difficult to easily identify trends in practices related to pica. Recent literature on pica (1990 to…

Objective: To evaluate cognitive-behavioral therapy, antidepressant medication alone, and combined CBT and antidepressant medication in the treatment of depressive disorders in adolescents. Method: Seventy-three adolescents (ages 12-18 years) with a primary diagnosis of DSM-IV major depressive disorder, dysthymic disorder, or depressive disorder…

Obective: To test whether 12-week treatment of major depression improved the level of functioning, global health, and quality of life of adolescents. Method: The Treatment for Adolescents With Depression Study was a multisite, randomized clinical trial of fluoxetine, cognitive-behavioral therapy (CBT), their combination (COMB), or clinical…

Objective: To identify predictors and moderators of response to acute treatments among depressed adolescents (N = 439) randomly assigned to fluoxetine, cognitive-behavioral therapy (CBT), both fluoxetine and CBT, or clinical management with pill placebo in the Treatment for Adolescents With Depression Study (TADS). Method: Potential baseline…