Interventions for Family Members of Adolescents With Disruptive Behavior Disorders

Abstract

PROBLEM The family members of adolescents diagnosed with Disruptive Behavior Disorders (DBD) experience profound stress and burden. Despite the need for empirically supported interventions that address the challenges faced by these family members, few such interventions are available. METHODS In this qualitative descriptive study, we conducted in-depth interviews with 15 families of adolescents diagnosed with DBD. We asked the family members to identify what types of mental health services they needed and to describe the ‘ideal” program that would best address their concerns. FINDINGS Family members identified several intervention modalities that would fit their needs including multi-family groups, family therapy, individual therapy, and community-based hotlines. They indicated that programs should address the following topics: family communication, conflict resolution, education about DBD, and strategies to improve interactions with child service agencies. CONCLUSIONS Clinicians should recognize that all family members may need support to manage the stressors associated with caring for or living with adolescents with DBD. When working with families, clinicians should provide information about the etiology and management of DBD, help navigate interactions with child service agencies, and employ strategies to improve family communication and functioning.

Scene‐Based Psychodramatic Family Therapy With Troubled Adolescents and Parents: A Pilot Study

“…In accordance with these authors, the participants revealed how the group and the confidence reached between the families and the adolescents had enabled them to meet other families with the same problem, express their emotions, and facilitate interpersonal learning among the members of the group. These results tie in with those reported in interventions using multiple‐family groups (Oruche et al., ).…”

“…Scene-Based Psychodramatic Family Therapy uses the multiple-family group methodology that consists of therapeutically attending to several family systems conjointly (Keiley, Zaremba-Morgan, Datubo-Brown, Pyle, & Cox, 2015). The empirical data available for this methodology reveal that multiple-family groups favor intra-family communication and empathy (Keiley et al, 2015), problem solving (Keiley et al, 2015;Oruche, Draucker, Alkhattab, Knopf, & Mazurcyk, 2014), relativization of the problem (Oruche et al, 2014), and a reduction in adolescents' problematic behavior (Keiley et al, 2015).…”

Descripción y análisis de la calidad de los programas para el tratamiento de la conducta antisocial en la ciudad de Huelva

“…En este sentido, la inclusión del contexto familiar en los programas de intervención con adolescentes conflictivos se ha demostrado que favorece el mantenimiento de los resultados a largo plazo (Sexton, 2011). Por tanto, y de acuerdo con posturas sistémicas (Oruche et al, 2014) resulta imprescindible el trabajo con el sistema familiar para alcanzar cambios tantos en los progenitores como en los adolescentes. Esta característica sólo la reunía el programa GUIA que planteaba un trabajo sistémico multimodal que combinaba el trabajo parental, filiar y familiar, reforzando más los factores de protección de las conductas antisociales (Gutiérrez, 2015).…”

“…), se ha destacado como elemento clave de éxito del tratamiento de la conducta antisocial, por su efecto positivo sobre las relaciones paterno-filiales y, a su vez, sobre el comportamiento ajustado de los menores (Bernazzani & Tremblay, 2006;Piquero, Farrington, Welsh, Tremblay, & Jennings, 2009;Sexton, 2011). La importancia de que los progenitores formen parte de la intervención no significa que la participación de los adolescentes se releve a un segundo plano, ambos deben estar implicados en el proceso de cambio (Fossum, Handegård, Martinussen, & Morch, 2008;Oruche, Draucker, Alkhattab, Knopf, & Mazurcyk, 2014;Welsh & Farrington, 2006). Padres e hijos deben ser reconocidos como principales responsables de su propio desarrollo, localizando sus potencialidades y estableciendo una relación de ayuda desde la corresponsabilidad (Melendro et al, 2014).…”

Raising the Level of Nursing Involvement in the National Precision Medicine Initiative: An Example

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