Introduction to
Manualized Interventions
•
•
•
•
FRIENDS for Life
Skillstreaming
Defiant Children/Teens
Cognitive Behavioral Intervention for
Trauma in Schools (CBITS)
FRIENDS for Life (Paula Barrett)
• Group-administered cognitive-behavioral treatment for
depression and anxiety symptoms for children ages 7-11
(FRIENDS for Children) or adolescents age 12-16
(FRIENDS for Youth).
• 10 sessions between 45-60 minutes in length, administered
on a weekly basis, with two follow-up booster sessions and
four optional parent sessions.
• Groups should be comprised of 12 or fewer youth.
• FRIENDS addresses the 3 major components of chronic
anxiety symptoms:
– Mind
(i.e., cognition),
– Body
(i.e. physiological responses),
– Behavior
(i.e., learning new coping skills)
• Two manuals are necessary to implement the approach:
the group leader’s manual, a children’s workbook, teacher’s
resource CD, and other resources
• Manuals are $49.50 each
• To sign up for training go to
www.friendsinfo.net/TRAINING.html
Skillstreaming (Arnold Goldstein)
• Designed to enhance youths’ social skills, can be used as a universal
classroom or a selected small group intervention.
• Separate curricula exist for early childhood (Skillstreaming in Early
Childhood), K-6 (Skillstreaming the Elementary School Child), and 7-12
grades (Skillstreaming the Adolescent).
• Instructors can run through the entire protocol or select different component
skills to meet the needs of specific youth.
• Cue cards are used to prompt students to use Skillstreaming strategies.
• To implement Skillstreaming, an educator training video ($125.00), a
workbook, student manual, and skill cards are needed ($78.00 for full set)
– http://www.skillstreaming.com/
Defiant Children and Defiant Teens
(Barkley, Robin, Edwards)
• 18-step program designed both to teach parents the skills they need to
manage difficult child/adolescent behavior and to improve family
relationships overall.
• Delineate clear procedures for assessing defiance in children/teens and
working with parents, alone or in groups, to reverse problem behavior
• Clinicians are shown how to help all family members learn to negotiate,
communicate, and problem-solve more effectively, while facilitating
adolescents' individuation and autonomy (for Defiant Teens)
• Clinician Manuals $39.00 each; Contain reproducible handouts for parents
• www.RussellBarkley.org
Cognitive Behavioral Intervention for
Trauma in Schools (CBITS; Lisa Jaycox)
• 10-session school-based, cognitive behavioral intervention for trauma
exposed adolescents
• Optional 1-3 individual sessions
• It incorporates cognitive behavioral therapy (CBT) skills in a group format to
address symptoms of PTSD, depression, and anxiety related to trauma
exposure
• Informational components for teachers and parents
• Clinician manuals $34.95; Contains reproducible handouts
• Register with http://cbitsprogram.org/ for training and implementation
information
Getting Your School
Prepared
First Steps to School
Preparedness for Manualized
Intervention Implementation
1) Review and select manualized intervention
• Consider needs of students when selecting intervention
• Potentially consider administrator/teacher/
family/student input when selecting intervention
• Decide who will facilitate group
2) Discuss plans for implementation with principal and other
key administrators
– Explain why group interventions are
important/efficient/effective
– Solicit feedback re: how to obtain referrals for group,
when to implement group, etc.
– Provide a brief description of the manualized
intervention selected for implementation – session
outline,
3) Inform teachers about group and request referrals
– Compose a letter or announcement for teachers briefly
describing the group intervention
– Solicit referrals from teachers
4) Identify space and time to conduct group
– Space
• Private
• Large enough to accommodate group
– Time
• May consider rotating time of group so students do
not consistently miss the same subject/class period
• Consider lunch or before/after school times, if
feasible