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Adolescents at Risk: Home-Based Family Therapy and School-Based Intervention - Hardcover

Boyd-Franklin, Nancy; Hafer-Bry, Brenna

 
9781462536542: Adolescents at Risk: Home-Based Family Therapy and School-Based Intervention

Inhaltsangabe

Rich with illustrative case material, this book guides mental health professionals to break the cycle of at-risk behavior by engaging adolescents and their families in home, school, and community contexts. The authors explore the multigenerational patterns that shape the lives of poor and ethnic minority adolescents and present innovative strategies for intervening beyond the walls of the agency or clinic. Grounded in research, the book shows how to implement both home-based family therapy and school-based achievement mentoring to provide a comprehensive web of support. Building on the earlier Reaching Out in Family Therapy, this book reflects the ongoing development of the authors' multisystems approach and many other important changes in the field; the majority of the content is completely new. It is an indispensable resource for beginning and experienced professionals or text for courses on adolescent intervention or adolescent mental health.

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Über die Autorinnen und Autoren

Nancy Boyd-Franklin, PhD, is an African American clinical psychologist and family therapist and is a Distinguished Professor in the Graduate School of Applied and Professional Psychology at Rutgers, The State University of New Jersey. Her outstanding contributions have been recognized with awards from many professional organizations, including the American Family Therapy Academy, the Association of Black Psychologists, the American Psychological Association (Divisions 45 and 43), the Association of Black Social Workers, and the American Psychiatric Association, and she has received an honorary doctorate from the Phillips Graduate Institute. Dr. Boyd-Franklin is the author or coauthor of numerous articles and books, including Adolescents at Risk: Home-Based Family Therapy and School-Based Intervention; Black Families in Therapy, Second Edition: Understanding the African American Experience; and Therapy in the Real World: Effective Treatments for Challenging Problems.
 
Brenna Hafer Bry, PhD, is Professor Emerita in the Graduate School of Applied and Professional Psychology at Rutgers, The State University of New Jersey, where she served as Department Chair and Director of Clinical Training. Her research has focused on risk factors that predict adolescent conduct problems. She discovered that the probability of youths’ future problems increases as their number of risk factors increases, and that their probability of future problems can be reduced by reducing their number of risk factors. She subsequently developed and evaluated the Achievement Mentoring Program, a school-based intervention that reduces numbers of risk factors, which she is currently disseminating. Dr. Bry is a recipient of the Prevention Science Award from the Prevention Research Society.


Nancy Boyd-Franklin, PhD, is an African American clinical psychologist and family therapist and is a Distinguished Professor in the Graduate School of Applied and Professional Psychology at Rutgers, The State University of New Jersey. Her outstanding contributions have been recognized with awards from many professional organizations, including the American Family Therapy Academy, the Association of Black Psychologists, the American Psychological Association (Divisions 45 and 43), the Association of Black Social Workers, and the American Psychiatric Association, and she has received an honorary doctorate from the Phillips Graduate Institute. Dr. Boyd-Franklin is the author or coauthor of numerous articles and books, including Adolescents at Risk: Home-Based Family Therapy and School-Based Intervention; Black Families in Therapy, Second Edition: Understanding the African American Experience; and Therapy in the Real World: Effective Treatments for Challenging Problems.
 
Brenna Hafer Bry, PhD, is Professor Emerita in the Graduate School of Applied and Professional Psychology at Rutgers, The State University of New Jersey, where she served as Department Chair and Director of Clinical Training. Her research has focused on risk factors that predict adolescent conduct problems. She discovered that the probability of youths’ future problems increases as their number of risk factors increases, and that their probability of future problems can be reduced by reducing their number of risk factors. She subsequently developed and evaluated the Achievement Mentoring Program, a school-based intervention that reduces numbers of risk factors, which she is currently disseminating. Dr. Bry is a recipient of the Prevention Science Award from the Prevention Research Society.

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Adolescents at Risk

Home-Based Family Therapy and School-Based Intervention

By Nancy Boyd-Franklin, Brenna Hafer Bry

The Guilford Press

Copyright © 2019 The Guilford Press
All rights reserved.
ISBN: 978-1-4625-3654-2

Contents

Chapter 1 Introduction and Overview of the Book, 1,
PART I. AT-RISK ADOLESCENTS AND THEIR FAMILIES,
Chapter 2 At-Risk Adolescents and Their Families: Behaviors, Risk, and Protective Factors, 15,
Chapter 3 Cultural, Racial, and Socioeconomic Issues, 33,
Chapter 4 Working with Kinship Care Families, 63,
Chapter 5 Multigenerational Patterns in Families of At-Risk Adolescents, 87,
PART II. THE MULTISYSTEMS MODEL AND HOME-BASED FAMILY THERAPY,
Chapter 6 An Overview of the Multisystems Model and Home-Based Family Therapy, 121,
Chapter 7 Multisystemic Therapy, 148,
Chapter 8 Multisystems Model Case Example, 164,
Chapter 9 Supervision and Training of Home-Based Family Therapists, 189,
PART III. ACHIEVEMENT MENTORING: AN EVIDENCE-BASED, SCHOOL-BASED INTERVENTION,
Chapter 10 School Engagement, Disengagement, Dropout, and a Learning Theory Approach with Patricia Simon, 207,
Chapter 11 The Achievement Mentoring Program, 226,
Chapter 12 Communication Skills for Achievement Mentoring, 253,
Chapter 13 Achievement Mentoring: A Case Example, 267,
Chapter 14 Achievement Mentoring Implementation in Schools with Mina Yadegar, 285,
PART IV. RESEARCH,
Chapter 15 Relevant Research for Home-Based Family Therapists and Achievement Mentors, 303,
References, 341,
Author Index, 361,
Subject Index, 368,


CHAPTER 1

Introduction and Overview of the Book


This book draws upon our collective experience of more than 40 years each of clinical work, supervision, and the development of programs that reach out to at-risk adolescents and their families in their homes, schools, and communities. Throughout our careers, we have witnessed many professionals such as therapists, counselors, clinical program directors, and school personnel (i.e., teachers, counselors, mentors, principals, and other administrators), who have been well trained to work with adolescents and families, become demoralized as they discover that their clients, students, and families often do not choose to participate in available programs. Many of these at-risk adolescents and their families are not self-referred and may not trust or believe in therapy or in school-based interventions. This response to participation in these programs is unfortunate because the trajectory for too many at-risk youth starts with school failure and all too often ends with involvement in the juvenile justice system. As a result, many of these adolescents are not well served by the very systems that are in place to help them. This book is dedicated to mental health and school-based professionals who are committed to reversing this process by reaching out to these adolescents and ensuring that they can overcome challenges, achieve their potential, and realize their life goals.

The number of at-risk youth in this country, particularly among ethnic minority groups and those from poor families, has continued to rise. These adolescents are at risk for school disengagement, academic failure, dropping out of school, behavior and conduct problems, school and community violence, involvement with delinquent peers, juvenile delinquency, gang involvement, drug and alcohol abuse, incarceration, family conflict, child abuse and neglect, removal from their families, teenage pregnancy, and other serious issues.

With these risks in mind, we have developed effective strategies for reaching out to engage these adolescents through their families and their schools. This new book builds on the ideas we first introduced in Reaching Out in Family Therapy: Home-based, School and Community Interventions (Boyd-Franklin & Bry, 2000). In order to address the needs of at-risk adolescents in different settings, this book presents the evolution of our reaching-out model in two different approaches: home-based family therapy and the implementation of the school-based Achievement Mentoring Program for at-risk students. The reaching-out approach is essential for programs serving a population that is often facing complex, multiple, and overwhelming life challenges, such as poverty, racism, discrimination, unsafe communities, violence, homelessness, and struggling schools. With these complex issues in mind, we have incorporated the Multisystems Model as a core principle in our work to empower these adolescents and their families, and to assist service providers in coordinating care and avoiding redundancy in interventions.


THE MULTISYSTEMS MODEL

The Multisystems Model is a problem-solving approach that helps adolescents and families with multiple problems to focus and prioritize their issues, and that allows clinicians to maximize the effectiveness of their interventions (Boyd-Franklin, 1989, 2003; Boyd-Franklin & Bry, 2000; Boyd-Franklin, Cleek, Wofsy, & Mundy, 2013). This model was introduced by Boyd-Franklin (1989) in her book, Black Families in Therapy: A Multisystems Approach, which was the first to combine a Multisystems Model with a multicultural approach to the treatment of African American families. It represents a combination of structural family therapy (Minuchin, 1974; Nichols, 2011), strategic (Haley, 1976), and behavioral/family systems (Robin & Foster, 2002) approaches.

Our Multisystems Model incorporates multiple systemic levels, including the individual, family, extended family, "nonblood kin" and other close friends, peers of the adolescents, church and community resources, and other outside systems (see Chapter 6). This outside systems level deserves particular emphasis here because therapists and school personnel often discover that many of the adolescents and families with whom they work are dealing with multiple complex problems and have a preexisting involvement with an array of agencies, systems, and institutions, including schools, medical or health care providers, mental health agencies, child welfare or protective services, welfare programs, housing authorities, courts, and the juvenile justice system. To further complicate matters, individual family members may have separate relationships with such agencies, institutions, and systems, many of which may be negative and most of which will have a considerable impact on the therapeutic relationship, the outcome of therapy, and the adolescent's performance in school. The Multisystems Model covers these various systems and also includes a final level that addresses societal forces that impact these youth and their families on a systemic level: poverty, racism, discrimination, immigration policies, homophobia, ageism, and sexism, among others.

A number of researchers and clinical scholars (Aponte, 1995; Boyd-Franklin, 1989, 2003; Boyd-Franklin & Bry, 2000; Boyd-Franklin et al., 2013; Bronfenbrenner, 1977; Henggeler et al., 2009) have developed different pragmatic approaches to understanding complex ecosystems and have encouraged therapists to intervene at multiple systemic levels. It is extremely helpful in work with poor families, including those who are White, who may simultaneously confront a staggering number of problems. In addition, because the Multisystems Model recognizes the impact of the dual sociopolitical stressors of poverty and racism or prejudice, it is particularly useful in work with African American, Latino, and other ethnic minority families...

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