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I chose to look at Parent-Child Interaction Therapy and Parents Anonymous. These programs are similar in that they are using outside support to develop a parent’s skills. They vary in that PCIT uses a clinician to support the development of skills and Parents Anonymous uses peer support to build skills. PCIT’s strengths are that skills are focused on until they are mastered, the parent receives immediate feedback which can help break some of the patterns of behavior that a parent may fall into automatically, live coaching allows the clinician to observe the interactions rather than relying on the parent’s report of a child’s behavior, and parents are taught consistent responses to behaviors which allows children to feel more secure. A limitation of this form of treatment is that it requires a very specific and expensive setting to provide the treatment which limits availability. The Parents Anonymous program allows parents time to interact with people who are experiencing similar concerns, parents can expand their support group and learn leadership skills as well. This program is ongoing so it is something that parents can participate in for an extended amount of time. A limitation that was not mentioned in the materials but that might occur is that sometimes parents can reinforce each other’s negative or unrealistic beliefs about parenting if the group is not led by a competent facilitator.

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Hello!

While going through this weeks materials, the Evidence Based Programs were very interesting to me. I felt like all of them had their pros and cons  but the ones that stuck out to me the most were the Child-Parent Interaction therapy and the  Alternatives for Families Cognitive Therapy (AFCT).

For the Parent-Child Interaction Therapy, this one seemed very strong to me for it's situation. It was strong in a sense that it could benefit the child greatly, without directly inserting itself to the child. It let the parents learn about the child's behaviors more and how to better react to them. However with the presence of the caseworker the child may not behave in their normal ways, which could make breaking their initial mold difficult.

With the  Alternatives for Families Cognitive Therapy (AFCT), we see great promotions of alternative strategies and approaches from mild to severe misbehavior as well as helps the child build their coping skills, and protect them from future abuse. However, like the previous one as well children may not feel comfortable being themselves around a caseworker making it difficult to get through to them and their issues. Different developmental hindrances may not be seen.

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Alternative for Families Cognitive Therapy and Parent-Child Interaction Therapy

Alternative for Families Cognitive Therapy :

Strengths: The A for F Cognitive Therapy program minimize the risk for future abuse and promotes alternative ways of discipline along with encouraging pro-social problem-solving.

Weaknesses: Being in an office environment can hinder the true behavior of the child. The child may not show the areas of his cognitive development truly.

Parent-Child Interaction Therapy:

Strengths: Child problems decreased. Parents improved in their skills to interact with their children.

Weaknesses: Life coaching can put pressure on the child. The child made the crust and did not interact with the parents naturally.

Both of these programs use similar tactics to bring the child and the parent together with guidance from the program leaders. Both programs promote togetherness and behavior change to reduce the chances of abuse. They differ in that A for F Cognitive Program generally involves treatment of 12 to 18 hours of therapy over 12 weeks. As opposed to Parent-Child Interaction Therapy applies a step by step method with a little less interaction between the parent and the therapist.

Sources retrieved from the overview:

Alternative for Families Cognitive Behavior Therapy

Parent-Child Interaction Therapy.

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While looking at the 5 treatment programs, I decided to look and compare Parent-Child Interaction Therapy and Multi-Systemic Therapy. Parent-Child Interaction Therapy is also known as PCIT. It is an evidence-based treatment program that helps young children with emotional and behavioral disorders. Multi-Systemic Therapy is also known as MST. This program works in the home and community with teens at risk of helping intervene.
When we investigate both programs, they are both focused on youth. However, PCIT heavily focuses on children and their parents. They are helped in how to supply a healthy and loving home. MST focuses more on youth who may be at risk. They investigate what can be done to give them a better quality of life by supplying resources for both parents and youth. These treatment programs are conducted through a professional who has been trained and certified to help.

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The two treatment programs I chose to focus on was the Multi-Systemic Therapy and Parent-Child Interaction Therapy. These therapies are similar as the parents will benefit from both therapies in bettering their children's behaviors. Parent-Child Interaction is a step-by-step therapy while Multi-Systemic Therapy does not. The Multi-Systemic Therapy method has a professional move in with the family while Parent-Child Interaction Therapy does not. The Multi-Systemic Therapy lasts six months to a year while Parent-Child Interaction Therapy lasts 14-20 weeks. The strengths of Parent-Child Interaction Therapy include building a stronger relationship between the parent and child, develops skills of both the child and parent, decreased child behavior issues, and improving parenting skills. The strengths of Multi-System Therapy include improving parental disciplinary practices, removes barriers, and improves behaviors and provides practices to implement that improve behaviors.

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The programs that I chose were parent child interaction therapy and parents anonymous. Parent child interaction therapy focuses on children ages 4 to 12 as well as treating externalizing child behaviors for children ages 2 to 8 years old. Parents anonymous is a support group which aids in strengthening their peer support from children to parents. They are able to learn new skills and improve on the ones they have to make them a more effective parent. The program fosters personal responsibility with the assistance of the facilitator leading the group.

Both therapy programs include and incorporate the participation of the parent and child. In parent child interaction therapy, it focuses working in a smaller scale of addressing the issue or concerns with just the parent and child while the parents anonymous is a group setting with a facilitator. The drawback of parents anonymous is that a parent may not want to disclose or share their conflict with a larger group and may feel more uncomfortable sharing especially if they have a shy and passive personality. While the drawback of the parent child interaction therapy would be it doesn’t include adolescents which may be when a lot of behavioral conflicts between parent and child arise.

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PCIT and Parents Anonymous Support Groups

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PCIT and Parents Anonymous Support Groups

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Hello.

Parent-child interaction therapy:

Strengths: This evidence-based program works to improve relationships between parent and child, and encourage positive behaviors of children.

Weaknesses: The presence of a caseworker may oftentimes make parents or children behave “on their best behavior” than how they usually interact when a caseworker is not present.

Parents anonymous support groups:

Strengths: Other parents in the groups serve as a support system to parents.

Weaknesses: The lessons in the support groups might be over generalized and not focused on individual struggles.

These programs are similar in that they work with parents and teach them effective strategies to have better interactions with their children.

These programs differ in that parent anonymous support groups usually are outside of the home, and most of the time do not include the children. Parent-child interaction therapy consists of live coaching, to parents with their children, usually in the home setting.

Sources retrieved from the overview:

What is Parent Child Interaction Therapy.

Parents Anonymous Support Groups.

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Parent’s anonymous provides many services to parents, which include, parent engagements, direct services like one-on-one services or group services. Additional Training for parents, and public awareness and education. This service strives to strengthen at risk and abusive parents through mutual support and shared leadership person grown.

Like Parent’s anonymous Trauma Focuses Cognitive Behavioral Therapy provides joint or individual sessions for families. The difference here is that it is short term therapy, lasting 12-16 weeks. It serves children 4-18 years old with significant behavioral and emotional problems cause by trauma. With this type of therapy, it improves PTSD symptoms. Both services provided knowledge and skills for families and individuals to process trauma. Some of the cons to Trauma focused Cognitive Behavioral Therapy, is that it only addresses current problems and focuses on specific issues, it does not however address underlying causes of mental health conditions.

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I looked into Parent-Child Interaction Therapy and Multi-Systemic Therapy. MST is based on looking for problems that may be rooted within the family, but the therapy is done primarily with the child. PCIT is used to help how parents and children interact with each other, whether it is an issue with the parent or an issue with the child.

Both of these programs are used for children, but PCIT actually works with the parents and the children on how they interact with each other and creates a healthier environment for the whole family. MST focuses more on the child, and what issues have been happening. This can also help by teaching better parenting practices. Both of these forms of therapy involve direct coaching from a professional that will help guide and teach parent and child along the way. Other services can be opened up while going through therapy like this by having access to a professional.

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Parents anonymous is a weekly support group. This group aims to make a space for both parents and children to express, discuss and question things about parenting, situations, and other questions. This group aims to give parents a place to build new relationships, ask questions, and seek support for things they and their family are going through. this aids children with their relationships, social skills and self esteem as well. The meetings are typically an 1 1/2 hours - 2 hours. It is also a less strict and specific regimen, allowing parents and families to have flexibility. There is a lot of trial of different techniques and parenting skills that they think will suit their family. This type of therapy also allows for parents to feel less alone in their difficulties in parenting.

Multi systemic Therapy focuses on the child and the environment they are raised in. It is based in the child's home and  their parents. They committ to the family, though it may be seen in different ways. It may look like suggesting and introducing new and different parenting skills. Additionally they provide access to different services that can aid the family and their unique needs. There is a collaborative nature about this. It helps the family address what s happening inside and outside of the house.

The MST is a more individualized approach and helps families on different levels. This may be more useful for families that are more high at risk. PA is slightly more relaxed and is more of a support group. This can be useful for parents who need a safe space tp express concerns, but who do not have particularly high risk factors.

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The two programs I explored are Parents Anonymous and the Parent-Child Interaction Therapy.

There are Parents Anonymous groups that meet all over the country. The sessions usually  last for 1.5-2.0 hours each week. Parent Anonymous Groups are both prevention and intervention focusing on strengthening the entire family. These meetings/sessions are conducted by a Trained Facilitator and a Parent Group Leader for Parents and Other Caregivers. They address 12 Monthly Themes and guided meditation is usually how they begin. They also utilize "The I am a Parents Anonymous Parent" booklet. It has comprehensive information and 16 Nurturing and Parenting Strategies. It also has four therapeutic processes of mutual support, parent and youth leadership, shared leadership and personal growth and change are implemented. There are also groups for the children and youth groups as well that are setup by age that range from newborn to 18 years old. All groups Open with Meditation, Circle Time, Structured Activity based on the Monthly Theme, Free play and Positive Closing. They've received accreditations and awards from the National Crime Prevention Council, 5 Programs Area of Evidence-Based, California Clearinghouse on Child Welfare, and so on.
https://parentsanonymous.org/video-gallery/

Parent-Child Interaction Therapy is an evidence-based treatment for young children with behavioral problems. This therapy is conducted through coaching sessions. So what happens is you and your child are in a playroom while the therapist is in an observation room watching you interact with your child through a one-way mirror and/or live video feed. You wear a listening device so that the therapist can coach you on skills you are learning to manage your child's behavior. The purpose of this therapy is to decrease the frequency, severity, and/or duration of tantrums, decrease negative attention-seeking behavior, decrease parental frustration, increase feelings of security, safety, and attachment to the primary caregiver, increase pro-social behaviors, increase compliance with adult request, increase respect for house rule, improved behavior in public, increased parental calmness and confidence during discipline. They have an area on the website that can even help you locate a therapist near you.
http://www.pcit.org/united-states.html

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The two programs I chose to compare are Parent-Child Interaction Therapy (PCIT) and Parents Anonymous.
In looking into PCIT, I originally expected this to be a program solely focused on the behaviors of the child and mending the influences of that behavior.  What I didn't exactly expect, but makes all the sense in the world, is that parenting is one of those influences.  One of the outcomes of PCIT is improved parenting skills and that's why I chose to compare this therapy with Parents Anonymous.  Parents Anonymous is a support group that allows parents to relate, support and help each other as they work through difficulties in parenting.  It allows parents to have an informal feeling therapeutic experience while building parental skills.  PCIT is a more direct approach with parental skill building as it takes on the issues as they happen with immediate correction and solutions. Both programs include the goal of improving parent skills and both have opportunity for children to improve certain aspects, while PCIT is more focused on oppositional defiant behavior in children, Parents Anonymous works more toward social skill building.  I appreciate that both programs work to help children and parents by linking the two as associations, better parenting leads to better child behavior and with this in mind, they work to help both.

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The two treatment programs I chose to analyze were the Trauma Focused Cognitive Behavior Therapy (1) and the Multi-Systemic Therapy (2). Really the only thing that is similar about these two services is that they look to serve children and they involve a collaborative effort. However even the collaboration is different.

Trauma Focused Cognitive Behavior Therapy seems to be much more specific in that it targets children who have suffered traumatic experiences. It is clinic based with individual and joint sessions. It is a lot more short term in comparison to MST. It involves parents being involved in the process of processing trauma. Two main concepts that are apart of the program are 1) psychoeducation and 2) skills building. This system is more like personalized therapy with a therapist.

On the other hand we have MST which targets a child's ecology, their environment. It is home based and also involves a collaborative effort. These service members do work with parents but it may be more general in terms of parenting skills in which they can support the child. These service members may move in with the family and live with them or meet with them regularly to assess their skills and structure the household dynamic. They help ease access to services for the family and child. It involves a wider collaborative effort and is much more long term (up to 6 months). It addresses connections to struggles within the home and outside of it. Finally apparently it is not costly and can save states millions of dollars.

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The Parent-Child Interaction Therapy is observing interactions between parents and children. Communication skills are taught to the parents so they can reduce negative behaviors and increase their Childs positive behaviors. The outcome is to improve parenting skills. The other program I looked into was Trauma Focused Cognitive Behavioral Therapy. The goal of this therapy is to focus on emotional regulation skills as well as stress to help aid the coping of traumatic experience for the child, so it is more focused on the child versus the parent in the end goal.Both programs require therapists to have been certified therapist. They also both have therapists with different specialties to targeted or tailored groups to help the need of the specific individual. One focuses more on the child and one focuses more on the parents or whole group itself. 

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Parent-Child Interaction Therapy allows for the interactions between parents and children to be observed. Parents are coached on how they can increase their child’s positive behaviors and reduce their negative behaviors by changing up their communication. They focus on positive, consistent and predictable strategies. They work with kids with behavioral issues, but also with abusive parents who need help learning how to parent appropriately. It increases the parent’s confidence level as they know how to handle their child and the child has a more consistent and stress free environment.

Parents Anonymous provides a weekly support group for parents and for children. It allows parents to openly discuss their struggles and concerns. Parents are given parenting strategies, training and coaching to develop their skills. Both parents and children build a support system with people going through similar issues and with trained personnel that can lead the conversation.

Both programs exist to work with parents to improve their parenting skills. PCIT works with parents on a one on one setting while observing the parents interactions with their kids. PA is a support group setting which allows parents and kids to find peers to build their support system while improving their skills. I think both programs have their pros and cons. After looking at both programs I am curious if it would be possible to integrate both programs to have individual support and group support to get the best out of both programs.

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Parents Anonymous is a group that meets for 1 1/2 - 2 hours per week to discuss all things parenting including concerns and questions, building parenting skills, finding resources, receiving and giving support, and forming relationships with other parents. They also offer a children and youth program that can teach social skills and boost self-esteem. The positives to this is that it is less regimented that other treatments giving the parents more freedom to choose which skills, materials, and resources are the most important to them and their family, building a support system of like-minded individuals in similar situations, and offering a safe space to vent, ask questions, share pain and happiness all with the full support and listening of those in the group. The positive is also a negative; not all people thrive in an unregimented atmosphere. Many people need to have a strict schedule with people guiding them in specific ways.

Multisystemic Therapy is focused on high-risk youth with therapists being available 24/7. The therapists travel to the child instead of making them come to them; they often work at homes, schools, and in neighborhoods. MST is an intensive program that works to empower parents and/or caregivers while urging the children to participate in recreational activities. The positives to MST is that the people that are in the program don't have to go out of their way to be in it -- the therapists come to them. Also, the 24/7 support is important since problems and challenges can arise at any time. The negatives is that they only work with troubled youth which leaves out youth and families that may not have such severe issues but still need assistance.

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I decided to explore/look more into Parents Anonymous and Multi-Systemic Therapy. Parents Anonymous offers a long list of programs ranging from adult groups to network maps, and youth groups to tool kit sessions. This program focusses in on building, supporting and creating space in which parents and children can become resilient and foster strength within the family, which will strengthen communities. Multi-Systemic Therapy (MST) works to transform troubled youth through empowering the youth in their ability to positively influence their outcome and futures. MST is unique in that it’s outreach can be found within every aspect of community, at home, in school and around the community.

I think that these two programs are similar in that they both target specific situations that need addressing and support. They also both want to impact of their support to integrate positively into the individual’s personal lives as well as their social communities. Where these programs differ is that Parents Anonymous works with every aspect of a family, whereas MST work with specifically the youth. Parents Anonymous I think has strength within its all-encompassing rhetoric, but it also may be a weakness spreading fund and people too thin to actually be able to provide/meet the needs of the individuals they are trying to influence/help. MST strength is I personally believe is in its ability to incorporate within multiple aspects of the youth’s lives, at home, in school and around their community meaning the youth have continual reinforcement and support at every point in their day. Where MST falls short is that while it is very important to support troubled youth, unless you address the reason, they are troubled in the first place they may continue to be stuck within a vicious cycle.

Over all very interesting looking into both of these programs.

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The two treatment programs that I chose to explore are 1) Trauma-Focused Cognitive Behavior Therapy and 2) Parent-Child Interaction Therapy. First, one thing that unifies these two is that they are both for children within the same age groups. Trauma-Focused Cognitive Behavior Therapy focused on children 4-18. This program is based in a clinic for children who have either behavioral or emotional issues related to trauma, and is geared towards improving symptoms related to PTSD. Parent-Child Interaction Therapy treats children 4-12 (so some of the children land within the same age perimeters) however also treats externalizing child behaviors for children within the agues 2-8. This treatment program focuses on treatments for children who show defiant behavior, families who have defiant children, and physically abusive parents. The outcome of this treatment plan is to improve parenting skills. This is much different from the outcome of the goal outcome of Trauma-Focused Cognitive Behavior Therapy, where thee goal is more to improve emotional regulation skills, stress management skills, and assist with processing and coping of trauma experiences for the child.

One similarity on their websites is that both of these programs have special certifications that their therapists need to have to be able to assist their patients/clients. I believe this is a strength of both of these programs. To me this means that these programs are tailored specifically to the populations of which they serve, and have therapists that are extremely qualified to be working with the populations. Another strength of both of the programs is that on both of the websites you can search for a provider (therapist) near you. This makes it more convenient and easy for you to find a therapist near you and that’s right for you. When I’m looking for a provider in any area, if I am able to utilize a search function I am more likely to follow through with booking an appointment. I think this makes this strength a huge benefit to the program overall. One weakness I saw in the Parent-Child Interaction Therapy (and this is just opinion based and having studied in this class, I am aware that I do not have higher education in this area or a special certification is this area) there seems to be a disconnect between the goals of this program and how it is described on the website/the type of treatment that they provide. This program is for both defiant children and parents who need serious work on their parenting skills (the lecture mentioned physically abusive parents.) I feel as though there needs to be a much stronger focus on the parents. If a parent goes as far as to physically harm their child (which is extreme), I would assume there would be an individual therapy aspect for the parents in addition to the child-parents components so the parents could really dive into what brought them to bringing harm to their child.

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One of the programs I looked into was Parent Child Interaction Therapy. It is a form of therapy that focuses specifically on the relationship between the child and parent and is specifically for parents whose child has a disruptive behavior disorder. PCIT is a good option for parents who need some guidance in connecting with their children and working through behavioral issues. Another nice thing about this program is that therapy ends after there has been marked improvement up to a "normal" interaction and behavior zone. This therapy is provided until there is improvement and is not on a timer. However this therapy may not be the best option for parents who have relationship issues that are not related to any behavioral disorders. Families with children who may not connect due to mental health or substance abuse issues may want to seek other forms of treatment.

The other method that I researched was Multi-Systematic Therapy. MST is a community based treatment program for adolescents who have committed crimes or are dealing with substance abuse problems/addiction. MST also educates parents on how to help their child who may be in recovery. It has been proven in several different states and areas that the presence of MST in a community reduces crimes rates, arrests, and recidivism in youths. This program however somewhat relies on the child having a supportive and stable family. Some parents may not be willing to aid their child in recovery either because they're an addict themselves or because they're unable to grasp the concept.

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I reviewed both Trauma-Focused Cognitive Behavioral therapy and Parent-Child Interaction Therapy.

Both therapies are evidence based, studied in large numbers with positive results of changing and managing behavior.

Trauma-Focused Cognitive Behavior Therapy is a strong evidence based therapy that allows both parent and child to understand their trauma. By reliving traumas of the past, children learn to stop their thoughts and redirect their triggers using relaxation skills. One of the biggest advantages to this therapy is that it provides both children and their parents with the tools and skills to communicate and manage their behaviors.

Parent-Child Interaction therapy focuses on providing parents with consistent and predictable strategies that in return, improve children’s behavioral problems. This is a live-coached therapy that provides parents with immediate training. To me, this seems entirely beneficial and unique.

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The two programs I looked at were Trauma-focused Cognitive Behavioral Therapy and Parent Child Interaction therapy. Trauma-focused Cognitive Behavioral Therapy is a short term therapy that is made to help children who have experienced trauma. It is usually designed for minors and focused on behavioral/emotional problems. This is a technique that has been to give extremely strong results. The weakness of this type of therapy is that it can make the child experience the feelings they once had again and make the trauma feel worse. Parent Child Interaction therapy is designed to help children with behavioral issues and the age range is usually really you between 2-8 years old. A huge strength would be that it teaches parents first hand how to help their child and increase the positive beahviors they are looking for. A weakness would be that it isn't always applicable to every situation, it depends on the style of parenting and the reasons why the child is acting out. These are both great techniques that are built specifically for the children which is why they have been successful. They're quite different because one is designed to include the parent directly and the other is designed so that the child is working with a third person to get through their trauma.

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My two programs of focus will be on Trauma-Focused Cognitive Behavioral Therapy and Parent Child Interaction Therapy. Trauma-Focused CBT is a clinically based form of therapy. It is short term and usually last anywhere from 12-16 weeks. It is usually used on children from ages 4-18 who have emotional and/or behavioral problems that are related to trauma.  This form of therapy can greatly improve symptoms of PTSD and anxiety. This form of therapy has the strongest evidence base to date. It allows both the parent and the child to understand what normal trauma responses are. A weakness of this therapy is that it can temporarily make symptoms worse due to increase of exposure to the trauma. This treatment is also not recommended for children who had issues before the trauma incident(s). Parent Child Interaction Therapy is typically used for defiant children with behavioral issues. The age range is typically 2-8, but sometimes up to 12 years old. This treatment focuses on improving the parent-child relationship. It can teach parents skills about how to increase appropriate behavior and decrease inappropriate behavior. This treatment can reduce stress and greatly improve child behavior. Some weaknesses of PCIT is that it isn't always the right choice for every family or parent. Parent's that suffer from mental illness or substance abuse may not benefit from this approach or contribute to the well-being of the child. One great thing about this approach is how it is ongoing until the issue has been resolved or success has been reached.

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The two programs that I explored were Cognitive Behavioral Therapy or CBT and Parents Anonymous. I thought that both of these programs offer unique perspectives for different areas in the growth and reduction of trauma in adolescents. In CBT the primary focus and intervention surrounds the reduction of harm to the client from trauma triggers as well as processing the emotions and learning new coping skills. CBT can be intensive and structured about healthy adaptation to life with trauma. CBT's largest strength is it's ability to teach children's with trauma how to use healthy coping skills in lieu of maladaptive behaviors through therapy with their family and alone. Parents Anonymous is a support group for parents who are at risk and exhibiting abuse towards their children. This support group offers a unique and interesting perspective on intervention: it attempts to intervene early in addition to focusing interventions on the parents emotional welfare. Parenting is no easy feat and comradery with other parents alongside a professional could assist these at-risk parents build a support system, accept personal responsibility, and help manage intense emotions. A strength of Parents Anonymous is the continuous strength of operating as a group and collaborating with other parents and professionals. A potential weakness could be that group may not always readily teach coping skills.

Both of these programs have important roles in adolescent trauma management. Parents Anonymous works to help build skills for parents alongside a professional for the betterment of the children. CBT mirrors this in the emphasis on parents and children to collaborate in therapy to build skills and reduce the harm caused by trauma triggers. Additionally, they are similar in that they encourage personal safety skills as a way to enhance the learning and safety of the environments that participants are exposed to. These two programs do have some differences. Parents Anonymous focuses primarily on intervening with the parents, potentially before they harm the child whereas in CBT there is more of an emphasis on teaching children who have been exposed to trauma coping skills to adapt to living with trauma. CBT also has features of the program that are more intensive where as Parents Anonymous is a regular support group.

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The two programs that I decided to compare and contrast are the Trauma-Focused Cognitive Behavioral Therapy (TT CBT) and Alternatives for Families: Cognitive Behavioral Therapy (AF CBT). I think that the similarities that I see between the two are that they are both cognitive therapies meaning that both types of therapies are forms of psychotherapy.  They both are about experiences and behaviors related to emotions and about trying to understand what is happening inside the brain and what kind of outcomes can be changed based upon the psychological manifestations that are being presented. Some of the differences include that the Trauma Focused CBT, is particularly useful for patients that have suffered from PTSD and is about trying to open up and relive these experiences over time to finally let go of all of the baggage and emotions and neatly fold it all into the suitcase as was said in the video.  Alternatives for Families CBT, focuses more on the family as a whole and how to strengthen the relationships and create positive outcomes. I think that they both have their own strengths and weaknesses in that Trauma Focused CBT is great at getting people to learn to deal with their emotions and how to not let past experiences haunt you. I think however Trauma-Focused CBT does not showcase how to mend these relationships and is great for children who have experienced Trauma but what about adults who have experienced Trauma as well? I think that the Alternative to Families CBT is great in that it can be done both in clinic and in home so it gives people more of a real aspect of how to deal with their issues in that they are trying to create a more natural environment This might help the CBT to actually stick and work rather than learning something outside of the home and then trying to apply it later. I think that a weakness of Alternative for CBT is that it requires more than one person to be involved and participate in the therapy which can get tricky in trying to get everyone to participate and cooperate.

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Kaylee Jackson                      For this discussion, I selected: Trauma-focused cognitive behavior therapy (TF CBT) Alternatives for Families; A cognitive Behavioral Therapy (AF CBT)To compare, both offer services for families who have dealt with abuse, aggressive environments, and rebuilding the relationship between the caregiver and the child. Both programs to have similar outcomes of the therapy that the patients will experience; those are: skills building, manage irritability to prevent escalation, enhancing child/caregiver relationship, gain social skills, and support families has a whole unit. I see these are major strengths in each program. In contrast, (TF CBT) involves the parent and child together. The child is not left a lone during the therapy session, whereas (AF CBT) allows for session to involve the child individually as well as the caregiver; or group sessions where all are involved. (AF CBT) is specific to children ages 5-17, (I view this as a weakness in the program, as it limits its outreach) and (TF CBT) has no age minimum or maximum. (TF CBT) does focus specifically on trauma and experiences with PTSD. The goal of (TF CBT) is to eventually revisit the trauma and face it head on, learn skills on how to cope and make sense of it.  

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Kaylee Jackson                      For this discussion, I selected: Trauma-focused cognitive behavior therapy (TF CBT) Alternatives for Families; A cognitive Behavioral Therapy (AF CBT)To compare, both offer services for families who have dealt with abuse, aggressive environments, and rebuilding the relationship between the caregiver and the child. Both programs to have similar outcomes of the therapy that the patients will experience; those are: skills building, manage irritability to prevent escalation, enhancing child/caregiver relationship, gain social skills, and support families has a whole unit. I see these are major strengths in each program. In contrast, (TF CBT) involves the parent and child together. The child is not left a lone during the therapy session, whereas (AF CBT) allows for session to involve the child individually as well as the caregiver; or group sessions where all are involved. (AF CBT) is specific to children ages 5-17, (I view this as a weakness in the program, as it limits its outreach) and (TF CBT) has no age minimum or maximum. (TF CBT) does focus specifically on trauma and experiences with PTSD. The goal of (TF CBT) is to eventually revisit the trauma and face it head on, learn skills on how to cope and make sense of it.  

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I looked at Trauma-Focused Cognitive Behavioral Therapy and Multi-Systemic Therapy. Trauma focused cognitive behavioral therapy is intended to be short term and for children experiencing issues as a result of trauma. This kind of therapy benefits those who are suffering from PTSD and helps them learn skills to process their trauma properly and manage their behaviors and emotions. It also offers skills to parents to ensure better success. Multi-systemic therapy is a longer process that involves more engagement from an interdisciplinary team to solve antisocial behaviors and improve parental disciplinary practices. This form of therapy also benefits other family members and has been seen to reduce crime in both the child directly receiving the care and those in the family that are engaging.

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The first program I wanted to focus on are the Trauma - Cognitive Behavioral Therapy. I think this program works wonderfully for those who are suffering from PTSD and victims of domestic violence. This allows the parents to better understand what the child is going through and to help better treat the potential outbursts and behavioral issues. It also focuses on how to combat anxiety and helps to rid negative thoughts.
I also looked at PCIT Parent Child Interaction Therapy. Which I have been apart of in the past with some of my past students. This helps deal with behavioral issues especially with kids with ADHD. It helps teach them how to implement structure into their daily lives and control outbursts. A firm foundation of structure is so important to use with kids --especially those who have attention deficit disorder.

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The two programs I chose to look deeper into were the Trauma-Focused Cognitive Behavioral Therapy and Parent Child Interaction Therapy. These two programs are similar in the sense that they look into families whose children are having behavioral issues. But, the Trauma-Focused Cognitive Behavioral Therapy focuses on behavioral and emotional problems due to trauma and the Parent Child Interaction Therapy is for parents who are physically abusive to their children due to their opositional defiant behaviors and teaches them strategies to avoid these types of negative interactions. Some strengths for Parent Child Interaction Therapy is that it can improve parenting skills and decrease the child's behavior and thus improve the quality of the parent- child relationship. Some strength for the Trauma-Focused Cognitive Behavioral Therapy are the program enhancing coping and emotional skills for the child, promotes discipline for the child as well. 

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The two programs I chose to look deeper into were the Trauma-Focused Cognitive Behavioral Therapy and Parent Child Interaction Therapy. These two programs are similar in the sense that they look into families whose children are having behavioral issues. But, the Trauma-Focused Cognitive Behavioral Therapy focuses on behavioral and emotional problems due to trauma and the Parent Child Interaction Therapy is for parents who are physically abusive to their children due to their opositional defiant behaviors and teaches them strategies to avoid these types of negative interactions. Some strengths for Parent Child Interaction Therapy is that it can improve parenting skills and decrease the child's behavior and thus improve the quality of the parent- child relationship. Some strength for the Trauma-Focused Cognitive Behavioral Therapy are the program enhancing coping and emotional skills for the child, promotes discipline for the child as well. 

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I looked closely at Trauma Focused Cognitive Behavioral Therapy and PCIT. The two programs both seem very effective but in different scenarios. The focus of TF-CBT is on the person who experienced trauma, as it works on developing skills to cope with the effects of the trauma, and regain control over one's life. However, PCIT is very much focused on parent behavior, and on how to properly discipline children in a way that provides stability for the child, and that helps the parent to parent in less harmful ways. For this reason, TF-CBT seems very beneficial in scenarios where the parent is not abusive, such as with a child who experienced trauma but is now in a foster home, or a child and mother who have both left a domestic violence situation but are now safe. PCIT seems very useful in a situation where parents are abusive, but the situation can be remedied. I believe that for this reason it is very important that we learn about a variety of tactics to preventing violence and maltreatment, and people cannot endure a one size fits all approach. Each human and family is complex with different needs, and will require different treatments.

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I decided to look at Parents Anonymous and Parent Child Interactive Therapy PCIT. Both programs focus on helping parent. to learn parenting techniques for a healthier family and communication style when trouble children are involved. The testimony from both programs was about family dynamic and behavioral reform due to parenting involvement and increased support for parental guidance. PCIT is a personal parent child coaching session while parents anonymous is a group community session.

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Cognitive behavioral therapy is widely used in the field of psychology to treat various mental health disorders. It is particularly useful in treating the symptoms of post-traumatic stress disorder and assisting in the rehabilitation of trauma patients. One of the most beneficial aspects of CBT is that its strategies can be implemented in everyday life, not simply when the patient is with the therapist. CBT focuses on de-programming and re-training the patient's thoughts and associations with certain events or stimuli. It allows for new correlations to be made which changes the patient's thought process around previously traumatic events. One of the drawbacks of CBT is that it requires the patient to be motivated and willing to make the change, essentially the patient must be ready to face their trauma. This requires a lot of attention and focus, which could make it difficult for younger children.

A second therapy type, and an offshoot of CBT, is Alternatives for Families Cognitive Behavioral Therapy (AF-CBT)
This therapy type is designed for families who frequently experience conflicts, whether they be verbal or physical disputes. It is also implemented for children who have experienced trauma related to family conflict/violence.
The program is delivered in three stages:
1. Engagement and education
This is aimed towards both children and parents to educate and inform them of what happens during family conflict.
2. Individual skill building
Assists in helping the individual with their experiences/trauma, essentially the same methods used in standard CBT.
3. Family applications
Tools and methods in which the entire family can participate in neutralizing family violence.