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Finding the Right Treatment for Your Child

Choosing the Right Treatment for Your Child: Evidence-Based Practices

Trying to decide which treatments would provide the best outcomes for your child can be a difficult and overwhelming process. You want your child to receive the most effective treatment option but what determines whether or not a treatment is effective? If it worked for other children with similar problems, will it work for your child? Is there research or evidence to support the effectiveness of this treatment?Choosing The Best Treatment For Your Child: Evidence-Based Treatments All of these questions are important and relevant questions to ask yourself when it comes to finding the right treatment for your child. Although it is strongly recommended to address these questions and concerns with your child’s clinician, one way to learn more about effective treatments is by familiarizing yourself with Evidence-Based Practices (EBP).

What are Evidence-Based Practices?

Evidence-Based Practices (EBP) are well-established treatments because they are strongly supported by evidence from research studies that are designed to evaluate their effectiveness.  Specifically, when a treatment is identified as an EBP it means that the treatment has been studied in a community or academic setting and has been proven to show positive treatment outcomes in multiple studies conducted by multiple research teams. Additionally, EBPs are client-centered because they are treatments that are designed to integrate research evidence, clinical expertise, and client/patient/family values, preferences, culture, and environment.

What Are Current Evidence-Based Practices?

The table below provides a brief list of EBPs for specific child and adolescent disorders:

 

Diagnosis Evidence-Based Practice
Anxiety Ages 9-18 Cognitive Behavior Therapy (CBT)

Ages 3-17 Exposure Therapy

Ages 3-13 Modeling Therapy

ADHD Ages 3-12 Behavior Therapy (in home and in school)

Ages 3-16 Parent Management Training

*The combination of behavior therapy and medication is often most effective in treating ADHD

Autism Spectrum Disorder Ages 3-13 Behavior Therapy

Ages 3-13 Individual and family therapies that target   communication skills, interaction skills, and behavior modification

Bipolar Disorder No controlled studies of psychosocial interventions for youth with bipolar disorder have been done. However, behavior therapy, family education, and support benefit youth and families and improve relationships, communication, and coping skills.
Conduct Disorder Ages 3-15 Parent Training

Ages 9-15 Anger Coping Therapy

Ages 6-17 Brief Strategic Family Therapy (BSFT)

Ages 13-16 Functional Family Therapy (FFT)

Ages 9-18 Treatment Foster Care (TFC)

Ages 12-17 Multisystemic Therapy (MST)

Ages 12-17 Mentoring

Ages 9-18 CBT

Depression Ages 9-18 CBT

Ages 11-18 Relaxation Therapy

Ages 12-18 Interpersonal Therapy (IPT)

Ages 12-18 Family Education and Support

Schizophrenia No controlled studies of psychosocial interventions for youth with schizophrenia have been done. However, behavior therapy, family education, and support benefit youth and families and improve relationships, communication, and coping skills.
Substance Use Ages 9-18 CBT

Community Reinforcement

Family Therapy

 

Online Resources on Evidence Based Practices

The Society of Clinical Child and Adolescent Psychology (Division 53 of the American Psychological Association) offers clinicians and parents access to a variety of online video resources on EBPs, which also includes a more recently developed YouTube channel titled: Effective Child Therapy Resource Library. Along with providing par

ents and clinicians with a variety of free videos, these online resources cover a wide range of topics pertaining to EBPs for children and adolescents including:

These video resources provide parents with interviews conducted with experts in child and adolescent psychology. Experts provide brief discussions on specific issues such as, treating specific disorders, identifying certain behaviors (to determine whether or not your child might have a problem), as well as evidence-based treatment options. The videos also provide additional links to related videos and PDFs that offer parents more information regarding the specific topic.

NSPT offers services in BucktownEvanstonHighland ParkLincolnwoodGlenview, Lake Bluff and Des Plaines. If you have questions or concerns about your child, we would love to help! Give us a call at (877) 486-4140 and speak to one of our Family Child Advocates today!

Autism graphic

Intervention For Autism Spectrum Disorder

After a child has been diagnosed with Autism Spectrum Disorder, parents are often at a loss as to where to go or what to do next.  It is important that parents are informed about treatment choices and utilize empirically supported interventions in order to provide the child with the best possible outcome. Applied Behavior Analysis (ABA) therapy is a research-supported approach to intervention that focuses on improving positive behaviors while extinguishing negative behaviors.

Autism graphicThere has been bad press regarding ABA therapy such as that the focus of the therapy is solely on punishment.  In reality, ABA therapy focuses on positive reinforcement of behaviors with a minimal use of punishment.  Punishment of any kind should only be implemented in specific situations in which the child is in danger of hurting himself for someone else. The amount of ABA therapy varies and is completely dependent upon the child’s needs.

Therapy is often implemented in the home, school, and clinic settings. Oftentimes children with a diagnosis of Autism Spectrum Disorder present with language concerns; either expressive language (ability to express themselves) and/or pragmatic language (which is their social language).  These children often benefit from speech and language therapy in order to develop these skill sets. It is also quite common for children with a diagnosis of Autism Spectrum Disorder to present sensory concerns; either they avoid certain sensory modalities or actively seek out various sensory inputs.  Occupational Therapy can often help provide strategies for children, parents, and academic staff as to how to better deal and cope with these sensory concerns.

The treatment of Autism Spectrum Disorder cannot be done in isolation.  The majority of children with such a diagnosis would require a multidisciplinary treatment approach.  It is vital that all care providers are on the same page and meet routinely to ensure that the child is making progress.