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Sustainability, Current Programs, and a Look to the Future

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Abstract

It is important to review a few key concepts, address the school context, explore the sustainability of new mental health programming, and look at how families and schools can work together. In addition, a look to the future is considered by briefly exploring the so-called third wave of CBT to include therapies such as dialectical behavior therapy and mindfulness cognitive therapy, although these interventions may need more school-based research support before they would be chosen over other evidence-based interventions already available. The influence of technology in school-based mental health intervention is briefly discussed, as this trend will surely continue. The infusion of emotion science into CBT is advocated along with several examples of curricula already under development.

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References

  • Abeles, P., Verduyn, C., Robinson, A., Smith, P., Yule, W., & Proudfoot, J. (2009). Computerized CBT for adolescent depression (“Stressbusters”) and its initial evaluation through an extended case series. Behavioural and Cognitive Psychotherapy, 37, 151–165. doi:10.1017/S1352465808005067.

    Article  PubMed  Google Scholar 

  • Adelman, H. S., & Taylor, L. (2003). On sustainability of project innovations as system change. Journal of Educational and Psychological Consultation, 14(1), 1–25. doi:10.1207/S1532768XJEPC1401_01.

    Article  Google Scholar 

  • Arehart-Treichel, J. (2009). Anxiety can be overcome-if right strategy is chosen. Psychiatric News, 44(14), 28. Retrieved from http://pn.psychiatryonline.org/

  • Atkins, M. S., Graczyk, P. A., Frazier, S. L., & Abdul-Adil, J. (2003). Toward a new model for promoting urban children’s mental health: Accessible, effective, and sustainable school-based mental health services. School Psychology Review, 32(4), 503–514. Retrieved from http://www.nasponline.org/publications/spr/sprmain.aspx

  • Aviles, A. M., Anderson, T. R., & Davila, E. R. (2006). Child and adolescent social-emotional development within the context of school. Child and Adolescent Mental Health, 11(1), 32–39. doi:10.1111/j.1475-3588.2005.00365.x.

    Article  Google Scholar 

  • Barrett, P. M. (2000). Treatment of childhood anxiety: Developmental aspects. Clinical Psychology Review, 20(4), 479–494. doi:10.1016/S0272-7358(99)00038-0.

    Article  PubMed  Google Scholar 

  • Boyd, V. (1982). School context: Bridge or barrier to change. Austin, TX: Southwest Educational Southwest Educational Development Laboratory. Retrieved from http://www.sedl.org/change/school/culture.html

  • Calkins, S. (2004). Temperament and emotional regulation: Multiple models of early development. In M. Beauregard (Ed.), Consciousness, emotional self-regulation and the brain (pp. 35–60). Philadelphia, PA: John Benjamins.

    Google Scholar 

  • Carter, C. S. (2009). Commentary. The ups and downs of emotion regulation. Biological Psychiatry, 65(5), 359–360. doi:10.1016/j.biopsych.2008.12.023.

    Article  PubMed  Google Scholar 

  • Chambers, R., Gullone, E., & Allen, N. B. (2009). Mindful emotion regulation: An integrative review. Clinical Psychology Review, 29(6), 560–572. doi:10.1016/j.cpr.2009.06.005.

    Article  PubMed  Google Scholar 

  • Ciarrochi, J., & Blackledge, J. T. (2006). Mindfulness-based emotional intelligence training: A new approach to reducing human suffering and promoting effectiveness. In J. Ciarrochi, J. P. Forgas, & J. D. Mayer (Eds.), Emotional intelligence in everyday life (2nd ed., pp. 206–228). New York: Psychology Press.

    Google Scholar 

  • Cole, P. M., Teti, L. O., & Zahn-Waxler, C. (2003). Mutual emotion regulation and the stability of conduct problems between preschool and early school age. Development and Psychopathology, 15(1), 1–18. doi:10.1017/S0954579403000014.

    Article  PubMed  Google Scholar 

  • Cunningham, M. (2008). Overview of design approaches in the Cool Teen CD and other computer programs for adolescent anxiety. E-Journal of Applied Psychology, 4(2), 6–11. doi:10.1038/sj.mp. 4002146.

    Google Scholar 

  • Cunningham, M. J., Wuthrich, V. M., Rapee, R. M., Lyneham, H. J., Schniering, C. A., & Hudson, J. L. (2009). The Cool Teens CD-ROM for anxiety disorders in adolescents. European Child & Adolescent Psychiatry, 18(2), 125–129. doi:10.1007/s00787-008-0703-y.

    Article  Google Scholar 

  • Erickson, D. H., Janeck, A. S., & Tallman, K. (2009). Transdiagnostic group CBT for anxiety: Clinical experience and practical advice. Journal of Cognitive Psychotherapy: An International Quarterly, 23(1), 34–43. doi:10.1891/0889-8391.23.1.34.

    Article  Google Scholar 

  • Gar, N. S., & Hudson, J. L. (2009). Changes in maternal expressed emotion toward clinically anxious children following cognitive behavioral therapy. Journal of Experimental Child Psychology, 104(3), 346–352. doi:10.1016/j.jecp. 2009.06.001.

    Article  PubMed  Google Scholar 

  • Goldstein, T. R., Axelson, D. A., Birmaher, B., & Brent, D. A. (2007). Dialectical behavior therapy for adolescent with bipolar disorder: A 1-year open trial. Journal of the American Academy of Child and Adolescent Psychiatry, 46(7), 820–830. doi:10.1097/chi.0b013e31805c1613.

    Article  PubMed  Google Scholar 

  • Grave, J., & Blissett, J. M. (2004). Is cognitive behavioral therapy developmentally appropriate for young children? A critical review of the evidence. Clinical Psychology Review, 24(4), 399–420. doi:10.1016/j.cpr.2004.03.002.

    Article  PubMed  Google Scholar 

  • Graziano, P. A., Reavis, R. D., Keane, S. P., & Calkins, S. D. (2007). The role of emotion regulation in children’s early academic success. Journal of School Psychology, 45(1), 3–19. doi:10.1016/j.jsp. 2006.09.002.

    Article  PubMed  Google Scholar 

  • Hannesdottir, D. K., & Ollendick, T. H. (2007). The role of emotion regulation in the treatment of child anxiety disorders. Clinical Child and Family Psychology Review, 10(3), 275–293. doi:10.1007/s10567-007-0024-6.

    Article  PubMed  Google Scholar 

  • Harris, A. (2006). Leading change in schools in difficulty. Journal of Educational Change, 7(102), 9–18. doi:10.1007/s10833-006-0009-0.

    Article  Google Scholar 

  • Hayes, S. C., Strosahl, K., & Wilson, K. G. (1999). Acceptance and commitment therapy: An experiential approach to behavior change. New York: Guilford.

    Google Scholar 

  • Herman, K. C., Merrell, K. W., Reinke, W. M., & Tucker, C. M. (2004). The role of school psychology in preventing depression. Psychology in the Schools, 41(7), 763–775. doi:10.1002/pits.20016.

    Article  Google Scholar 

  • Horowitz, J. L., & Garber, J. (2006). The prevention of depressive symptoms in children and adolescents: A meta-analytic review. Journal of Consulting and Clinical Psychology, 74(3), 401–415. doi:10.1037/0022-006X.74.3.401.

    Article  PubMed  Google Scholar 

  • Izard, C. E., King, K. A., Trentacosta, C. J., Morgan, J. K., Laurenceau, J., Krauthamer-Ewing, E. S., et al. (2008). Accelerating the development of emotion competence in Head Start children: Effects on adaptive and maladaptive behavior. Development and Psychopathology, 20, 369–397. doi:10.1017/S0954579408000175.

    Article  PubMed  Google Scholar 

  • Izard, C. E., Trentacosta, C. J., King, K. A., & Mostow, A. J. (2004). An emotion-based prevention program for Head Start children. Early Education and Development, 15(4), 407–422. doi:10.1207/s15566935eed1504_4.

    Article  Google Scholar 

  • Joughin, C. (2006). Cognitive behavior therapy can be effective in managing behavioural problems and conduct disorder in pre-adolescence. What works for children group: Evidence nugget. London, England: Economic & Social Research Council. Retrieved from http://www.whatworksforchildren.org.uk/docs/Nuggets/pdfs/CBT%20nugget.pdf

  • Kendall, P. C., Robin, J. A., Hedtke, K. A., Suveg, C., Flannery-Schroeder, E., & Gosch, E. (2005). Considering CBT with anxious youth? Think exposures. Cognitive and Behavioral Practice, 12(1), 136–148. doi:10.1016/S1077-7229(05)80048-3.

    Article  Google Scholar 

  • Khanna, M. S., & Kendall, P. C. (2008). Computer-assisted CBT for child anxiety: The Coping Cat CD-ROM. Cognitive and Behavioral Practice, 15, 150–165. doi:10.1016/j.cbpra.2008.02.002.

    Article  Google Scholar 

  • Kovacs, M., Sherrill, J., George, C. J., Pollock, M., Tumuluru, R. V., & Ho, V. (2006). Contextual emotion-regulation therapy for childhood depression: Description and pilot testing of a new intervention. Journal of the American Academy of Child and Adolescent Psychiatry, 45(8), 892–903. doi:10.1097/01.chi.0000222878.74162.5a.

    Article  PubMed  Google Scholar 

  • Kross, E., Davidson, M., Weber, J., & Ochsner, K. (2009). Coping with emotions past: The neural bases of regulating affect associated with negative autobiographical memories. Biological Psychiatry, 65, 361–366. Retrieved from http://www.elsevier.com/wps/find/journaldescription.cws_home/505750/description#description

  • Landon, T., Ehrenreich, J. T., & Pincus, D. B. (2007). Self-efficacy: A comparison between clinically anxious and non-referred youth. Child Psychiatry and Human Development, 38(1), 38–45. doi:10.1007/s10578-006-0038-1.

    Article  Google Scholar 

  • Leahy, R. L. (2007). Emotion and psychotherapy. Clinical Psychology: Science and Practice, 14(4), 353–357. doi:10.1111/j.1468-2850.2007.00095.

    Article  Google Scholar 

  • Lee, J., Semple, R. J., Rosa, D., & Miller, L. (2008). Mindfulness-based cognitive behavior therapy for children: Results of a pilot study. Journal of Cognitive Psychotherapy, 22(1), 15–28. doi:10.1891/0889.8391.22.1.15.

    Article  Google Scholar 

  • Lieberman, M. D., Eisenberger, N. I., Crockett, M. J., Tom, S. M., Pfeifer, J. H., & Way, B. M. (2007). Putting feelings into words: Affect labeling disrupts amygdala activity to affective stimuli. Psychological Science, 18(5), 421–428. doi:10.1111/j.1467-9280.2007.01916.x.

    Article  PubMed  Google Scholar 

  • Linehan, M. M. (1993a). Cognitive behavioral treatment of borderline personality disorder. New York: Guilford.

    Google Scholar 

  • March, S., Hons, B. S., Spence, S. H., & Donovan, C. L. (2009). The efficacy of an internet-based cognitive-behavioral therapy intervention for child anxiety disorders. Journal of Pediatric Psychology, 34(5), 474–487. doi:10.1093/jpepsy/jsn099.

    Article  PubMed  Google Scholar 

  • Masia-Warner, C., Nagle, D. W., & Hansen, D. J. (2006). Bringing evidence-based child mental health services to the schools: General issues and specific populations. Education and Treatment of Children, 29(2), 165–172. Retrieved from http://muse.jhu.edu/journals/education_and_treatment_of_children/

  • McHugh, R. K., & Barlow, D. H. (2010). The dissemination and implementation of evidence-based psychological treatments: A review of current efforts. American Psychologist, 65(2), 73–84. doi:10.1037/a0018121.

    Article  PubMed  Google Scholar 

  • McIntosh, J. M., Jason, L. A., Robinson, W. L., & Brzezinski, L. (2004). Multiculturalism and primary prevention: Toward a new primary prevention culture. The Journal of Primary Prevention, 25(1), 1–15. Retrieved from http://www.springer.com/medicine/journal/10935

    Google Scholar 

  • Nelson-Gray, R. O., Keane, S. P., Hurst, R. M., Mitchell, J. T., Warburton, J. B., Chok, J. T., et al. (2006). A modified DBT skills training program for oppositional defiant adolescents: Promising preliminary findings. Behavior Research and Therapy, 44(2), 1811–1820. doi:10.1016/j.brat.2006.01.004.

    Article  Google Scholar 

  • Rathus, J. H., & Miller, A. L. (2002). Dialectical behavior therapy adapted for suicidal adolescents. Suicide and Life-Threatening Behavior, 32(2), 146–157. doi:10.1521/suli.32.2.146.24399.

    Article  PubMed  Google Scholar 

  • Reddy, L. A., Thomas, C. A., Newman, E., & Chun, V. (2009). School based prevention and intervention programs for children with emotional disturbance: A review of treatment components and methodology. Psychology in the Schools, 46(2), 132–153. doi:10.1002/pits.20359.

    Article  Google Scholar 

  • Robins, C. J., & Chapman, A. L. (2004). Dialectical behavior therapy: Current status, recent developments and future directions. Journal of Personality Disorders, 18(1), 73–89. doi:10.1521/pedi.18.1.73.32771.

    Article  PubMed  Google Scholar 

  • Segal, Z. V., Williams, J. M. G., & Teasdale, J. D. (2002). Mindfulness-based cognitive therapy for depression: A new approach to preventing relapse. New York: Guilford.

    Google Scholar 

  • Semple, R. J. (2005). Mindfulness-based cognitive therapy for children: A randomized group psychotherapy trial developed to enhance attention and reduce anxiety. Dissertation Abstracts International, 66-09, Section: B, p. 5105. Retrieved March 14, 2010, from http://app.cul.columbia.edu:8080/ac/handle/10022/AC:P:7592

  • Shure, M. B., & Spivack, G. (1982). Interpersonal problem-solving in young children: A cognitive approach to prevention. American Journal of Community Psychology, 10, 341–356. doi:10.1007/BF00896500.

    Article  PubMed  Google Scholar 

  • Siperstein, G., & Richards, E. (2004). Promoting social success. Baltimore, MD: Paul Brookes Publishing.

    Google Scholar 

  • Slee, N., Spinhoven, P., Garnefski, N., & Arensman, E. (2008). Emotion regulation as mediator of treatment outcome in therapy for deliberate self-harm. Clinical Psychology and Psychotherapy, 15(4), 205–216. doi:10.1002/cpp. 577.

    Article  PubMed  Google Scholar 

  • Southam-Gerow, M. A., & Kendall, P. C. (2002). Emotion regulation and understanding: Implications for child psychopathology and therapy. Clinical Psychology Review, 22, 189–222. doi:10.1016/S0272-7358(01)00087-3.

    Article  PubMed  Google Scholar 

  • Sparks, D. (2001). Why change is so threatening for schools: An interview with Peter Senge. Journal of Staff Development, 22(3). Retrieved from http://www.nsdc.org/news/jsd/senge223.cfm

  • Spence, S. H., Holmes, J. M., March, S., & Lipp, O. V. (2006). The feasibility and outcome of clinic plus internet delivery of cognitive-behavior therapy for childhood anxiety. Journal of Consulting and Clinical Psychology, 74(3), 614–621. doi:10.1037/0022-006X.74.3.614.

    Article  PubMed  Google Scholar 

  • Stormont, M., Reinke, W. M., & Herman, K. C. (2010). Introduction to the special issue: Using prevention science to address mental health issues in schools. Psychology in the Schools, 47(1), 1–4. doi:10.1002/pits.20447.

    Google Scholar 

  • Suveg, C., Kendall, P. C., Comer, J. C., & Robin, J. A. (2006). Emotion-focused CBT for anxious youth: A multiple-baseline evaluation. Journal of Contemporary Psychotherapy, 36(2), 77–85. doi:10.1007/s10879-006-9010-4.

    Article  Google Scholar 

  • Suveg, C., Sood, E., Comer, J., & Kendall, P. C. (2009). Changes in emotion regulation following cognitive-behavior therapy for anxious youth. Journal of Clinical Child and Adolescent Psychology, 38(3), 390–401. doi:10.1080/15374410902851721.

    Article  PubMed  Google Scholar 

  • Suveg, C., Southam-Gerow, M. A., Goodman, K. L., & Kendall, P. C. (2007). The role of emotion theory and research in child therapy development. Clinical Psychology: Science and Practice, 14(4), 357–371. doi:10.1111/j.1468-2850.2007.00096.x.

    Article  Google Scholar 

  • Suveg, C., & Zeman, J. (2004). Emotion regulation in children with anxiety disorders. Journal of Clinical Child and Adolescent Psychology, 33(4), 750–759. doi:10.1207/s15374424jccp3304_10.

    Article  PubMed  Google Scholar 

  • Thomas, N. (2001, May 3). Understanding emotions helps children’ development. UPDATE, 20(15). Retrieved from http://www.udel.edu/PR/UpDate/01/15/understanding.html

  • Thompson, M., & Gauntlett-Gilbert, J. (2008). Mindfulness with children and adolescents: Effective clinical application. Clinical Child Psychology and Psychiatry, 13(3), 395–407. doi:10.1177/1359104508090603.

    Article  PubMed  Google Scholar 

  • Trosper, S. E., Buzzella, B. A., Bennet, S. M., & Ehrenreich, J. T. (2009). Emotion regulation in youth with emotional disorders: Implications for a unified treatment approach. Clinical Child and Family Psychology Review, 12(3), 234–254. doi:10.1007/s10567-009-0043-6.

    Article  PubMed  Google Scholar 

  • Velting, O. N., Setzer, N., & Albano, A. M. (2004). Update on and advances in assessment and cognitive-behavioral treatment of anxiety disorders in children and adolescents. Professional Psychology: Research and Practice, 35, 42–54. Retrieved from http://www.apa.org/pubs/journals/pro/

  • Walter, U. M. (2007). Best practices in children’s mental health. Report #18: School-based mental health: A review of the national literature. Lawrence, KS: University of Kansas. Retrieved from http://hdl.handle.net/1808/3886

  • Wright, J. H. (2006). Cognitive behavior therapy: Basic principles and recent advanced. Focus, IV(2), 173–178. Retrieved from http://focus.psychiatryonline.org/

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Macklem, G.L. (2011). Sustainability, Current Programs, and a Look to the Future. In: Evidence-Based School Mental Health Services. Springer, New York, NY. https://doi.org/10.1007/978-1-4419-7907-0_10

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