Interventions | School/Contextual

Improving an at-risk youth’s functioning in major life contexts (family, school, community, social, peers, etc) is one of the primary goals of Intensive Home-Based Treatment (IHBT) and has proven to be one of the leading indicators of IHBT success.

The percent of youth getting passing grades during IHBT treatment increased from 65% to 77%.

The percent of youth with disciplinary problems in school decreased greatly from 68% to 49% during IHBT.

When approaching strategic interventions for young people dealing with any combination of mental health challenges, substance use, and trauma, one of the initial questions is helpful to raise and answer is: Are there significant systemic barriers that interfere with functioning in key life domains?

In answering this question, it is important to:
– Identify key escalation patterns and remediate
– Focus on improving relationships in key life domains
– Coaching and consulting with key adults for accommodations and expectations that maximize success
– Focus on solutions

As for Community Context: Cross-system collaboration and interventions, the goals include:
– Assisting system in creating strategic accommodations that facilitate youth success
– Assessing and problem solving barriers to successful functioning in each life domain
– Educating other system providers on the needs of the youth based on his or her mental health disability
– Facilitating realistic and achievable expectations and goals
– Assisting youth and family in building positive community relationships

Teaching system navigation to the youth and family similarly include:
– Teaching youth and family self-advocacy
– Facilitating positive connections in multiple environments
– Finding contexts where youth can be successful and where youth can be in control (accommodations)

Tools to help achieve and sustain these include:
– Child and Family Team Meetings
– Strategic Accommodations


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