Course Form I. Summary of Proposed Changes Dept / Program Psychology Prefix and Course # Course Title Principles of Child Interventions Short Title (max. 26 characters incl. spaces) Child Interventions Summarize the change(s) proposed New course addition II. Endorsement/Approvals Complete the form and obtain signatures before submitting to Faculty Senate Office Please type / print name Signature Requestor: Cameo Borntrager Phone/ email : X5191 cameo.borntrager@umontana.edu Program Chair/Director: Nabil Haddad Other affected programs Dean: PSYX 535 Date 9/4/10 Chris Comer Are other departments/programs affected by this Please obtain signature(s) from the modification because of Chair/Director of any such department/ (a) required courses incl. prerequisites or corequisites, program (above) before submission (b) perceived overlap in content areas (c) cross-listing of coursework III: To Add a New Course Syllabus and assessment information is required (paste syllabus into section V or attach). Course should have internal coherence and clear focus. NO Common Course Numbering Review: Does an equivalent course exist elsewhere YES in the MUS? Do the proposed abbreviation, number, title and credits align with existing course(s)? Please indicate equivalent course/campus X http://mus.edu/transfer/CCN/ccn_default.asp Exact entry to appear in the next catalog (Specify course abbreviation, level, number, title, credits, repeatability (if applicable), frequency of offering, prerequisites, and a brief description.) G 535 (PSYX 535) Principles of Child Interventions 3 cr.(R-12) Offered every term. Prerequisite: graduate standing in the clinical psychology program and consent of instructor. Review of clinical research and methodology in youth mental health. Specific treatment interventions are explored for the practitioner and also may serve as a valuable base for engaging in psychological consultation with youth and families. Justification: How does the course fit with the existing curriculum? Why is it needed? This course was successfully implemented as an experimental 595 course focused on child interventions. It is needed as the primary course on therapy with youth and families for graduate students focusing on youth mental health. Are there curricular adjustments to accommodate teaching this course? No Complete for UG courses. (UG courses should be assigned a 400 number). Describe graduate increment (Reference guidelines: http://www.umt.edu/facultysenate/Grad/UG.htm) Fees may be requested only for courses meeting specific conditions determined by the Board of Regents. Please indicate whether this course will be considered for a fee. If YES, what is the proposed amount of the fee? Justification: YES NO X IV. To Delete or Change an Existing Course – check X all that apply Deletion Title Course Number From: Level U, UG, G Change To: Description Change Change in Credits From: To: Prerequisites 1. Current course information at it appears in catalog (http://www.umt.edu/catalog) From: To: Repeatability Cross Listing (primary program initiates form) Is there a fee associated with the course? 2. Full and exact entry (as proposed) 3. If cross-listed course: secondary program & course number 4. Is this a course with MUS Common Course Numbering? If yes, then will this change eliminate the course’s common course status? Please explain below. 5. Graduate increment if level of course is changed to UG. Reference guidelines at: http://www.umt.edu/facultysenate/Grad/UG.htm (syllabus required in section V) 6. Other programs affected by the change 7. Justification for proposed change Have you reviewed the graduate increment guidelines? Please check (X) space provided. This is course is required for graduate students in the clinical and school psychology programs. With the hiring of a new faculty member specializing in youth and families, this course can be offered permanently. V. Syllabus/Assessment Information Required for new courses and course change from U to UG. Paste syllabus in field below or attach and send digital copy with form. PSYX 631: Principles of Child Interventions Autumn Semester, 2010 Monday, Wednesday 9:10a-10:30a Skaggs 303 Instructor: Cameo Borntrager, Ph.D. Office: Skaggs 202 Contact Information: Cameo.Borntrager@umontana.edu 406.243.5191 Office Hours: by appointment In accordance with University of Montana’s mission to provide equal educational opportunities for all students, necessary accommodations for students with disabilities will be made whenever possible. If you require accommodations, please provide written information regarding your disability from the Disability Services as soon as possible so that accommodations can be made. Course Description. This course provides an intensive introduction to evidence-based psychological treatments for a variety of problems facing children and families in clinical settings. There will be a particular emphasis on cognitive-behavioral and behavioral approaches. Although it is not all-inclusive, treatment of several conditions such as anxiety disorders, depression, conduct and attention problems, thought disorders, and trauma will be covered. We will also discuss child abuse reporting and some research on dissemination and implementation science. Our focus will be primarily practical, though we will afford attention to scientific issues. Required Readings Student subscription to the “PracticeWise Evidence-Based Services (PWEBS) Database” and “PracticeWise Practitioner's Guide”* *Additional readings assigned & provided via email/Blackboard* Required Resources American Psychological Association. (2001). Publication Manual of the American Psychological Association. Washington, DC: American Psychological Association. *New APA manual out (6th edition)* Suggested Readings Chorpita, B. F. (2007). Modular cognitive-behavioral therapy for childhood anxiety disorders. New York, NY, US: Guilford Press. Policy on Absences. As active participation is central to this course, only one absence during the semester will be excused (you will, however, be accountable for that class session’s assignment). For a second absence, students will be assigned a book on an evidence-based treatment to read and critique. Except in extraordinary circumstances, a third absence will result in a grade reduction (or an incomplete until the missed sessions can be made up in a subsequent semester). Grading The majority of your grade will be based on class participation and active participation in role-plays (70%). There will be one writing assignment included in your grade as well (30%). Students are expected to finish all assignments by the specified deadlines. Because of the active engagement required in class activities, it will be very apparent if you did not do the assigned reading. The penalty for late assignments is 10% of the grade for each day late. The instructor reserves the right to assign due dates for work necessary to remove an ‘incomplete’ grade. Role Play. A major determinant of your course grade will be preparation for class and active, thoughtful participation in class (35%). Students will take part in frequent role-play exercises during class, for which the therapist and client will be selected by the instructor. Role-plays will occur either in small groups or a single dyad will perform in front of the class. Final Role Play. A final video-taped role-play and accompanying self-critique will account for 35% of your course grade. Each student will serve as a therapist conducting a cognitive-behavioral therapy session with a “patient” presenting with a semi-scripted problem. After the session, participants will prepare a detailed critique of their own performance, with time-codes for specific strengths and weaknesses, as cognitive-behavioral therapists. Session videos and self-critiques will be submitted to the instructor by DECEMBER 13, 2010, the last day of class. The grade for this portion of the class will be based on both the skills shown during session and the thoughtfulness and accuracy of participants’ own commentaries on their performances. Written Assignment. The “Not Quite Ready for the Evidence Base” (NQR) or “Potentially Harmful Treatment” (PHT) writing assignment will account for 30% of your final grade. For the “NQR” or “PHT” writing assignment, you will select a treatment approach that we do not discuss much or at all in the course, usually one with a more limited (or even no) evidence base (e.g., a level 5 treatment according the Blue Menu). A few rules: The treatment must be specified for a particular child/adolescent problem (e.g., diagnostic category like depression or bipolar disorder, problem like delinquency, attachment difficulties, or self-injurious behaviors, etc.). The treatment could be one that appears promising from early research; however, you may also choose a treatment that is well-known and yet not well-studied. You may also choose a treatment that is considered ‘risky’ or potentially harmful as indicated by either the Blue Menu or the Lilienfeld article (Lilienfeld, 2007). Your selection must be approved by the course instructor BY SEPTEMBER 27, 2010. Once you are “cleared”, the assignment involves several steps: 1. Describe the treatment in detail so that it is clear you understand what the approach involves. Ideally, you will be able to describe the “course” of treatment—that is, how treatment would “appear and feel” to a client/family. As examples, you should be able to answer the following questions to the extent that this information is available (this list is NOT exhaustive; keep in mind that you may need to contact authors directly and any correspondence should go through the course instructor BEFORE sending): a. What treatment strategies are involved? b. Who is involved in the treatment? c. How does the treatment begin? d. How is it designed to conclude? 2. Discuss the theoretical basis of the treatment, including your understanding of the rationale for using the treatment for the population. What are the proposed mechanisms of action? Which theory (or theories) does the treatment draw on? Why does the treatment fit the problem area? 3. Present the evidence base for the treatment, providing a thorough examination of the data about the treatment. The evidence base will obviously include clinical studies that test the efficacy of the treatment. You may also want to review any basic research that would support the use of the approach. As an example, are there studies suggesting that the proposed mechanisms of action are relevant to the problem area? 4. Analyze/critique the evidence base. Consider the study methods, including internal and external validity concerns, measurement issues, ethical concerns, and when needed, statistical analyses. A consideration of the evidence base with regard to diverse populations is warranted. 5. Identify future directions for research on the treatment approach. What would it take to take the treatment to the next level? Should the treatment be taken to the next level (i.e., if a treatment is ‘risky,’ according to the Blue Menu, that would suggest that some children are helped by the treatment and some are not—what would be required to improve the treatment so that it is empirically based and ethical, if at all?) The length of the paper will not affect its score. Though most papers will be between 10-15 pages, there is no required length. I fully expect that papers will vary greatly in their length depending on the evidence available for a particular treatment. Please know that I will NOT worry about the paper’s length when grading. Instead, I will focus on whether you have completed the task described above in a thoughtful and scholarly manner and all writing MUST adhere to APA Publication Manual standards. Attention to your prose is important, too; organization, grammar, and clarity will matter in determining your final score. You also have the option of turning in an outline to me prior to completing your written assignment. I strongly encourage this, as it will allow you the chance to make necessary thematic or editorial changes and increase the likelihood that you will meet all of the requirements for your final paper. If you choose to complete an outline, these are due to me BY OCTOBER 18, 2010. The final paper is due DECEMBER 6, 2010. Date 08/30/09 09/01/10 Topic and Associated Readinga, b Introductions; Becoming an Evidence-Based Therapist: CBT Basics and Common Elements Model Syllabus Review Developmental Psychopathology Model Blue Menu Becoming an Evidence-Based Therapist: CBT Basics and Practice Element Model Chorpita, B. F., Daleiden, E., & Weisz, J. R. (2005). Identifying and selecting the common elements of evidence based interventions: A distillation and matching model. Mental Health Services Research, 7, 5-20. 09/06/10 09/08/10 Kazdin, A. (2008). Evidence-based treatment and practice: New opportunities to bridge clinical research and practice, enhance the knowledge base, and improve patient care. American Psychologist, 63, 146-159. NO CLASS: LABOR DAY HOLIDAY Becoming an Evidence-Based Therapist: CBT Basics and Practice Element Model Daleiden, E., & Chorpita, B. F. (2005). From data to wisdom: Quality improvement strategies supporting large-scale implementation of evidence based services. Child and Adolescent Psychiatric Clinics of North America, 14, 329-349. 09/13/10 Chorpita, B. F., & Daleiden, E. (2009). Mapping evidence-based treatments for children and adolescents: Application of the Distillation and Matching Model to 615 treatments from 322 randomized trials. Journal of Consulting and Clinical Psychology, 77, 566-579. Cognitive-Behavioral Case Conceptualization and Non-Specifics Lilienfeld, S. (2007). Psychological treatments that cause harm. Perspectives on Psychological Science, 2, 53-70. 09/15/10 9/20/10 09/22/10 Jackson, K., & Hodge, D. (2010). Native American youth and culturally sensitive interventions: A systematic review. Research on Social Work Practice, 20, 260-270. Anxiety 1: Self Monitoring / Psychoeducation Chorpita, B. F. (2007). Modular cognitive-behavioral therapy for childhood anxiety disorders. New York, NY, US: Guilford Press. Pages 130-150; 168-187 Anxiety 2: Cognitive Anxiety 2: Exposure I, OBTAIN INSTRUCTOR APPROVAL FOR WRITING ASSIGNMENT (9/27/10) Foa, E. B., & Kozak, M. J. (1986). Emotional processing of fear: Exposure to corrective information. Psychological Bulletin, 99(1), 20-35. Olatunji, B., Deacon, B., & Abramowitz, J. (2009). The cruelest cure? Ethical issues in the implementation of exposure-based treatments. Cognitive and Behavioral Practice, 16, 172-180. 09/27/10 Anxiety 2: Exposure II 09/29/10- Childhood Trauma 10/04/10 Amaya-Jackson, L., & DeRosa, R. (2007). Treatment considerations for clinicians in applying evidence-based practice to complex presentations in child trauma. Journal of Traumatic Stress, 20, 379-390. Chaffin, M., Hanson, R., Saunders, B., Nichols, T., Barnett, D., Zeanah, C., Berliner, L., Egeland, B., Newman, E., Lyon, T., Letourneau, E., & Miller-Perrin, C. (2006). Report of the APSAC Task Force on attachment therapy, reactive attachment disorder, and attachment problems. Child Maltreatment, 11, 76-89. 10/06/10 De Arellano, M., Waldrop, A., Deblinger, E., Cohen, J., Kmett Danielson, C., & Mannarino, A. (2005). A community outreach program for child victims of traumatic events: A community-based project for underserved children. Behavior Modification, 29, 130-155. Group Therapy with Children Stein, B., Jaycox, L., Kataoka, S., Wong, M., Tu, W., Elliot, M., & Fink, A. (2003). A mental health intervention for schoolchildren exposed to violence: A randomized controlled trial. JAMA, 290, 603-611. 10/11/10 Weiss, B., Caron, A., Ball, S., Tapp, J., Johnson, M., & Weisz, J. (2005). Iatrogenic effects of group treatment for antisocial youth. Journal of Consulting and Clinical Psychology, 73, 1036-1044. Depression 1: Psychoeducation / Problem-Solving 10/13/10 Weisz, J., Thurber, C., Sweeney, L., Proffitt, V., LeGagnoux, G. (1997). Brief treatment of mild-to-moderate child depression using primary and secondary control enhancement training. Journal of Consulting and Clinical Psychology, 65, 703-707. Depression 2: Activity Selection 10/18/10 Depression 3: Relaxation / Secret Calming / Talents & Skills, OPTIONAL FINAL PAPER OUTLINE DUE TO INSTRUCTOR 10/20/10- Depression 4: Positive Self / Cognitive BLUE & FUN 10/25/10 10/27/10 Depression 5: Three-Step Plan / Wrap-Up 11/01/10- Disruptive Behaviors 1: Engaging Parents / Psychoeducation-Parent 11/03/10 Eyberg, S., Nelson, M., & Boggs, S. (2008). Evidence-based psychosocial treatments for children and adolescents with disruptive behavior. Journal of Clinical Child and Adolescent Psychology, 37, 215-237. Henggeler, S., Schoenwald, S. , Liao, J. , Letourneau, E., & Edwards, D. (2002). Transporting efficacious treatments to field settings: The link between supervisory practices and therapist fidelity in MST programs. Journal of Clinical Child & Adolescent Psychology, 31, 155-167. Nix, R., Bierman, K., McMahon, R., & The Conduct Problems Prevention Research Group. (2009). How attendance and quality of participation affect treatment response to parent management training. Journal of Consulting and Clinical Psychology, 77, 429-438. 11/08/10- Disruptive Behaviors 2: One on One Time / Praise / Active Ignoring 11/10/10 11/15/10 Disruptive Behaviors 3: Effective Instructions / Time Out I 11/17/10 Disruptive Behaviors 3: Time Out II 11/22/10 Disruptive Behaviors 5: Rewards / Daily Report Card 11/24/10 NO CLASS: THANKSGIVING HOLIDAY 11/29/10 Childhood Psychosis Schiffman, J., Chorpita, B., Daleiden, E., Maeda, J., & Nakamura, B. (2008). Service profile of youths with schizophrenia-spectrum diagnoses. Children and Youth Services Review, 30, 427-436. 12/01/10- Child Abuse Reporting 12/06/10 Geller, J., & Srikameswaran, S. (2006). Treatment non-negotiables: Why we need them and how to make them work. European Eating Disorders Review, 14(4), 212217. 12/08/10 Kalichman, S. C. (1999). Mandated reporting of suspected child abuse: Ethics, law, & policy. Washington, DC: American Psychological Association. Chapter 1-3, 7 Dissemination and Implementation of Evidence-Based Practices McHugh, R. K., & Barlow, D. (2010). The dissemination and implementation of evidence-based psychological treatments. American Psychologist, 65, 73-84. Schiffman, J., Becker, K., & Daleiden, E. (2006). Evidence-based services in a statewide public mental health system: Do the services fit the problems? Journal of Clinical Child and Adolescent Psychology, 35, 13-19. Steinfeld, B., Coffman, S., & Keyes, J. (2009). Implementation of an evidencebased practice in a clinical setting: What happens when you get there? Professional Psychology: Research and Practice, 40, 410-416. 12/13/10 LAST DAY OF CLASS *******FINAL ROLE-PLAY TAPES & CRITIQUES DUE******* aPractitioner Guides for EACH practice element are required readings bSubject to revision VI Department Summary (Required if several forms are submitted) In a separate document list course number, title, and proposed change for all proposals. VII Copies and Electronic Submission. After approval, submit original, one copy, summary of proposals and electronic file to the Faculty Senate Office, UH 221, camie.foos@mso.umt.edu. Revised 11-2009