Helps identify children and families who would benefit from
targeted psychosocial intervention.
Dr. Ford developed and conducts research on
the TARGET psychosocial intervention model for adult, adolescent, and child traumatic stress disorders.
Not exact matches
In support of this model, multiple studies have shown the association between infant negative reactivity and later
psychosocial outcomes such as problem behaviour and self - regulation to be moderated by parental behaviour, so that highly reactive children fare better than others when they experience optimal parenting but worse than others when they experience negative parenting.41 - 46 Further support is found in studies indicating that
interventions targeting parental attitudes and / or behaviours are particularly effective for children with a history of negative reactive temperament.47, 49
In the case of alcohol dependence, naltrexone can be administered along with
psychosocial interventions designed to
target addiction (for example, 12 step programmes, motivational interviewing, cognitive behavioural therapy relapse prevention, contingency management, and so on).
Patients with melanoma and colorectal cancer were specifically
targeted, and there is a gap in knowledge about effective
psychosocial interventions for these patients.
We believe these findings may be useful to inform preventive
interventions for this high - risk population facing a multitude of
psychosocial stressors and suggest that caregiving should be a specific
target.
Studies were selected if the
intervention targeted children with a chronic health condition or their family members; a planned
psychosocial intervention was evaluated (naturally occurring family resources, medical
interventions and medical or physical treatment, medications, or treatment regimens were excluded); psychological or social outcomes were examined; and ≥ 15 participants were included in the study which had random assignment to treatment groups, a matched comparison group, or a convenience comparison group.
Variation in
psychosocial influences according to the dimensions and content of children's unusual experiences: potential routes for the development of
targeted interventions.
Interventions targeting modifiable risk factors (eg, smoking, inactivity, and poor diet) in adult life have only limited efficacy in preventing age - related disease.3, 4 Because of the increasing recognition that preventable risk exposures in early life may contribute to pathophysiological processes leading to age - related disease, 5,6 the science of aging has turned to a life - course perspective.7, 8 Capitalizing on this perspective, this study tested the contribution of adverse
psychosocial experiences in childhood to 3 adult conditions that are known to predict age - related diseases: depression, inflammation, and the clustering of metabolic risk markers, hereinafter referred to as age - related - disease risks.
Behavior therapy is considered probably efficacious for childhood depression, and a number of other experimental
interventions show promise but require further evaluation.12 Currently, only 2 research groups have focused on
psychosocial interventions for childhood bipolar disorder.13 - 15 Hence, increased attention to creation and testing of treatments specifically
targeting depression and bipolar disorder in children is needed.16 In particular, studies should focus on children's developmental needs, address comorbidity, involve family members in treatment, demonstrate treatment gains as rated by parents and clinicians rather than children themselves, and compare experimental
interventions with standard care or treatment as usual (TAU) rather than no - treatment or attention control groups.12, 17,18 In addition, parental psychopathology may affect treatment adherence and response.
Maternal health and
psychosocial well - being in pregnancy may be key
targets for
intervention.
We have previously reported the immediate effects of this
psychosocial family - based
intervention on independently observed aspects of the caregiving environment and child social competence during unfamiliar peer entry, including approach and regulatory behaviors.30 Thus, we have demonstrated the efficacy of the
intervention in altering the
targeted risk factors.
For example, a tobacco - focused review which included any
intervention type, classified
interventions with a component of resilience content into different subgroups such as social competence or social influence
interventions, finding evidence for both broad
intervention approaches.6 For the alcohol - focused review, only universal
interventions were included with such
interventions grouped according to whether they
targeted alcohol alone or
targeted multiple substance types.5 While meta - analysis was not conducted due to the heterogeneity of studies, the review concluded that some
psychosocial and developmental prevention programmes were effective.
Conclusion:
Interventions on
psychosocial dysfunction need a great start,
targeting adolescents, their caregivers, and community stakeholders, with a special emphasis on the school setting.
Evidence is emerging that
psychosocial interventions can prevent depression15 - 17 in adolescents, and prevention
interventions targeted at high - risk groups have recently had favorable results.16, 17 Our group has described a successful group cognitive behavioral
intervention to prevent depression episodes in at - risk adolescents.18 Teens in the study had 2 significant risk factors: (1) they were offspring of depressed parents and (2) they had significant subsyndromal symptoms and / or a past episode of depression.
In sum, important temporal sequences were uncovered potentially providing information for prevention and
intervention targeting psychosocial functioning in adolescents with congenital heart disease.
Adjunctive
psychosocial interventions for bipolar disorder
target many of the issues that are not addressed by medication alone, including non-adherence, efficacy — effectiveness gap and functionality.
The goal of the assessment process is to provide both the health care team and the
psychosocial professionals involved with a clearer picture of the needs and strengths of children and families who require
Targeted or Clinical * level
interventions.
Parent - training programmes have been shown to be successful in improving a range of outcomes including maternal
psychosocial health32 and emotional and behavioural adjustment in children under 3 years of age.33 In the UK, the Sure Start project was launched in 1999
targeting preschool children and their families, in disadvantaged areas, with a number of
interventions including good quality play, learning and child care.34 Recent evidence suggests that enrolled families showed less negative parenting and provided a better home - learning environment.35 The findings presented in this paper suggest that successful parenting
interventions may improve the transfer of cognitive skills between generations thereby protecting disadvantaged families from unintentionally placing their children at risk of being on a path of continual negativity.