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NCJ Number: 213666 Find in a Library
Title: Evidence-Based Approach to an Adolescent with Emotional and Behavioral Dysregulation
Journal: Journal of the American Academy of Child & Adolescent Psychiatry  Volume:45  Issue:4  Dated:April 2006  Pages:489-493
Author(s): Jon M. McClellan M.D.; John D. Hamilton M.D.
Date Published: April 2006
Page Count: 5
Type: Case Study
Format: Article
Language: English
Country: United States of America
Annotation: This article presents a case study of an evidence-based approach to the treatment of an adolescent with emotional and behavioral dysregulation.
Abstract: The case study demonstrates the importance of seven strategic steps when implementing evidence-based therapies: (1) identify a clinical subpopulation presenting with high frequency at the treatment site; (2) identify interventions that have been proven effective in treating this population; (3) critically review the studies for methodological quality and for relevance to the population and fit for the institution; (4) build a coalition of practitioners and experts to implement the therapies; (5) maintain fidelity to the original intervention; (6) evaluate the implementation; and (7) focus on sustaining the innovation. The case study involved the assessment, diagnosis, and treatment of a 15-year-old girl who was referred for long-term inpatient care to address her chronic behavioral and mood dysregulation, self-injurious behaviors, and psychotic-like symptoms. The authors discuss the importance of proper diagnosis and identification of appropriate and proven treatment methods. In this case, the patient was diagnosed with borderline personality disorder (BPD) and was administered dialectical behavioral therapy, a cognitive behavioral psychotherapy with documented effectiveness for reducing parasuicidal behaviors in females with BPD. References
Main Term(s): Case studies; Juvenile mental health services
Index Term(s): Behavior modification; Cognitive therapy
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