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Child and Adolescent Self-Injury -Practical Assessment and Treatment Approaches by David G. Kamen,
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Faculty:: David G. Kamen
Duration:: 5 Hours 45 Minutes
Format:: Audio and Video
Copyright:: Dec 30, 2015

Description

Children and adolescents who deliberately inflict physical pain and injury to their bodies vary in terms of their motives and self-harming methods. Feeling shame and embarrassment, these children may privately console themselves, or befriend other self-injurious peers—which can further intensify the lethality and suicidal intent of their acts. As a result professionals who work with youth who self-injure find it to be one of the most challenging of psychological and behavioral issues.

Mental health professionals, pediatricians, school counselors and teachers, and youth workers have all conveyed that they feel ill-equipped to help these children. Further still, self-harming children may be experiencing any number of psychiatric disorders—from Major Depressive Disorder, to Obsessive-Compulsive Disorder, to bulimia and anorexia, to alcohol and substance abuse.

This recording will thoroughly educate mental and medical health professionals, school counselors and teachers about the assessment and treatment of youth self-injury. Evidenced-based reviews, complete with case examples, will explain the theoretical, historical and cultural reasons for this problem. Practical approaches for individual and group psychotherapy, with resources to help professionals advocate for these children, will be offered.

To help you formulate a comprehensive treatment plan, specific interview questionnaires and note-taking methods will be discussed. Well-established motivational interviewing, family therapy and play therapy techniques will be covered with step-by-step instruction and demonstration. Watch this digital seminar and build your confidence that you can identify and effectively treat this damaging condition.

Handouts

Outline

The Theory, History and Cultural Origins of Youth Self-Injury

History of youth self-injury, with cross-cultural comparisons of the problem
Cognitive-behavioral, psychodynamic, family systems, feminist and neuropsychological perspectives on youth self-injury
Comparative analysis of suicidal, para-suicidal and non-suicidal self-injury

Empirical Review on Youth Self-Injury

Epidemic facts on the incidence and prevalence of youth self-injury
Psychiatric and medical comorbidity associated with youth self-injury, including:
- Reactive Attachment disorder
- Obsessive-Compulsive Disorder
- Post-Traumatic Stress Disorder
- Major Depressive Disorder
- Disruptive Behavior Disorders
Case study review

Signs of Self-Injury

Types of self-injurious behaviors in children and adolescence
Behaviors that should be a “red flag”
Who is most at risk of developing self-injurious behaviors?
Clinical onset, development and prognosis of injurious behaviors
Individual emotional and cognitive causes of self-injurious behavior
Deep psychological sources of self-injury, including masochism and narcissism
Family conflict, peer pressure and social contagion that causes self-injury

The Clinical Assessment of Youth Self-Injury

General diagnostic interview and mental status examination
Suicidal and lethality risk assessment
Personality assessment
Norm-referenced youth self-injury inventories for:
- objectively measuring self-injury risk and protective factors
- suicidal thoughts, emotions and attitudes
Collateral interviews with parents, teachers and other health care professionals

Diagnosing self-injurious behavior

The Treatment of Youth Self-Injury

Ethical considerations, including confidentiality and duty-to-warn policies
Treating the behavior as an addiction and as an obsessive-compulsive feature
The 4-Step Assessment and Treatment Approach
- emergency triage and case conceptualization
- functional analysis of self-injury behaviors and reinforcements
- Motivational Interviewing—to treat self-injury as an addiction
- Exposure Therapy—to treat obsessive-compulsive features of self-injury
Counseling Techniques
- “No talk” Play therapy
- cognitive-behavioral
- psychodynamic
- family systems counseling
- group psychotherapy approaches
  - dynamic
  - existential
  - cognitive-behavioral
Pharmacotherapy
- commonly prescribed medications
- when to send out a referral
- contraindications
Coordination of care with educators, medical and mental health care professionals
- developing a collaborative team of professionals
- relapse prevention
Tips for professional self-care—to prevent you from getting vicarious traumatization
Examination of community resources and references

What You Will Learn

Learn the epidemic facts on youth self-injury
Examine the historical, cultural and theoretical perspectives on youth self-injury
Outline the spectrum of self-injurious behaviors in children and adolescents
Recognize and be able to distinguish between suicidal, para-suicidal and non-suicidal self-injurious behavior in children and adolescents
Discuss self-injury etiology, assessment and intervention/prevention issues
Understand the psychiatric disorders of the children who self-injure
Examine evidence-based reviews and practical approaches for the hospital, therapy room, school, and community
Discover how to use play therapy, including art therapy, sand-tray therapy, journaling methods, music and crafts to build self-esteem and confidence in youth who self-injure
Discover Internet resources to further develop self-injury assessment and therapy skills demonstrated during this seminar
Discover ethical risk-management methods, to effectively advocate for youth who self-injure, to minimize professional risks and maximize outcome for your clients
Discuss case studies relevant to the treatment of self-injury

Faculty

David G. Kamen, PH.D. Related seminars and products: 2

David Kamen, Ph.D., is a clinical psychologist licensed in New Hampshire and Massachusetts, where he works regularly with adults, adolescents, and children who engage in self-injurious behavior. He has worked with professionals and educators through his practice, and through his work in community mental health and emergency room settings. In full-time practice for many years, Dr. Kamen has been counseling self-injurious patients through individual and group therapy formats, using psychodynamic, cognitive-behavioral and family systems approaches.

Dr. Kamen has also served as a forensic psychologist to address the issues of self-injury in victims of child abuse and neglect. His research has been presented at the International Society for the Study of Self-Injury (ISSS), the American Psychological Association (APA), Saint Anselm College of Nursing, Continuing Education, and featured in The International Journal of Behavioral Consultation and Therapy, as well as The New Hampshire Trial Bar News. Dr. Kamen has been teaching continuing education workshops on the treatment of self-injury since 2009, and is currently writing a book on self-injury.

Speaker Disclosures:

Financial: David Kamen has an employment relationship with The Counseling Center of Nashua. He receives a speaking honorarium from PESI, Inc.

Non-financial: David Kamen is a member of the American Psychological Association.

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