Therapeutic Behavioral Services

HOPE Counseling CenterPresenters: Sharon Singh, Maritza

Silapasvang

Background

• 11 year old boy• Problems with Aggression, Compliance, and AWOL• System– Low to Middle SES– Enmeshed relationship with parents– 2 differing parenting styles– No structured routine present

Overview

• Service lasted 9 months• Service was provided out in the community

including his home and school.• Target behaviors– Aggression– Non-compliance– AWOL

• Implemented tangible visual aids to assist in implementing a structured routine tailored to the individual

Behavior Goals

Goal-Additional Sample

Reward Chart

Coordination of Care

• All MH services were provided at HOPE– Counseling, Collateral (parent education),

Psychiatry, and TBS• Working with outside agencies to utilize

strengths and build upon them by having a meeting every 4-6 weeks during the duration of TBS– Able to pull skills from different settings to create

a streamlined plan that worked for individual

Transition Tools

Morning Routine

Bedtime Routine

Feelings Chart

Results

• Behaviors were decreased to: 0 incidents of aggression, increasing compliance in the home and school settings, and reducing AWOL to 0.

• Support system: Family, teacher’s aide, and extended family.

• Transition plan: continuing counseling and collateral support at HOPE. Starting an afterschool program and recreational activities.

• Graduation!!!!