This book uniquely addresses the application of CBT to children and young people within health, school and community contexts.
With the recent expansion of increasing access to psychological therapies (IAPT) CBT is increasingly applied to work with children outside the traditional therapy clinic. This book provides accessible knowledge and practice skills for professional staff working with troubled children and young people in real-world settings. Front-line practitioners commonly face children with complex patterns of difficulties that do not fit clear diagnostic categories. Moreover, long waiting lists and fixed lengths of treatment don't always fit the presenting needs. Correspondingly, the authors take a much-needed realistic approach to applying CBT to childhood problems.
At the center of this book is the child, the authors moving outwards to cover childhood itself, the principles, core practice and techniques of CBT and its adaptation to the context of the therapy. This is relevant and accessible reading for a wide range of specialist child trainees and practitioners, including new IAPT therapists, counselors, nurses, teachers and social workers.
Chapter 14: Moderating Factors to Effective Practice
Moderating Factors to Effective Practice
Multiple Problems (Co-Morbidity)
Although the research literature for the effectiveness of psychological therapies for children tends to be organised around interventions for specific problems or diagnoses, there is evidence that a large proportion of cases presenting to child mental health services report more than one problem (Day & Davis, 2006). Within the medical model, this is referred to as co-morbidity and refers to a situation in which a young person has more than one disorder, for example, both anxiety and depression, or conduct disorder alongside anxiety or depression. Children with an anxiety disorder will meet criteria for another sub-type of anxiety disorder in about 30 per cent of cases (Strauss & Last, 1993), for major depression in ...