WEEK 5
WEEK 4
RECOGNIZE ANXIOUS SELF -TALK/PRACTICE COPING SELF-TALK
RELAXATION TRAINING (VISUALIZATION AND PROGRESSIVE MUSCLE RELAXATION)
LIMITATIONS
WEEK 3
41% DROP OUT LEAVING N=13 AT POST-TEST
NO CONROL GROUP
TYPES NOT CATEGORIZED
NO MEASURE OF SCHOOL REFUSAL ANTECEDANTS
WEEK 8
HIERARCHY OF ANXIETY-PRODUCING SITUATIONS, TO DISTINGUISH ANXIETY FROM OTHER SYMPTOMS/ RECOGNITION OF SOMATIC SYMPTOMS
WEEKS 9-15
REVIEW OF ALL OF THE CONCEPTS
Beidas, S.B., Crawley, S.A, & Mychailyszyn, M.P. (2010). Cognitive-behavioral treatment of anxious youth with comorbi school refusal: Clinical presentation and treatment response. Psychological Topics, 2, 255-277.
EXPOSURE! AND PRACTIVE OF NEWLY LEARNED SKILLS
WEEK 7
WEEK 16
SELF-EVALUATION/SELF-REWARD
MAKE A TESTIMONIAL OR COMMERCIAL IN WHICH THE GOAL IS TO TEACH OTHER CHILDREN HOW TO COPE WITH ANXIETY
WEEK 2
AFFECTIVE EDUCATION/DISCUSSION OF FEELINGS
GROUP DISCUSSION
DO YOU THINK THE HYPOTHESIS WAS SUPPORTED?
WHAT TYPES OF CHILDREN DO YOU THINK WILL HAVE SCHOOL REFUSAL?
DO YOU THINK ANYONE IN THIS CLASS HAS EVER HAD SCHOOL REFUSAL?
HOW DO YOU FEEL ABOUT COPING CAT INTERVENTION?
WEEK 6
COPING STRATEGIES/VERBAL SELF-DIRECTION/DEVELOP APPROPRIATE ACTIONS TO COPE WITH ANXIETY
WEEK BY WEEK
WEEK 1:
BUILD RAPPORT AND DISCUSS SPECIFIC ANXIETY SITUATIONS AND REACTIONS
16 WEEKS IN SEVEN MINUTES
RESEARCH DESIGN
PICK A NUMBER BETWEEN 2 AND 8
YOUR ROLE IN OUR EBI DEMONSTRATION
* N=27 YOUTH (7-16 YEARS OLD) RATED 4 OR ABOVE IN SCHOOL REFUSAL BEHAVIOR COMORBID WITH GAD, SA, OR SP
PRE-TEST/POST-TEST DESIGN
- ANXIETY DISORDER INTERVIEW SCALE CHILD/PARENT
- CHILDREN'S GLOBAL ASSESSMENT SCALE
- MULTIDIMENSIONAL ANXIETY SCALE FOR CHILDREN
- CHILD DEPRESSIVE INVENTORY
- CHILD BEHAVIOR CHECKLIST
POST-TEST
WHOLE CLASS-WEEK 1
2-WEEK 2
3-WEEK 3
4-WEEK 4
5-WEEK 5
6-WEEK 6
7-WEEK 7
8-WEEKS 9-15
EFFECT SIZES ARE MODERATE TO LARGE
HYPOTHESIS: BOTH ANXIOUS AND DEPRESSIVE SYMPTOMS WILL SIGNIFICANTLY DECREASE OVER THE PROVISION OF TREATMENT AND YOUTH WILL RESPOND TO COGNITIVE BEHAVIORAL THERAPY (COPING CAT)
75% OF PARTICIPANTS DID NOT MEET CRITERIA FOR SCHOOL REFUSAL
COPING CAT TO THE RESCUE!
A COGNITIVE BEHAVIORAL THERAPY INTERVENTION PROGRAM FOR ANXIETY- RELATED SCHOOL REFUSAL IN CHILDREN AND ADOLESCENTS
DIAGNOSIS:
1. GENERALIZED ANXIETY DISORDER
2. GENERALIZED AND SOCIAL ANXIETY
DISORDER
3. SEPARATION ANXIETY DISORDER AND
OPPOSITIONAL DEFIANT DISORDER
4. OPPOSITIONAL DEFIANT DISORDER
AND CONDUCT DISORDER
THE COPING CAT: AN EVIDENCE-BASED INTERVENTION FOR TREATING SCHOOL REFUSAL
FUNCTION OF THE BEHAVIOR:
OBJECTIVES
- ESCAPE OF SITUATIONS IN A SCHOOL SETTING THAT PROVOKE ANXIETY
- AVOIDANCE OF EVALUATION OR SOCIAL SITUATIONS THAT ARISE IN SCHOOL SETTINGS
- ATTENTION SEEKING BEHAVIORS
- TANGIBLE REINFORCEMENT
- DEFINE THE PROBLEM OF SCHOOL REFUSAL
- PERFORM THE COPING CAT INTERVENTION
- GROUP DISCUSSION
- RESULTS AND CONCLUSION
SCHOOL REFUSAL
TYPES:
- TRUE SCHOOL REFUSAL
- TRUANCY