Therapy in the Real World Effective Treatments for Challenging Problems

Helping beginning and experienced therapists cope with the myriad challenges of working in agencies, clinics, hospitals, and private practice, this book distills the leading theories and best practices in the field. The authors provide a clear approach to engaging diverse clients and building rapport; interweaving evidence-based techniques to meet therapeutic goals; and intervening effectively with individuals, families, groups, and larger systems. Practitioners will find tools for addressing the needs of their clients while caring for themselves and avoiding burnout; students will find a clear-headed framework for making use of the variety of approaches available in mental health practice.

Nancy Boyd-Franklin, PhD, is Distinguished Professor (Professor II) in the Graduate School of Applied and Professional Psychology at Rutgers, The State University of New Jersey. She is the recipient of honors including the Charles and Shirley Thomas Award from the Society for Psychological Study of Ethnic Minority Issues (Division 45 of the American Psychological Association) and the Pioneering Contribution to the Application of Family Systems Theory and Practice Award from the American Family Therapy Academy. Dr. Boyd-Franklin is the author of Black Families in Therapy, Second Edition, and coauthor of Reaching Out in Family Therapy: Home-Based, School, and Community Interventions, among numerous other publications. Elizabeth Cleek, PsyD, is a Vice President at the Institute for Community Living, a large behavioral health care agency in New York City, where she oversees the Program Design, Evaluation, and Systems Implementation Department and the Central Intake Department. Dr. Cleek co-led the development of an award-winning agency clinical risk assessment and intervention system, including the development of tools, procedural guidelines, and systemic interventions. She has written and presented on the use of technology to support implementation of best-practice work, the development and implementation of health-related interventions for people with serious mental illness, and multisystemic work with families. Matt Wofsy, LCSW, is the Director of Evidence-Based Treatment and Practice Innovation at the Institute for Community Living. He has extensive experience in the area of adapting evidence-based practices to diverse clinical settings, and has presented his work at state and national conferences. Mr. Wofsy has been honored as a top social work leader by the New York City chapter of the National Association of Social Workers. He is an adjunct professor at New York University Silver School of Social Work and maintains a private practice in New York City. Brian Mundy, LCSW, is a Clinical and Evaluation Specialist at the Institute for Community Living, where he primarily supports clinicians and service providers in implementing evidence-based practices in their work with clients. He has coauthored articles on the role of intimacy in recovery, as well as multisystemic work with families. Mr. Mundy is an adjunct professor at Long Island University and maintains a private clinical practice.

I. Therapy in the Real World 1. Overview of the Book 2. Evidence-Based Practice 3. Incorporating Multicultural, Racial, and Socioeconomic Diversity II. Core Mediational Processes 4. Joining and Establishing the Therapeutic Relationship 5. Psychoeducation and Recovery Principles in Mental Health Services 6. Motivational Interviewing 7. Cognitive-Behavioral Therapy 8. Mindfulness- and Acceptance-Based Principles and Practices 9. Relapse Prevention, Trigger Management, and the Completion of Treatment III. Systems Interventions: Family, Multisystems, and Group Treatment 10. Family Therapy 11. The Multisystems Model and Interdisciplinary Coordination of Care 12. Group Therapy IV. Risk Assessment and Crisis Intervention 13. Risk Assessment and Suicide Prevention 14. Crisis Intervention in Clinics, Schools, and Communities: Responses to Violence, Suicide, and Homicide V. Challenges of Clinical Work, Clinician Self-Care, Supervision, and Training 15. The Benefits and Challenges of Clinical Work and the Importance of Clinician Self-Care 16. Supervision, Training, and Organizational Support as Antidotes to Burnout Concluding Statement