Settings for CBT

There is now a consensus among professionals that to maximize the generalization of therapy-trained skills to other settings, it is important to involve parents, teachers, or peers in the treatment of some disorders. CBT is therefore used in several non-clinical settings. School-based interventions have become increasingly popular in recent years, especially for behavioural disorders. Examples include the Problem-solving Skills Training Programme (34> and the Good Behaviour Game.(35) These programmes typically involve problem-solving techniques and guided self-talk to reduce disruptive classroom behaviours. School-based programmes have also been developed to prevent problems such as depression.(36)

Residential programmes have been designed to apply cognitive-behavioural methods in residential settings such as children's homes or secure care facilities. An example would be behaviourally based group homes for juvenile offenders, such as Achievement Place. (3Z> Gains from residential programmes may, however, be lost when the child leaves. Community programmes attempt get around this problem by conducting programmes in the youth's community. Typically, these programmes attempt to 'wrap-around' the young person and family a network of interventions (such as contingency management) and social supports.

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