Applications of the Unified Protocols for Transdiagnostic Treatment of Emotional Disorders in Children and Adolescents (ABCT CLINICAL PRACTICE SERIES)

The Unified Protocols for Transdiagnostic Treatment of Emotional Disorders in Children (UP-C) and Adolescents (UP-A) are evidence-based interventions originally designed to target core dysfunctions underlying emotional disorders, such as anxiety and depressive disorders, in children and adolescents. However, the UP-C and UP-A re increasingly being used to address other diagnostic clusters and problem areas that share these same core dysfunctions in a diverse range of delivery settings and cultural contexts. Applications of the Unified Protocols for Transdiagnostic Treatment of Emotional Disorders in Children and Adolescents is a practical guide for clinicians and researchers on applying the core principles of the UP-C and UP-A to treat children and adolescents with a broad range of emotion disturbance across settings in which youth typically receive care, including community mental health settings, pediatric primary care, and telehealth. In addition to providing an overview of the rationale for using UP-C and/or UP-A with each presenting problem or within each delivery setting, chapters provide detailed, step-by-step guidance on adapting and applying the UP-C and UP-A for their particular problem area, delivery setting, or cultural context. Chapters include case examples, suggestions for overcoming potential barriers in clinical delivery, and practical "tip sheets" for clinicians. When used in conjunction with the UP-C and UP-A Therapist Guide and Workbooks, this volume is an essential resource for clinicians using transdiagnostic interventions to treat diverse, complex, and comorbid clients in real-world therapy settings. "The Unified Protocols for Transdiagnostic Treatment of Emotional Disorders in Children and Adolescents (UP-C/UP-A; Ehrenreich-May et al., 2018) are transdiagnostic interventions designed to address multiple diagnoses, diagnostic categories, and/or problem types within a single treatment protocol. It might be said that modern transdiagnostic interventions originated within the early years of the twenty-first century with theoretical and empirical work by Barlow and colleagues conceptualizing a "unified approach" to understanding and treating emotional disorders (e.g., Barlow, Allen, & Choate, 2004) and, subsequently, the initial publication of the Unified Protocols for Transdiagnostic Treatment of Emotional Disorders (Barlow et al., 2011). However, up until the mid-twentieth century, psychotherapeutic approaches were nothing if not transdiagnostic, in that they addressed underlying psychodynamic and interpersonal processes theorized to lead to the development of broad psychological neuroses. This approach changed during the second half of the twentieth century, in accordance with two parallel and mutually informative developments. First, with each new iteration of the American Psychiatric Association's Diagnostic and Statistical Manual Mental Disorders (DSM) from the publication of the original DSM in 1952 to DSM-IV in 1994, the number of diagnoses proliferated, and diagnostic criteria became increasingly fine-grained. During the same historical period, new treatments for these highly specified diagnoses were developed based on new empirical and theoretical evidence (e.g., exposure for phobias), and more rigorous outcomes research on cognitive-behavioral therapy (CBT) and other interventions began to emerge (Barlow et al., 2004). Psychotherapy research was conducted using newly-developed treatment manuals addressing symptoms of highly specific diagnoses (e.g., panic disorder, specific phobias) to help ensure scientific rigor and replicability. The turn back toward transdiagnostic models of psychopathology and treatment at the turn of the twenty-first century was based on growing recognition of the commonalities among psychiatric diagnoses, the shared features of psychotherapeutic interventions for distinct diagnoses, and the beneficial effects of treatments for one diagnosis on other diagnoses, which will be further discussed below"-- Provided by publisher Contents Foreword Contributors Part 1: An Evidence-Based Approach to Working with Youths 1. Introduction to the Unified Protocols for Transdiagnostic Treatment of Emotional Disorders in Children and Adolescents: History, Rationale, Adaptations • Sarah M. Kennedy and Jill Ehrenreich-May 2. Delivery of Standard UP-C and UP-A Treatment for Youth with Emotional Disorders • Rinatte Gruen and Dylan Braun 3. Current Evidence Base for the UP-C and UP-A • Niza Tonarely and Dominique Phillips Part 2: Applying the UP-C and UP-A to Specific Diagnoses and Problem Areas 4. Obsessive-Compulsive Disorder and Tic Disorder/Tourette Syndrome • Ashley M. Shaw and Elizabeth R. Halliday 5. Pediatric Irritability and Disruptive Behaviors • Jessica Lyn Hawks, Sarah M. Kennedy, and Jacob Benjamin Westrick Holzman 6. The Unified Protocol for Use with Adolescents with or at Risk for Serious Mental Illness • Marc J. Weintraub and Jamie Zinberg 7. Substance Use Disorders • Faith Summersett Williams, Rebecca E. Ford-Paz, and Jason Washburn 8. Avoidant/Restrictive Food Intake Disorder • Kristina Duncombe Lowe and Sarah Eckhardt 9. Pediatric Illnesses and Pediatric Settings • Ryan R. Landoll, Kade B. Thornton, and Corinne A. Elmore Part 3: Adapting the UP-C and UP-A to Different Treatment Settings 10. Stepped Care and Telehealth Delivery • Judy H. Hong, Alison Salloum, Jafar Bakhshaie, Thanh T. Truong, Jill Ehrenreich-May, and Eric A. Storch 11. Community Mental Health Delivery • Ashley M. Shaw, Renee L. Brown, Vanesa A. Mora Ringle, and Vanessa E. Cobham 12. Culturally and Linguistically Sensitive Applications in Other Countries • Hiroko Fujisato, Noriko Kato, Dominique Phillips, and Estefany Sáez-Clarke Index