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CTI - EBP Supported Interventions

ANSA and CANS

The Adult Needs and Strengths Assessment (ANSA) and the Child & Adolescent Needs and Strengths Assessment (CANS) are communimetric tools that are used by providers to help structure the treatment planning and review process. The ANSA is a multi-purpose tool developed for an adult’s behavioral health services to support decision making, including level of care and service planning, to facilitate quality improvement initiatives, and to allow for the monitoring of outcomes of services. The CANS Comprehensive version of Texas is an open domain assessment tool for the use in service delivery systems that address the mental health of children, adolescents and their families. It was developed to support care planning and level of care decision making, to facilitate quality improvement efforts and to allow for the monitoring of outcomes of services. It facilitates the linkage between the assessment process of identifying the needs and strength of the child and the caregiver and the creation of individualized service plans and the selection of evidence based practices used.
 

For additional information on the ANSA, please see: https://www.dshs.state.tx.us/mhsa/trr/ansa/
For additional information on the CANS, please see: https://www.dshs.state.tx.us/mhsa/trr/cans/
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Assertive Community Treatment

Assertive Community Treatment (ACT) is an evidence-based practice that employs a “shared caseload” team-approach designed to provide comprehensive, community-based psychiatric treatment, rehabilitation, and support to persons with serious and persistent mental illness. ACT has been extensively researched and evaluated and has proven clinical and cost effectiveness. Among the services ACT teams provide are 24-hour on call; crisis services; case management; psychosocial rehabilitation; supported employment and permanent supportive housing services; family support and education; substance abuse services; and other services and supports critical to an individual's ability to live successfully in the community.

Cognitive Behavioral Therapy for Children and Adolescents

Cognitive Behavioral Therapy (CBT) for children and adolescents is an empirically supported treatment in which the clinician works together with the child/youth to identify and solve problems using a cognitive model that helps the individual overcome difficulties by addressing thinking patterns, behaviors and emotional responses. It targets children and adolescents, ages 7-18. It is commonly used as the primary line of treatment for children and youth with depression, but empirical evidence has shown it to be effective in a wide range of psychiatric symptoms in children including anxiety and disruptive behaviors among others.

Cognitive Behavioral Therapy for Depression and Anxiety

Cognitive Behavioral Therapy (CBT) for depression and anxiety targets adults with depression or anxiety. Interventions integrate the rationale and techniques from both cognitive therapy and behavioral therapy, taking advantage of their complimentary relationship. Treatment aims to help individuals recognize their faulty automatic thoughts that negatively affect behavior.

Cognitive Processing Therapy

Cognitive processing therapy (CPT) is an adaptation of cognitive behavioral therapy used by practitioners to help clients explore recovery from post traumatic stress disorder (PTSD) or other trauma related conditions. CPT is a manualized 12 session cognitive behavioral treatment for PTSD which offers an alternative to purely exposure based interventions.

Illness Management and Recovery

Illness Management and Recovery (IMR) is an evidence-based psychiatric rehabilitation practice whose primary aim is to empower consumers to manage their illnesses, find their own goals for recovery, and make informed decisions about their treatment by teaching them the necessary knowledge and skills. IMR is a collaborative treatment practice and offers a variety of information, strategies, and skills in a series of eleven topic areas.

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Motivational Interviewing

Motivational Interviewing (MI) focuses on exploring and resolving ambivalence and centers on motivational processes within the individual that facilitate change. This method differs from other externally-driven methods for motivating change as it does not impose changing, but rather supports change in a manner congruent with the person’s own values and concerns.

Nurturing Parenting: Tertiary Treatment-Prevention Programs

The tertiary prevention-treatment programs of Nurturing parenting are skills training protocols for the parent or caregiver of children and youth exposed to abuse neglect or that experience family dysfunction that impacts the child’s mental health. It treats abusive or neglecting parent-child dysfunctional interactions and develops caregiver’s pro-social skills that will help the functioning of the child and caregiver. It also increases the parents/caregiver’s understanding of abuse, neglect they experienced and how this impact their beliefs and the patterns that are passed to the child. It address increasing the parent ability to address the child/youth’s needs. If a child grows up believing that its needs will be met, it will be more confident when facing challenges.

Parent Child Interaction Therapy

Parent-Child Interaction Therapy (PCIT) is a therapeutic intervention that the focus is to support and strengthen the relationship between the child and caregiver as a vehicle for restoring the child’s sense of safety, attachment, appropriate affect and to improve the child’s cognitive, behavioral and social functioning. It targets children ages 3 – 7 years old and their caregivers by emphasizing the improvement of the quality of the parent-child relationship .

Permanent Supportive Housing

Permanent Supportive Housing (PSH) is based on the philosophy that people with psychiatric diagnoses can live in their own housing with the same rights and responsibilities as anyone else, regardless of their support needs. PSH is characterized by individual choice of housing; functional separation of housing and services; decent, safe and affordable housing; access to housing; and flexible, voluntary and recovery-focused services.

Seeking Safety

Seeking Safety is a present-focused treatment for clients with a history of trauma and substance abuse. The treatment was designed for flexible use in a variety of settings. Seeking Safety focuses on coping skills and psychoeducation and has five key principles: (1) safety as the overarching goal, (2) integrated treatment, (3) a focus on ideals to counteract the loss of ideals in both PTSD and substance abuse, (4) four content areas: cognitive, behavioral, interpersonal, and case management, and (5) attention to clinician processes

Social Skills Training and Aggression Replacement Techniques

Aggression replacement techniques are intended to help children and youth improve social skills and decision making to better manage anger and reduce aggressive behavior. It targets the reduction of behavior problems, reduce criminal behavior, increase pro-social behaviors and improve anger control. Aggression Replacement Training® is a multi-component cognitive treatment that promotes pro-social behavior by addressing factors that contribute to aggression. This treatment features three coordinated and integrated components:
  • Social Skills Training—Teaches consumers what to do, helping them replace antisocial behaviors with positive alternatives.
  • Anger Control—Teaches consumers what not to do, helping them respond to anger in a nonaggressive manner and rethink anger-provoking situations.
  • Moral Reasoning—Helps raise consumers' level of fairness, justice, and concern for the needs and rights of others and how this relate to decision making.

Individual Placement and Support - Supported Employment

Individual Placement and Support (IPS) is an evidence-based approach to Supported Employment for people who have a severe mental illness. IPS supports people in their efforts to achieve steady employment in mainstream competitive jobs, either part-time or full-time. This is in contrast to other vocational rehabilitation approaches that employ people in sheltered workshops and other set-aside jobs.

Trauma-Focused Cognitive Behavioral Therapy

Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) is a conjoint child and parent psychotherapy approach for children and adolescents who are experiencing significant emotional and behavioral difficulties related to traumatic life events. TF-CBT is a components-based treatment model that incorporates trauma-sensitive interventions with cognitive behavioral, family, and humanistic principles and techniques. Children and parents learn new skills to help process thoughts and feelings related to traumatic life events; manage and resolve distressing thoughts, feelings, and behaviors related traumatic life events; and enhance safety, growth, parenting skills, and family communication.

Wraparound Planning Process

Wraparound is an intensive, holistic method of engaging with individuals with complex needs (most typically children, youth, and their families) so that they can live in their homes and communities and realize their hopes and dreams. Wraparound has been most commonly conceived of as an intensive, individualized care planning and management process. The wraparound process aims to achieve positive outcomes by providing a structured, creative and individualized team planning process that, compared to traditional treatment planning, results in plans that are more effective and more relevant to the child and family. It targets the needs of the child or youth with significant involvement with multiple child serving systems that has identified behavioral and/or emotional treatment needs and is also likely at risk of out of home placement.