7 Interventions for Working with High-Conflict Kids

7 interventionsWhile there is no one-size fits all approach to working with families, a more structured approach is recommended especially when working with kids and teens in high-conflict families. Patterns such as blaming others for problems rather than taking responsibility for their own role, behaviors such as yelling/ swearing, and struggles with regulating intense emotional responses are common.

Here are seven interventions for working with high-conflict families:

Assess for Risk

One of the roles of the therapist is to help assess for risks and help make the appropriate recommendations for services. Children such as those with developmental disabilities may be vulnerable to abuse due to reduced ability to perceive threats within the community. Some children may struggle with angry outbursts and poor judgment. Aggression towards others or self-harm may be present. Therapists can help support families with all the above and assess for risk with concerns such as suicide, violence, and serious violations of rules and social norms.

Plan for Safety

Safety always takes priority. After risk factors are assessed, therapists can work with children/ teens to engage in safety planning, if needed when suicidal ideation or self-injurious behaviors are present. Safety planning can also be created with parents, caregivers, or the family to address behaviors that may present as a risk to oneself or others such as substance use and safety in the community. Discussing a plan for the session if/ when conflict arises such as de-escalation strategies and a designated break will help address conflict as it arises while reinforcing positive behaviors.

Identify a Common Goal

Focusing on improving the functioning of the family is recommended. Oftentimes, a problem is focused on the youth only to create more tension and reactivity. Kids/ teens may internalize that they are the “problem” or engage in more severe acting-out behaviors that reinforce being problematic. By shifting the focus of the problem to the overall health and functioning of the family, each person can work together towards a common goal.

Engage Parents/ Caregivers

Active engagement from parents/ caregivers is so important. Many of the best practice interventions for mental health diagnoses that can be challenging such as Attention-Deficit-Hyperactivity Disorder (ADHD) and Oppositional Defiant Disorder (ODD) in children is parent management training. Family therapy approaches are also utilized for older at-risk youth such as those referred by child welfare or juvenile probation including Functional Family Therapy (FFT)and Multisystemic Family Therapy approaches.

Utilize Wrap-around Services/ Supports

Services such as Children’s Mental Health Case Management are often considered essential to help provide the child/ teen and family support and access to ongoing mental health resources to help manage the level of need. This can include resources to address basic needs, connect to ongoing therapeutic supports, increase knowledge and utilization of in-school resources, and find additional support such as psychiatry or a high level of care, if needed.

Provide Structure & Emotional Containment Within Session

When working with families, providing an outline of what to expect and creating structure within the session can be very helpful including establishing clear boundaries and family ground rules from the start, especially for high conflict. While the family sets the initiative, the therapist can help structure the session so that each voice is heard, and the space feels safe and respectful for all. Especially when working with trauma, providing a therapeutic environment where emotions can be expressed and held is important to facilitate healing.

Build Upon Strengths & Relationships

One of the beautiful things about families is that while they can have a lot of challenges, they also have many strengths! Tapping into the strengths of the family and taking into consideration cultural considerations is so essential for family therapy success. Therapists can get creative with interventions to highlight a child and their family’s strengths and can also involve other family members as support as they celebrate progress together.

Written By: Charlotte Johnson, MA, LPCC

Building Youth Confidence

October is Domestic Violence Awareness Month (DVAM) with this year's theme focused on Heal, Hold & Center.
Domestic Violence Awareness Month

October is Domestic Violence Awareness Month (DVAM)

October is Domestic Violence Awareness Month (DVAM) with this year's theme focused on Heal, Hold & Center.
Suicide Awareness

The Impact of Suicide. Your Words Matter.

Suicide is more common than we’d want to admit. Suffering is part of the human experience, and there are a lot of heavy stressors that weigh people down.

Supporting Teacher’s Well-being

CARE Counseling is thrilled to begin offering a Doctoral Internship for Counseling and Clinical Psychology doctoral students enrolled in accredited graduate programs!

6 Things to Consider in Supporting Children’s Adjustment to Change

Change can be difficult, especially for children when their need for safety and stability is uncertain. Establishing consistent and predictable routines helps children feel secure.

Because, College is Hard!

The transition to college can be exciting, but also difficult. You may be leaving the comforts of home and sharing space with others for the first time while managing stressors associated with college life.
Inc.5000 Award

INC 5000 Award

CARE Counseling makes the Inc. 5000 list for fastest growing private companies for three years in a row!

MSP Magazine News Feature

CARE Counseling was featured in an article on “Mental Health: Hurdles to Help,” by Lindsey Scharold with Minneapolis/St. Paul Magazine.

Life Satisfaction: 7 Things to Nurture Emotional Well-Being

“The best predictor for adult life satisfaction is subjective well-being and emotional health during childhood” according to the World Happiness Report. Less than half (47%) of Americans report being “very satisfied” with their own lives.

CARE Counseling Announces New Doctoral Internship

CARE Counseling is thrilled to begin offering a Doctoral Internship for Counseling and Clinical Psychology doctoral students enrolled in accredited graduate programs!

Bracing Yourself for Change: Flexible Vs. Blinded Optimism

Change is stressful, and there will be going to be challenges and these will be temporary; however, this is also an opportunity to utilize your strengths and access the internal and external resources that are available.

Suicide Prevention for Co-Workers: 5 Action Steps

The death of a co-worker can come as an unexpected shock, especially when they have died by suicide. If you are aware that a colleague is struggling, you can make a significant impact in helping them get the care they need.

Clinicians Info

clinicians-info

Customized Meditations for You

What comes to mind when you hear the word meditation? Stereotypes hold some people back from mindfulness practice. That is unfortunate. It is important to dispel the myths and understand the things people get wrong about mindfulness.

Going from Good to Great When You Are Not OK

How often do you get asked, “How are you?” and the polite go-to response is “I’m fine” or “good” thank you. How are you? These phrases are common greetings in the United States but seem to lack much depth.

The Client-Therapist Relationship: Transactional or Relational?

There is a transactional element that is present in receiving therapeutic services; however, a strong therapeutic relationship is vital to the success of therapy.
Summer health tips- blue sky with hands in yoga pose

6 Summer Health Tips to Feel Amazing This Summer

Making lifestyle changes has a significant impact on mental health and well-being. When you take care of your body and engage in safe and enjoyable activities, it has a direct impact on how you think and feel about yourself.

Mindfulness-Based Therapies

Meditation helps one become more present, utilizing the practice of being mindful. Perhaps you already have a basic understanding of meditation

Emotional Intelligence for Families

Self-awareness is a key skill of emotional intelligence. One way to build self-awareness early within a child’s life is to build their feelings vocabulary.

CARE COUNSELING IS A 2024 TOP WORKPLACE

CARE Counseling has been recognized in the Star Tribune's Top Workplaces for the third year in a row!  In 2024, CARE was named on the National Standard Setters list.

Men’s Mental Health Month

CARE Counseling was featured in an interview on the “Stigma still surrounds mental health issues in men,” with Laker Pioneer press.

Juneteenth

Juneteenth commemorates June 19, 1865, when Major General Gordon Granger arrived in Galveston, Texas, and announced the enforcement of the Emancipation Proclamation.

The Intersectionality of PRIDE and Juneteenth

In honor of Juneteenth in the middle of PRIDE month, intersectionality is a reminder that we hold multiple identities such as our race/ ethnicity, gender identity, sexual orientation, class, religion, disability, and age that create unique lived experiences for each person, resulting in different advantages and disadvantages.

Relationship Violence

Partner abuse, domestic abuse, and intimate partner violence can happen to anyone. Unfortunately, abuse and violence in relationships are all too common.