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Effective Ways of Working with Young People
1. Effective Ways of Working with
Young People
Barbara Bulkeley
Family Therapist, Whirinaki CAMHS
PhD candidate, Dept of Psychological Medicine
Faculty of Medical and Health Sciences, University of Auckland
2. What is important:
Your relationship with young person
Your knowledge about their difficulties & family circumstances
Your support for them & family
PLUS
Simple, evidence-based ways of working with young people
who are stressed, depressed and anxious
3. Four effective ways to help adolescents cope
1. Activity scheduling
2. Goal-setting
3. Problem-solving
4. Relaxation
4. Activity Scheduling
Rationale:
Keeping busy & having enjoyable things to do improves mood
and reduces anxiety
“When you are feeling miserable you have to do something
that is fun”
Inter-relationship of thoughts, feelings and behaviours
5. How to do this:
Help young person make list of possible activities
Who can help them to have fun?
Include some form of exercise (multiple benefits)
6. Goal-setting
Rationale:
When depressed or under stress, it is hard to think of goals or
carry them out because of lack of motivation, energy or
because goals may be too hard
Support young person to reach their SMART goals
S= specific
M=measurable
A= attainable
R=realistic
T=time-based
7. How to set goals
Help young person set goals that are important to them
Chose goals that they are likely to succeed with
Move on to new goals after initial success
Steps:
Young person and you chose goal
Young person carries out goal
Review goal next time you meet
Revise if needed or chose new goal
8. Problem-solving
Rationale:
Understanding that problems can lead to depression, stress &
anxiety
When under pressure adolescents find it really hard to cope
with problems of life
They can see problem as too big to deal with
They find it really hard to think of new ways to cope with
problem
They find it hard to put plans into action
9. How to help with problem-solving
Help them to chose specific problem
Understand the problem, talk about it
Brainstorm possibilities to solve the problem
Don’t judge or rule any out
BUT do be aware of safety issues
Compare different solutions and evaluate each one
Be aware of good & bad points of each possibility
Help young person to see importance of evaluating solutions,
and not just rushing ahead with the first one they thought of
10. What does young person do?
Picks best solution to try
Talks about what is needed to make plan work
Tries plan
Next meeting discusses outcome with you … did it work?
After some success, can try problem-solving on their own
11. Relaxation
This can be most effective of all techniques to help
adolescents under stress (John Weisz, 2004)
Costs little or nothing
Easy to learn
Portable
Adolescents like the sense of control that they regain
Can include:
Something as easy as deep breathing
Or can use visualisation, guided imagery, or muscle relaxation
12. Summary & contact details
These 4 techniques are simple & effective in giving you
something to “do” with adolescents under stress
As well as active listening, ensuring safety & making decisions
about whether to refer to CAMHS
You are able to help young person learn to regain some sense
of agency over their life
Barbara Bulkeley
bbulkeley@middlemore.co.nz