PROVEN EFFECTIVE | RESULTS ORIENTED
Trillium is committed to using all the resources available to our system to provide the best possible services to individuals and families in order to promote their recovery and full participation in our community. We encourage Network Providers to adopt Evidence-Based Practices (EBPs).
Evidence-based treatment and prevention practices and programs are those that research proved effective in producing specific outcomes. When evidence-based models are followed faithfully, results can be predictably optimistic.
The following are the evidence-based practices Trillium currently encourages Providers to adopt. Our Provider Directory includes information about which of these practices each provider uses.
- Behavior Therapy is a structured approach that carefully measures some problematic thought or negative behavior that a person is engaging in that may be getting reinforced or unintentionally “rewarded”. These rewards or reinforcements often contribute to an increase in the frequency of these undesirable thoughts and behaviors. Behavior therapies can vary widely but all focus primarily on getting the person to try new positive behaviors, by rewarding desired behaviors while ignoring or not reinforcing the negative or unwanted behaviors.
- Brief Strategic Family Therapy is designed to (1) prevent, reduce, and/or treat adolescent behavior problems such as drug use, conduct problems, delinquency, sexually risky behavior, aggressive/violent behavior, and association with antisocial peers; (2) improve pro-social behaviors such as school attendance and performance; and (3) improve family functioning, including effective parental leadership and management, positive parenting, and parental involvement with the child and his or her peers and school.
- Child First is an intensive, early childhood, home visiting intervention model led by a 2 person clinical team that works with very young children (prenatal to six years old) and their families. The goal of Child First is to identify children at the earliest point who live in high stress environments and may have been exposed to high levels of stress and intervene to decrease the incidence of serious emotional and behavioral disturbance, developmental delays, learning problems, abuse and neglect. The Child First program specifically works to create or improve the parent-child relationship in order to help protect the child from the damage caused by poverty, homelessness, domestic violence, maternal depression or abuse and neglect.
- Child-Parent Psychotherapy is an intervention for children from birth through age 5 who have experienced at least one traumatic event (e.g., maltreatment, the sudden or traumatic death of someone close, a serious accident, sexual abuse, exposure to domestic violence) and, as a result, are experiencing behavior, attachment, and/or mental health problems, including post-traumatic stress disorder (PTSD).
- Cognitive Behavioral Therapy is a form of treatment that focuses on examining the relationships between thoughts, feelings and behaviors. By exploring patterns of thinking that lead to self-destructive actions and the beliefs that direct these thoughts, people with mental illness can modify their patterns of thinking to improve coping.
- Dialectical Behavioral Therapy is a cognitive-behavioral treatment approach with two key characteristics: a behavioral, problem-solving focus blended with acceptance-based strategies, and an emphasis on dialectical processes.
- Eye Movement Desensitization and Reprocessing (EMDR) is a one-on-one form of psychotherapy that is designed to reduce trauma-related stress, anxiety, and depression symptoms associated with posttraumatic stress disorder (PTSD) and to improve overall mental health functioning. Treatment is provided by an EMDR therapist, who first reviews the client's history and assesses the client's readiness for EMDR.
- Family Support Network (FSN) is an outpatient substance abuse treatment program targeting youth ages 10-18 years. FSN includes a family component along with a 12-session, adolescent-focused cognitive behavioral therapy--called Motivational Enhancement Therapy / Cognitive Behavioral Therapy (MET/CBT12)--and case management. The family component attempts to engage adolescents and their parents in a joint commitment to the treatment and recovery process.
- I Feel Better Now! Program (IFBN) is an intervention for elementary school-age children (ages 6-12) who have experienced trauma-induced symptoms related to their learning, behaviors, and social, emotional, and psychological functioning. The IFBN is designed to reduce these symptoms by providing participants with cognitive-based therapy and sensory-based activities to offset the cognitive distortions and deficits produced by traumatic events.
- International Center for Clubhouse Development (ICCD) Clubhouse Model is a day treatment program for rehabilitating adults diagnosed with a mental health problem. The goal of the program is to contribute to the recovery of individuals through use of a therapeutic environment that includes responsibilities within the Clubhouse (e.g., clerical duties, reception, food service, transportation, financial services), as well as through outside employment, education, meaningful relationships, housing, and an overall improved quality of life.
- Mental Health First Aid (MHFA) is an adult public education program designed to improve participants' knowledge and modify their attitudes and perceptions about mental health and related issues, including how to respond to individuals who are experiencing one or more acute mental health crises (i.e., suicidal thoughts and/or behavior, acute stress reaction, panic attacks, and/or acute psychotic behavior) or are in the early stages of one or more chronic mental health problems (i.e., depressive, anxiety, and/or psychotic disorders, which may occur with substance abuse).
- Motivational Interviewing (MI) is a goal-directed, client-centered counseling style for eliciting behavioral change by helping clients to explore and resolve ambivalence. The operational assumption in MI is that ambivalent attitudes or lack of resolve is the primary obstacle to behavioral change, so that the examination and resolution of ambivalence becomes its key goal. MI has been applied to a wide range of problem behaviors related to alcohol and substance abuse as well as health promotion, medical treatment adherence, and mental health issues.
- Multi-Systemic Therapy (MST) Addresses the multidimensional nature of behavior problems in troubled youth. Treatment focuses on those factors in each youth's social network that are contributing to his or her antisocial behavior. The primary goals of MST programs are to decrease rates of antisocial behavior and other clinical problems, improve functioning (e.g., family relations, school performance), and achieve these outcomes at a cost savings by reducing the use of out-of-home placements such as incarceration, residential treatment, and hospitalization.
- Parent-Child Interactive Therapy (PCIT) is an evidenced-based treatment model with highly specified, step-by-step, live coached sessions with both the parent/caregiver and the child. Using a transmitter and receiver system, the parent/caregiver is coached in specific skills as he or she interacts in play with the child. Generally, the therapist provides the coaching from behind a one-way mirror and are taught skills to better address their child’s challenging and disruptive behaviors.
- Structured Sensory Intervention for Traumatized Children, Adolescents, and Parents-Trauma Intervention Program for Adjudicated and At-Risk Youth 13-17 (SITCAP-ART) is a program for traumatized adolescents 13-18 years old who are on probation for delinquent acts. These youth, who are court ordered to attend the program, are at risk for problems including dropping out of school, substance abuse, and mental health issues. SITCAP-ART is intended to reduce their symptoms of posttraumatic stress disorder and other mental health-related responses to traumatic experiences.
- The Seven Challenges is designed to treat adolescents with drug and other behavioral problems. Rather than using pre-structured sessions, counselors and clients identify the most important issues at the moment and discuss these issues while the counselor seamlessly integrates a set of concepts called the seven challenges into the conversation.
- Trauma Focused Cognitive Behavioral Therapy (TF-CBT) is a psychosocial treatment model designed to treat posttraumatic stress and related emotional and behavioral problems in children and adolescents. Initially developed to address the psychological trauma associated with child sexual abuse, the model has been adapted for use with children who have a wide array of traumatic experiences, including domestic violence, traumatic loss, and the often multiple psychological traumas experienced by children prior to foster care placement.
- Triple P- Positive Parenting Program is an evidence-based parenting and family support intervention with the main goals of increasing the knowledge, skills and confidence of parents and reducing or preventing behavioral and emotional problems in children and teenagers.
- Wellness Recovery Action Plan (WRAP) is a manualized group intervention for adults with mental illness. WRAP guides participants through the process of identifying and understanding their personal wellness resources ("wellness tools") and then helps them develop an individualized plan to use these resources on a daily basis to manage their mental illness.
Additional Evidence-Based Practice Resources
- Substance Abuse Mental Health Services Administration (SAMHSA) National Registry of Evidence-based Programs and Practices (NREPP)
NREPP is a searchable database of interventions for the prevention and treatment of mental health and substance use disorders.
- SAMHSA's Guide to Evidence-Based Practices on the Web
This guide provides a list of Web sites with information about specific EBPs or reviews of research findings. It could be helpful to stakeholders seeking to promote awareness of current research and to increase the implementation and availability of evidence-based practices (EBPs).
- Choosing the Right Treatment - What Families Need to Know about Evidence-Based Practices (for children)
This guide was designed by the National Alliance on Mental Illness (NAMI) to inform families on evidence-based practice (EBPs) in children's mental health and to share information on an array of treatment and support options.