Table 2. Tiered Mental Health Interventions. of Justice, 2011), a social-emotional program which teaches youth self-control to reduce behavioral problems (e.g., aggression, conflicts). Another is the Sanctuary Model, which creates a facility-wide trauma-informed community promoting safety and recovery for youth who have experienced trauma (Bloom, 2005). Finally, Olafson et al. (2016) created Think Trauma, which is a trauma- informed milieu where all staff provide youth with coping strategies to replace high-risk behaviors, and when com- bined with a Tier 2 intervention, Think Trauma provided a statistically significant reduction in youth PTSD symp- toms. All staff should be vigilant to monitor youth around times that may trigger mental health symptoms such as transitions, court dates, visitation, or anniversaries of trau- matic events, even if they are only receiving Tier | ser- vices. If a youth identifies as needing additional mental health care, or data indicate a youth could benefit from more intensive mental health interventions, they should be considered for targeted mental health interventions. intervention to decrease depression and increase youth hope and optimism. Youth requiring intensive mental health inter- ventions typically receive one-on-one interventions based in psychoeducational therapy, such as cognitive behavioral therapy. Although researchers continue to develop unique programs to meet the mental health care of youth with the most severe and persistent needs, psychoeducational therapy delivered to focused groups have displayed effectiveness (Kumm et al., 2019).
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