Therapy in the Real World: Effective Treatments for Challenging Problems

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Helping beginning and experienced therapists cope with the myriad challenges of working in agencies, clinics, hospitals, and private practice, this book distills the leading theories and best practices in the field. The authors provide a clear approach to engaging diverse clients and building rapport; interweaving evidence-based techniques to meet therapeutic goals; and intervening effectively with individuals, families, groups, and larger systems. Practitioners will find tools for addressing the needs of their clients while caring for themselves and avoiding burnout; students will find a clear-headed framework for making use of the variety of approaches available in mental health practice.

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Editorial Reviews

Doody's Review Service
Reviewer: Ileana Ungureanu, MD, PhD (Adler School of Professional Psychology)
Description: This book addresses the core issues of effective and evidence-based treatments applied to real-world situations. It is an ambitious attempt to bring together various therapeutic approaches as well as a multicultural perspective on clinical work.
Purpose: According to the authors, this is meant as a reference on cutting-edge clinical approaches. It is a highly applied book, containing a significant number of real-life case examples, making it a very useful guide for students as well as beginning and more seasoned clinicians. The book is very accessible and comfortably combines theory and practice.
Audience: It is written with mental health professionals in various fields in mind: clinical psychology, social work, marriage and family therapy, psychiatry, etc. It also would be helpful for students in graduate programs preparing to do clinical work. The authors come from different backgrounds, and are experts in their respective fields.
Features: The book is structured as a guide for clinical work. The authors take readers through the most important stages of clinical processes: joining, psychoeducation, interviewing, and risk assessment, as well as interventions including cognitive-behavioral and family therapy approaches as well as more cutting-edge modalities such as mindfulness, multisystem models, or responses to crises and violence in schools. All of these aspects are abundantly and masterfully illustrated with vignettes that help ground theoretical approaches in the real world of clinical practice. Special attention is given to multicultural aspects and to work with marginalized populations, a very important aspect of working in the real world.
Assessment: Compared with other books in the field, I appreciate the pragmatism of this work, the structure around clinical processes, and the emphasis on diversity issues as well as work with disadvantaged populations. Also, the discussion of self-care of therapists and supervision is a welcome one. These aspects are very important in clinical practice, but are not necessarily addressed in textbooks. The authors' clinical expertise is apparent from the depth and breadth of the practical vignettes they present.

“A well-written text designed to assist therapists working in a diversity of settings with clients from diverse backgrounds and having concerns ranging from mental illness, substance abuse, family issues, interventions in schools, to well-being. The book covers the leading therapies, guiding principles, and best practices in the field today. Therapy in the Real World is a thoughtful volume that integrates a great deal of useful information that the average clinician will have some occasion to access. It is an easy read, with something for mental health practitioners across varied disciplines. I recommend it as a solid addition to a reference library. This is a good introductory text for classes designed to provide a broad overview of clinical practice. Clinical supervisors will want to share the chapters on risk assessment and suicide prevention, crisis intervention, and clinician self-care with their supervisees.”--PsycCRITIQUES
From the Publisher

"This groundbreaking book is a powerful and extremely relevant discussion of the real world of clinical practice today. It is a necessary addition to the library of every experienced and early career therapist and mental health practitioner. The book is also an excellent text for graduate-level courses seeking to provide students with a thorough overview of the mental health field."--Joseph L. White, PhD, Professor Emeritus of Psychology and Psychiatry, University of California, Irvine

"Eminently accessible, this volume distills the research and information needed to provide the highest quality clinical services. The book will improve your work with clients, whether you are navigating the complexities of public care or maintaining a private practice. It includes essential guidance for addressing crises and trauma and understanding clients from diverse backgrounds. A 'must read' for mental health clinicians, supervisors, and trainees."--Ronald F. Levant, EdD, ABPP, Department of Psychology, University of Akron; past president, American Psychological Association

"This extremely helpful book offers practitioners a readable and comprehensive primer for current, culturally sensitive clinical practice. It incorporates a strong focus on dealing with the diversity of the cases that present for mental health services. And it makes accessible for marginalized populations the latest modalities: cognitive-behavioral therapy, dialectical behavior therapy, mindfulness- and acceptance-based approaches, motivational interviewing, recovery approaches, and others. Outstanding case examples illustrate ways to effectively counter societal discontinuities and fragmented services for multi-needs clients. The guidelines for supervision and therapist self-care are clear and useful. This is a book that all those entering the profession will want to have as a guide."--Monica McGoldrick, MSW, PhD (h.c.), The Multicultural Family Institute, Highland Park, New Jersey

"You have to be robust to work well in front-line mental health services. This book is a companion, and a very valuable one. It builds bridges, clarifies commonalities across treatments, and helps you to approach complex scenarios with awareness of what might make a difference to the lives of people from diverse backgrounds. The authors are champions of compassionate and competent practice. This book is a considerable achievement."--Stephen Rollnick, PhD, Institute of Primary Care and Public Health, Cardiff University, Wales, UK

"Boyd-Franklin and her colleagues have written a landmark book that, for the first time, brings together multiple therapeutic modalities, multiculturalism, evidence-based practice, and recommendations for therapist self-care, in a highly accessible, engaging style. The volume provides therapists with the empirical basis for therapeutic interventions and with practical guidance for implementation. Both beginning and experienced therapists working in the real world will breathe a sigh of relief for the integration and wisdom the authors provide. I will use this as a core text in my family and couple therapy courses at the master's and doctoral levels."--Peter Fraenkel, PhD, Subprogram in Clinical Psychology and Master's in Mental Health Counseling Program, The City College of the City University of New York;  Director, Center for Work and Family, Ackerman Institute for the Family

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Product Details

  • ISBN-13: 9781462510283
  • Publisher: Guilford Publications, Inc.
  • Publication date: 7/5/2013
  • Edition description: New Edition
  • Pages: 384
  • Sales rank: 1,017,102
  • Product dimensions: 6.40 (w) x 9.00 (h) x 1.20 (d)

Meet the Author

Nancy Boyd-Franklin, PhD, is Distinguished Professor (Professor II) in the Graduate School of Applied and Professional Psychology at Rutgers, The State University of New Jersey. She has received awards for her outstanding contributions from many professional organizations, including the American Family Therapy Academy, the Association of Black Psychologists, the American Psychological Association (Divisions 45 and 43), the Association of Black Social Workers, and the American Psychiatric Association. Dr. Boyd-Franklin is the author of Black Families in Therapy, Second Edition, and coauthor of Reaching Out in Family Therapy: Home-Based, School, and Community Interventions, among numerous other publications.

Elizabeth N. Cleek, PsyD, is a Vice President at the Institute for Community Living, a large behavioral health care agency in New York City, where she oversees the Program Design, Evaluation, and Systems Implementation Department and the Central Access Department. Dr. Cleek co-led the development of an award-winning agency clinical risk assessment and intervention system, including the development of tools, procedural guidelines, and systemic interventions. She has written and presented on the use of technology to support implementation of best-practice work, the development and implementation of health-related interventions for people with serious mental illness, and multisystems work with families.

Matt Wofsy, LCSW, is Director of Evidence-Based Treatment and Practice Innovation at the Institute for Community Living. He has extensive experience in the area of adapting evidence-based practices to diverse clinical settings, and has presented his work at state and national conferences. Mr. Wofsy is a recipient of the Exemplary Mid-Career Social Work Leader Award from the New York City chapter of the National Association of Social Workers. He is Adjunct Professor at New York University Silver School of Social Work and maintains a private practice in New York City.

Brian Mundy, LCSW, is a Clinical and Evaluation Specialist at the Institute for Community Living, where he primarily supports clinicians and service providers in implementing evidence-based practices in their work with clients. He is a recipient of the Emerging Social Work Leader Award from the New York City chapter of the National Association of Social Workers. Mr. Mundy is Adjunct Professor at Long Island University and maintains a private clinical practice.

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Table of Contents

I. Therapy in the Real World
1. Overview of the Book
2. Evidence-Based Practice
3. Incorporating Multicultural, Racial, and Socioeconomic Diversity
II. Core Mediational Processes
4. Joining and Establishing the Therapeutic Relationship
5. Psychoeducation and Recovery Principles in Mental Health Services
6. Motivational Interviewing
7. Cognitive-Behavioral Therapy
8. Mindfulness- and Acceptance-Based Principles and Practices
9. Relapse Prevention, Trigger Management, and the Completion of Treatment
III. Systems Interventions: Family, Multisystems, and Group Treatment
10. Family Therapy
11. The Multisystems Model and Interdisciplinary Coordination of Care
12. Group Therapy
IV. Risk Assessment and Crisis Intervention
13. Risk Assessment and Suicide Prevention
14. Crisis Intervention in Clinics, Schools, and Communities: Responses to Violence, Suicide, and Homicide
V. Challenges of Clinical Work, Clinician Self-Care, Supervision, and Training
15. The Benefits and Challenges of Clinical Work and the Importance of Clinician Self-Care
16. Supervision, Training, and Organizational Support as Antidotes to Burnout
Concluding Statement
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