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This essential new textbook meets the challenges faced by those who work with children in order to provide safe and effective practice. It identifies the ways in which social work and psychology need to work together to achieve this. Misca and Unwin reflect on the need for 'research mindedness' in social work education, and offer an invaluable critical analysis of current knowledge of child and adolescent psychology theory and research to help inform best social work practice. Whether a student on a qualifying course or an experienced practitioner, this is essential reading for social workers and psychologists working with children and adolescents.
Book Synopsis Child and Adolescent Psychology for Social Work and Allied Professions by : Gabriela Misca
Download or read book Child and Adolescent Psychology for Social Work and Allied Professions written by Gabriela Misca and published by Bloomsbury Publishing. This book was released on 2018-10-17 with total page 260 pages. Available in PDF, EPUB and Kindle. Book excerpt: This essential new textbook meets the challenges faced by those who work with children in order to provide safe and effective practice. It identifies the ways in which social work and psychology need to work together to achieve this. Misca and Unwin reflect on the need for 'research mindedness' in social work education, and offer an invaluable critical analysis of current knowledge of child and adolescent psychology theory and research to help inform best social work practice. Whether a student on a qualifying course or an experienced practitioner, this is essential reading for social workers and psychologists working with children and adolescents.
Conduct problems, particularly oppositional defiant disorder (ODD) and conduct disorder (CD), are the most common mental health problems affecting children and adolescents. The consequences to individuals, families, and schools may be severe and long-lasting. To ameliorate negative outcomes and ensure the most effective treatment for aggressive and antisocial youth, early diagnosis and evidence-based interventions are essential. Clinical Handbook of Assessing and Treating Conduct Problems in Youth provides readers with both a solid grounding in theory and a comprehensive examination of the evidence-based assessment strategies and therapeutic practices that can be used to treat a highly diverse population with a wide range of conduct problems. It provides professional readers with an array of evidence-based interventions, both universal and targeted, that can be implemented to improve behavioral and social outcomes in children and adolescents. This expertly written resource: Lays the foundation for understanding conduct problems in youth, including epidemiology, etiology, and biological, familial, and contextual risk factors. Details the assessment process, with in-depth attention to tools, strategies, and differential diagnosis. Reviews nine major treatment protocols, including Parent-Child Interaction Therapy (PCIT), multisystemic therapy (MST) for adolescents, school-based group approaches, residential treatment, and pharmacotherapy. Critiques the current generation of prevention programs for at-risk youth. Explores salient issues in working effectively with minority youth. Offers methods for evaluating intervention programs, starting with cost analysis. This volume serves as a one-stop reference for all professionals who seek a solid grounding in theory as well as those who need access to evidence-based assessment and therapies for conduct problems. It is a must-have volume for anyone working with at-risk children, including clinical child, school, and developmental psychologists; forensic psychologists; social workers; school counselors and allied professionals; and medical and psychiatric practitioners.
Book Synopsis Clinical Handbook of Assessing and Treating Conduct Problems in Youth by : Rachael C. Murrihy
Download or read book Clinical Handbook of Assessing and Treating Conduct Problems in Youth written by Rachael C. Murrihy and published by Springer Science & Business Media. This book was released on 2010-08-26 with total page 558 pages. Available in PDF, EPUB and Kindle. Book excerpt: Conduct problems, particularly oppositional defiant disorder (ODD) and conduct disorder (CD), are the most common mental health problems affecting children and adolescents. The consequences to individuals, families, and schools may be severe and long-lasting. To ameliorate negative outcomes and ensure the most effective treatment for aggressive and antisocial youth, early diagnosis and evidence-based interventions are essential. Clinical Handbook of Assessing and Treating Conduct Problems in Youth provides readers with both a solid grounding in theory and a comprehensive examination of the evidence-based assessment strategies and therapeutic practices that can be used to treat a highly diverse population with a wide range of conduct problems. It provides professional readers with an array of evidence-based interventions, both universal and targeted, that can be implemented to improve behavioral and social outcomes in children and adolescents. This expertly written resource: Lays the foundation for understanding conduct problems in youth, including epidemiology, etiology, and biological, familial, and contextual risk factors. Details the assessment process, with in-depth attention to tools, strategies, and differential diagnosis. Reviews nine major treatment protocols, including Parent-Child Interaction Therapy (PCIT), multisystemic therapy (MST) for adolescents, school-based group approaches, residential treatment, and pharmacotherapy. Critiques the current generation of prevention programs for at-risk youth. Explores salient issues in working effectively with minority youth. Offers methods for evaluating intervention programs, starting with cost analysis. This volume serves as a one-stop reference for all professionals who seek a solid grounding in theory as well as those who need access to evidence-based assessment and therapies for conduct problems. It is a must-have volume for anyone working with at-risk children, including clinical child, school, and developmental psychologists; forensic psychologists; social workers; school counselors and allied professionals; and medical and psychiatric practitioners.
This textbook provides a comprehensive overview of medical and mental illness in children, detailing how psychological, academic, and social functioning can be enhanced – and inherent challenges overcome – in young patients. The volume describes best-practices in depth, including how to ensure accurate diagnosis, developmentally appropriate treatment, and effective coordination between medical and school personnel. It discusses common medical conditions (e.g., asthma, cancer, diabetes) and mental health conditions (e.g., autism, ADHD, depression), emphasizing the critical role of health education in promoting optimal outcomes. Topics featured in this text include: Screening and diagnosis practices for children with medical and mental illness. Chronic and condition-related pain in children. Medical fears that may interfere with treatment and positive health behaviors Health education and coping strategies for children. Recommendations for family-directed interventions. Illustrative case studies and review questions. Medical and Mental Health During Childhood is an essential text for graduate students as well as a valuable reference for researchers, professors, and clinicians in clinical child and school psychology, social work, public health, family studies, educational psychology and counseling, health education, and allied disciplines.
Book Synopsis Medical and Mental Health During Childhood by : Laura Nabors
Download or read book Medical and Mental Health During Childhood written by Laura Nabors and published by Springer. This book was released on 2016-06-03 with total page 221 pages. Available in PDF, EPUB and Kindle. Book excerpt: This textbook provides a comprehensive overview of medical and mental illness in children, detailing how psychological, academic, and social functioning can be enhanced – and inherent challenges overcome – in young patients. The volume describes best-practices in depth, including how to ensure accurate diagnosis, developmentally appropriate treatment, and effective coordination between medical and school personnel. It discusses common medical conditions (e.g., asthma, cancer, diabetes) and mental health conditions (e.g., autism, ADHD, depression), emphasizing the critical role of health education in promoting optimal outcomes. Topics featured in this text include: Screening and diagnosis practices for children with medical and mental illness. Chronic and condition-related pain in children. Medical fears that may interfere with treatment and positive health behaviors Health education and coping strategies for children. Recommendations for family-directed interventions. Illustrative case studies and review questions. Medical and Mental Health During Childhood is an essential text for graduate students as well as a valuable reference for researchers, professors, and clinicians in clinical child and school psychology, social work, public health, family studies, educational psychology and counseling, health education, and allied disciplines.
The Second Edition of the Handbook of Adolescent Behavioral Problems clarifies the current state of treatment and prevention through comprehensive examinations of mental disorders and dysfunctional behaviors as well as the varied forces affecting their development. New or revised chapters offer a basic framework for approaching mental health concerns in youth and provide the latest information on how conditions (e.g., bipolar disorder, suicidality, and OCD) and behaviors (e.g., sex offenses, gang activities, dating violence, and self-harm) manifest in adolescents. Each chapter offers diagnostic guidance, up-to-date findings on prevalence, biological/genetic aspects, risk and resilience factors, and a practical review of prevention and treatment methods. Best-practice recommendations clearly differentiate among what works, what might work, what doesn't work, and what needs further research across modalities, including pharmacotherapy. Key topics addressed include: Families and adolescent development. Adolescent mental health and the DSM-5. Oppositional Defiant Disorder and Conduct Disorder. Autism spectrum disorder. Media and technology addiction. School failure versus school success. Bullying and cyberbullying. The Second Edition of the Handbook of Adolescent Behavior Problems is a must-have reference for researchers, clinicians, allied practitioners and professionals, and graduate students in school and clinical child psychology, education, pediatrics, psychiatry, social work, school counseling, and public health.
Book Synopsis Handbook of Adolescent Behavioral Problems by : Thomas P. Gullotta
Download or read book Handbook of Adolescent Behavioral Problems written by Thomas P. Gullotta and published by Springer. This book was released on 2014-10-14 with total page 717 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Second Edition of the Handbook of Adolescent Behavioral Problems clarifies the current state of treatment and prevention through comprehensive examinations of mental disorders and dysfunctional behaviors as well as the varied forces affecting their development. New or revised chapters offer a basic framework for approaching mental health concerns in youth and provide the latest information on how conditions (e.g., bipolar disorder, suicidality, and OCD) and behaviors (e.g., sex offenses, gang activities, dating violence, and self-harm) manifest in adolescents. Each chapter offers diagnostic guidance, up-to-date findings on prevalence, biological/genetic aspects, risk and resilience factors, and a practical review of prevention and treatment methods. Best-practice recommendations clearly differentiate among what works, what might work, what doesn't work, and what needs further research across modalities, including pharmacotherapy. Key topics addressed include: Families and adolescent development. Adolescent mental health and the DSM-5. Oppositional Defiant Disorder and Conduct Disorder. Autism spectrum disorder. Media and technology addiction. School failure versus school success. Bullying and cyberbullying. The Second Edition of the Handbook of Adolescent Behavior Problems is a must-have reference for researchers, clinicians, allied practitioners and professionals, and graduate students in school and clinical child psychology, education, pediatrics, psychiatry, social work, school counseling, and public health.
Is it school refusal or separation anxiety disorder? Can preschoolers have panic attacks? Does food neophobia really exist? For readers seeking ways to improve assessment, case conceptualization, or treatment plans as well as a more general understanding of anxiety disorders among children, the Handbook of Child and Adolescent Anxiety Disorders addresses these and many other complex issues. A straightforward companion to the diagnostic manuals, this volume crosses theoretical boundaries to describe in depth the wide range of children’s anxiety disorders and to explain the developmental nuances that separate them from their adult analogues. Coverage includes: Diagnostic and etiological models of children’s anxiety disorders (i.e., genetic, cognitive-behavioral, taxonomic, neuropsychological, dimensional). Differential diagnosis guidelines for generalized anxiety disorder (GAD), phobic conditions, obsessive-compulsive disorder (OCD), and posttraumatic stress disorder (PTSD) in youth. Ancillary factors in child and adolescent anxiety (e.g., personality, temperament, parenting issues, and comorbid conditions). Psychological, pharmacological, and combined treatments for childhood anxiety disorders. Special populations and emerging areas of interest, including anxiety disorders in the contexts of chronic health problems and developmental disabilities. The Handbook of Child and Adolescent Anxiety Disorders is a must-have reference for researchers, clinicians, and graduate students in psychology, psychiatry, social work and counseling as well as allied professionals in hospitals, community mental health centers, schools, and private practice.
Book Synopsis Handbook of Child and Adolescent Anxiety Disorders by : Dean McKay
Download or read book Handbook of Child and Adolescent Anxiety Disorders written by Dean McKay and published by Springer Science & Business Media. This book was released on 2011-03-23 with total page 535 pages. Available in PDF, EPUB and Kindle. Book excerpt: Is it school refusal or separation anxiety disorder? Can preschoolers have panic attacks? Does food neophobia really exist? For readers seeking ways to improve assessment, case conceptualization, or treatment plans as well as a more general understanding of anxiety disorders among children, the Handbook of Child and Adolescent Anxiety Disorders addresses these and many other complex issues. A straightforward companion to the diagnostic manuals, this volume crosses theoretical boundaries to describe in depth the wide range of children’s anxiety disorders and to explain the developmental nuances that separate them from their adult analogues. Coverage includes: Diagnostic and etiological models of children’s anxiety disorders (i.e., genetic, cognitive-behavioral, taxonomic, neuropsychological, dimensional). Differential diagnosis guidelines for generalized anxiety disorder (GAD), phobic conditions, obsessive-compulsive disorder (OCD), and posttraumatic stress disorder (PTSD) in youth. Ancillary factors in child and adolescent anxiety (e.g., personality, temperament, parenting issues, and comorbid conditions). Psychological, pharmacological, and combined treatments for childhood anxiety disorders. Special populations and emerging areas of interest, including anxiety disorders in the contexts of chronic health problems and developmental disabilities. The Handbook of Child and Adolescent Anxiety Disorders is a must-have reference for researchers, clinicians, and graduate students in psychology, psychiatry, social work and counseling as well as allied professionals in hospitals, community mental health centers, schools, and private practice.
Use a strengths perspective for working with your younger clients! Mental Health Practice with Children and Youth: A Strengths and Well-Being Model presents new insights into successfully working with children by concentrating on their capabilities and resilience. This book explores the continuum of children’s needs and challenges from early childhood through adolescence. This text also supports child-centered and strengths-oriented approaches to intervention with children and introduces specific strategies for maximizing pro-social behaviors, self-concept, learning, and positive peer relationships in children at home, at school, and in the community. Mental Health Practice with Children and Youth shows how children’s rights have slowly evolved over many years, from children’s status as property in the 1600s to the twentieth-century innovations that give a child a specific legal status with a certain amount of freedom and self-determination. By emphasizing the self-concept and self-esteem guidelines outlined by this book, social workers, mental health specialists, and childcare professionals can help children transition into healthy adults, despite hardships, disabilities, or parent negligence. Chapters highlighting interview and assessment techniques as well as media-directed, creative child therapies will enhance your counseling and intervention practices. Mental Health Practice with Children and Youth provides you with insight on: the relationships between children and family environment—from two-parent families to foster families child socialization and peer relationships—in school and around the community adolescence—gender roles, ethnic and racial diversity, sexual orientation, and adult transitioning educational needs—teacher expectations, special education, diversity, home schooling and more! The strengths perspective is not always included in traditional child welfare and children’s practice texts, and this textbook fills that gap for working with younger clients. Children in child welfare, educational, mental health, family service, and recreational settings will all benefit from the inclusion of Mental Health Practice with Children and Youth: A Strengths and Well-Being Model in your work. Augmented with case scenarios and studies, empirical findings, and questions for discussion in every chapter, this book will help child service professionals as well as university faculty and students.
Book Synopsis Mental Health Practice with Children and Youth by : Lonnie R. Helton
Download or read book Mental Health Practice with Children and Youth written by Lonnie R. Helton and published by Routledge. This book was released on 2014-01-02 with total page 274 pages. Available in PDF, EPUB and Kindle. Book excerpt: Use a strengths perspective for working with your younger clients! Mental Health Practice with Children and Youth: A Strengths and Well-Being Model presents new insights into successfully working with children by concentrating on their capabilities and resilience. This book explores the continuum of children’s needs and challenges from early childhood through adolescence. This text also supports child-centered and strengths-oriented approaches to intervention with children and introduces specific strategies for maximizing pro-social behaviors, self-concept, learning, and positive peer relationships in children at home, at school, and in the community. Mental Health Practice with Children and Youth shows how children’s rights have slowly evolved over many years, from children’s status as property in the 1600s to the twentieth-century innovations that give a child a specific legal status with a certain amount of freedom and self-determination. By emphasizing the self-concept and self-esteem guidelines outlined by this book, social workers, mental health specialists, and childcare professionals can help children transition into healthy adults, despite hardships, disabilities, or parent negligence. Chapters highlighting interview and assessment techniques as well as media-directed, creative child therapies will enhance your counseling and intervention practices. Mental Health Practice with Children and Youth provides you with insight on: the relationships between children and family environment—from two-parent families to foster families child socialization and peer relationships—in school and around the community adolescence—gender roles, ethnic and racial diversity, sexual orientation, and adult transitioning educational needs—teacher expectations, special education, diversity, home schooling and more! The strengths perspective is not always included in traditional child welfare and children’s practice texts, and this textbook fills that gap for working with younger clients. Children in child welfare, educational, mental health, family service, and recreational settings will all benefit from the inclusion of Mental Health Practice with Children and Youth: A Strengths and Well-Being Model in your work. Augmented with case scenarios and studies, empirical findings, and questions for discussion in every chapter, this book will help child service professionals as well as university faculty and students.
A practical volume for the helping professions, Group Work With Children and Adolescents will be highly valuable to those practicing in the fields of social work, human services, clinical and counseling psychology, and psychiatric nursing.
Book Synopsis Group Work with Children and Adolescents by : Steven R. Rose
Download or read book Group Work with Children and Adolescents written by Steven R. Rose and published by SAGE. This book was released on 1998-06-30 with total page 201 pages. Available in PDF, EPUB and Kindle. Book excerpt: A practical volume for the helping professions, Group Work With Children and Adolescents will be highly valuable to those practicing in the fields of social work, human services, clinical and counseling psychology, and psychiatric nursing.
The second edition of this book offers an expanded and updated blueprint for more consistently improved practice, emphasizing family process and structure instead of only individual developmental stages. Its chapters deftly summarize the recent knowledge base about families with adolescents and explains how to apply these results across mental health and social services disciplines. The new edition clearly illustrates family concerns and theoretical perspectives through real-world vignettes and cogent use of family assessment measures. Chapters offer a broad understanding of how diversity in all its forms – including race/ethnicity, culture, religion, and sexual orientation – has created a much more nuanced understanding of how families with adolescents are able to function within their environment. Both major challenges to families and communities form the backdrop of the second edition’s focus on forecasting in which the theoretical, empirical, and intervention literatures necessarily move in service to the health and well-being of families with adolescents. Featured topics include: Central concepts of family development, family systems, ecological, attachment, and social learning theories in relation to families with adolescents. Influence of the family on adolescent problem behavior, mental health concerns, substance use issues, educational attainment, and social competence outcomes. Selected studies on parenting behaviors, conflict resolution, and other major aspects of families with adolescents. Application topics in family-based intervention and prevention programs. Integrating theory, research, and applications to create a “triple threat” model. Diversity issues surrounding race/ethnicity, culture, religion, and sexual orientation. Families with Adolescents, Second Edition, is an essential resource for researchers, professors, and graduate and advanced undergraduate students as well as professionals and other mental health clinicians, practitioners, and therapists in clinical child and developmental psychology, family studies, human development, sociology, social work, education, and all allied disciplines.
Book Synopsis Families with Adolescents by : Stephen M. Gavazzi
Download or read book Families with Adolescents written by Stephen M. Gavazzi and published by Springer Nature. This book was released on 2023-10-06 with total page 301 pages. Available in PDF, EPUB and Kindle. Book excerpt: The second edition of this book offers an expanded and updated blueprint for more consistently improved practice, emphasizing family process and structure instead of only individual developmental stages. Its chapters deftly summarize the recent knowledge base about families with adolescents and explains how to apply these results across mental health and social services disciplines. The new edition clearly illustrates family concerns and theoretical perspectives through real-world vignettes and cogent use of family assessment measures. Chapters offer a broad understanding of how diversity in all its forms – including race/ethnicity, culture, religion, and sexual orientation – has created a much more nuanced understanding of how families with adolescents are able to function within their environment. Both major challenges to families and communities form the backdrop of the second edition’s focus on forecasting in which the theoretical, empirical, and intervention literatures necessarily move in service to the health and well-being of families with adolescents. Featured topics include: Central concepts of family development, family systems, ecological, attachment, and social learning theories in relation to families with adolescents. Influence of the family on adolescent problem behavior, mental health concerns, substance use issues, educational attainment, and social competence outcomes. Selected studies on parenting behaviors, conflict resolution, and other major aspects of families with adolescents. Application topics in family-based intervention and prevention programs. Integrating theory, research, and applications to create a “triple threat” model. Diversity issues surrounding race/ethnicity, culture, religion, and sexual orientation. Families with Adolescents, Second Edition, is an essential resource for researchers, professors, and graduate and advanced undergraduate students as well as professionals and other mental health clinicians, practitioners, and therapists in clinical child and developmental psychology, family studies, human development, sociology, social work, education, and all allied disciplines.
"Understanding Mental Health Problems of Children and Adolescents: A Guide for Social Workers provides a practical guide for social workers on promoting positive mental health in youth from a system of care perspective. Social workers will gain an understanding of the scope of mental health issues in youth to include definitions, etiology, evidence-based treatments. The book emphasizes the importance of collaborating with youth and caregivers, importance of addressing issues from a strengths and trauma informed perspective, and of cultural humility practice. A unique aspect of the book is the presentation of real life case studies allowing the reader to apply the information in each section of the book. Each diagnosis is presenting in two chapters. The first chapter discusses the DSM criteria, biological aspects of the disorder, differential diagnosing, followed by a case study applying the diagnostic criteria. The second chapter presents evidenced based treatments and medications. Presentation of how to access evidenced based treatments for each diagnosis is provided. Followed by a discussion of the outcomes of the case studies from the previous chapter"--
Book Synopsis Understanding the Mental Health Problems of Children and Adolescents by : Kirstin Painter
Download or read book Understanding the Mental Health Problems of Children and Adolescents written by Kirstin Painter and published by Oxford University Press, USA. This book was released on 2021 with total page 337 pages. Available in PDF, EPUB and Kindle. Book excerpt: "Understanding Mental Health Problems of Children and Adolescents: A Guide for Social Workers provides a practical guide for social workers on promoting positive mental health in youth from a system of care perspective. Social workers will gain an understanding of the scope of mental health issues in youth to include definitions, etiology, evidence-based treatments. The book emphasizes the importance of collaborating with youth and caregivers, importance of addressing issues from a strengths and trauma informed perspective, and of cultural humility practice. A unique aspect of the book is the presentation of real life case studies allowing the reader to apply the information in each section of the book. Each diagnosis is presenting in two chapters. The first chapter discusses the DSM criteria, biological aspects of the disorder, differential diagnosing, followed by a case study applying the diagnostic criteria. The second chapter presents evidenced based treatments and medications. Presentation of how to access evidenced based treatments for each diagnosis is provided. Followed by a discussion of the outcomes of the case studies from the previous chapter"--
The news of teenagers and even younger children committing ever more serious and violent crimes continues to shock and baffle. The escalating psychological and social toll of youth crime is being paid by all – from victims to offenders to parents and siblings to teachers and to the community as a whole. "Adolescent Reputations and Risk" looks beyond traditional theories to examine, from a solid empirical basis, the motivation and values that make some young people choose antisocial over positive behavior, resulting in potent new insights and possible solutions to this ongoing problem. Synthesizing 15 years of research with delinquent youth, this volume describes the volatile dynamic of child and adolescent social worlds, emphasizing reputation enhancement and goal-setting as bases underlying deviant behavior. In innovative and accessible terms, "Adolescent Reputations and Risk" addresses delinquency throughout the course of childhood and adolescence, offers the first detailed explanation of delinquency by integrating goal-setting and reputation enhancement theories, provides evidence analyzing deviant trends in goal-setting and reputation enhancement terms among primary and high school students, answers key questions on topics such as impulsivity, drug and inhalant use, early-childhood psychopathy, links between ADHD and aggression, and the psychology of loners and includes current data on interventions for at-risk youth, including family and school methods, cognitive-behavioral therapy, wilderness and boot camp programs, and interactive multimedia strategies. This volume is an essential resource for clinical child, school, and counseling psychologists; social workers; and allied education and community mental health professionals and practitioners.
Book Synopsis Adolescent Reputations and Risk by : Annemaree Carroll
Download or read book Adolescent Reputations and Risk written by Annemaree Carroll and published by Springer Science & Business Media. This book was released on 2009-04-05 with total page 218 pages. Available in PDF, EPUB and Kindle. Book excerpt: The news of teenagers and even younger children committing ever more serious and violent crimes continues to shock and baffle. The escalating psychological and social toll of youth crime is being paid by all – from victims to offenders to parents and siblings to teachers and to the community as a whole. "Adolescent Reputations and Risk" looks beyond traditional theories to examine, from a solid empirical basis, the motivation and values that make some young people choose antisocial over positive behavior, resulting in potent new insights and possible solutions to this ongoing problem. Synthesizing 15 years of research with delinquent youth, this volume describes the volatile dynamic of child and adolescent social worlds, emphasizing reputation enhancement and goal-setting as bases underlying deviant behavior. In innovative and accessible terms, "Adolescent Reputations and Risk" addresses delinquency throughout the course of childhood and adolescence, offers the first detailed explanation of delinquency by integrating goal-setting and reputation enhancement theories, provides evidence analyzing deviant trends in goal-setting and reputation enhancement terms among primary and high school students, answers key questions on topics such as impulsivity, drug and inhalant use, early-childhood psychopathy, links between ADHD and aggression, and the psychology of loners and includes current data on interventions for at-risk youth, including family and school methods, cognitive-behavioral therapy, wilderness and boot camp programs, and interactive multimedia strategies. This volume is an essential resource for clinical child, school, and counseling psychologists; social workers; and allied education and community mental health professionals and practitioners.
