Mental Health Matters 2018 Spring

Page 3

Collaborative Problem Solving BY CHAD STEELE, M.ED., LMHC, AMS-C II

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hen children fail to meet adult expectations, adults need a plan. Collaborative Problem Solving (CPS) offers an innovative approach to respond to children and adolescents with social, behavioral, and emotional challenges. The model, developed by Think:Kids, a program of the Psychiatry Department of Massachusetts General Hospital, is based on the belief that children with challenging behaviors lack the skill, not the will, to solve problems, handle frustrations, and be flexible. This evidence-based approach puts forward two beliefs: that such challenging behaviors are the result of underdeveloped thinking skills (rather than attention-seeking, manipulative, limit-testing, or poor motivation), and that the best way to meet these challenges is through teaching the necessary skills (instead of the imposition of adult will or reward and punishment approaches). The mindset behind CPS is acknowledgement, rather than confrontation. CPS lays out three options to respond to behavioral challenges in children: • Plan A: When adults impose their authority/will to make a child meet their expectations (these are “my” rules, “my” orders. For example, an adult orders a child to take out the trash). A reward may be offered or punishment/ consequences may be threatened if the expectation (taking out the trash) is not met. Plan A is based on the idea that basic consequences can teach lessons. • Plan B: When adults work together with children to solve problems in mutually satisfactory and realistic ways. (The adult asks why the child hasn’t taken out the trash, and they discuss options for accomplishing the task.) MENTAL HEALTH MARKETING, 434.200.4447

• Plan C: When adults drop their expectations, at least temporarily, when Plan A is unsuccessful. (The adult takes the child’s stress into account, recognizes the child has homework, and either takes out the trash or let’s the chore wait.) Plan C reduces challenging actions by the child, but does not focus on the relationship between child and adult. Plan B is the heart of the Collaborative Problem Solving model. The plan takes into account the child’s reasoning for his or her actions (the trash wasn’t taken out because of homework), addresses the adult’s concerns (the trash needs to go out because the garbage pickup is soon), and helps the child work on problem-solving skills with the adult to assess potential solutions and choose one that is both realistic and mutually satisfactory (arrives at a way in which the trash is out on time and the child completes his/her homework). Plan B gives the child the first opportunity to initiate the mutually beneficial solution. For example, an adult might ask a child, “Do you have an idea that will get both of our needs met?” Plan B enables children with behavioral issues to become more competent. Unlike Plan A, the child has a vested interest, and unlike Plan C, the child does not have to take action on his or her own. (If a child cannot figure out simple tasks such as how to take out the trash on time and complete homework, how can we expect them to navigate social, school or work situations in the future?) Plan B addresses all of these issues. However, the adult reserves the right to choose any of the plans when there is an unmet expectation. continued on the back CENTRA | 3


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