Program Goals

The program representative did not provide information about the program’s goals.

Logic Model

The program representative did not provide information about a Logic Model for Stressbusters.

Essential Components

The essential components of Stressbusters include:

• 9 sessions of group cognitive-behavioral treatment, including both generic components (such as social skills, problem-solving training, goal setting, and relaxation) and depression-specific CBT components (such as understanding emotional spirals; pleasant activity scheduling; identification and practice using helpful vs. unhelpful thoughts; and cognitive and behavioral strategies for reversing negative emotional spirals). The recommended group size is 4 to 10 children.
  
• A family education component is included which is designed to enhance generalization to a real world setting and promote a supportive family environment.
• A video is developed by the children (during the group sessions) that is shown to the parents during the final family education session. In making the video, the children practice and demonstrate the skills introduced during each CBT session.
• The intervention concludes with "family night." This session is designed to promote generalization of skills to key environmental contexts (home, school, community), encourage parents to support the learning that was achieved through the group sessions, and foster positive attitudes toward the skills emphasized in the intervention. After a brief introduction to parents explaining their key role in promoting generalization of the CBT skills to real-world contexts and problems, parents and children are brought together for a multiple-family meeting. During the meeting, the children's video illustrating the treatment model is presented and children are given awards for their accomplishments. Each child then assumes the role of "consultant" as they teach their parents the skills emphasized in the group session through a series of games. The session ends with the children presenting their parents with awards for their participation in the family session.

Program Delivery

Child/Adolescent Services

Stressbusters directly provides services to children/adolescents and addresses the following:

• Depression

Parent/Caregiver Services

Stressbusters directly provides services to parents/caregivers and addresses the following:

• There is a family education component designed to enhance family support and support parents in coping with their children's growth and recovery from depressive symptoms.

Recommended Intensity:

Two roughly 90-minute sessions per week which can be modified to enhance feasibility

Recommended Duration:

Ten sessions delivered over 5 weeks (two times/week) which can be modified to weekly sessions over 10 weeks

Delivery Settings

This program is typically conducted in a(n):

• Outpatient Clinic
• School Setting (Including: Day Care, Day Treatment Programs, etc.)

Homework

Stressbusters includes a homework component:

Practice exercises are used to help promote generalization to real-world contexts.

Resources Needed to Run Program

The typical resources for implementing the program are:

A room to meet in and equipment for making video/film

Manuals and Training

Prerequisite/Minimum Provider Qualifications

A background in mental health is required. The mental health provider may be assisted by teacher, school staff, or other personnel.

Manual Information

There is a manual that describes how to deliver this program.

Program Manual(s)

Manual citation:

• Asarnow, J. R., & Scott, C. V. (1999). A combined cognitive-behavioral family education intervention for depression in children. Unpublished Manual.

Available from program contact – see contact information below.

Training Information

There is training available for this program.

Training Contact:

• Joan R. Asarnow, PhD
  jasarnow@mednet.ucla.edu

Training Type/Location:

To be arranged based on the needs of the organization

Number of days/hours:

To be arranged based on the needs of the organization

Implementation Information

Pre-Implementation Materials

There are no pre-implementation materials to measure organizational or provider readiness for Stressbusters.

Formal Support for Implementation

There is formal support available for implementation of Stressbusters as listed below:

If desired, a plan can be developed collaboratively with an organization based on their aims and capacity. See www.asapnctsn.org, https://www.asapnctsn.org/what-we-do/#prepare

Fidelity Measures

There are fidelity measures for Stressbusters as listed below:

Fidelity monitoring is developed through individualized plans. More information can be found at https://www.asapnctsn.org/what-we-do/#prepare or contact the following email address: asapcenterinfo@duke.edu

Implementation Guides or Manuals

There are implementation guides or manuals for Stressbusters as listed below:

Implementation guidance available at https://www.asapnctsn.org/what-we-do/#prepare

Implementation Cost

There are no studies of the costs of Stressbusters.

Research on How to Implement the Program

Research has not been conducted on how to implement Stressbusters.

Relevant Published, Peer-Reviewed Research

Child Welfare Outcome: Child/Family Well-Being

Additional References

No reference materials are currently available for Stressbusters.