I. Challenge Welfare Practice Challenge
Depression among youth in residential care reflects a severe psychiatric problem that warrants urgent attention (Cheng, 2012). The World Health Organization, a few years ago, identified depression as one of the biggest health challenges exerting health-related strain on the family in developing nations. in an attempt to deal with the situation, the Adolescent Coping with Depression Course (CWD-A) evaluates treatment and therapist understanding of depression among teenagers in residential areas. Many organizations such as the Education sector, families, as well as societies, experience negative consequences occasioned by depression among adolescents. Experts opine that, out of depression, teenagers indulge in activities harmful to their lives. The intervention, relying on session-specific reports on experience, concept, and competence in undertaking a comprehensive examination of depression among teenagers. The intervention, additionally, endeavors to determine the ability of facilitators in offering effective therapy help adolescents experiencing depressive cases. The research thus also examines evidence-based practices (EBP) in the broad context of addressing mental illnesses in the community.
II. CEBC Evidence-Based Intervention
The organization gave the research on this intervention a score of 3 promising research evidence. The score indicates that there exists at least one study that is incorporating control measures like the untreated group and matched waiting list study to determine the advantages derived from it in relation to control mechanisms. Moreover, the rating implies that the study has been published in peer-reviewed literature. CEBC also bases its evaluation of the research on depression among teenagers on the validity, credibility, consistency, and accuracy of the measures taken in the course of the study. Significantly, the total weight of the results of multiple studies indicates that emphasize the benefits of the problem. Besides, the CEBC index is premised on the knowledge that is literature giving specific provisions on the elements of the practice procedure and precise description of how to implement it.
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CEBC, therefore, evaluates the relevancy of the interventions aimed at containing the spate of depression cases among teenagers in various ways. First, the intervention contributes significantly towards the reduction in the rate of depressive symptoms among young people in residential areas. According to the finding of Marcynyszyn, Maher & Corwin (2011), the interventions are also useful in providing parents and other stakeholders’ remission from present depressive disorders, which affect teenagers as well as the economic and social stabilities of their families. Significantly, the intervention is instrumental in promoting improvements in the psychological functioning of teenagers afflicted by the effects of depression. The relevancy of the intervention is still affirmed by the understanding that the program promises a comprehensive solution to the challenge of depression among young people.
Implementation guidelines help therapists in conducting self-evaluation to establish levels of adherence from the patients. The intervention also enables supervisors using Cognitive-Behavioral Therapy to evaluate the degree of competence among therapists. Furthermore, the intervention helps therapists to carry out a comprehensive examination of depressive cases and guides them in formulating credible conclusions helpful in addressing the challenge of depression among teenagers. EBP, however, carries the major disadvantage of time (Marcynyszyn, Maher & Corwin, 2011). The courses, however, usually take long before results are released. Unavailability of fidelity monitoring sessions has the potential to compromise the credibility of the exercise. In a case where a therapist demonstrates inadequate levels of competence, the intervention is bound to suffer to integrity challenges.
III. Intervention Implementation
The intervention faces potential implementation like establishing competence of the therapists. As previously found, detectable levels of incompetence among therapists erode the credibility of such an approach. Cheng (2012), moreover, the intervention takes relatively long. Some participants may as well opt out of the program along the way. Lack of implementation guidelines for therapists is likely to compromise the quality of the final results. It is crucial to design a realistic time frame that can enable effective and efficient implementation of the program to address the possible shortcomings. Supervisors also ought to conduct extensive research on therapists before assigning them roles. This can help reduce questions on integrity which deny the results of the intervention the necessary credibility. It is worth noting the policy review of the intervention is crucial in making significant changes so that desired results are generated in the process of executing the program.
IV. Advocacy for Evidence-Based Intervention
From a policy perspective, EBP brings about numerous advantages in dealing with mental conditions like depression among young people. Recent data suggests that most teenagers are facing a higher risk of suffering from mental illnesses. Moreover, the studies reveal that there is acute inadequacy of interventions in depressions among teenagers. It is imperative to examine mental illnesses, especially depression among young people through the context of the numerous effects the issue is likely to take place in residential areas (Cheng, 2010). The realization that most teenagers in the United States are moving out of their homes lends strong credence to the importance of evidence-based interventions to address cases of mental illnesses. Evidence-based practice, which relies on empirical research to give statistical evidence, is also useful in the management of depression among teenagers. Barth (2008) opines that EBP is instrumental in sourcing for funds to address issues related to mental illnesses like depression. Moreover, teenagers tend to demonstrate varying symptoms of depression. By relying on quantitative data sourced from the field, EBP can help in determining the right techniques to deal with depression among teenagers.
References
Barth, R. P. (2008). The move to evidence-based practice: How well does it fit child welfare services? Journal of Public Child Welfare. 2(2), 145-171.
Cheng, T. C. (2010). Factors associated with reunification: A longitudinal analysis of long-term foster care. Children and Youth Services Review. 32(10), 1311-1316.
Cheng, T. C., and Lo, C. C. 2012. Racial disparities in access to needed child welfare services and worker-client engagement . Children and Youth Services Review. 34(9), 1624-1632.
Marcynyszyn, L. A., Maher, E. J., & Corwin, T. W. (2011). Getting with the (evidence-based) program: An evaluation of the Incredible Years Parenting Training Program in child welfare. Children and Youth Services Review. 33(5), 747-757.
