Trauma Based Therapies Services:
Traditional mental health has provided treatment services to individuals who have experienced trauma by labeling their behaviors as inappropriate, problematic or deviant. This labeling process has often included the prescription of medication, even to very young children. Emphasis has been placed on “covering” up the trauma and diagnosing the unhealthiness in the child, adolescent or adult. Diagnoses such as Reactive Attachment Disorder, ADHD, Conduct Disorder, Intermittent Explosive Disorder all imply that there is “something wrong” with the individual and that they need to be fixed. Historically, little attention has been placed on helping the individual to identify the trauma, discuss the trauma from their perspective or helping the individual discuss how their current level of functioning has been impacted by the trauma in their life.
King and Associates, Inc. works within the framework of Trauma Focused-Cognitive Behavioral Therapy (TF-CBT). TF-CBT allows Clinicians to provide clients with evidenced based treatment services. This type of treatment focuses on providing psycho-education information about trauma to children and adults and helps individuals to process their reactions to their traumatic experiences. This type of therapy also encourages the processing of cognitive coping skills by providing the client with the opportunity to talk about their trauma (inviting the trauma narrative) and helps clients to develop relaxational and stress management skills. In addition, supportive individuals can “come along side” the client throughout the therapeutic process. This process allows clients to move on toward healthy childhood and adult years armed with knowledge, skills and experience to face situations in the future with the lessons that they learned through the processing of their traumas. These services include:
- Victim Groups – These therapeutic groups will be on-going in nature and will include psycho-educational and supportive components. Emphasis will be placed on helping identified victims to incorporate their histories of abuse, promote healthy peer relationships, and understand the impact that the abuse had on their current level of functioning and to assist children/youth in minimizing their unhealthy thoughts and/or behaviors. Children/youth will be placed in these groups based on their targeted treatment needs, age of the child/youth, and the current make-up of the on-going group. A group session is comprised of 1 ½ hours.
- Assessment of Alleged / Trauma Victim – This assessment will include reviewing information/records provided by professionals involved with this child/youth, a clinical interview with the child/youth, an interview with the parents/guardians of the child/youth (when appropriate) and testing as deemed age appropriate. The purpose of this assessment is to determine the impact that the abuse had on the child and to determine in therapeutic services are warranted. This assessment will also include treatment recommendations, if requested.
- Assessment of Non-Offending Parents of Sexual Abuse – This assessment will include reviewing information/records provided by professionals involved with this non-offending parent, a clinical interview with the non-offending parent, and testing as deemed appropriate. The purpose of this assessment is to determine the needs of the non-offending parent to parent the child victim successfully, provide psycho-educational information and to assess risk to the child in the care of this individuals. This assessment will also include treatment recommendations, if requested.
- Sibling Sessions – This therapeutic session includes working with the identified victim of abuse within the context of their family system, specifically their siblings. This session can include reuniting victims with their siblings or therapeutically working through identified issues between the siblings. This goal is to teach and promote health relationships between a victim and his/her siblings and provide the victim and his/her siblings with support. A cognitive behavioral approach is utilized.
- Family Sessions – Family sessions include the identification of family issues which have been problematic within the family system, developing treatment goals relative to improving family functioning, constructing healthy objectives for treatment, creating applicable and healthy interventions and promoting a “new” way of family functioning. This is a very interactive process where parents are taught to bond with their children and form effective parenting styles, while the children are encouraged to be children. A cognitive-behavioral approach is used with a strong component of parent-child interaction therapy. This type of family session can include biological parents, foster parents, or legal guardians of the child. Family sessions are typically best conducted when the family members have completed most, or all, of their individual treatment goals within the realm of their own treatment setting.
- Non-Offending Parent Groups – Non-offending parent groups will include a therapeutic component, a psycho-educational component and a supportive component. Emphasis will be placed on providing non-offending parents with therapeutic support, guidance, and interventions so that they can protect their children from future abusive situations and provide a more structured and healthier environment within the home. These groups will be on-going in nature as members enter and leave based on individual successful completion of the group. A group session is comprised of 1 to 1 ½ hours in length.
- Psycho-Sexual Assessment of Sexually Acting-Out Children/Youth – This assessment will include reviewing information/records provided by the professionals involved with this child/youth, identifying reason for the referral, assessing historical and current information, a clinical interview and testing appropriate to the age of the child/youth. This assessment will also include treatment recommendations and modifications to environmental conditions that promote healthiness for the child/youth.
- Assessments of Adjudicated Youths With Illegal Sexual Behaviors – This assessment will include reviewing information/records provided by the professionals involved with this child/youth, identifying the reason for referral, identifying dynamic and static variables relative to the illegal sexual behaviors, participation in sexual deviance testing (when appropriate), and the use of psychological testing. This assessment will include treatment recommendations for the youth and other recommendations to reduce dynamic risk variables.
- Individual Treatment Sessions for Youths with Unhealthy Sexual Behaviors – Individual treatment sessions will be conducted using cognitive behavioral therapy with identified treatment targets. These treatment targets include, but are not limited to, deficits in peer relationships, managing affective state(s), reducing impulsivity, improving problem solving skills and reducing future sexually acting out behaviors.
- Assessment of Identified and/or Convicted Sex Offenders – This assessment will include reviewing information/records provided by the professionals involved with this adult, identifying the reason for referral, participation in a clinical interview identifying historical and dynamic factors relative to the illegal sexual behaviors. Several risk assessment tools may be utilized to objectively assess an offender’s level of risk for future sexually acting out behaviors or future violent behaviors and sexual deviancy testing. It is possible that this individual could also be requested to participate in a polygraph as part of, or following, the sex offender assessment. This assessment will also include treatment recommendations, if requested.
- Groups for Youths with Unhealthy Sexual Behaviors – Groups for these youths will include psycho-educational and supportive components. Emphasis will be placed on minimizing sexually acting-out behaviors and promoting healthy peer interpersonal relationship skills. In addition, this group will focus on helping youths to develop healthy connections and attachment to others. These groups will be on-going in nature as members enter and exit based on successful treatment of their identified treatment goals. A group session is comprised of 1 to 1 ½ hours in length.
- Groups for Identified and/or Convicted Adult Male or Female Sex Offenders – Groups for these men and women will be therapeutic in nature but, will also include a psycho-educational and peer-to-peer component. Emphasis will be placed on developing relapse prevention plans to eliminate identified deviant sexual behaviors and to encourage healthy adult interpersonal skills. In addition, treatment will focus on identifying the cognitive distortions that were wrapped around their sexually offending behaviors. It should be noted that any individual identified as a Sexually Violent Predator (SVP) within the command of Pennsylvania must now participate in treatment for a specific period of time, and in some situations, for a lifetime. These groups will be on-going in nature as members enter and exit the group based on successful treatment of their collaborated treatment goals. A group session is 1 ½ hours in length and meets on a weekly basis.
- Mental Health Evaluations for Adults or Children/Adolescents – This assessment examines an individual’s overall emotional well-being and identify target areas of concern. This assessment will likely include a clinical interview, a review of records, consultation with collaborative sources, and testing (as appropriate.) This assessment may also include treatment recommendations when applicable.
- Psychotherapy Sessions – This is a standard therapeutic session for victims of abuse/neglect or individuals experiencing mental health issues. Psychotherapy includes a strength-based approach to identifying the reason for referral, developing problem solving skills, defining the problem, the development of treatment goals, constructing objectives for treatment and creating intervention strategies. This is an interactive process with the client. A cognitive behavioral approach is used in psychotherapy with both children and adults.
- Polygraph Services – This is a standard component of treatment for identified sex offenders and for individuals with identified sexually acting-out behaviors. Instant offense polygraphs are aimed at gathering information related to the sexual offense that the offender may not have acknowledged. A monitoring polygraph assess an individual’s adherence to the terms and probation or parole. It should be noted that Sexual Violent Predators must now participate in a polygraph once a year. These services will be administered by a professionally competent and trained polygrapher who specialized in conducting sex offender polygraphs for both juveniles and adults.
Sex Offender Assessment and Treatment Services
King and Associates is approved by the Pennsylvania Sexual Offenders Assessment Board as a provider of sex offender treatment services for Sexually Violent Predators, as provided for under 42 Pa. C.S.A. 9799. King and Associates is approved in the following counties in Pennsylvania: Armstrong County, Allegheny County, Beaver County, Fayette County, Greene County, Indiana County, Somerset County, Washington County, and Westmoreland County
Parenting and Visitation Services:
Therapeutic supervised visitation services are conducted by master’s level therapists both in an office setting and within the community. These services are focused on identifying the emotional needs of the child, assisting the parents in responding to the child’s emotional needs by improving their parenting skills, and applying therapeutically principles within the visit. Our therapeutic supervised visitation services are grounded in the belief that children and their parents are often alienated from each other by their disjoined relationship, gaps in their bonding and attachment process, and by lack of communication. Through therapeutic supervised visitation, the visiting professional has been able to assist parents in learning to meet the needs of their children, empathize with the child in his/her situation and incorporate therapeutic statements in a concrete and supportive manner. Typically, referrals to our therapeutic visitation program services derive from Court orders, child protective services, attorneys and private referrals from individuals in custody cases. These services are often offered to children and their families one (1) to two (2) times per week but, may increase as the Clinician and parents have reported an enhanced relationship with their children. Related services include:
- Supervision of Visits/Interaction/Meetings – This service includes the monitoring of individual/family visitation at any location, as requested by the Court, a family member, Caseworker or other professional. The supervising professional will provide professional re-direction to parents/caregivers in their communication and interactions with their children, who have been placed outside of the home. Re-direction of inappropriate comments or behaviors will be addressed.
- Parenting Services – This service begins with a parenting assessment to determine the parenting needs of the individuals who are required to participate in this service. Based on the identified needs, information and guidance will be provided to the participating individuals that is both researched based and skill based. Participants will be required to not only comprehend the material being provided but demonstrate application of the learned skills to the professional during the service.
- Reconciliation Services – This service includes providing therapeutic reconciliation between family members who have been estranged due to a child being in placement, foster care, divorce/custody arrangement or any other situation that placed distance between family members and their relationships. This service is therapeutic in nature and attempts to develop bond and attachment between the family members while focusing on forming a healthier relationship throughout the process. Court ordered parameters may also be executed during the course of this service. This service is provided by a Master’s Level therapist.
For more information, call King & Associates at: