Applications of the Unified Protocols for Transdiagnostic Treatment of Emotional Disorders in Children and Adolescents

Jill Ehrenreich-May and Sarah M. Kennedy

ABCT Clinical Practice Series

Provides an overview of the history, rationale, research base, and standard delivery of the Unified Protocols for Transdiagnostic Treatment of Emotional Disorders in Children (UP-C) and Adolescents (UP-A)
Offers detailed guidance for clinicians wishing to apply the UP-C and UP-A to a wide range of diagnoses and problem areas, including obsessive-compulsive disorder, tic disorders, irritability and disruptive behaviors, eating disorders, substance use disorders, and serious mental illness
Illustrates how to apply the UP-C and UP-A across a range of delivery settings, including pediatric primary care, community mental health settings, and telehealth
Presents a framework and process for cultural adaptation of the UP-C and UP-A, using a cultural case example

Applications of the Unified Protocols for Transdiagnostic Treatment of Emotional Disorders in Children and Adolescents

Jill Ehrenreich-May and Sarah M. Kennedy

Description

The Unified Protocols for Transdiagnostic Treatment of Emotional Disorders in Children (UP-C) and Adolescents (UP-A) are evidence-based interventions originally designed to target core dysfunctions underlying emotional disorders, such as anxiety and depressive disorders, in children and adolescents. However, the UP-C and UP-A re increasingly being used to address other diagnostic clusters and problem areas that share these same core dysfunctions in a diverse range of delivery settings and cultural contexts.

Applications of the Unified Protocols for Transdiagnostic Treatment of Emotional Disorders in Children and Adolescents is a practical guide for clinicians and researchers on applying the core principles of the UP-C and UP-A to treat children and adolescents with a broad range of emotion disturbance across settings in which youth typically receive care, including community mental health settings, pediatric primary care, and telehealth. In addition to providing an overview of the rationale for using UP-C and/or UP-A with each presenting problem or within each delivery setting, chapters provide detailed, step-by-step guidance on adapting and applying the UP-C and UP-A for their particular problem area, delivery setting, or cultural context. Chapters include case examples, suggestions for overcoming potential barriers in clinical delivery, and practical "tip sheets" for clinicians. When used in conjunction with the UP-C and UP-A Therapist Guide and Workbooks, this volume is an essential resource for clinicians using transdiagnostic interventions to treat diverse, complex, and comorbid clients in real-world therapy settings.

Applications of the Unified Protocols for Transdiagnostic Treatment of Emotional Disorders in Children and Adolescents

Jill Ehrenreich-May and Sarah M. Kennedy

ABCT Clinical Practice Series

Part 1: An Evidence-Based Approach to Working with Youths

1. Introduction to the Unified Protocols for Transdiagnostic Treatment of Emotional Disorders in Children and Adolescents: History, Rationale, Adaptations
Sarah M. Kennedy and Jill Ehrenreich-May

2. Delivery of Standard UP-C and UP-A Treatment for Youth with Emotional Disorders
Rinatte Gruen and Dylan Braun

3. Current Evidence Base for the UP-C and UP-A
Niza Tonarely and Dominique Phillips

Part 2: Applying the UP-C and UP-A to Specific Diagnoses and Problem Areas

4. Obsessive-Compulsive Disorder and Tic Disorder/Tourette's
Ashley M. Shaw and Elizabeth R. Halliday

5. Pediatric Irritability and Disruptive Behaviors
Jessica Lyn Hawks, Sarah M. Kennedy, and Jacob B.W. Holzman

6. The Unified Protocol for Use with Adolescents with or At Risk for Serious Mental Illness
Marc J. Weintraub and Jamie Zinberg

7. Substance Use Disorders
Faith S. Williams, Rebecca E. Ford-Paz, and Jason Washburn

8. Avoidant/Restrictive Food Intake Disorder (ARFID)
Kristina D. Lowe and Sarah Eckhardt

9. Pediatric Illnesses and Pediatric Settings
Ryan R. Landoll, Kade B. Thornton, and Corinne A. Elmore

Part 3: Adapting the UP-C and UP-A to Different Treatment Settings

10. Stepped Care and Telehealth Delivery
Judy H. Hong, Alison Salloum, Jafar Bakhshaie, Thanh T. Truong, Jill Ehrenreich-May, and Eric A. Storch

11. Community Mental Health Delivery
Ashley M. Shaw, Renee L. Brown, Vanesa A. Mora Ringle, and Vanessa E. Cobham

12. Culturally and Linguistically-Sensitive Applications in Other Countries
Hiroko Fujisato, Noriko Kato, Dominique Phillips, and Estefany Sáez-Clarke

Applications of the Unified Protocols for Transdiagnostic Treatment of Emotional Disorders in Children and Adolescents

Jill Ehrenreich-May and Sarah M. Kennedy

ABCT Clinical Practice Series

Author Information

Jill Ehrenreich-May, PhD is Professor of Psychology, Pediatrics and Psychiatry and Behavioral Sciences at the University of Miami, where she also directs the Child and Adolescent Mood and Anxiety Treatment Program. Dr. Ehrenreich-May is the author of over 135 published works, including several treatment manuals, books and peer-reviewed publications. She is perhaps best known as the developer of the Unified Protocols for Transdiagnostic Treatment of Emotional Disorders in Children and Adolescents. Dr. Ehrenreich-May's research includes effectiveness trials regarding treatment of youth emotional distress in community settings. Dr. Ehrenreich-May is also the incoming President-Elect for the Association for Behavioral and Cognitive Therapies.

Sarah M. Kennedy, PhD is an Assistant Professor in the Department of Psychiatry at the University of Colorado School of Medicine. Her research focuses on the development, evaluation, and implementation of youth transdiagnostic interventions across settings. She has particular interest and expertise in adapting transdiagnostic, evidence-based interventions for acute psychiatric settings and community delivery, as well as in personalizing transdiagnostic interventions to optimize response. She has published widely in the areas of child anxiety and transdiagnostic interventions and consults on implementation of the Unified Protocols for Transdiagnostic Treatment of Emotional Disorders in Children and Adolescents (UP-C/A). She also provides clinical services and training at Children's Hospital Colorado.

Contributors:

Jafar Bakhshaie, MD, PhD
Department of Psychiatry
Massachusetts General Hospital | Harvard Medical School

Dylan Braun, MS
College of Psychology
Nova Southeastern University

Renee L. Brown, BPsySci, MPsych
School of Psychology
University of Queensland

Vanessa E. Cobham, PhD
School of Psychology
The University of Queensland

Sarah Eckhardt, PhD
Center for the Treatment of Eating Disorders
Children's MN

Jill Ehrenreich-May, PhD
Department of Psychology
University of Miami

Corinne A. Elmore, PhD
Department of Health Psychology
Walter Reed National Military Medical Center

Rebecca E. Ford-Paz, PhD
Pritzker Department of Psychiatry and Behavioral Health
Ann & Robert H. Lurie Children's Hospital of Chicago, Northwestern University Feinberg School of Medicine

Hiroko Fujisato, PhD
Department of Preventive Intervention for Psychiatric Disorders, National Institute of Mental Health
National Center of Neurology and Psychiatry

Rinatte Gruen, BA
Department of Psychology
University of Miami

Elizabeth R. Halliday, BS
Department of Psychology
University of Miami

Jessica L. Hawks, PhD
Department of Psychiatry; Pediatric Mental Health Institute
University of Colorado; Children's Hospital Colorado

Jacob B. W. Holzman, PhD
Department of Psychiatry
University of Colorado Anschutz School of Medicine

Judy H. Hong, PhD
Louis A. Faillace, MD, Department of Psychiatry and Behavioral Sciences
University of Texas Health Science Center

Noriko Kato, PhD
Department of Neuropsychiatry
Keio University School of Medicine

Sarah M. Kennedy, PhD
Department of Psychiatry
University of Colorado-Denver

Ryan R. Landoll, PhD, MHPE, ABPP
Office for Student Affairs
Uniformed Services University of the Health Sciences

Kristina D. Lowe, PhD
Center for the Treatment of Eating Disorders
Children's MN

Vanesa A. Mora Ringle, PhD
The Penn Collaborative for CBT and Implementation Science
University of Pennsylvania

Dominique Phillips, BS
Department of Psychology
University of Miami

Estefany Sáez-Clarke, MS
Department of Psychology
University of Miami

Alison Salloum, PhD, LCSW
Department of School of Social Work
University of South Florida

Ashley M. Shaw, PhD
Center for Children and Families
Florida International University

Eric A. Storch, PhD
Department of Psychiatry and Behavioral Sciences
Baylor College of Medicine

Kade B. Thornton, ENS, BS
Department of Medical and Clinical Psychology
Uniformed Services University of the Health Sciences

Niza Tonarely, PhD
Department of Psychology
University of Miami

Thanh T. Truong, MD
Department of Psychiatry and Behavioral Sciences
Baylor College of Medicine

Jason Washburn, PhD
Department of Psychiatry and Behavioral Sciences
Northwestern University

Marc J. Weintraub, PhD
Department of Psychiatry
UCLA Semel Institute

Faith S. Williams, PhD
Department of Psychiatry and Behavioral Sciences and Department of Pediatrics
Northwestern University Feinberg School of Medicine

Jamie Zinberg, MA
Semel Institute for Neuroscience and Human Behavior
University of California

Applications of the Unified Protocols for Transdiagnostic Treatment of Emotional Disorders in Children and Adolescents

Jill Ehrenreich-May and Sarah M. Kennedy

ABCT Clinical Practice Series

Reviews and Awards

"The unified protocol (UP) features a single set of cognitive behavioral principles applicable to the full range of disorders of emotion. Nowhere is this more starkly illustrated than in this important book from Jill Ehrenreich-May and Sarah M. Kennedy. From tic/ Tourette disorder to pediatric disruptive mood dysregulation disorder clinicians will learn the art of applying this one set of common principles to the full range of emotional disorders in children and adolescents. Every clinician working with this population should have this book handy." -- David H. Barlow, PhD, ABPP, Professor of Psychology and Psychiatry Emeritus, Founder, Center for Anxiety and Related Disorders (CARD), Boston University

"This comprehensive volume brings the delivery of the Unified Protocols for Children and Adolescents to life with rich case examples and extensive practical knowledge. In particular, the focused nature of the chapters and straightforward tip sheets will make this work an invaluable guide for busy clinicians (and trainees) interested in implementing a single, streamlined intervention to the vast majority of mental health difficulties faced by youth." -- Shannon Sauer-Zavala, PhD, Department of Psychology, University of Kentucky