Therapists are at risk, and the risk is increasing. Well-meaning practitioners used to believe that if they were adhering to ethical codes, and doing their best, they didn't have to worry about being sued or brought before a licensing board. But numerous well-publicized cases, and even more settled outside the limelight of the press have changed all that. Therapists are now worried, and rightfully so. And all of this has happened at the same time that therapists are learning better ways to help very troubled patients who have often been severely abused and traumatized. Though these patients often require less rigid and more personal and creative approaches that may deviate from some proposed norm, they are also most often those who threaten legal action against their therapists. How does one engage intensely with these patients without being drawn into potentially destructive countertransference enactments? How does one remain a creative, spontaneous and helpful therapist while avoiding being pulled into a voracious and inhuman legal system? These are a few of the important questions addressed by this book.

Rich with illustrative case material, this book guides mental health professionals to break the cycle of at-risk behavior by engaging adolescents and their families in home, school, and community contexts. The authors explore the multigenerational patterns that shape the lives of poor and ethnic minority adolescents and present innovative strategies for intervening beyond the walls of the agency or clinic. Grounded in research, the book shows how to implement both home-based family therapy and school-based achievement mentoring to provide a comprehensive web of support. Building on the earlier Reaching Out in Family Therapy, this book reflects the ongoing development of the authors' multisystems approach and many other important changes in the field; the majority of the content is completely new. It is an indispensable resource for beginning and experienced professionals or text for courses on adolescent intervention or adolescent mental health.

Defining organs at risk is a crucial task for radiation oncologists when aiming to optimize the benefit of radiation therapy, with delivery of the maximum dose to the tumor volume while sparing healthy tissues. This book will prove an invaluable guide to the delineation of organs at risk of toxicity in patients undergoing radiotherapy. The first and second sections address the anatomy of organs at risk, discuss the pathophysiology of radiation-induced damage, and present dose constraints and methods for target volume delineation. The third section is devoted to the radiological anatomy of organs at risk as seen on typical radiotherapy planning CT scans, with a view to assisting the radiation oncologist to recognize and delineate these organs for each anatomical region – head and neck, mediastinum, abdomen, and pelvis. The book is intended both for young radiation oncologists still in training and for their senior colleagues wishing to reduce intra-institutional variations in practice and thereby to standardize the definition of clinical target volumes. ​

The wide-ranging contexts in which counselling and psychotherapy is now practiced means clients present with a range of risks that therapists have to respond to. Risk is an ever-present issue for counsellors and psychotherapists and, in an increasingly litigious culture, the need for trainees to develop a sound understanding of how the right tools and the right knowledge can support their practice has never been greater. In this book Andrew Reeves takes trainees, newly qualified practitioners, and more experienced practitioners step-by-step through what is meant by risk, offering practical hints and tips and links to policy and research to inform good ethical practice along the way. This book tackles: • The definition of risk and how risk is linked to social, psychological and relational factors • Working with those who are at risk of suicide, self-injury, self-harm and/or are an endangerment to others • How therapists should respond to the risk in situations involving child protection, mental health crises, and in the therapeutic process itself • The positive side of risk-taking • How counsellors and psychotherapists can work with risk proactively and positively, informed by research. Filled with case studies, ethical dilemmas, reflective questions, discussion questions and further reading, this book offers counsellors and psychotherapists guidance on how they can work with risk proactively and positively. It is an essential resource for all services, organisations and individual practitioners.

Adolescents are more likely than any other age groups to engage in behaviors that contribute to injuries, violence, unintended pregnancies, sexually transmitted diseases, and reckless alcohol, tobacco, and drug use. At-risk adolescents may also exhibit signs of moodiness, aggression, and even self-injury, and these behaviors often cause parents, teachers, and clinicians to become extremely frustrated. Adolescents themselves may even believe that change is impossible. Drawing on proven-effective dialectical behavior therapy (DBT), Dialectical Behavior Therapy for At-Risk Adolescents is the first reader-friendly and easily accessible DBT book specifically targeted to mental health professionals treating adolescents who may be dangerous to themselves or others. If you work with adolescents who exhibit at-risk behavior, you know how important it is to take immediate action. However, you may also have trouble “breaking through” the barrier that these young people can build around themselves. This book can help. The DBT skills outlined in this book are evidence-based, and have been clinically proven to help build emotion regulation skills, which are useful for all age groups, though perhaps especially for the millions of at-risk adolescents experiencing depression, anxiety, anger, and the myriad behaviors that can result from these emotions. This book also includes practical handouts and exercises that can be used in individual therapy sessions, skills training groups, school settings, and when working with parents and caregivers. Adolescents stand at the precipice of the future, and the decisions they make now can have life-long impacts. By showing them how to manage their emotions and deal with the stresses that are common in day-to-day life, you are arming them with the tools they will need to succeed and thrive.

This timely book addresses one of the biggest single problems facing society today--at-risk behavior in one quarter of our nation's youth--and provides strategies for prevention and treatment that can be implemented in the schools, in the homes, and by helping professionals in a variety of settings. Whether the term "at risk" is associated with a local school district's problems with child and adolescent suicide and school dropouts, the correction system's concerns about juvenile delinquency, or the health system's concerns with teen pregnancy, child abuse, and AIDS, the individuals labeled at-risk need the ongoing help of professional--and this book can set the stage.

An in-depth look at a much misunderstood practice, offering a fresh viewpoint on how this science can be a universally effective route to our better selves.