title: Development of adaptable and flexible treatment manuals for externalizing and internalizing disorders in children and adolescents.
abstract: In this paper we describe the process used to develop treatment manuals for internalizing and externalizing disorders in children and adolescents. These manuals were developed to offer health care providers and others working in child mental health a flexible intervention that could be adapted to different countries and localities based on: 1) the amount of health care and school resources that are available; 2) the nature and severity of the types of problems children have; and 3) the preferences and cultural factors that are important within these communities. We also discuss the experiences and cultural issues faced by sites in Egypt, Lebanon, Israel, and Brazil who volunteered to implement the manualized treatment programs. The feedback received from these sites indicates that the manuals can be implemented to help children with internalizing and externalizing problems.
authors.affiliation: Behavioral Sciences Research Institute, University of Puerto Rico, San Juan, Puerto Rico. jjbauer@prtc.net
authors.forename: José J
authors.initials: JJ
authors.lastname: Bauermeister
authors.forename: Cheryl Y C
authors.initials: CY
authors.lastname: So
authors.forename: Peter S
authors.initials: PS
authors.lastname: Jensen
authors.forename: Orit
authors.initials: O
authors.lastname: Krispin
authors.forename: Amira Seif
authors.initials: AS
authors.lastname: El Din
mesh_terms: D000293:Adolescent; D019958:Attention Deficit and Disruptive Behavior Disorders / Q000628:therapy*; D001938:Brazil; D002648:Child; D002653:Child Behavior Disorders / Q000628:therapy; D018864:Cultural Diversity; D004534:Egypt; D019317:Evidence-Based Medicine; D006801:Humans; D007389:Internal-External Control; D007557:Israel; D007861:Lebanon; D008370:Manuals as Topic; D008605:Mental Health Services / Q000458:organization & administration*