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School-Based Interventions for Adolescents with Social Anxiety Disorder

  • Chapter
Social Anxiety and Phobia in Adolescents

Abstract

This chapter presents the rationale and potential advantages of treating social anxiety disorder (SAD) in schools. School-based programs provide increased access to evidence-based treatment for youth in need, and interventions for SAD may benefit from delivery in an ecologically valid context in which many feared situations occur. Two interventions for adolescents with SAD designed specifically for school-based delivery, the original Intervención en Adolescentes con Fobia Social: Therapy for Adolescents with Social Phobia (IAFS; Garcia-Lopez (2000, 2007) and Skills for Academic and Social Success (SASS; Masia et al. 1999) are described. This chapter focuses on considerations and adaptations necessary for school-based interventions to fit into the school environment. We emphasize how such programs capitalize on the school environment to implement effective exposures and practice social skills. The chapter concludes with a discussion of the methods and challenges associated with the long-term sustainability of offering interventions in schools, including the use of existing school personnel to implement evidence-based interventions. Future directions of school-based interventions for youth with SAD are discussed.

Author Note 

This work was supported by an NIMH grant awarded to Dr. Masia Warner, Grant R01MH081881.

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References

  • Albano AM, Marten PA, Holt CS (1991) Therapist’s manual for cognitive-behavioral group therapy for adolescent social phobia. Unpublished manuscript

    Google Scholar 

  • Alfano CA, Beidel DC, Turner SM (2006) Cognitive correlates of social phobia among children and adolescents. J Abnorm Child Psychol 34:189–201. doi:10.1007/s10802-005-9012-9

    Article  PubMed  Google Scholar 

  • Angold A, Erkanli A, Farmer EMZ, Fairbank JA, Burns BJ, Keeler G, Costello EJ (2002) Psychiatric disorder, impairment, and service use in rural African American and white youth. Arch Gen Psychiatry 59:893–901. doi:10.1001/archpsyc.59.10.893

    Article  PubMed  Google Scholar 

  • Atkins MS, Graczyk PA, Frazier SL, Jaleel AA (2003) Toward a new model for promoting urban children’s mental health: accessible, effective, and sustainable school-based mental health services. Sch Psychol Rev 32:503–514

    Google Scholar 

  • Beidas RS, Barmish AJ, Kendall PC (2009) Training as usual: can therapist behavior change after reading a manual and attending a brief workshop on cognitive behavioral therapy for youth anxiety? Behav Ther 32(5):97–101

    Google Scholar 

  • Beidel DC, Turner SM, Morris TL (1998) Social effectiveness therapy for children: a treatment manual. Medical University of South Carolina, Charleston

    Google Scholar 

  • Beidel DC, Turner SM, Morris TL (1999) Psychopathology of childhood social phobia. J Am Acad Child Adolesc Psychiatry 38:643–650. doi:10.1097/00004583-199906000-00010

    Article  CAS  PubMed  Google Scholar 

  • Beidel DC, Turner SM, Morris TL (2000) Behavioral treatment of childhood social phobia. J Consult Clin Psychol 68:1072–1080. doi:10.1037//0022-006X.68.6.1072

    Article  CAS  PubMed  Google Scholar 

  • Catron T, Harris VS, Weiss B (1998) Posttreatment results after 2 years of services in the Vanderbilt school-based counseling project. In: Epstein MH, Kutash K, Duchnowski A (eds) Outcomes for children and youth with emotional and behavioral disorders and their families: programs and evaluation best practices. PRO-ED, Austin, pp 633–656

    Google Scholar 

  • Chagnon F, Houle J, Marcoux I, Renaud J (2007) Control-group study of an intervention training program for youth suicide prevention. Suicide Life Threat Behav 37:135–144. doi:10.1521/suli.2007.37.2.135

    Article  PubMed  Google Scholar 

  • Cohen J, Mannarino AP (2008) Disseminating and implementing trauma-focused CBT in community settings. Trauma Violence Abuse 9:214–226. doi:10.1177/1524838008324336

    Article  PubMed  Google Scholar 

  • Collins KA, Westra HA, Dozois DJ, Burns DD (2004) Gaps in accessing treatment for anxiety and depression: challenges for the delivery of care. Clin Psychol Rev 24:583–616. doi:10.1016/j.cpr.2004.06.001

    Article  PubMed  Google Scholar 

  • Colognori D, Esseling P, Stewart CE, Reiss P, Lu F, Case B, Masia Warner C (2012) Self-disclosure and mental health service use in socially anxious adolescents. Sch Ment Health 4:219–230. doi:10.1007/s12310-012-9082-0

    Article  Google Scholar 

  • Damschroder LJ, Aron DC, Keith RE, Kirsch SR, Alexander JA, Lowery JC (2009) Fostering implementation of health services research findings into practice: a consolidated framework for advancing implementation science. Implement Sci 4:50. doi:10.1186/1748-5908-4-50

    Article  PubMed Central  PubMed  Google Scholar 

  • Demchak M, Browder DM (1990) An evaluation of the pyramid model of staff training in group homes for adults with severe handicaps. Educ Train Ment Retard 25:150–163

    Google Scholar 

  • Dimeff LA, Koerner K, Woodcock EA, Beadnell B, Brown MZ, Skutch JM, Paves AP, Bazinet A, Harned MS (2009) Which training method works best? A randomized controlled trial comparing three methods of training clinicians in dialectical behavior therapy skills. Behav Res Ther 47:921–930. doi:10.1016/j.brat.2009.07.011

    Article  PubMed  Google Scholar 

  • Fixsen DL, Naoom SF, Blase KA, Friedman RM, Wallace F (2005) Implementation research: a synthesis of the literature (FMHI #231). Tampa: University of South Florida, Louis de la Parte Florida Mental Health Institute, The National Implementation Research Network. Retrieved December 15, 2012 from http://nirn.fpg.unc.edu/resources/implementation-research-synthesis-literature

  • Foster S, Rollefson M, Doksum T, Noonan D, Robinson G, Teich J (2005) School mental health services in the United States, 2002–2003. DHHS Pub. No. (SMA) 05–4068. Center for Mental Health Services, Substance Abuse and Mental Health Services Administration, Rockville

    Google Scholar 

  • Garcia-Lopez LJ (2000, 2007) Examining the efficacy of three cognitive-behavioural treatments aimed at overcoming social anxiety in adolescents. University of Murcia: Publication Service, Spain

    Google Scholar 

  • Garcia-Lopez LJ, Irurtia MJ, Caballo VE, Diaz-Castela MM (2011) Ansiedad social y abuso psicológico [Social anxiety and psychological abuse]. Behav Psychol 19:223–236

    Google Scholar 

  • Garcia-Lopez LJ, Olivares J, Turner SM, Beidel DC, Albano AM, Sánchez-Meca J (2002) Results at long-term among three psychological treatments for adolescents with generalized social phobia (II): clinical significance and effect size. Psicología Conductual [Behav Psychol] 10:371–385

    Google Scholar 

  • Garcia-Lopez LJ, Olivares J, Beidel D, Albano AM, Turner S, Rosa AI (2006) Efficacy of three treatment protocols for adolescents with social anxiety disorder: a 5-year follow-up assessment. J Anxiety Disord 20:175–191. doi:10.1016/j.janxdis.2005.01.003

    Article  PubMed  Google Scholar 

  • Garcia-Lopez LJ, Muela JA, Espinosa-Fernández L, Diaz-Castela MM (2009) Exploring the relevance of expressed emotion to the treatment of social anxiety disorder in adolescence. J Adolesc 32:1371–1376. doi:10.1016/j.adolescence.2009.08.001

    Article  PubMed  Google Scholar 

  • Garcia-Lopez LJ, Diez-Bedmar MB, Perez-Paredes P, Tornero E (2011a) Treatment change in adolescents with social anxiety disorder: insights from corpus linguistics. Ansiedad y Estress [Anxiety Stress] 17:149–155

    Google Scholar 

  • Garcia-Lopez LJ, Espinosa-Fernandez L, Muela JA, Diaz-Castela MM (2011b) IFAFS: Intervención en Familias & Adolescentes con Fobia Social [Therapy for Families and Adolescents with Social Phobia]. Unpublished manuscript

    Google Scholar 

  • Garcia-Lopez LJ, Diaz-Castela MM, Muela-Martinez JA, Espinosa-Fernandez L (2014) Can parent training for parents with high levels of expressed emotion have a positive effect on their child’s social anxiety improvement? J Anxiety Disord 28:812–822. doi:10.1016/j.janxdis.2014.09.001

  • Ginsburg GS, Becker KD, Kingery JN, Nichols T (2008) Transporting CBT for childhood anxiety disorders into inner-city school-based mental health clinics. Cogn Behav Pract 15:148–158. doi:10.1016/j.cbpra.2007.07.001

    Article  Google Scholar 

  • Ginsburg GS, Kendall PC, Sakolsky D, Compton SN, Piacentini J, Albano AM, Walkup JT, Sherrill J, Coffey KA, Rynn MA, Keeton CP, McCracken JT, Bergman L, Iyengar S, Birmaher B, March J (2011) Remission after acute treatment in children and adolescents with anxiety disorders: findings from the CAMS. J Consult Clin Psychol 79:806–813. doi:10.1037/a0025933

    Article  PubMed Central  PubMed  Google Scholar 

  • Grover RL, Ginsburg GS, Ialongo N (2007) Psychosocial outcomes of anxious first graders: a seven-year follow-up. Depress Anxiety 24:410–420. doi:10.1002/da. 20241

    Article  PubMed Central  PubMed  Google Scholar 

  • Han SS, Weiss B (2005) Sustainability of teacher implementation of school-based mental health programs. J Abnorm Child Psychol 33:665–679. doi:10.1007/s10802-005-7646-2

    Article  PubMed  Google Scholar 

  • Heimberg RG, Becker RE (2002) Cognitive-behavioral group therapy for social phobia: basic mechanisms and clinical strategies. Guilford Press, New York

    Google Scholar 

  • Horwitz SM, Leaf PJ, Leventhal JM (1998) Identification of psychosocial problems in pediatric primary care: do family attitudes make a difference? Arch Pediatr Adolesc Med 152:367–371. doi:10.1001/archpedi.152.4.367

    Article  CAS  PubMed  Google Scholar 

  • Husky MM, Sheridan M, McGuire L, Olfson M (2011) Mental health screening and follow-up care in public high schools. J Am Acad Child Adolesc Psychiatry 50:881–891. doi:10.1016/j.jaac.2011.05.013

    Article  PubMed  Google Scholar 

  • Juszczak L, Melinkovich P, Kaplan D (2003) Use of health and mental health services by adolescents across multiple delivery sites. J Adolesc Health 32(6S):108–118. doi:10.1016/S1054-139X(03)00073-9

    Article  PubMed  Google Scholar 

  • Kashdan TB, Herbert JD (2001) Social anxiety disorder in childhood and adolescence: current status and future directions. Clin Child Fam Psychol Rev 4:37–61. doi:10.1023/A:1009576610507

    Article  CAS  PubMed  Google Scholar 

  • Kataoka SH, Stein BD, Nadeem E, Wong M (2007) Who gets care? Mental health service use following a school-based suicide prevention program. J Am Acad Child Adolesc Psychiatry 46:1341–1348. doi:10.1097/chi.0b013e31813761fd

    Article  PubMed  Google Scholar 

  • Katzelnick DJ, Kobak KA, DeLeire T, Henk HJ, Greist JH, Davidson JR, Schneier FR, Stein MB, Helstad CP (2001) Impact of generalized social anxiety disorder in managed care. Am J Psychiatry 158:1999–2007. doi:10.1176/appi.ajp.158.12.1999

    Article  CAS  PubMed  Google Scholar 

  • Kelly MS, Lueck C (2011) Adopting a data-driven public health framework in schools: results from a multi-disciplinary survey on school-based mental health practice. Adv Sch Ment Health Promot 4(4):5–12. doi:10.1080/1754730X.2011.9715638

    Article  Google Scholar 

  • Kendall PC, Settipani CA, Cummings CM (2012) No need to worry: the promising future of child anxiety research. J Clin Child Adolesc Psychol 41:103–115. doi:10.1080/15374416.2012.632352

    Article  PubMed  Google Scholar 

  • Layne AE, Bernstein GA, March JS (2006) Teacher awareness of anxiety symptoms in children. Child Psychiatry Hum Dev 36:383–392. doi:10.1007/s10578-006-0009-6

    Article  PubMed Central  PubMed  Google Scholar 

  • Ledley DR, Heimberg RG, Hope DA, Hayes SA, Zaider TI, Van Dyke M, Turk CL, Kraus C, Fresco DM (2009) Efficacy of a manualized and workbook-driven individual treatment for social anxiety disorder. Behav Ther 40:414–424. doi:10.1016/j.beth.2008.12.001

    Article  PubMed  Google Scholar 

  • Lim SW, Chhabra R, Rosen A, Racine AD, Alderman EM (2012) Adolescents’ views on barriers to health care: a pilot study. J Prim Care Community Health 3:99–103. doi:10.1177/2150131911422533

    Article  PubMed  Google Scholar 

  • Lyon AR, Charlesworth-Attie S, Vander Stoep A, McCauley E (2011a) Modular psychotherapy for youth with internalizing problems: implementation with therapists in school-based health centers. Sch Psychol Rev 40:569–581

    Google Scholar 

  • Lyon AR, McCauley E, Vander Stoep A (2011b) Toward successful implementation of evidence-based practices: characterizing the intervention context of counselors in school-based health centers. Emot Behav Disord Youth 11:19–25

    Google Scholar 

  • Mannix KA, Blackburn IM, Garland A, Gracie J, Moorey S, Reid B, Standart S, Scott J (2006) Effectiveness of brief training in cognitive behaviour therapy techniques for palliative care practitioners. Palliat Med 20:579–584. doi:10.1177/0269216306071058

    Article  PubMed  Google Scholar 

  • Masia Warner C, Klein RG, Dent HC, Fisher PH, Alvir J, Albano AM, Guardino M (2005) School-based intervention for adolescents with social anxiety disorder: results of a controlled study. J Abnorm Child Psychol 33:707–722. doi:10.1007/s10802-005-7649-z

    Article  PubMed  Google Scholar 

  • Masia Warner C, Fisher PH, Shrout PE, Rathor S, Klein RG (2007) Treating adolescents with social anxiety disorder in school: an attention control trial. J Child Psychol Psychiatry 48:676–686. doi:10.1111/j.1469-7610.2007.01737.x

    Article  PubMed  Google Scholar 

  • Masia Warner C, Brice C, Esseling PG, Stewart CE, Mufson L, Herzig K (2013) Consultants’ perceptions of school counselors’ ability to implement an empirically-based intervention for adolescent social anxiety disorder. J Admin Pol Ment Health Ment Health Serv Res 40:541–554. doi:10.1007/s10488-013-0498-0

    Article  Google Scholar 

  • Masia Warner C, Brice C, Moceri DC, Mufson L, Lynch C, Klein R, Sanchez A (2014). CBT for social anxiety disorder delivered by school counselors: Preliminary results of a randomized controlled trial. Paper presented at the Association for Behavioral and Cognitive Therapies 48th Annual Convention, Philadelphia, Nov 2014

    Google Scholar 

  • Masia C, Beidel DC, Albano AM, Rapee RM, Turner SM, Morris TL, Klein RG (1999) Skills for Academic and Social Success. Available from Carrie Masia Warner, PhD, United States,

    Google Scholar 

  • Masia C, Klein RG, Storch E, Corda B (2001) School-based behavioral treatment of social anxiety disorder: results of a pilot study. J Am Acad Child Adolesc Psychiatry 40:780–786. doi:10.1097/00004583-200107000-00012

    Article  CAS  PubMed  Google Scholar 

  • Merikangas KR, He JP, Burnstein M, Swanson SA, Avenevoli S, Cui L, Benjet C, Georgiades K, Swendsen J (2010) Lifetime prevalence of mental disorders in U.S. adolescents: results from the national comorbidity survey replication-adolescent supplement (NCS-A). J Am Acad Child Adolesc Psychiatry 49:980–989. doi:10.1016/j.jaac.2010.05.017

    Article  PubMed Central  PubMed  Google Scholar 

  • Mesa F, Beidel DC, Bunnell BE (2014) An examination of psychopathology and daily impairment in adolescents with social anxiety disorder. PLoS One 9(4):e93668. doi:10.1371/journal.pone.0093668

    Article  PubMed Central  PubMed  Google Scholar 

  • Meyers DC, Durlak JA, Wandersman A (2012) The quality implementation framework: a synthesis of critical steps in the implementation process. Am J Community Psychol 50:462–480. doi:10.1007/s10464-012-9522-x

    Article  PubMed  Google Scholar 

  • Miller WR, Yahne CE, Moyers TB, Martinez J, Pirritano M (2004) A randomized trial of methods to help clinicians learn motivational interviewing. J Consult Clin Psychol 72:1050–1062. doi:10.1037/0022-006X.72.6.1050

    Article  PubMed  Google Scholar 

  • Miller LD, Laye-Gindhu A, Liu Y, March JS, Thordarson DS, Garland EJ (2011) Evaluation of a preventive intervention for child anxiety in two randomized attention-control school trials. Behav Res Ther 49:315–323. doi:10.1016/j.brat.2011.02.006

    Article  PubMed  Google Scholar 

  • Olivares J, Garcia-Lopez LJ, Beidel DC, Turner SM (1998) Social effectiveness therapy for adolescents—Spanish version. Unpublished manuscript

    Google Scholar 

  • Olivares J, Garcia-Lopez LJ, Beidel DC, Turner SM, Albano AM, Hidalgo MD (2002) Results at long-term among three psychological treatments for adolescents with generalized social phobia (I): statistical significance. Psicologia Conductual [Behav Psychol] 10:147–164

    Google Scholar 

  • Ranta K, Kaltiala-Heino R, Pelkonen M, Marttunen M (2009) Associations between peer victimization, self-reported depression and social phobia among adolescents: the role of comorbidity. J Adolesc 32:77–93. doi:10.1016/j.adolescence.2007.11.005

    Article  PubMed  Google Scholar 

  • Ranta K, Kaltiala-Heino R, Fröjd S, Marttunen M (2013) Peer victimization and social phobia: a follow-up study among adolescents. Soc Psychiatry Psychiatr Epidemiol 48:533–544. doi:10.1007/s00127-012-0583-9

    Article  PubMed  Google Scholar 

  • Rapee RM (1998) Overcoming shyness and social phobia: a step-by-step guide. First Rowman & Littlefield, Lanham

    Google Scholar 

  • Rapee RM (2000) Group treatment of children with anxiety disorders: outcome and predictors of treatment response. Aust J Psychol 52:125–129. doi:10.1080/00049530008255379

    Article  Google Scholar 

  • Rapee R, Wignall A, Spence S, Lyneham H, Cobham V (2008) Helping your anxious child: a step-by-step guide for parents. New Harbinger, Oakland

    Google Scholar 

  • Ryan JL, Masia Warner C (2012) Treating adolescents with social anxiety disorders in schools. Child Adolesc Psychiatr Clin N Am 21:105–118. doi:10.1016/j.chc.2011.08.011

    Article  PubMed Central  PubMed  Google Scholar 

  • Shediac-Rizkallah MC, Bone LR (1998) Planning for the sustainability of community-based health programs: conceptual frameworks and future directions for research, practice, and policy. Health Educ Res 13:87–108. doi:10.1093/her/13.1.87

    Article  CAS  PubMed  Google Scholar 

  • Sholomskas DE, Carroll KM (2006) One small step for manuals: computer-assisted training in twelve-step facilitation. J Stud Alcohol 67:939–945

    Article  PubMed Central  PubMed  Google Scholar 

  • Sholomskas DE, Syracuse-Siewert G, Rounsaville BJ, Ball SA, Nuro KF, Carroll KM (2005) We don’t train in vain: a dissemination trial of three strategies of training clinicians in cognitive-behavioral therapy. J Consult Clin Psychol 73:106–115. doi:10.1037/0022-006X.73.1.106

    Article  PubMed Central  PubMed  Google Scholar 

  • Turner SM, Beidel DC, Cooley MR (1994) Social effectiveness therapy: a program for overcoming social anxiety and social phobia. Turndel, Mt. Pleasant

    Google Scholar 

  • Wahl OF (2012) Stigma as a barrier to recovery from mental illness. Trends Cogn Sci 16:9–10. doi:10.1016/j.tics.2011.11.002

    Article  PubMed  Google Scholar 

  • Walkup JT, Albano AM, Piacentini J, Birmaher B, Compton SN, Sherrill JT, Ginsburg GS, Rynn MA, McCracken J, Waslick B, Iyengar S, March JS, Kendall PC (2008) Cognitive behavioral therapy, sertraline, or a combination in childhood anxiety. N Engl J Med 359:2753–2766. doi:10.1056/NEJMoa0804633

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  • Wittchen HU, Stein MB, Kessler RC (1999) Social fears and social phobia in a community sample of adolescents and young adults: prevalence, risk factors, and co-morbidity. Psychol Med 29:309–323. doi:10.1017/S0033291798008174

    Article  CAS  PubMed  Google Scholar 

  • Wren FJ, Scholle SH, Heo J, Comer DM (2003) Pediatric mood and anxiety syndromes in primary care: who gets identified? Int J Psychiatry Med 33:1–16. doi:10.2190/UT6D-RDFG-LBT7-G39N

    Article  PubMed  Google Scholar 

  • Wu P, Hoven CW, Bird HR, Moore RE, Cohen P, Alegria M, Dulcan MK, Goodman SH, Horwitz SM, Lichtman JH, Narrow WE, Rae DS, Regier DA, Roper MT (1999) Depressive and disruptive disorders and mental health service utilization in children and adolescents. J Am Acad Child Adolesc Psychiatry 38:1081–1090. doi:10.1097/00004583-199909000-00010

    Article  CAS  PubMed  Google Scholar 

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Authors and Affiliations

  1. Department of Psychology, William Paterson University, Wayne, NJ, 07470, USA

    Carrie Masia Warner PhD

  2. Nathan Kline Institute for Psychiatric Research, Orangeburg, NY, USA

    Carrie Masia Warner PhD

  3. Department of Child and Adolescent Psychiatry, NYU Langone Medical Center, New York, NY, USA

    Carrie Masia Warner PhD & Amanda Sanchez BA

  4. Department of Advanced Studies in Psychology, Kean University, Union, NJ, SA

    Daniela Colognori PsyD

  5. Cognitive and Behavioral Consultants, White Plains, NY, USA

    Chad Brice PhD

Authors
  1. Carrie Masia Warner PhD
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  2. Daniela Colognori PsyD
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  3. Chad Brice PhD
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  4. Amanda Sanchez BA
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Correspondence to Carrie Masia Warner PhD .

Editor information

Editors and Affiliations

  1. Dept of Adolescent Psychiatry, Helsinki University Central Hospital, Helsinki, Finland

    Klaus Ranta

  2. University of Miami, Coral Gables, Florida, USA

    Annette M La Greca

  3. Department of Psychology, University of Jaen, Jaen, Spain

    Luis-Joaquin Garcia-Lopez

  4. Department of Mental Health and Substance Abuse, National Institute for Health and Welfare, Helsinki, Finland

    Mauri Marttunen

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Warner, C.M., Colognori, D., Brice, C., Sanchez, A. (2015). School-Based Interventions for Adolescents with Social Anxiety Disorder. In: Ranta, K., La Greca, A., Garcia-Lopez, LJ., Marttunen, M. (eds) Social Anxiety and Phobia in Adolescents. Springer, Cham. https://doi.org/10.1007/978-3-319-16703-9_12

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  • DOI: https://doi.org/10.1007/978-3-319-16703-9_12

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