A 16-year-old with a conduct disorder was placed in therapeutic foster care. Which outcome should be met before discharge?
a. The teen and parents create and consent to a behavioral contract with rules, rewards, and consequences.
b. The teen completes an application to enter a military academy for continued structure and discipline.
c. Placement with the foster family continues until the parents finish a parenting skills class.
d. The teen has an absence of anger and frustration for one week.
A
The patient and the parents must participate and agree on a behavioral contract that clearly outlines rules, expected behaviors, and consequences for misbehavior. It must also include rewards for following the rules. The patient will continue to experience anger and frustration. The patient and parents must continue with family therapy to work on boundary and communication issues. It is not necessary to separate the patient from the family to work on these issues, and separation is detrimental to the healing process.
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