1. Aggression Replacement Training

2. Overview
IDENTIFY and DISCUSS some perspectives about anger and aggression
REVIEW the layout of the ART manual
DEMONSTRATE some treatment planning and progress note strategies for ART programming
DESCRIBE the evidence base for ART
MODEL and PRACTICE sessions from the Anger Control and Moral Reasoning modules
PLAN for use with your clients

3. Perspectives about Anger and Aggression
Unhappiness and aggression as an attempt to manipulate others and solve problems in an environment
Unhappiness as a sticky game
Inferiority and non-existence
From inferiority to injury
Unhappiness as an emotional suitcase
Defense mechanisms

4. ART Manual
Includes three components to be delivered in group or individual format:
Social Skills Training
Anger Control Training
Moral Reasoning Training
Each lesson is intended to be completed by week and in consecutive order, with three sessions weekly
Feasibility for intended use may vary by site
Also possible to use by module, but some questions of evidence-based efficacy arise

5. Treatment Planning Presenting Problem Goals
Concerns with ability to manage physical, verbal, relational aggression, etc.
Goals
Increase ability to control aggressive impulses and behaviors.
Strategies or Interventions
Participate in counseling using the ART curriculum
Learn and practice skills for recognizing and responding to difficult emotions in self and others.
Recognize the antecedents and consequences of aggressive behavior, personal anger cues, and learn/implement self-regulation strategies.
Make moral decisions with understand and honor the rights, wants, and needs of others.

6. Progress Notes General progress note ART-specific progress note
Presenting Issue
Intervention
Outcome
Homework
Referrals
Plan
ART-specific progress note
Included in manual for use with lessons associated with all three modules

7. But Does it Work?!
Only about 16 quality-ish studies evaluating ART against other interventions as of 2015
Recidivism
13% who completed ART versus 58% who did not
Anger Control
Positive effect for ART compared to no treatment, TAU, and other brief interventions
Moral Reasoning
Evidence basis is unclear

8. Let’s Check it Out!
Ms. Klassen and Dr. Lenz

9. Now It’s Your Turn!