Bullying – Intervention Protocol

Intervention proposal

“All the information contained in this section is for guidance only. Psious environments are therapy supporting tools that must be used by the healthcare professional within an evaluation and intervention process designed according to the characteristics and needs of the user.

Also remember that you have the General Clinical Guide in which you have more information on how to adapt psychological intervention techniques (exposure, systematic desensitization, cognitive restructuring, chip economy…) to Psious environments.”

It is important to note that in this section we will only show and suggest some points to guide the intervention through the virtual environment of Psious to address bullying or bullying. The treatment must be adapted to the characteristics of each patient and the healthcare professional may adapt it according to their criteria. A good first orientation can be obtained in the Action protocol in situations of bullying – UNICEF .

Steps of therapy to overcome bullying

As we have seen in the evaluation section, the treatment of cases of bullying usually takes place in 3 phases: evaluation , intervention and follow-up. 

By using our environment it will be possible to bring the victim of bullying closer to a similar situation that helps us carry out the approach of the different phases of bullying treatment.

EVALUATION

In this first phase we will confront our patient with the environment in order to evaluate his behavior in relation to the problem. During the course of the scene and once its execution is finished, we will try to collect relevant information about the case, through a semi-structured interview 2. We will therefore focus on knowing the patient’s profile. It is important to collect information both from the intrapersonal part (as I am), and from the interpersonal part (as they see me and I relate to others). In this way, once the initial exploration has been carried out, we will have more information to determine a personalized action plan. 

INTERVENTION

In this second phase our objective of locating the patient in the environment will be to try to execute the action plan appropriate or training in relation to the evaluation phase. Therefore, we will provide the patient with those tools that help them solve psychopathological aspects that contribute to aggravating or maintaining the problem of bullying.

The following table summarizes groups different useful aspects to work in cases of bullying and the different techniques often applied:

² The relevant information to collect is detailed in section 2.2 .one.

FOLLOW-UP

It is important, once the intervention has been carried out, to schedule follow-up sessions after a period of time. In this way we can ensure the effectiveness of the intervention and detect possible aspects that may need to be reinforced again.

Proposal for intervention for victims of bullying 

Below we show you a proposal for intervention with PSIOUS for victims and participants in situations of bullying. 

The following proposal is made to evaluate coping styles in a school conflict situation. 

Session 1

• Inform the patient about discomfort in relation to problems at school, as well as about the emotional responses involved: anxiety, sadness, anger …

• Present and justify the techniques that will be used throughout the treatment: evaluation of thoughts and strategies for dealing with situations of conflict and aggression at school, empathy

• Observation and evaluation of thoughts in a neutral school situation (in the hallway of the institute and during the exam.

ITEM	ENVIRONMENT	CONFIGURATION	EVENT
Psychoeducation anxiety	What are emotions How do we feel emotions
Being alone in the hall, waiting for the teacher to arrive and start the exam	Institute, easy, just
Being with a few classmates in the hall before an exam and they seem very calm	Institute, easy, few people
Being doing an exam that is short in a classroom full of people	Anxiety before exams	Institute, easy, many people	many people Start exam

Session 2

• Review achievements of the previous session and establish objectives of the session: Assessment behavior, thoughts and emotions in a situation of aggression at school. 

• Evaluation of thoughts and strategies for dealing with situations of conflict and aggression at school. 

• Identification emotional states 

ITEM	ENVIRONMENT	CONFIGURATION	EVENT
Being with a few classmates in the hallway before an exam and they seem very calm	Anxiety exams	Institute, easy, many people
Being in class and being approached by a classmate alone to rebuke	Bullying	Just	Begin
Identification emotional states (up to 12 years old)	Mindfulness kids: Summer	Exercises in Summer environment, especially Energy recharge and end of summer	Begin
Control of physiological activation: Breathing exercises	Relaxation Breathing Under the sea / Prairie	At the patient’s choice, adjust the frequency of comfortable breathing for the patient	Begin

Session 3

• Review achievements of the previous session and establish objectives of the session: Evaluation of behavior, thoughts and emotions in a situation of aggression at school.

• Cognitive restructuring 

• Orientation of the focus of attention 

ITEM	ENVIRONMENT	CONFIGURATION	EVENT
To be in class and to be approached by a single partner to reprimand	Bullying	Accompanied	Start
Focus Attention	Mindfulness kids: Winter	Introduction, home and lighthouse	Begin
Control of physiological activation: Breathing exercises	Relaxation Breathing Under the Sea / Meadow	At the patient’s choice, adjust the comfortable breathing rate for the patient.	Begin

Session 4

• Review achievements of the previous session and establish objectives of the session: Assessment of behavior, thoughts and emotions in a school environment. 

• Cognitive restructuring

• Social skills training

• Generation of pleasant emotions

ITEM	ENVIRONMENT	CONFIGURATION	EVENT
Being with a few classmates before an exam and they seem very calm	Anxiety exams	Institute, easy, many people	start
Training in Social Skills	Audience	Few people	Start, easy questions
Generation pleasant emotions	Mindfulness kids: Autumn	Introduction, Pinwheel	start

Session 5

• Review previous session achievements and set session objectives: Assessment behavior, thoughts and emotions in school environment. 

• Cognitive Restructuring

• Social Skills Training

• Nice Emotions Generation

ITEM	ENVIRONMENT	CONFIGURATION	EVENT
Being with few peers in class before an exam and they seem very calm	Anxiety exams	Institute, difícill, many people	begin
Generation pleasant emotions	Mindfulness kids: Autumn	Introduction, Pinwheel and Projection joy and end of autumn	begin

Session 6

• Review achievements of the previous session and establish objectives of the session: Evaluation of behavior, thoughts and emotions in a school environment. 

• Cognitive Restructuring

• Social Skills Training

• Energy Generation = Activation

ITEM	ENVIRONMENT	CONFIGURATION	EVENT
To be in class and to be approached by a companion to be shocked	Bullying	Accompanied	Begin
Training in social skills	Audience	Many people	Start, difficult questions
Generation Activation	Mindfulness kids: summer	Introduction, magic items , recharges energy, End of summer	beginning

Session 7

• Review achievements of the previous session and establishment of session objectives: Assessment of behavior, thoughts and emotions in a school environment.

• Cognitive Restructuring

• Activation Generation

• Relaxation

ITEM	ENVIRONMENT	CONFIGURATION	EVENT
Being with a few classmates before an exam and they seem very calm	Anxiety exams	Institute, easy, many people	start
Generation Activation	Mindfulness kids: summer	Introduction, magic items, recharge energy, End of summer	start
control physiological arousal: breathing exercises	Relaxation breathing Under the sea / Meadow	a choice of the patient, adjust frequency comfortable breathing for the patient	start

Remember that you have the clinical guide to inform you of therapeutic procedures with empirical evidence and how to adapt them to the intervention with the virtual environments of Psious.

[ DISCLAIMER: This document has been automatically translated using Google Translate. ]