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Facing Your Fears Program


Facing Your Fears (FYF) is a program aimed toward youth with high-functioning Autism Spectrum Disorders who need assistance managing anxiety symptoms that interfere with daily life. 

The program is based on more than 8 years of funded research, and uses cognitive behavioral principles to assist youth in identifying their anxiety and/or fears, as well as learning strategies to manage their anxiety symptoms. FYF is currently offered in a group-setting, although it may also be used in individual contexts.

A well-developed parent education component is part of the FYF program, and allows for the generalization of concepts and strategies learned in group to be implemented at home.
 

Effectively managing anxiety symptoms can help children and adolescents become more successful in academic setting and participate more fully in their daily lives.

We invite you to click the tabs below to find out more about the resources we offer through this program.

 

Groups are offered for verbally fluent children and adolescents with high-functioning autism spectrum disorders who need assistance managing anxiety that interferes with their daily lives. This group focuses on helping youth identify anxiety, worry, or fear and develop coping strategies. The group gives youth an opportunity to practice these new strategies with the guidance and support of group facilitators.

Parents are an integral part of the FYF groups and are asked to attend all of the sessions. A well-developed parent education component allows for the generalization of concepts and strategies learned in group to be implemented at home. 

Facing Your Fears Groups Flyer

 

TeleCopes is the telehealth version of the Facing Your Fears program and was developed through a study through funded from the Health Resources Service Administration (HRSA). The TeleCopes Project Director is Susan Hepburn, PhD, a licensed clinical psychologist at JFK Partners.

TeleCopes uses videoconferencing technology to reach youth and their parents through their home computer. Families could be paired with anywhere from 1-3 other families that creates an online group therapy experience. In certain instances, individual therapy takes place due to the child's needs.

Weekly sessions are scheduled between a clinician and all of the families in a particular group. They all connect online and can see and hear each other. The screen has one box for each family and shows the clinician and all the families on one screen. To give you an idea of what it looks like, here is photo of a screen. 

Sometimes parent education is the focus of the session with some participation between the youth and other sessions focus on working with youth. Just like the live Facing Your Fears group participants, the TeleCopes participants complete a video that shows a strategy they adopted to help reduce their anxiety. Flipcams are sent to families to use in filming their video.

The TeleCopes program has also reached out to families and teachers around the state who are interested in learning more about how they can support youth with ASD who experience anxiety. Interactive webinars have been given by Susan Hepburn, PhD to address specific questions from parents and teachers. Here is a link to a webinar conducted by the project:

Helping Youth with Autism Spectrum Disorders Cope with Worry and Anxiety in School

Archived webinar (Runtime: 1:34:16)

Although the grant has ended, the TeleCopes work continues. If you are interested in the program, please contact Kristen Kaiser at kristen.kaiser@ucdenver.edu

Facing Your Fears Manual


Anxiety is one of the biggest challenges faced by children with high-functioning autism spectrum disorders and Asperger syndrome. Help them conquer their fears - and participate more fully in home, school, and community life - with this innovative group therapy program for children 8-14 years old and their parents.

Ideal for small groups of 4-5 children but also effective in one-to-one therapy, this proven, ready-to-use program is a must for mental health professionals who work with children and families in clinical settings. Developed to address the specific needs and challenges of children with high-functioning ASD and Asperger syndrome, Facing Your Fears works because it:
 
  • targets specific fears or worries that interfere with day-to-day functioning at home and school
  • actively involves parents in every session - the key to helping children make progress and ensuring that families provide skillful, sensitive support
  • is backed by more than 7 years of funded research, including two clinical trials with positive outcomes
  • engages children with memorable, age-appropriate strategies for defeating anxiety, from creating "worry bugs" to filming movies of themselves facing their fears
  • gives children repeated opportunities to practice their social interactions with others
  • uses the highly effective principles of cognitive behavioral therapy
  • helps children and parents generalize the skills they learn in group to other settings
For ordering information, please visit Brookes Publishing.
 
Reaven, J., Blakeley-Smith, A., Nichols, S., & Hepburn, S. (2011). Facing Your Fears: Group Therapy for Managing Anxiety in Children with High-Functioning Autism Spectrum Disorders, Paul Brookes Publishing Company, Baltimore.   

Supporting Journal Articles and Chapters
 
Reaven, J., Blakeley-Smith, A., & Hepburn, S. (in press). Bridging the research to practice gap in autism research: Implementing group CBT interventions for youth with ASD and anxiety in clinical practice. In T. Davis, S. White, & T. Ollendick (Eds.), Handbook of Autism and Anxiety. New York, NY: Springer.
 
Reaven, J., Blakeley-Smith, A., Beattie, T.L., Sullivan, A., Moody, E.J., Stern, J.A., Hepburn, S.L., & Smith, I.M. (2014). Improving transportability of a cognitive-behavioral treatment intervention for anxiety in youth with autism spectrum disorders: Results from a US-Canadian collaboration. Autism, published online Jan 2014, DOI: 10.1177/1362361313518124
 
Reaven, J. & Blakeley-Smith, A. (2013). Parental involvement in treating anxiety in youth with high-functioning autism spectrum disorders. In Scarpa, A., White, S., & Attwood, T. CBT for Children and Adolescents with High-Functioning Autism Spectrum Disorders, Guilford Press, New York. 
 
Reaven, J., & Stern, J. (2013, August 15). Helping children with autism spectrum disorders face their fears. ExpertBeacon (Invited article for section on Family and Parenting). Retrieved from http://expertbeacon.com/helping-children-autism-spectrum-disorders-face-their-fears
 
Reaven, J., Blakeley-Smith, A., Leuthe, E., Moody, E., & Hepburn, S. (2012). Facing your fears in adolescence: Cognitive-behavioral therapy for high-functioning autism spectrum disorders and anxiety. Autism Research and Treatment. Advance online publication. doi:10.1155/2012/423905
 
Blakeley-Smith, A., Reaven, J., Ridge, K., & Hepburn, S. (2012).  Parent-child agreement of anxiety symptoms in youth with autism spectrum disorders. Research in Autism Spectrum Disorders, 6, 707-716. doi: 10.1016/j.rasd.2011.07.020  
 
Reaven, J., Blakeley-Smith, A., Culhane-Shelburne, K., & Hepburn, S. (2012). Group cognitive behavior therapy for children with high-functioning autism spectrum disorders and anxiety: A randomized trial.  Journal of Child Psychology and Psychiatry, 53, 410-419. doi:10.1111/j.1469-7610.2011.02486.
 
Reaven, J. (2011). The treatment of anxiety symptoms in youth with high-functioning autism spectrum disorders:  Developmental considerations for parents. Brain Research, 1380, 255-263.    
 
Kaiser, K. (2011). Telehealth: Families Finding Ways to Connect in Rural Colorado. Exceptional Parent, 41(4), 18-19. ISSN-0046-9157
 
Reaven, J., Blakeley-Smith, A., Nichols, S., Dasari, M., Flanigan, E., Hepburn, S. (2009). Cognitive-Behavioral Group Treatment for Anxiety Symptoms in Children With High-Functioning Autism Spectrum Disorders: A Pilot Study. Focus on Autism and Other Developmental Disabilities, 24(1), 27-37.
 
Reaven, J.  (2009). Children with high-functioning autism spectrum disorders and co-occurring anxiety symptoms: Implications for assessment and treatment. Journal for Specialists in Pediatric Nursing, 14, 192-199. 
 
Reaven, J. & Hepburn, S. (2006). The parent’s role in the treatment of anxiety symptoms in children with high-functioning autism spectrum disorders. Mental Health Aspects of Developmental Disabilities, 9, 3, 1-8.
 
Reaven, J. & Hepburn, S. (2003). Cognitive-behavioral treatment of obsessive-compulsive disorder in a child with Asperger’s syndrome: a case report. Autism, 7(2), 145-164.  

 

Supplemental Products

Archived Webinar (Runtime: 1:34:16) | Handout
 
The clinical psychologists who created Facing Your Fears are clinicians and researchers at JFK Partners, a program of the University of Colorado School of Medicine. Over the last 10 years, they have worked with many children and adolescents with autism spectrum disorders, who present with anxiety symptoms that interfere with their daily lives.  Through their clinical work and research program, they developed an intervention that provides youth and their families with strategies and tools to better manage anxiety.
 

Meet the authors...

Judy Reaven, PhD, is a licensed clinical psychologist and has been the Director of the Autism and Developmental Disabilities Clinic at JFK Partners since 2001. She has worked in the field of developmental disabilities as a clinician, researcher, and educator since 1985. Her long-term clinical interests have included the co-occurrence of mental health symptoms in children and adolescents with autism spectrum disorders, which is what led to the development of the Facing Your Fears program. Dr. Reaven has been Principal Investigator on several research grants funded by both private foundations (Autism Speaks, Organization for Autism Research) and federal agencies (NIH) which has assisted in the development of the Facing Your Fears program.

Audrey Blakeley-Smith, PhD, is a licensed clinical psychologist and has worked in the field of developmental disabilities since 1996. Her clinical interests include the assessment and treatment of co-occurring mental health issues in children with children and adolescents with autism spectrum disorders, as well as the development of school-based peer-mediated interventions for youth with ASD. Dr. Blakeley-Smith has been Principal Investigator on a school-based study exploring the use of peer-mediated interventions to reduce rejection and increase inclusion of children with autism.

Shana Nichols, PhD, is a licensed clinical psychologist and researcher at ASPIRE Center for Learning and Development and has worked in the field of autism spectrum disorders (ASDs) and child development since the mid 1990's. She has received research and service grant support for work in sexuality, puberty, healty lifestyles, and ASDs and is the author of several peer-reviewed research articles and invited papers. Dr. Nichols currently specializes in adolescence and growing up, dual diagnosis and mental health, assessment and evaluation and the experiences of females with ASDs. She is lead author of the book Girls Growing Up on the Autism Spectrum: What Parents Should KNow About the Pre-Teen and Teenage Years (Jessica Kingsley, 2008), with Gina Marie Moravick and Samara Pulver Tetenbaum. Dr. Nicols has worked as a clinician, researcher, administrator, graduate training supervisor, advisory board member, trainer and consultant in a wide variety of settings including outpatient clinics, residential programs, schools and the community.

Susan Hepburn, PhD, is a licensed clinical psychologist and serves as Director of Research for JFK Partners. She is actively involved in intervention and developmental research, and has published numerous articles in peer-reviewed journals. She has worked with many children with autism spectrum disorders, their families, and school teams, in the development of coping as well as other adaptive behavior skills. Dr. Hepburn was recently the Principal Investigator on a federally funded study called TeleCopes, a program focused on the adaptation of the Facing Your Fears program using telehealth to reach children with ASD in underserved communities in Colorado.

Funding that Supported this Research:

Training Outpatients Clinicians to Deliver Cognitive Behavior Therapy to Children Grant, National Institute of Health (Awards #R21MH089291 and 4R33MH089291-03) (2009-2014)

Tele-health Delivery of a Family-Focused Intervention to Reduce Anxiety in Youth with Autism Spectrum Disorders in Rural Colorado - Health Resources and Services Administration (Award #R40MC15593) (2009-2012)

Group Cognitive Behavior Therapy Intervention for Children with High-Functioning PDD’s and Anxiety Symptoms research funded by Organization for Autism Research, Autism Speaks, and Cure Autism Now (2004-2010)

University Center for Excellence in Developmental Disabilities Grant, Administration on Developmental Disabilities (Award # 90DD0632)

Leadership Education in Neurodevelopmental Disabilities Grant, Maternal Child Health Bureau (Award #T73MC11044)

Intellectual and Developmental Disabilities Research Center (IDDRC), NICHD funded Translational Neuroscience Nexus (Award# P30 HD004024-39)

 

The following are resources to encourage coping in children with Autism Spectrum Disorders. These resources are considered suggestions, but not endorsements of specific authors or materials. 

 

Albano, A. M., & DiBartolo, P. M. (2007). Cognitive-Behavioral Therapy for Social Phobia in Adolescents: Stand Up, Speak Out: Therapist Guide. New York, NY: Oxford University Press.

Barrett, P. M., & Ollendick, T. H. (Eds.). (2004). Handbook of Interventions That Work with Children and Adolescents: Prevention and Treatment. Hoboken, NJ: Wiley, John & Sons, Inc.

Brooks, R., & Goldstein, S. (2012). Raising Resilient Children with Autism Spectrum Disorders: Strategies for Helping Them Maximize Their Strengths, Cope with Adversity, and Develop a Social Mindset. New York, NY: McGraw-Hill.

Chalfant, A. M. (2011). Managing Anxiety in People with Autism: a Treatment Guide for Parents, Teachers, and Mental Health Professionals. Bethesda, MD: Woodbine House.

Chansky, T. E. (2004). Freeing Your Child from Anxiety: Powerful, Practical Strategies to Overcome Your Child's Fears, Phobias, and Worries. New York, NY: Crown Publishing Group.

Foa, E. B., & Andrews, L. W. (2006). If Your Adolescent Has an Anxiety Disorder: An Essential Resource for Parents. New York, NY: Oxford University Press.

Kendall, P. C., & Hedtke, K. A. (2006). Coping Cat Workbook (2nd ed.). Workbook Publishing, Inc.

Manassis, K. (2009). Cognitive Behavioral Therapy with Children: a Guide for the Community Practitioner. New York, NY: Routledge.

Manassis, K. (2012). Problem Solving in Child and Adolescent Psychotherapy: a Skills-Based, Collaborative Approach. New York, NY: Guilford Press.

Rapee, R. M., Wignall, A., Spence, S. H., Cobham, V., & Lyneham, H. (2008). Helping Your Anxious Child: A Step-by-step Guide for Parents (2nd ed.). Oakland, CA: New Harbinger Publications.