Debate Analysis Paper
Debate Analysis Paper
Debate Analysis Paper
DebateAnalysisPaper:Friends
ChristinaMajcher
EDPS612.03
June7,2015
ThisdebateanalysispaperisbasedontheCBTforAnxietypresentation.Itwillfocuson
theprogramFriends.Inparticular,thispaperwillsummarizethepresentersoverviewof
Friends,summarizetheargumentspresentedsupportingFriends,reviewtheargumentspresented
againsttheopposinginterventionprogram,criticallyanalyzetheargumentsandprovidea
rationaleforthechoiceoftheFriendsprogramoverCoolKids.
Friends,auniversalpreventativeprogramforanxietyanddepressionisaresearchand
evidencebasedtreatmentprogram.Presentersreviewedtheprogramgoalstonormalize
emotions;teachskillsforeffectivelycopingwithstress,challengesandchange;increase
emotionalresilienceandproblemsolving;buildfriendshipsandsupportnetworks;enhanceself
confidenceandselfesteem;andempowerchildrenfamiliesandprofessionals.Therearethree
versionsoftheprogramsupportingchildrenagefourtosixteen.Thispresentationdiscussedtwo
theoreticalframeworksthatguidetheFriendsprogram.First,Friendsisbasedonacognitive
behaviourtherapytheoreticalframeworkwiththehopetoteachindividualstoconnectthoughts,
feelingsandactions.Second,thisprogramisbasedontheresiliencyframeworkconnectingthe
importanceofthechildtothefamilyandtheirgreatercommunity.Interestedteachersareableto
attendaonedaytrainingsessiontobequalifiedtodeliverthe10weekprogrameitherclass
wide,insmallgroupsorindividually.
Thepresentinggrouphighlightedseveralstrengthsoftheprogram.First,theyidentified
thatFriendsisanevidencebasedprogramproventobeaneffectivetoolforanxietytreatment.
Mostsignificantly,theyindicatedthattheFriendsprogramisrecognizedbytheWorldHealth
Organizationastheonlyevidencebasedprogrameffectiveatalllevelsofinterventionfor
anxietyinchildren.Thisisahighcommendation.Theysitedseveraldifferentstudiesthatalso
illustratedtheefficacyoftheprogram.Second,theynotedthestrengththatFriendsisaschool
basedprogram.Onceagain,thiswasbackedbyagreatdealofresearch.Asindicatedbythe
presenters,thereisaconsiderablediscrepancybetweenthenumberofchildrenandyouththat
havesignificantemotionaldisordersandthosethatreceivesupport.Therearemanyreasonsfor
thislackofsupport.However,havingaprogramdeliveredwithintheschoolenvironmentmeans
alargernumberofchildrenwillhaveaccesstoteachersandprofessionalswhocanaddressissues
ofanxietydirectlywithintheschoolsetting.Thisallowsforeasierandfasteraccesstothe
program.ThethirdstrengththatwasraisedisthatFriendsisauniversalprogram.Onceagain,
thepresentersbackedthisstatementupwithagreatdealofresearch.Theyindicatedthatthis
universaldesignremovestheneedfortimeconsumingscreeningandassessmentprocessesby
providingaccesstoeveryonewithinaninclusivegroupsetting.Thefourthpointthatwasraised
wasFriendshasbeenevaluatedasasociallyvalidprogramacrossdifferentcountries.Overall,
therewasahighratingamongstchildreninmultiplecountrieswhenaskedfortheirthoughtson
theprogram.ThefifthstrengthhighlightedwasthatFriendsisacknowledgedasananxiety
preventionprogramthatisbeneficialacrossavarietyofages.Thefinalstrengthpresentedwas
thatFriendsisacosteffectiveprogramthatinvolvesparentsandteachers.
Opposinggroupmembersraisedsomeconcernswiththestrengthsthatwerepresented.
Theyquestionedwhetherornotauniversalprogramwasthebestfittomeettheneedsof
childrenwithanxiety.Theyhighlightedresearchindicatingthatthisstyleofprogrammayinfact
nothelpatriskindividualsorthosealreadywithadiagnosedanxietydisorder.Theopposing
groupalsoquestionedwhetherFriendscouldbeimplementedwithtreatmentfidelity.In
particular,theyqueriedthechallengesassociatedwithteachersdeliveringtheprogramsin
alreadybusy,curriculumheavyclassrooms.Theycautionedthatteachersmaybeoverly
adaptingtheFriendsprogram,impactingthefidelityofthetreatmentandrenderingitineffective.
ThefinalconcernthatwasraisedwaswhetherornotFriendsisanevidencebasedprogramfor
thecontext.Theyfocusedonametaanalyticalreviewcompletedthatquestionedthe
methodologicallimitationsoftheresearchdesign.Mostconcerningwasthestatementthatthis
studyfoundthatwhenconceptualandmethodologicallimitationswereconsidered,Friendsdid
nothavetherigorousresearchrequiredtobeanevidencebasedinterventionprogram.
TheFriendsgroupwasabletoprovideasolidrebuttaltobackuptheirprogramofchoice.
Theysharedtwostudiesthatcontradictedtheopposinggroupsclaimthattheuniversaldesign
deliveryofthisprogrammightnotbethebestfitforindividualswithexistinganxiety.Bothof
thesestudiesindicatedthattheFriendsprogramcanbesuccessfulintreatingchildrenwith
anxietybothshortandlongterm.Theirsecondrebuttalcenteredaroundtheconcernthatteacher
maynotbeimplementingtheFriendsprogramwhilemaintainingtreatmentfidelity.Asolid
counterargumentwaspresentedhighlightinglongitudinalandrandomassignmentstudiesthat
haveindicatedthesuccessofteachersasleadersoftheprogram.Inaddition,theystatedthatthe
MinistryofEducationhasworkedtowardsstandardizedtrainingtosupporttreatmentfidelity.
Finally,thegrouprespondedtotheclaimthattheFriendsprogrammaynotbeanevidencebased
programforthiscontext.Acontradictorymetaanalysisreviewofchildhoodanxietyprograms
wassharedindicatingtheFriendsprogramasanestablishedandeffectiveprogramtotreat
generalizedanxietydisorder.Inaddition,itwasnotedthatFriendswasconsideredoneofthe
bestofthethirtyonereviewedCBTprograms.Further,thegroupreferredtotwentyfiveyears
ofresearchandevaluationarticlesavailableontheFriendswebsiteforfurtherreference.
Itisalsoimportanttoreviewtheconcernsraisedbythisgroupregardingtheopposing
interventionprogram,CoolKids.First,theyquestionediftheCoolKidsprogramwastimeand
costeffective.Theyillustratedthatthisprogramisimplementedinsmallgroupstypicallyatthe
tiertwoandthreelevelsoftheresponsetointerventionframework.Theynotedthatthismay
leadtotimeconsumingandexpensivescreeningandassessmentaswellasrequireseveral
trainedprofessionalstoimplementtheprogram.Next,theywonderedifCoolKidswasa
programthatwasappropriateforaschoolbasedsetting.Thisprogramrequirestrained
psychologistsorcounsellorstofacilitateimplementation,whichcanbelogisticallyvery
challengingwithinaschoolsetting.Thenextquestionthattheygroupraisedwaswhetherthere
wereconcernswithimplementingasmallgroupprogramspecificallytochildrenwhoareatrisk
foranxiety.Concernsregardingstigmatizationsurroundingpulloutprogramswereindicated
alongwithparentaldiscomfortsurroundingpotentiallabels.Finally,thegroupwonderedifthere
isenoughresearchtoprovethatCoolKidsisaneffective,evidencebasedprogramforchildren
withanxiety.Theynotedthatitwasdifficulttofindpeerreviewedresearcharticles.The
articlesthatwerefoundwerebytheauthoredorcoauthoredbythecreatoroftheprogram,
indicatinganeedforfurtherindependentresearch.
Whenanalyzingthedebates,itwasclearthattheFriendsgroupcompletedagreatdealof
backgroundresearchtobackuptheirpresentation.Theyinsuredarticleswerepeerreviewedand
withstrongstatisticalvalidity.Inaddition,theyhighlightedsomekeyfactorsinprogram
evaluationandresearchdesign.Theyconsideredquestionssuchasbudgeting,staffing,
materials,programandtheclients.Theyhighlightedconcernsregardingthequalityofservice
deliverysuchastheaccessibilityoftheprogram,thetimeliness,theresponsivenessandthe
overallsatisfactionofparticipantsandtheirparents.Theyidentifiedfactorsaffectingthecost
benefitcontinuum,highlightingtheneedtousescarceresourcesinthebestwaypossibleto
prioritizeneedswithinaschoolordistrict.Furthermore,theylinkedthisneedtothegreaterneed
ofmentalhealthserviceswithinBritishColumbia.Thisleadtoastrongpresentationbalanced
withthoroughbackgroundresearch.
TheFriendsgrouppresentedanargumentthatwasaclearwinner.Theydescribeda
programthatoutweighsthealternateprogram.TheFriendsprogramisaneffectivetierone
interventionsuitabletobedeliveredbyclassroomteachers.Itiswellresearchedandbackedby
theWorldHealthOrganization.Thisuniversaldesignapproachismostsuitedtoourcurrent
budgetneedsandtheshiftsthatarehappeningwithinourlocalschooldistricts.Itisaneffective
waytoreachmorechildren,whilecontinuingtotargetthosewithgreaterneeds.Therewill
alwaysbechildrenthatrequireahigherlevelofinterventionthantheFriendsprogrammayoffer.
However,thisprogrameffectivelyreducestheamountofresourcesrequiredwhenitmay
effectivelyandefficientlyteachtheskillsthatachildisrequiring.Furthermore,itopensupan
avenuetohaveadialoguewhenachildisnotrespondingtothisinterventionandmayrequire
furthersupportsandservices.AllschoolswouldbenefitfromhavingtheFriendsprogram
available.