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Definition

Anger Management Treatment (Adult) is defined by the CEBC as the treatment of adults with anger control problems or anger-related difficulties. Anger has been associated with many negative consequences, including aggressive behavior, family violence, substance abuse, and physical health problems. In addition, anger problems are common in populations diagnosed with a mental disorder or illness. Parents involved in the child welfare system are often required to attend anger management classes as a part of their case plan.

  • Target population: Adults with anger control problems or anger-related difficulties
  • Services/types that fit: Typically outpatient services, either individual or group
  • Delivered by: Mental health professionals or trained paraprofessionals
  • In order to be included: Program must specifically target anger management as a goal
  • In order to be rated: There must be research evidence (as specified by the Scientific Rating Scale) that examines anger management outcomes, such as changes in behavior

Definition

Anger Management Treatment (Adult) is defined by the CEBC as the treatment of adults with anger control problems or anger-related difficulties. Anger has been associated with many negative consequences, including aggressive behavior, family violence, substance abuse, and physical health problems. In addition, anger problems are common in populations diagnosed with a mental disorder or illness. Parents involved in the child welfare system are often required to attend anger management classes as a part of their case plan.

  • Target population: Adults with anger control problems or anger-related difficulties
  • Services/types that fit: Typically outpatient services, either individual or group
  • Delivered by: Mental health professionals or trained paraprofessionals
  • In order to be included: Program must specifically target anger management as a goal
  • In order to be rated: There must be research evidence (as specified by the Scientific Rating Scale) that examines anger management outcomes, such as changes in behavior

Why was this topic chosen by the Advisory Committee?

The Anger Management Treatment (Adult) topic area is relevant to child welfare because anger management, along with parenting, substance abuse treatment, and mental health treatment, is among the four most commonly found service areas identified in child welfare case plans and court orders. In Fresno County [where Mr. Himes worked in 2010], anger management is found in approximately 60% of the case plans. In addition, anger management programs often do not have consistent standards and program outcomes and are not research-based. Frequently, anger management programs are derived from certified batterer treatment programs which are mandated through the criminal justice system and can last up to 52 weeks. Rarely is a program specifically designed for child welfare clients. There is no consistent specific screening criteria used to determine the need for anger management services. With the high level of service utilization and the lack of standardized and outcome-based program options, the concern for ultimately insuring the safety of children in the child welfare system is a strong driving force behind highlighting anger management (adult) on the CEBC.

Howard Himes, Director
Napa County Health and Human Services
Napa, CA

Why was this topic chosen by the Advisory Committee?

The Anger Management Treatment (Adult) topic area is relevant to child welfare because anger management, along with parenting, substance abuse treatment, and mental health treatment, is among the four most commonly found service areas identified in child welfare case plans and court orders. In Fresno County [where Mr. Himes worked in 2010], anger management is found in approximately 60% of the case plans. In addition, anger management programs often do not have consistent standards and program outcomes and are not research-based. Frequently, anger management programs are derived from certified batterer treatment programs which are mandated through the criminal justice system and can last up to 52 weeks. Rarely is a program specifically designed for child welfare clients. There is no consistent specific screening criteria used to determine the need for anger management services. With the high level of service utilization and the lack of standardized and outcome-based program options, the concern for ultimately insuring the safety of children in the child welfare system is a strong driving force behind highlighting anger management (adult) on the CEBC.

Howard Himes, Director
Napa County Health and Human Services
Napa, CA

Topic Expert

The Anger Management Treatment (Adult) topic area was added in 2010. Raymond Chip Tafrate, PhD was the topic expert and was involved in identifying and rating any of the programs with an original load date in 2010 (as found on the bottom of the program's page on the CEBC) or others loaded earlier and added to this topic area when it launched. The topic area has grown over the years and any programs added since 2010 were identified by CEBC staff, the Scientific Panel, and/or the Advisory Committee. For these programs, Dr. Tafrate was not involved in identifying or rating them.

Topic Expert

The Anger Management Treatment (Adult) topic area was added in 2010. Raymond Chip Tafrate, PhD was the topic expert and was involved in identifying and rating any of the programs with an original load date in 2010 (as found on the bottom of the program's page on the CEBC) or others loaded earlier and added to this topic area when it launched. The topic area has grown over the years and any programs added since 2010 were identified by CEBC staff, the Scientific Panel, and/or the Advisory Committee. For these programs, Dr. Tafrate was not involved in identifying or rating them.

Programs

Beyond Violence

Beyond Violence: A Prevention Program for Criminal Justice-Involved Women (BV) is a manualized curriculum for women in criminal justice settings (jails, prisons, and community corrections) with histories of anger, aggression and/or violence. It deals with the violence and trauma they have experienced, as well as the violence they may have committed. It is based on a four-level model of violence prevention which considers the complex interplay between individual, relationship, community, and societal factors. This is a 20-session (40-hour) intervention that consists of a facilitator guide, participant workbook, and DVD. The facilitator's manual is a step-by-step guide for running groups and includes the DVD, What I Want My Words To Do To You by Eve Ensler. BV utilizes a variety of therapeutic strategies (e.g., psycho-education, role playing, mindfulness activities, cognitive-behavioral restructuring, and grounding skills for trauma triggers).

Scientific Rating 1

Another Way…Choosing to Change

Another Way…Choosing to Change (AWCTC) is a victim-centered, manualized curriculum to address intimate partner violence for all adult offenders. Formatted for 2-hour group sessions which can be delivered in either 26 or 52 session programs, it covers topics which meet California and other state requirements. The program consists of a step-by-step facilitator guide to accompany the participant handbook and uses publicly available video clips and discussions to identify abusive behaviors and teach healthy relationship behaviors. There are separate curricula for men and women in English and in Spanish.

AWCTC utilizes adult learning strategies and Risk/Needs/Responsivity principles, through the lens of trauma-informed care. It is designed to effectively engage participants for transformational behavior change. While the curriculum is designed with sound clinical interventions, it is written for a nonclinical practitioner to be able to use. Facilitators are provided with a variety of activities and “scripts” to deliver psychoeducational material aimed to engage and intrinsically motivate participants to change problematic beliefs and behaviors.

Scientific Rating 3

Forgiveness Therapy

When people forgive someone who has deeply hurt them, they let go of resentment and the urge to seek revenge, no matter how deserving of these things the wrongdoer may be. The forgiver gives the gifts of acceptance, generosity, and even love. Forgivers give these, not out of grim obligation. Rather, they are given because the forgiver has chosen to have a merciful heart. Forgiveness Therapy is designed to teach the participant how to forgive others through 4 distinct phases. It can be provided in individual or group sessions.

Scientific Rating 3

Anderson and Anderson Anger Management Curriculum

The Anderson & Anderson Anger Management Curriculum aims to provide skill enhancement in self-awareness, self-control, social awareness, and relationship management. The curriculum provides education for people who are interested in or who need to learn how to deal with their anger or someone else's anger in a positive, functional way. Participants may include people who internalize anger as well as those who act it out verbally or behaviorally towards friends, family, work, or personal relationships.

Scientific Rating NR

Century Anger Management Model of Intervention

Century Anger Management Model of Intervention teaches eight essential tools of anger control to participants, usually in a class or group format. It is a highly structured 10-hour core program around the program's workbook titled Anger Management for the Twenty-First Century. Usually, the classes are held on a weekly basis for one hour each, although accelerated weekend intensive programs are offered. All participants are provided with this workbook (separate workbooks are available for adults and adolescents) which provides many worksheets and questionnaires to personalize and apply the tools of anger control in their daily lives. Participants are also encouraged to practice the tools between sessions and then briefly share their progress or challenges with the rest of the class. A certificate is issued at the completion of the program. Graduates are invited to return to future classes for a free "tune-up," if needed.

Scientific Rating NR

Fathers for Change

F4C is an individual clinical intervention for fathers who have used violence with their partners and/or children and may have co-occurring substance misuse. F4C addresses 9 individually focused core topics, 4 co-parent communication topics, and 5 father-child focused topics in 60-minute individual therapy sessions over 18-24 weeks. In the context of a strong working alliance developed through focus on fatherhood, F4C employs a continual emphasis on reflective functioning and emotion regulation skills. Improvement in these targets in turn leads to reduced IPV and child maltreatment. F4C motivates the father to change by continually recognizing his desire to be a better parent and facilitating his ability to reflect on the experiences of his co-parent and children and learn skills to manage his emotions to improve outcomes for his family. It offers optional coparent and child participation in some sessions of the intervention when deemed appropriate and safe by the treating therapist.

Scientific Rating NR

RETHINK Curriculum

The book, Creative Anger: Putting that Powerful Emotion to Good Use and the RETHINK workbooks provide seven skills to help each person learn to manage their anger and use this powerful emotion to build good, loving, and productive relationships. The program follows this premise: – Anger, hardwired into our brains for protection, is the more misunderstood emotion. It contains a paradox. Anger out of control destroys, yet anger, when understood and controlled, is a constructive force and can be used for creativity, change, and growth.

Scientific Rating NR

Rational Emotive Behavior Therapy

Rational Emotive Behavior Therapy (REBT) is an approach to psychology that focuses on how one’s beliefs and emotions can affect one’s behavior and well-being.

REBT is the original form and one of the main pillars of cognitive-behavioral therapies (CBT). Alongside with the cognitive therapy (CT), it served as the basis for the development of CBT. In REBT, irrational beliefs are considered central factors of emotional distress, so the focus is on changing irrational beliefs into rational beliefs, with the aim of changing dysfunctional emotions (such as unhealthy anger) and maladaptive behaviors into functional and adaptive ones. The REBT protocols are similar in structure to other CBT approaches (e.g., CT protocols), the main difference relying in the targeted beliefs: REBT specifically focuses on evaluative beliefs, (appraisals) and not inferential or descriptive ones.

Scientific Rating NR

Real Solution Anger Management Program

The Real Solution Anger Management Program aims to reduce levels of anger in provocative situations. Participants are taught coping behaviors to stop escalation and resolve conflicts. Homework assignments that build on newly taught skills allow participants to apply them. The program employs the three major anger control interventions by using model presentation, rehearsal, and positive feedback and prompting.

Scientific Rating NR

The Practitioner’s Guide to Anger Management

Given the developing knowledge in the anger treatment area, the wide variability of client characteristics and the varied settings in which anger treatment is delivered The Practitioner's Guide to Anger Management: Customizable Interventions, Treatments, and Tools for Clients with Problem Anger program is organized according to a modular, customizable, menu-based approach. The treatment program has eight parts:

  • Basic knowledge for practitioners
  • Case formulation and treatment planning
  • Preparing clients for change
  • Interventions to alter anger triggers
  • Interventions to change thoughts
  • Interventions to alter internal experiences and urges
  • Interventions to alter anger expression
  • Enhancing happiness

Scientific Rating NR

What’s Good About Anger? 6-16 Week Anger Management Group

The What's Good About Anger? program offers groups and programs for individuals who are personally motivated to learn skills for controlling anger or who are mandated by employers, courts, schools or other institutions to complete anger management treatment and programs. The What's Good About Anger? program is based on the What's Good About Anger? expanded 16-lesson book/workbooks for adults, teens, and couples.

Scientific Rating NR

Programs

Beyond Violence

Beyond Violence: A Prevention Program for Criminal Justice-Involved Women (BV) is a manualized curriculum for women in criminal justice settings (jails, prisons, and community corrections) with histories of anger, aggression and/or violence. It deals with the violence and trauma they have experienced, as well as the violence they may have committed. It is based on a four-level model of violence prevention which considers the complex interplay between individual, relationship, community, and societal factors. This is a 20-session (40-hour) intervention that consists of a facilitator guide, participant workbook, and DVD. The facilitator's manual is a step-by-step guide for running groups and includes the DVD, What I Want My Words To Do To You by Eve Ensler. BV utilizes a variety of therapeutic strategies (e.g., psycho-education, role playing, mindfulness activities, cognitive-behavioral restructuring, and grounding skills for trauma triggers).

Scientific Rating 1

Another Way…Choosing to Change

Another Way…Choosing to Change (AWCTC) is a victim-centered, manualized curriculum to address intimate partner violence for all adult offenders. Formatted for 2-hour group sessions which can be delivered in either 26 or 52 session programs, it covers topics which meet California and other state requirements. The program consists of a step-by-step facilitator guide to accompany the participant handbook and uses publicly available video clips and discussions to identify abusive behaviors and teach healthy relationship behaviors. There are separate curricula for men and women in English and in Spanish.

AWCTC utilizes adult learning strategies and Risk/Needs/Responsivity principles, through the lens of trauma-informed care. It is designed to effectively engage participants for transformational behavior change. While the curriculum is designed with sound clinical interventions, it is written for a nonclinical practitioner to be able to use. Facilitators are provided with a variety of activities and “scripts” to deliver psychoeducational material aimed to engage and intrinsically motivate participants to change problematic beliefs and behaviors.

Scientific Rating 3

Forgiveness Therapy

When people forgive someone who has deeply hurt them, they let go of resentment and the urge to seek revenge, no matter how deserving of these things the wrongdoer may be. The forgiver gives the gifts of acceptance, generosity, and even love. Forgivers give these, not out of grim obligation. Rather, they are given because the forgiver has chosen to have a merciful heart. Forgiveness Therapy is designed to teach the participant how to forgive others through 4 distinct phases. It can be provided in individual or group sessions.

Scientific Rating 3

Anderson and Anderson Anger Management Curriculum

The Anderson & Anderson Anger Management Curriculum aims to provide skill enhancement in self-awareness, self-control, social awareness, and relationship management. The curriculum provides education for people who are interested in or who need to learn how to deal with their anger or someone else's anger in a positive, functional way. Participants may include people who internalize anger as well as those who act it out verbally or behaviorally towards friends, family, work, or personal relationships.

Scientific Rating NR

Century Anger Management Model of Intervention

Century Anger Management Model of Intervention teaches eight essential tools of anger control to participants, usually in a class or group format. It is a highly structured 10-hour core program around the program's workbook titled Anger Management for the Twenty-First Century. Usually, the classes are held on a weekly basis for one hour each, although accelerated weekend intensive programs are offered. All participants are provided with this workbook (separate workbooks are available for adults and adolescents) which provides many worksheets and questionnaires to personalize and apply the tools of anger control in their daily lives. Participants are also encouraged to practice the tools between sessions and then briefly share their progress or challenges with the rest of the class. A certificate is issued at the completion of the program. Graduates are invited to return to future classes for a free "tune-up," if needed.

Scientific Rating NR

Fathers for Change

F4C is an individual clinical intervention for fathers who have used violence with their partners and/or children and may have co-occurring substance misuse. F4C addresses 9 individually focused core topics, 4 co-parent communication topics, and 5 father-child focused topics in 60-minute individual therapy sessions over 18-24 weeks. In the context of a strong working alliance developed through focus on fatherhood, F4C employs a continual emphasis on reflective functioning and emotion regulation skills. Improvement in these targets in turn leads to reduced IPV and child maltreatment. F4C motivates the father to change by continually recognizing his desire to be a better parent and facilitating his ability to reflect on the experiences of his co-parent and children and learn skills to manage his emotions to improve outcomes for his family. It offers optional coparent and child participation in some sessions of the intervention when deemed appropriate and safe by the treating therapist.

Scientific Rating NR

RETHINK Curriculum

The book, Creative Anger: Putting that Powerful Emotion to Good Use and the RETHINK workbooks provide seven skills to help each person learn to manage their anger and use this powerful emotion to build good, loving, and productive relationships. The program follows this premise: – Anger, hardwired into our brains for protection, is the more misunderstood emotion. It contains a paradox. Anger out of control destroys, yet anger, when understood and controlled, is a constructive force and can be used for creativity, change, and growth.

Scientific Rating NR

Rational Emotive Behavior Therapy

Rational Emotive Behavior Therapy (REBT) is an approach to psychology that focuses on how one’s beliefs and emotions can affect one’s behavior and well-being.

REBT is the original form and one of the main pillars of cognitive-behavioral therapies (CBT). Alongside with the cognitive therapy (CT), it served as the basis for the development of CBT. In REBT, irrational beliefs are considered central factors of emotional distress, so the focus is on changing irrational beliefs into rational beliefs, with the aim of changing dysfunctional emotions (such as unhealthy anger) and maladaptive behaviors into functional and adaptive ones. The REBT protocols are similar in structure to other CBT approaches (e.g., CT protocols), the main difference relying in the targeted beliefs: REBT specifically focuses on evaluative beliefs, (appraisals) and not inferential or descriptive ones.

Scientific Rating NR

Real Solution Anger Management Program

The Real Solution Anger Management Program aims to reduce levels of anger in provocative situations. Participants are taught coping behaviors to stop escalation and resolve conflicts. Homework assignments that build on newly taught skills allow participants to apply them. The program employs the three major anger control interventions by using model presentation, rehearsal, and positive feedback and prompting.

Scientific Rating NR

The Practitioner’s Guide to Anger Management

Given the developing knowledge in the anger treatment area, the wide variability of client characteristics and the varied settings in which anger treatment is delivered The Practitioner's Guide to Anger Management: Customizable Interventions, Treatments, and Tools for Clients with Problem Anger program is organized according to a modular, customizable, menu-based approach. The treatment program has eight parts:

  • Basic knowledge for practitioners
  • Case formulation and treatment planning
  • Preparing clients for change
  • Interventions to alter anger triggers
  • Interventions to change thoughts
  • Interventions to alter internal experiences and urges
  • Interventions to alter anger expression
  • Enhancing happiness

Scientific Rating NR

What’s Good About Anger? 6-16 Week Anger Management Group

The What's Good About Anger? program offers groups and programs for individuals who are personally motivated to learn skills for controlling anger or who are mandated by employers, courts, schools or other institutions to complete anger management treatment and programs. The What's Good About Anger? program is based on the What's Good About Anger? expanded 16-lesson book/workbooks for adults, teens, and couples.

Scientific Rating NR