This three day intensive training is intended for clinicians and educators interested in becoming proficient in an innovative and evidence-based approach to understanding and helping children and adolescents with behavioral challenges, called Collaborative Problem Solving (CPS). Participants with some prior exposure will learn to advance their skills in applying the model through a combination of didactic lectures, role-playing, videotape examples, case presentations, and breakout groups with topics of specific interest to clinicians and educators.

The Tier 2 Training builds on knowledge and skills implementing the Collaborative Problem Solving Approach. Participants will learn specific strategies for implementing the approach in the most challenging situations, how to teach the model to others, as well as gaining practice in both direct and indirect skills training. Additional topics will include: addressing common resistances, facilitating change in systems, the neuro-biological underpinnings, research findings, and combining of therapeutic models.

Learning Objectives

At the end of this program, participants will be able to:

1. Identify why traditional approaches may not be well suited to the needs of children with social, emotional and behavioral challenges.
2. Describe the philosophy of the Collaborative Problem Solving Approach
3. Write the five cognitive skills that are frequently lacking in kids with challenging behavior, and provide examples of each.
4. Describe the three plans for solving problems with children and what they can accomplish


Content and faculty subject to change.

DAY 1: Rethinking Challenging Kids/Assessment as Intervention

9:00am _ 10:45am

Teaching the Philosophy & Contrast with Conventional Approaches
Facilitating the Shift in Thinking: Can't vs. Won't
Behavioral Challenges as a Learning Disability
Breakout Practice: Elevator Pitch

10:45am _ 11:00am


11:00am _ 12:30pm

Assessing Problems to be Solved and Skills to be Taught
Troubleshooting the CPS Assessment and Planning Tool (CPS-APT)

12:30pm _ 1:30pm


1:30pm _ 3:15pm

Monitoring Integrity of Assessment Process
Breakout Practice: Reviewing Sample CPS-APT and Rating Integrity
Breakout Practice: CPS-APT Exercises and Video

1:30pm _ 3:15pm


3:30pm _ 5:00pm

Teaching the Three Plans
Coming to a Consensus and Making an Action Plan
Monitoring Integrity of Planning Process
Breakout Practice: Prioritizing Problems to be Solved and Rating Integrity

DAY 2:Plan B Practice and Troubleshooting

9:00am _ 10:15am

Teaching Ingredients of Plan B

10:15am _ 10:30am


10:30am _ 12:15pm

Plan B Preparation
Breakout Practice: Completing Plan B Worksheet
Troubleshooting Plan B

12:15pm _ 1:15pm


1:15pm _ 3:00pm

Monitoring Integrity of Plan B
Breakout Practice: Rating Integrity of Plan B Video

3:00pm _ 3:15pm


3:15pm _ 4:30pm

Breakout Practice: Plan B
Other Forms of Plan B: Emergency, Group and Spontaneous B

4:30pm _ 5:00pm

CPS Quiz

DAY 3: Direct Skill Instruction and Systemic Implementation

9:00am _ 10:30am

Problem Solving as Skills Training
Neurobiology of Plan B
Collaborative Skills Training using Plan B

10:30am _ 10:45am


10:45am _ 12:30pm

Handling Common Concerns/Misperceptions
Process of Implementation in Systems
Breakout Practice: Systemic Implementation Planning Exercise

12:30pm _ 1:00pm

Next Steps and Resources
Certification Program
Final Evaluation


  • Director, Think:Kids, Department of Psychiatry, Massachusetts General Hospital
    Director, Psychotherapy Research Program, Massachusetts General Hospital
    Associate Clinical Professor of Psychology in the Department of Psychiatry, Harvard Medical School

Target Audience

This program is intended for: Psychiatrists, Psychologist, Mental Health clinicians, social workers, educators, parents


Live Event Date:February 5-7, 2020






AMA PRA Category 1 CreditTM

This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of McLean Hospital and Massachusetts General Hospital. McLean Hospital is accredited by the ACCME to provide continuing medical education for physicians.

McLean Hospital designates this live event for a maximum of 16.75AMA PRA Category 1 CreditsTM. Physicians should only claim credit commensurate with the extent of their participation in the activity.


Psychologists CE Credit

The Massachusetts General Hospital Department of Psychiatry is approved by the American Psychological Association to sponsor continuing education for psychologists. The Massachusetts General Hospital Department of Psychiatry maintains responsibility for this program and its content.

This offering meets the criteria for 16.75 continuing education credit for psychologists.


Social Workers

The Collaborative of NASW, Boston College, and Simmons College Schools of Social Work authorizes social work continuing education credits for courses, workshops, and educational programs that meet the criteria outlined in 258 CMR of the Massachusetts Board of Registration of Social Workers

his program has been approved for 15.25 Social Work Continuing Education hours for relicensure, in accordance with 258 CMR. Collaborative of NASW and the Boston College and Simmons Schools of Social Work Authorization NumberD 81264



Other Professions

This course allows other providers to claim a Participation Certificate upon successful completion of this course.

Participation Certificates will specify the title, location, type of activity, date of activity, and number ofpsychologist creditsassociated with the activity. Providers should check with their regulatory agencies to determine ways in whichpsychologist creditsmay or may not fulfill continuing education requirements. Providers should also consider saving copies of brochures, agenda, and other supporting documents.


J. Stuart Ablon, Ph.D. Director of Think:Kids at MGH

Disclosure Information

In accord with the disclosure policy of Massachusetts General Hospital Psychiatry Academy as well as guidelines set forth by the Accreditation Council on Continuing Medical Education, all people in control of educational content, including speakers, course directors, planners, and reviewers, have been asked to disclose all relevant financial relationships with commercial interests of both themselves and their spouses/partners over the past 12 months, as defined below:

Commercial Interest

The ACCME defines a "commercial interest" as any entity producing, marketing, re-selling, or distributing health care goods or services, used on, or consumed by, patients. The ACCME does not consider providers of clinical service directly to patients to be commercial interests. For more information, visit

Financial relationships

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Relevant financial relationships

ACCME focuses on financial relationships with commercial interests in the 12-month period preceding the time that the individual is being asked to assume a role controlling content of the CME activity. ACCME has not set a minimal dollar amount for relationships to be significant. Inherent in any amount is the incentive to maintain or increase the value of the relationship. The ACCME defines "'relevant' financial relationships" as financial relationships in any amount occurring within the past 12 months that create a conflict of interest.

Conflict of Interest

Circumstances create a conflict of interest when an individual has an opportunity to affect CME content about products or services of a commercial interest with which he/she has a financial relationship.

The following planners, speakers, and content reviewers, on behalf of themselves and their spouse or partner, have reported financial relationships with an entity producing, marketing, re-selling, or distributing health care goods or services (relevant to the content of this activity) consumed by, or used on, patients:

All other individuals including course directors, planners, reviewers, faculty, staff, etc., who are in a position to control the content of this educational activity have, on behalf of themselves and their spouse or partner, reported no financial relationships related to the content of this activity.

Hardware/Software Specifications

This internet-based CME activity is best experienced using Internet Explorer 8+, Mozilla Firefox 3+, Safari 4+. This Web site requires that JavaScript and session cookies be enabled. Certain activities may require additional software to view multimedia, presentation, or printable versions of the content. These activities will be marked as such and will provide links to the required software. That software may be: Adobe Flash, Adobe Acrobat, Microsoft PowerPoint, and Windows Media Player.

Optimal System Configuration

Flash Player: Adobe Flash Player 10.1+
Browser: Firefox 3+, Internet Explorer 8.0+, Safari 4.0+, or Google Chrome 7.0+
Operating System: Windows XP+ or Mac OS X 10.4+
Internet Connection: 1 Mbps or higher

Minimum Requirements

Windows PC: 500-MHz Pentium II; Windows XP or higher; 128 MB RAM; Video Card at least 64MB of video memory; Sound Card at least 16-bit; Macromedia Flash Player 10 or higher, audio playback with speakers for programs with video content; Firefox 1.1+, Internet Explorer 7.0+, Safari 1.0+, Google Chrome, or Opera
Macintosh: Mac OS X 10.3 or higher with latest updates installed; 1.83MHz Intel Core Duo or faster; RAM: 128MB or more; Video Card: at least 64MB of video memory; Sound Card: at least 16-bit

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