For an adolescent client with conduct disorder, what intervention should be included in the care plan?

Initiating a behavioral contract with the adolescent client is a highly effective intervention for those with conduct disorder. A behavioral contract is a structured agreement between the therapist and the client that clearly outlines specific behaviors to be improved and the consequences or rewards based on adherence to these behaviors. This approach promotes accountability and provides a clear framework for acceptable and unacceptable behavior.

By involving the client in the process of creating the contract, they can gain insight into their actions and mobilize personal responsibility. It also fosters a sense of ownership of the behavior change process, which can be particularly empowering for adolescents. This strategy is often used in behavioral therapies and has proven effective in encouraging positive behavioral changes in those with conduct disorders.

Other options, such as developing a punishment system, may not have the same positive impact as they could lead to increased resistance or defiance rather than fostering constructive change. Encouraging socialization with peers may be beneficial in some contexts, but it must be handled carefully, as peers can sometimes reinforce negative behaviors characteristic of conduct disorder. Limiting physical activity during treatment is generally counterproductive, as physical activity can be an important outlet for energy and frustration for adolescents and can help improve overall well-being.