Family Therapy: A Constructive Framework

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Lowe, Roger. Introduces practitioners to the principles of using a constructive and collaborative approach with families. Family Therapy. June 18, Date of Publication. Number of Pages.

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See details. Buy It Now. Add to cart. Be the first to write a review About this product. About this product Product Information Family Therapy introduces practitioners to the principles of using a constructive approach with families. As FFT has only recently been implemented in Singapore, this paper focuses on activities and challenges from the exploration to the initial implementation stages.

Importantly, FFT addressed the gap in family based interventions for youth offenders on community probation. Hence, there was no need to commit additional resources toward the recruitment and hiring of new staff. Furthermore, the use of IT systems for the storage, entry, and management of client data was already part of routine case management within MSF. This was important, because the use of an electronic client data management system was a key component of the FFT implementation protocol. The match between the organization's available resources and program's resource demands gave administrators confidence that FFT could be implemented readily.

Given the tight fiscal climate, providing sound justification for the expenditure of public funds on the new program was essential. Economic evaluations of FFT provide strong evidence of the program's ability to save government dollars, in the form of averted crime costs.

The Family Systems Theory- JCHS NSG 510

Another key consideration in the local adoption of FFT was the program's potential to be transported and adapted for use in a markedly different culture. To date, no study has explored FFT's generalizability or effectiveness in a country predominantly influenced by Asian culture.

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However, there is some support of the program's utility in culturally diverse minorities. Collectively, these findings suggest that FFT could be both culturally acceptable and effective in Singapore. This trip allowed the team to learn more about the FFT model and its implementation protocol. Discussions with other FFT sites reaffirmed the view that adopting FFT would benefit youth offenders and families under MSF's care, and that implementation was feasible in the context of MSF's existing infrastructure and resources. The following sections discuss the activities undertaken in relation to each implementation driver.

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Openness toward learning a new model, and a willingness to adhere to the new program were important selection criteria. Furthermore, practitioner beliefs that youth behavior could be changed through working with their families, relentlessness in achieving goals, and comfort with irregular working hours were also taken into account during recruitment. Thus, compatibility between practitioner beliefs and the therapeutic philosophies of the FFT model was paramount.

While the above criteria did not guarantee selection of the most suitable therapists, they were effective in ruling out individuals whose beliefs and preferences were incompatible with the FFT model and its demands e.

Therapists who demonstrated willingness toward embracing the FFT model and a high level of motivation toward coping with the demands of delivering FFT were identified. The staff selection process culminated in the formation of a team of seven therapists—four psychologists and three social workers—out of a pool of approximately twenty social service practitioners. Training consisted of an assortment of learning materials and modalities. Print materials and visual presentations provided information on the core theoretical concepts, principles, and key therapeutic techniques underlying the FFT clinical model.

To ease the transition, commonalities shared by both approaches were highlighted by the trainer. These techniques were used by therapists to address both family and individual risk factors. Through appreciation of the common ground between the two treatment modalities, therapists were able to grasp the FFT model quickly. Although the skills required to deliver FFT are imparted during introductory training, regular coaching provides new therapists with a platform for obtaining advice on how to handle specific challenges encountered in practice.

The FFT protocol detailed a systematic coaching structure. While the additional sessions focused on strengthening clinical skills, the weekly sessions served as a platform for reviewing the progress of all cases handled by the team. The local supervisor also had fortnightly Skype supervision with the consultant on issues relating to the effective conducting of supervision sessions.

In the present context, program fidelity was assessed using multiple sources of information. These included session notes completed by therapists, case review and session plans during group supervision, as well as additional audio recordings of some sessions. The first criterion was dissemination adherence—the degree to which a therapist followed the core components outlined in the program protocol.


The second was fidelity, which consisted of two facets: model adherence and practitioner competence. Therapists were evaluated based on a how closely they kept within prescribed guidelines of the implementation protocol e. Besides therapist fidelity, TYPE reports provided feedback on other process indicators, such as treatment dosage and duration, therapist utilization rates, note completion rates, and program completion rates.

For instance, the site consultant and supervisor used feedback on therapist fidelity to identify areas of professional development that could be addressed during subsequent coaching sessions. Administrators play a pivotal role in creating an organizational environment supportive toward program implementation. Interventions for youth offenders conducted by CFPS were usually held in the office, during conventional working hours. Also, as families are usually available only after working hours e. To address these challenges, several changes were introduced in CFPS to increase the flexibility of working arrangements for all FFT therapists.

In addition, therapists were given the option to work from home if they had sessions scheduled with clients living near their residence.

Types of Therapy

Ensuring the team's presence at these events was a way of reaffirming the importance of their work, and to avoid perceptions of workplace marginalization. Taken together, these organizational changes helped to ease the team's adjustment to the demands of running FFT. Systemic adjustments are key to the successful implementation of EBPs.

To this end, stakeholders across various agencies within MSF e.

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These provided stakeholders with opportunities to learn about the FFT model, and how the clients under their care might benefit from the program. Changes at the systems level were also essential for the integration of FFT into existing work processes. Besides convincing stakeholders of the merits of FFT, referral procedures had to be discussed with administrators in the probation service. After a consensus on referral framework was reached, the team disseminated core information on FFT, eligibility criteria, and referral workflows to probation officers.

These efforts fostered smooth collaboration between probation officers and therapists, well before FFT was rolled out. This minimized time spent on providing clarifications relating to the referral criteria and processes, allowing therapists to focus on effective program delivery. While all drivers were important for successful implementation of a new model, the current implementation process highlighted three key messages for FFT clinicians.

First, ongoing consultation and service monitoring is critical for maintaining the sustainability of the new model and should be strictly followed. Clinicians are encouraged to provide timely feedback to the implementation team so that obstacles to their work can be proactively addressed. Although such obstacles e. In addition, clinicians are also encouraged to actively collaborate with partners e. Third, while adjustment and modification to the implementation process may be required when adopting a new clinical model, it is helpful to minimize such changes at the early phases of implementation.

When changes are necessary, it is always advisable to seek inputs from the model developers first. In other words, it is crucial to focus on doing things right before doing things efficiently. Evaluating implementation outcomes is important for several reasons. Data on these indicators can therefore help to identify areas where subsequent implementation efforts can seek to improve upon. Scoring of both ratings ranged from a minimum of 0 low to a maximum of 6 high. The FFT developers had set a benchmark rating of 4 out of 6 for dissemination adherence, and 3 of 6 for fidelity. Seller information found-wares Contact seller. Visit store. See other items More See all. Item information Condition:. Sign in to check out Check out as a guest. Add to Watchlist Unwatch. Watch list is full. Longtime member. No additional import charges at delivery! This item will be posted through the Global Shipping Program and includes international tracking.

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