Utilizing Family Strengths and Resilience: Integrative Family and Systems Treatment with Children and Adolescents with Severe Emotional and Behavioral Problems

M Y Lee, G J Greene, K S Y Hsu, A Solovey, D Grove, J S Fraser, P Washburn, Barbra Teater

Research output: Contribution to journalArticle

26 Citations (Scopus)

Abstract

Community mental health agencies are consistently challenged to provide realistic and effective home-based family-centered treatment that meets local needs and can realistically fit within available budget and resource capabilities. Integrated Family and Systems Treatment (I-FAST) is developed based on existing evidence-based approaches for working with at-risk children, adolescents, and families and a strengths perspective. I-FAST identified 3 evidence-based, core treatment components and integrated them into a coherent treatment protocol; this is done in a way that builds on and is integrated with mental health agencies' existing expertise in home-based treatment. This is an intervention development study in which we conducted an initial feasibility trial of I-FAST for treating families with children at risk of out-of-home placement. The outcomes of the study provide initial empirical evidence that supports the effectiveness of I-FAST. Findings indicate that there were significant improvements in child behavior, significant increases in parental competency, and significant increases in the level of cohesion and adaptability in these families. All observed changes were significant from pre- to posttreatment with the families able to maintain these positive changes at 6-month follow-up. A more rigorous and robust research design, however, will be needed to establish definitive evidence of the effectiveness of I-FAST.
Original languageEnglish
Pages (from-to)395-416
Number of pages22
JournalFamily Process
Volume48
Issue number3
DOIs
Publication statusPublished - 2009

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resilience
adolescent
Therapeutics
evidence
Mental Health
mental health
Problem Behavior
Child Behavior
Budgets
Clinical Protocols
group cohesion
research planning
budget
expertise
Research Design
Outcome Assessment (Health Care)
resources

Keywords

  • services
  • social-work
  • collaboration
  • Emotional or Behavioral Problems
  • Family Treatment
  • Home-Based Treatment
  • mental-health
  • therapy
  • At-Risk Youth

Cite this

Utilizing Family Strengths and Resilience: Integrative Family and Systems Treatment with Children and Adolescents with Severe Emotional and Behavioral Problems. / Lee, M Y; Greene, G J; Hsu, K S Y; Solovey, A; Grove, D; Fraser, J S; Washburn, P; Teater, Barbra.

In: Family Process, Vol. 48, No. 3, 2009, p. 395-416.

Research output: Contribution to journalArticle

Lee, M Y ; Greene, G J ; Hsu, K S Y ; Solovey, A ; Grove, D ; Fraser, J S ; Washburn, P ; Teater, Barbra. / Utilizing Family Strengths and Resilience: Integrative Family and Systems Treatment with Children and Adolescents with Severe Emotional and Behavioral Problems. In: Family Process. 2009 ; Vol. 48, No. 3. pp. 395-416.
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