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This study examined the effectiveness of brief Emotion-Focused Family Therapy (EFFT), a transdiagnostic intervention that combines psycho-education and experiential exercises to empower parents to support their childs mental health and recovery. We also examined how administering the Adult Attachment Interview (AAI) prior to EFFT impacts therapeutic outcomes for caregivers and their children. It has been suggested that administering the AAI can facilitate the therapeutic process; however, previous studies have not examined the benefits of using the AAI as an adjunct to therapy. Using group randomization, 243 caregivers who attended an intensive 2-day EFFT caregiver workshop were assigned to one of two conditions: (1) AAI-enhanced EFFT, involving the completion of an AAI prior to treatment (n = 112); or (2) standard EFFT, with no AAI administration (n = 131). Caregivers completed questionnaires about child psychological symptoms and emotion regulation, as well as parental self-efficacy, parental blocks, and parental mentalization. Data were collected pre-treatment, post-treatment, and again 4-, 8-, and 12-months after treatment. Significant improvements in parent blocks, parental self-efficacy, child symptomatology and child emotion regulation were found for both groups. This confirms that EFFT is an effective intervention for a range of child mental health concerns. Additionally, parents who attended an AAI-enhanced workshop reported greater improvements, primarily during the follow-up period, compared to those who received the standard workshop. To the best of our knowledge, this is the first empirical demonstration of the clinical benefits of administering the AAI when working with parents in the service of youth mental health.
This book introduces emotion focused family therapy (EFFT) as an evidence-based intervention for children through the integration of parent trauma treatment and emotion-focused techniques. A team of expert authors, including the founders of EFT and EFFT, contribute to the chapters, in which recent findings from longitudinal clinical trials are woven into a rich and deeply presented overview of using EFFT practically with clients. This immensely practical book also provides illustrative case studies, intervention strategies, and do’s and don’ts at the end of each chapter.
Children are the foundation of the United States, and supporting them is a key component of building a successful future. However, millions of children face health inequities that compromise their development, well-being, and long-term outcomes, despite substantial scientific evidence about how those adversities contribute to poor health. Advancements in neurobiological and socio-behavioral science show that critical biological systems develop in the prenatal through early childhood periods, and neurobiological development is extremely responsive to environmental influences during these stages. Consequently, social, economic, cultural, and environmental factors significantly affect a child's health ecosystem and ability to thrive throughout adulthood. Vibrant and Healthy Kids: Aligning Science, Practice, and Policy to Advance Health Equity builds upon and updates research from Communities in Action: Pathways to Health Equity (2017) and From Neurons to Neighborhoods: The Science of Early Childhood Development (2000). This report provides a brief overview of stressors that affect childhood development and health, a framework for applying current brain and development science to the real world, a roadmap for implementing tailored interventions, and recommendations about improving systems to better align with our understanding of the significant impact of health equity.
Decades of research have demonstrated that the parent-child dyad and the environment of the familyâ€"which includes all primary caregiversâ€"are at the foundation of children's well- being and healthy development. From birth, children are learning and rely on parents and the other caregivers in their lives to protect and care for them. The impact of parents may never be greater than during the earliest years of life, when a child's brain is rapidly developing and when nearly all of her or his experiences are created and shaped by parents and the family environment. Parents help children build and refine their knowledge and skills, charting a trajectory for their health and well-being during childhood and beyond. The experience of parenting also impacts parents themselves. For instance, parenting can enrich and give focus to parents' lives; generate stress or calm; and create any number of emotions, including feelings of happiness, sadness, fulfillment, and anger. Parenting of young children today takes place in the context of significant ongoing developments. These include: a rapidly growing body of science on early childhood, increases in funding for programs and services for families, changing demographics of the U.S. population, and greater diversity of family structure. Additionally, parenting is increasingly being shaped by technology and increased access to information about parenting. Parenting Matters identifies parenting knowledge, attitudes, and practices associated with positive developmental outcomes in children ages 0-8; universal/preventive and targeted strategies used in a variety of settings that have been effective with parents of young children and that support the identified knowledge, attitudes, and practices; and barriers to and facilitators for parents' use of practices that lead to healthy child outcomes as well as their participation in effective programs and services. This report makes recommendations directed at an array of stakeholders, for promoting the wide-scale adoption of effective programs and services for parents and on areas that warrant further research to inform policy and practice. It is meant to serve as a roadmap for the future of parenting policy, research, and practice in the United States.
"Nurses play a vital role in improving the safety and quality of patient car -- not only in the hospital or ambulatory treatment facility, but also of community-based care and the care performed by family members. Nurses need know what proven techniques and interventions they can use to enhance patient outcomes. To address this need, the Agency for Healthcare Research and Quality (AHRQ), with additional funding from the Robert Wood Johnson Foundation, has prepared this comprehensive, 1,400-page, handbook for nurses on patient safety and quality -- Patient Safety and Quality: An Evidence-Based Handbook for Nurses. (AHRQ Publication No. 08-0043)." - online AHRQ blurb, http://www.ahrq.gov/qual/nurseshdbk/
This book examines the critical nature of engaging families in mental health interventions that promote well-being and resilience in young children, from birth to 8 years of age, with a particular focus on the importance of equity and systems of care. It addresses evidence-based and evidence-informed interventions to promote family engagement to improve behavioral, social, and emotional functioning of infants and toddlers, preschoolers, and children in the early elementary school years. The book is grounded in empirical knowledge on reducing health disparities and promoting equity in mental health care for young children, including equitable access, services, and outcomes. It emphasizes a community-based systems of care approach to family engagement in mental health interventions and highlights the most promising policies and practices. Key areas of coverage include: Mental health interventions for different developmental levels, including infancy and toddlerhood, the preschool years, and in early elementary school. Inequities and gaps in systems of care for young children. Evidence-based and evidence-informed prevention practices and intervention strategies to engage families and support children’s psychological well-being. Family engagement in interventions for young children with special needs or who are recovering from trauma. Family Engagement in Mental Health Interventions for Young Children is a must-have resource for researchers, professors, and graduate students as well as clinicians, therapists, and other professionals in developmental psychology, child and adolescent psychiatry, family and systems therapy, school and clinical child psychology, social work and counseling, pediatrics and school nursing, and all interrelated disciplines.
Family caregiving affects millions of Americans every day, in all walks of life. At least 17.7 million individuals in the United States are caregivers of an older adult with a health or functional limitation. The nation's family caregivers provide the lion's share of long-term care for our older adult population. They are also central to older adults' access to and receipt of health care and community-based social services. Yet the need to recognize and support caregivers is among the least appreciated challenges facing the aging U.S. population. Families Caring for an Aging America examines the prevalence and nature of family caregiving of older adults and the available evidence on the effectiveness of programs, supports, and other interventions designed to support family caregivers. This report also assesses and recommends policies to address the needs of family caregivers and to minimize the barriers that they encounter in trying to meet the needs of older adults.
Address the urgent need for individualized, coordinated mental health care with this book--the only one-stop reference for establishing, evaluating, and improving services and systems of care for children and adolescents with mental health challenges and their families. The new cornerstone of the highly respected Systems of Care for Children's Mental Health series, this comprehensive volume helps administrators, program developers, and clinicians from mental health and partner child-serving systems skillfully navigate every key issue they may encounter on the road to effective service delivery. Weaving all the latest research and best practices into a single accessible handbook, more than 60 expert contributors give readers the in-depth, practical knowledge they need to develop comprehensive, community-based, coordinated systems of care for youth with mental health challenges and their families avoid duplication and fragmentation of services across mental health and other child-serving systems develop individualized care plans for children with complex needs and implement the "wraparound" approach to service delivery incorporate evidence-based practices into systems of care use smart financing strategies that make the most of multiple funding streams ensure the full participation of families and youth in service planning and delivery improve services and care coordination across a variety of systems--schools, child welfare, juvenile justice work effectively with youth and families from diverse backgrounds and communities conduct accurate program evaluation and continuous quality improvement use the best professional development strategies to ensure a skilled and dedicated workforce Throughout the book, extended case studies of children, youth, families, and successful programs take readers beyond the abstract and reveal in vivid detail how high-quality services can transform the lives of children and youth--from early childhood to their transition to adulthood--as well as their families and caregivers. A must-own compendium of knowledge for anyone involved in shaping the future of mental health services, this book is the new blueprint for systems of care that truly respond to the needs of children, youth and families. Learn more about the Systems of Care for Children's Mental Health series.
Abstract: The primary purpose of this research project was to create, examine and improve a new psychoeducation measure, the Assessment of Caregiver Psychoeducation (ACP). Content validation of the instrument was achieved sequentially by surveying evaluations of the ACP by two "expert" groups: "Academic Experts" and "Consumer Experts." A secondary goal was to measure how much knowledge a group of 105 caregivers of children with psychiatric problems (Consumer Experts) have about their child's mental illness and treatment, and the parents' satisfaction about and perceived helpfulness of the psychoeducation and services provided to their children. This study used three instruments: The Assessment of Caregiver Psychoeducation (ACP) questionnaire, a set of ACP Evaluation Forms (EF's) for both Academic Experts and Consumer Experts and a Background Information Form (BIF). The ACP questionnaire included seven sections containing questions about caregivers' knowledge and perceptions regarding: 1. Their child's mental health assessment(s), 2. Professional feedback received regarding this mental health assessment(s), 3. Information obtained about their child's mental health diagnosis, difficulties and treatment, 4. Therapy given to their child, 5. Medication(s) prescribed to their child, 6. The Special Education assessment of their child. 7. The Special Education services given to their child. Overall, caregivers appeared to have "fair" knowledge about their child's mental health and special education problems and services. More specifically, they communicated "excellent" knowledge about questions related to their child's therapy and medication as well as information related to their child's primary diagnosis. Ratings were "fair-" to "excellent-" on Special Education assessment and services questions; and "fair-" to "poor-" on knowledge related to their child's second and third diagnoses on the Information section. In terms of how informed they felt, how satisfied they were with related services, and how helpful they perceived services to be; caregivers reported Mental Health Assessment, Mental Health Assessment Feedback, Information related to their child's mental health problems, Therapy, Medication, Special Education Assessment and Special Education Services as "moderate-" to "very-" good on the ACP. Qualitative feedback on the ACP provided open ended responses from consumers providing additional information regarding mental health and school based services as well as limitations and barriers to service.
The Helping Families Raise Healthy Children initiative addressed depression among parents of children with early childhood developmental delays, aligning the early intervention and behavioral health systems with a focus on relationship-based care. The initiative focused on identification of at-risk families, referral, and engagement in services that addressed the needs of parents and young children in the context of their relationship.