Getting to know the Family
A clinician completes this activity with all family members and it allows them to explore the “map of their world”.
What is an eco-map?
The clinician uses this skill when the family is not able to address or effectively communicate “the elephant in the room”. This can include topics around past trauma, discipline, parenting styles, or negative behaviors in the family. This skill usually occurs with two family members and the clinician taking the lead on helping family members relay underlying meaning or emotion.
What is an Alter-Ego?
Name the most relevant Area of Family Functioning: A child needs support and guidance when they become frustrated with their homework.Explain why this is the most relevant AFF.
What is Affective Involvement?
The clinician completes this form with the family when the family is ready to move to the next phase of treatment.
What is the transitional indicator?
DAILY DOUBLE!!! This Fidelity Measure is a functional tool that helps to prepare for Phase 2 sessions and helps the clinician stay adherent to the Phase 2 change process.
Daily Double:What is the FCT Session Planner? Apply the FCT Session Planner to one of your current families.
Answer: The clinician completes this during team after all the joining and assessment tools are completed and the FCE has been signed by the family.
What is the MIGS. To earn your points what does MIGS stand for?
During this skill the clinician has observed the family slipping back into their old ways, after they have been able to make the changes on their own without you in the home. While addressing this observation the clinician is asking open ended questions exploring what the family is willing to do in order to commit to the changes they previously made, holding the family accountable to their goals and questioning the family’s reluctance to continue treatment.
What is Creating Ownership?
Name the Area of Family Functioning: When mutual understanding is reached. When the message received is the same as intended. Errors occur when emotional elements interfere.
What is Communication?
In order to move the family from the joining phase into restructuring, this transitional indicator must be completed with the family.
What is Making Changes? To earn your points:
1. What do we look for in the family that lets us know they are ready to transition to phase 2?
2. Role play going through the transitional indicator.
This process in the primary change intervention in FCT. Families are directed to handle old problems in a new way leading to a corrective emotional experience.
What is an enactment?
This activity is completed with the caretakers allowing the clinician to assist the family with identifying patterns of strengths and challenges that have occurred during past stages of development. The caretakers identify how previous events are shaping their current reality and what parts of their history they want to keep or do differently.
What is the Family Life Cycle? To earn your points name the three questions you ask in the "Let's make a plan" section of the FLC?
The clinician uses this skill when they have observed the family stating they want to change, but the family’s current behaviors are preventing them from making the change. “The family is saying one thing but doing another”.
What is developing discrepancies?
While introducing the Area’s of Family Functioning, the clinician identifies the 6 area’s to the family member. What are they?
What are Problem Solving, Communication, Role Performance, Affective Responsiveness, Affective Involvement, and Behavior Control.
MIGS are completed as fidelity measures during these 2 phases of treatment.
What are Restructuring and Valuing Change?
What is:
Process Commitment: The HOW. The family agrees on how to do things differently.
Content commitment: The WHAT. The specific problem area (Area of Family Functioning) is agreed upon and determined to be handled in a specifically different way.
Attachment-based commitment: The WHY. The family commits to attend to the underlying emotional needs when they are expressed by a family member.
During the SFA the clinicians hold individual interviews with all members of the family. During these interviews each family member is asked 3 questions that are the driving force of treatment. What are the three questions?
What is What do you think is the main problem/issue in the family? What would you change in the family if you could? What are you willing to do to make things better?
The family is able to use their new skills every day, even when the clinician is not in the home. The family has internalized the changes so they last. The clinician completes this transitional indicator during this phase in order to move the family to the final stage of treatment. Identify the transitional indicator and the the special "project" that is completed.
What are We Did It On Our Own and The Family Giving Project? To earn your points: Role play how you would present the Family Giving Project to one of your families. Include in your explanation why we do the FGP.
In order to move the family from the Restructuring Phase into Valuing Changes, this transitional indicator must be completed with the family.
What is Making Changes We Chose? To earn your points:
1. What do we look for in the family that lets us know they are ready to transition to phase 3?
2. Role play going through the transitional indicator.
A clinician is targeting this when they:
-Reframe a family member's behavior as a bid to meet unmet needs.
-Slow down volatile dynamics within the fx system.
-Assist fx members to express and receive the message or underlying need that was being expressed.
What is an Emotional Block?
Daily Double!!! During a session with Dad and Charlie, Dad explains that he has been unsuccessful in getting Charlie to follow through with the evening routine that he created in previous sessions. You as the clinician ask for dad and Charlie to get up out of their seats and play out what typically happens during the evening routine. You observe them (dad asks once from the kitchen and Charlie doesn’t respond as he is in another room playing video games). After observing them you ask their permission to try and practice a different way of handling the routine, one in which you think would be successful. What is this skill called?
What is an Enactment? Provide a role play to the group what you would have dad act out in order to feel empowered and for Charlie to follow through.
During a planned discharge the clinician holds a second fishbowl to discuss the 3 different ways the family can “sabotage” the changes that have been made during treatment. Explain to the group the 3 questions that are asked and explain what they mean.
What is predictable, unpredictable, and developmental challenges?
Scenario: child has a pattern of struggling with school work, is acting out in school and when it is time to do homework. Therefore the family avoids homework and the cycle continues. Describe how the following AFF are playing out in this scenario. Problem Solving.... Role Performance...
Problem Solving: the family identifies this as an important issue and decides to role up their sleeves and do something about it. Role Performance: The family must figure who will do what; mom will help with homework, dad will prepare dinner
Along with Fidelity, this is required in large amounts in order to effectively meet the level of need/complexity of FCT families and restructure generations of dysfunctional patterns of behavior.
What is Treatment Intensity?
When selecting interventions in Restructuring it is critical that they align with these two things. Why?
What are the FAMILY'S goals and a relevant Area of Family Functioning.