Fidelity Documents
Core Skills
Areas of Family Functioning
FCT Best Practices
Phase of Treatment
100

The FCT Practitioner completes this document with families when they are ready to move on to the next phase of treatment.

What is Transitional Indicator.


Bonus:
How many transitional indicators are there and what are they named?

100

This core skill is about families/individuals taking ownership, responsibility, and accountability for the things they have control over in their lives?

What is Reversal?

100

This family's functioning intended goal is to be able to achieve daily tasks, identify what is going wrong, and to talk about how things worked after they have tried everything to make the appropriate adjustments.

What is Problem Solving
100

How often should a Child and Family Team meeting be held?

What is once a month or when there is a significant event in the case?

100

How long should the Joining and Assessment Phase take?

What is 5 weeks?
200

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?

200

The clinician uses this core 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?

200

This area of family functioning's intended goal is to be able to express their feelings to one another in open and honest ways. Content, intensity and timing of emotions remains appropriate, even during times of stress.

Affective Responsiveness

200

When should documentation for a Family Centered Session be completed?

What is during session and within 24 business hours at the latest.

200

During an enactment in Restructuring, what are the three commitments that should be developed with a family? Bonus: What does each commitment mean?

 

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.

300

This allows families served by Family Centered Treatment to see their inherent worth and value to their community and those in it by utilizing their strengths, resources and values to pay it forward.

What is the Family Giving Project?

300

The clinician uses this core skill when the family is not able to address or effectively communicate “the elephant in the room”. This skill assists individuals have conversations that go beyond surface level to work on core, underlyingbehaviors.

What is Alter Ego?

300

This area of family functioning's intended goal is to ensure that parents/caregivers work together to lead the family and that adolescents maintain an appropriate role as a child in the family to ensure that the parents retain their authority.

What is Role Performance

300

What is the prescribed dosage and intensity for an individual engaged in Family Centered Treatment?

What is multiple sessions for a minimum of 4 hours a week?

300

A family is ready to transition to this phase of treatment when they are able to use their new skills daily, even when the clinician is not in the home, which has caused a shift in the level of reliance the family has on the clinician.

What is Valuing Change?

400

This fidelity document should be completed with all members in a family and is the first opportunity a FCT Practitioner has to model the FCT Guarantees and Values. They are used to assist in times of emotional dysregulation.

What are Solution Cards?

400

During this core skill, the FCT Practitioner 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, in addition, the clinician is questioning the family’s resistance to continue treatment.

What is Creating Ownership?

400

This area of family functioning's intended goal is to ensure that the family's expectations in their home are predictable, consistent and responsible where appropriate rewards and consequences for behaviors are provided.

What is Behavior Control?

400

Once a case has been submitted for authorization (assigned), how many days after that should a FCT Practitioner have their initial FCT session with a family?

What is 2 days?

400

Ture or False: The family must complete all other phases/fidelity in order to have a proper Generalization session?

What is True?
500

This document is presented in TEAM and assists in driving treatment with a family?

What are MIGS?


Bonus: What does MIGS stand for?

500

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 family system.

-Assist family members to express and receive the message or underlying need that was being expressed.

What is Emotional Block?

500

This area of family functioning's intended goal is to be flexible with one another and to meet each other's emotional and security needs. The family avoids being selfish, too uninvolved, or overly involved in each other's lives.

What is Affective Involvement

500

The number of times the Family Assessment Device (FAD) and Trauma Screener (CPM-PTS) should be completed during the course of Family Centered Treatment.

What is 3. Initial in Joining. Intermediate in Restructuring. Final at case closure.

500

During the 6 months of FCT, these are the timelines for each phase of treatment (assume that an extension is not being granted).

What is:

Phase 1 (Joining): 30-35 days

Phase 2 (Restructuring): 2-3 months

Phase 3 (Valuing Change): 1-2 months

Phase 4 (Generalization): 2-4 weeks