Engagement
A typical barrier to the Engagement and Motivation phase
Not me (when clt/caregiver places blame on the other person)
That's not the problem
Attendance to session
Avoidance to engage
balanced alliance, increase hope, reduce negativity/blame, build a relational focus
What are the Goals of Motivation?
“Andie…I notice that when mom started to talk about your grades, you placed your head on the table with a heavy sigh. I wonder if this is something that happens between the two of you a lot when this comes up?”
What is a point process?
Relational Functions are used to plan and match to what Phases?
What is BC and GEN?
In session Mom begins blaming and yelling at her husband about the topic at hand. Therapist responds, “mom this is something you are very passionate about”
What is a relabel?
This technique describes interactions or facilitating information about interactions that occurred outside of session?
What is sequencing?
3 parts of a reframe
What is identify negative aspect, provide nobility and check for impact?
The goal of the Engagement phase
What is "to build credibility and give the family a different experience with services"?
Ideal treatment pacing for high risk families during the motivation phase.
3x in 7 days
“Mom, this is obviously something that is really important to you; but, I want to bring it back around to how this seems like another example of you and Jon’s road to trust”
What is a diversion?
3 Functions of the relational assessment
Autonomous, Mid-pointing, Contacting
Protection, survival, teamwork, anger implies hurt, resilience, fear of judgement
What are theme hints?
Statements implying strength, perhaps even nobility between family members. “you all are very strong willed” “you all are frustrated with each other in similar ways”
What are strength based relational statements?
This is why we want to interrupt and divert.
Reduce Negativity and blame
A typical mistake made when initially contacting families
Not speaking or attempting to speak to the entire family prior to the initial session
These are the five change focus techniques.
What is interrupt/divert, point process, sequence, selectively attend to the positive, and SBR?
Therapists stands up, waves hands in the air and loudly says, “Hey guys! WOW! You guys are really passionate about this, can we stop for a second. I want to come back around to…”
What is an interruption?
50% contact and 50% autonomy
What is mid-pointing?
“Mom, when Tyler shuts down and goes in his room it really freaks you out. You are worried if he is okay and how you can help. Tyler I think you shut out and isolate when you are hurting to protect your mom. You have seen her go through so much of her own pain that you don’t want to burden her with your own. My concern is that it is hard for you all to heal your relationship, and heal together, through isolation.”
What is a reframe?
This does not mean viewing family w/ rose colored glasses; your job is to not to miss subtle positive messages that are often embedded in the negativity.
What is Selectively Attending to the positive?
Secondary purpose of a sequence
What are assessing for behavior patterns?
Timeframe to engage the family once a referral is received
What is within 24 hours?
These techniques are used when attempting to provide a different narrative or perspective to particular behaviors/issues. (Theme Hints/Relabel, Reframes, Themes)
What are change meaning techniques?
“When your family is faced with a threat, you all really bind together as one united front”
What is a strength based relational statement?
Individual who holds minimal power, influence and resources in a relational dyad
Who is "one down"?
“Your family has been through a lot over the past years. I think sometimes a lot of your pain gets in the way of listening and you have all built protective shields around your hearts. In a way, this helps to keep you from experiencing more pain or disappointment. But, it can also really threaten the rebuilding the relationships you all want so badly.”
What is a relational theme?
This techniques describes specific steps in an interaction that you observe in session?
What is a point process?
When an FFT therapist implements a change meaning technique, what is next step for the FFT therapist to assess once the change meaning has been stated?
What is the impact/family response?
Name of the planning phase(form) before engagement
What is pre treatment?
Goal for minimum length of time in between sessions in motivation phase
What is 7 days?
“Mom when Jaylen is gone for more than a few hours, you start to blow his phone up. I think sometimes the more you text, the more he ends up ghosting you. You do this because you are so worried about the past repeating itself.”
What is a sequence?
Relational Assessment is gathered from assessing what?
What are Family Patterns?
Therapist utilized Axel's favorite movie "Terrifier", Discussed how Axel has kind of put on this fierce personality to protect herself, and will "show out" easily. But mom knows who she is, and does not want the truama she experienced to allow the anger to take over like it did for Victoria, still believes she can thrive. Family agreed with rational, and Axel discussed other Terrifier movies, and therapist agreed to read about these movies as well.
What is a theme?
This technique assures that you are adapting to each of your families and creating unique connections with them according to where they are.
What is Matching?
What does "do something" entail?
What is take a risk?