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Family-Directed Structural Therapy (FDST) is a family-based helping modality that is designed to be utilized with a variety of family and relationship issues. There is a corresponding FDST assessment tool, which is completed by adult family members, allowing them to rate themselves on five relationship issues (commitment, empowerment, control of self, credibility, and consistency), roles, and external stressors.
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This Best Practice Report reviews four helping modalities that specifically recognize the family as an essential agent of change: Multisystemic Therapy (MST), Brief-Strategic Family Therapy (BSFT), Multidimensional Family Therapy (MDFT), and Functional Family Therapy (FFT). This report outlines the history and development of each modality, as well as each research base, fidelity protocol, and strengths and weaknesses. They all have relatively similar histories, in that all four approaches have been in development for at least 25 years and have some level of empirical research base.
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Family-Directed Structural Therapy (FDST) is a family-based helping modality that is designed to be utilized with a variety of family and relationship issues. There is a corresponding FDST assessment tool, which is completed by adult family members, allowing them to rate themselves on five relationship issues (commitment, empowerment, control of self, credibility, and consistency), roles, and external stressors.
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Family-Directed Structural Therapy (FDST) is a family-based helping modality that is designed to be utilized with a variety of family and relationship issues. There is a corresponding FDST assessment tool, which is completed by adult family members, allowing them to rate themselves on five relationship issues (commitment, empowerment, control of self, credibility, and consistency), roles, and external stressors.
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Family-Directed Structural Therapy (FDST) is a family-based helping modality that is designed to be utilized with a variety of family and relationship issues. There is a corresponding FDST assessment tool, which is completed by adult family members, allowing them to rate themselves on five relationship issues (commitment, empowerment, control of self, credibility, and consistency), roles, and external stressors.
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The report revealed that the bulk of the literature collectively examines adults and adolescents, rather than investigating the unique issues that adolescents with substance abuse issues have. The review explored outcome studies for in-patient programs for adolescents with substance abuse issues in order to identify best practices for this population. The author utilized adult success rates (28% abstinence on post treatment measures) to establish a benchmark for including citations of the articles found in the extensive review.
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The report reviews the literature from 1975 to 2001. Conclusions from the report indicate that parental involvement is highly correlated with successful outcomes. Length of stay is not correlated with successful outcomes. Generally, extended hospitalizations provide little added benefit over shorter inpatient programs. Follow-up with community mental health is highly correlated with successful outcomes and is an integral part of maintaining goals. The therapeutic alliance is positively correlated with successful outcomes.
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This literature review sought the answers to three questions regarding group care for children and adolescents:
Question 1: Is there empirical literature that supports the "best practices" idea that family foster care is better than group home care? According to the review, the answer to this question is a "strong yes." The empirical base found family foster care significantly more effective on a number of outcomes with a variety of groups of children.
Question 2: Is there empirical literature that says certain types of children do better in group homes than in family foster homes?
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Since the 1970's, interest in enabling children at risk for out-of home placement to remain living safely in their families and communities has increased. As a result of this, several family centered home-based models with the goal of preventing removal of the child have developed. This report examines four of these models: Multisystemic Therapy, Homebuilders, Wraparound, and Case Management. Theoretical foundations, provider credentials, caseload size, duration and frequency of service, and research base of the four approaches are examined and compared.
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This report seeks to answer two questions about services for individuals with autism:
Question 1: What are effective treatments for autism? Effective treatments for autism include early assessments, collaboration of services across child serving systems, duration of treatment (at least 2 years) and intensity of treatment (during waking hours and parents as therapists), and structure interventions (20-40 hours of community based individualized interventions). Empirically-based models include Lovaas (Lovaas, 1987) and Self-Management Treatment (Koegal & Koegal, 1990).
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