Home-based family therapy is an alternative treatment approach that has historically focused on preventing out-of-home placement of children and adolescents who would otherwise be placed in foster care, group homes, residential treatment centers, psychiatric hospitals, and correctional institutions. The purpose of this article is to discuss briefly the historical and theoretical underpinnings of home-based family therapy from the early 1900s to the present. Multisystemic therapy is discussed as a recent development employing home-based family therapy as a viable treatment component.
The provision of family counseling services in home- and communitybased settings is becoming an increasingly common and viable option for many human service organizations, either as the primary mode of service delivery or as part of a continuum of services. This article discusses the importance of providing family counselors in training with an introduction to home-based service delivery and provides methods for helping students to explore the home as a therapeutic milieu.
Home-based service providers often work in high pressure and independent practice. The supervision needs and practices of this group need to be investigated to better understand the unique circumstances of this sub-specialty and the relationship to supervision. A sample of home-based service providers was surveyed to determine their current and preferred supervision practices. Results from a descriptive statistical analysis of responses indicated that most of the home-based service providers were currently receiving the type of supervision that they preferred with a few exceptions. Within-group analyses revealed minimal differences in preferred supervision based on the educational discipline of the respondent (counseling, social work, psychology).
A growing population of Asian immigrants to the United States amplifies the need for helping professionals to gain knowledge regarding the adjustment processes among these groups. Unless counselors who are trained in Western systems models are able to modify their approaches to work with non-Western families, the therapy process may not be enlightening to these families. One Asian ethnic group, the Japanese, has a long history of immigration and a strong multigenerational presence in the United States. To contribute to the literature addressing clinical work with a specific Asian immigrant group, a case study is presented as an example of how culturally sensitive assessment and treatment can be provided to a Japanese immigrant family.
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