Evaluating Training Needs for Home-Based Family Therapy: A Focus Group Approach

Examining therapist comfort in delivering family therapy in home and community settings: Development and evaluation of the Therapist Comfort Scale.

“…Safety issues were described as making therapists cautious and overwhelmed. Similarly, a focus group study (Adams & Maynard, 2000) conducted with MST therapists and supervisors identified a number of challenges therapists experience in providing this evidence-based treatment. One of the most highly-ranked challenges revolved around crisis intervention and safety (primarily of clients), suggesting that therapist comfort may be particularly salient in the delivery of MST.…”

Qualitative Inquiry and Family Therapist Identity Construction Through Community-Based Child Welfare Practice

“…Though MFTs are historically included in service provision for multistressed families, questions remain as to what degree Commission on Accreditation of Marriage and Family Therapy Education (COAMFTE) clinical training requirements prepare MFTs to navigate larger sociological contexts. Existing MFT literature emphasizes both professional and educational fragmentation (McDowell & Shelton, 2002), while identifying areas for growth related to knowledge of child welfare policy (McWey et al, 2006), role distinctions between therapy and advocacy (Hardy, 2001;Johnson, 2001;Sluzki, 2001), and real-world preparation for intensive, community-based work that encompasses in-home therapy and multidisciplinary services collaboration (Adams & Maynard, 2000;Brosman, 1990;Christensen, 1995).…”

Common Components of Home-Based Family Therapy Models: The HBFT Partnership in Kansas

“…Several studies have suggested that a home-based approach has demonstrated reasonable degrees of effectiveness in addressing the following clinical issues: children identified as "seriously emotionally disturbed" or as having a "serious emotional disturbance" (Cherniss and Herzog 1996;Curtis et al 2004;Fuller 2004;Schmidt et al 2006;Sexton and Alexander 2000;Stinchfield 2004;Woodford 1999;Woolston et al 1998;Zarski and Fluharty 1992); children and adolescents exhibiting antisocial behaviors, juvenile delinquents, and those involved with Juvenile Justice Services (Cherniss and Herzog 1996;Curtis et al 2004;Sexton and Alexander 2000;Woodford 1999;Woolston et al 1998;Zarski and Fluharty 1992;Zarski and Zygmond 1989); children with autism (Cottrell 1994); children in need of foster care (Fuller 2004); and families more broadly defined as multiproblem, at-risk, or multi-challenged (Adams and Maynard 2000;Cortes 2004;Johnson et al 2002;Schacht et al1989;Slattery and Knapp 2003;Snyder and McCollum 1999;Zarski and Zygmond 1989). Each of these articles has revealed that families involved in HBFT have experienced greater benefits than those who engaged in traditional, office-based treatment approaches.…”

“…Cottrell (1994) describes varying degrees of anxiety a therapist may experience while visiting the home. Issues of safety, perceived lack of control over the environment, and the distances traveled to get to the family's home also produce a degree of anxiety, stress, and even burnout that the therapist must manage effectively to engage in the work while in the home (Adams and Maynard 2000;Christensen 1995). ).…”