THE INVISIBLE MIRROR: IN-HOME FAMILY THERAPY AND SUPERVISION

Home-based family therapy intervention programs, designed as a preventive strategy for multi-problem, at-risk families, are a rapidly growing phenomenon in mental health agencies. However, a review of the literature reveals little information on clinical supervision, which is a major component of home-based family intervention. The purpose of this article is to provide an alternative supervisory approach, in-home supervision, for training therapists who do home-based intervention.     

An Exploration of Family Environment,Adolescent Perceptions,and Home-Based Intervention

ABSTRACT

Home-based family intervention has become a successful approach to treatment in the field of social work and family therapy. Studies in this area have usually focused on the outcome of nonplacement as the measure of success; few studies have reported specifically on changes in family environment and adolescent perceptions following home-based intervention. Using the family life cycle as a theoretical framework, this study assessed changes in family environment and adolescent perceptions from pretest to post-test in families receiving home-based family intervention. Findings indicate that the family environment improved in cohesion, conflict, and independence; and adolescents improved in self-concept and peer security from pretest to posttest. Suggestions for aftercare are presented.     

Comparison of Family Therapy Outcome With Alcohol-Abusing, Runaway Adolescents

Treatment evaluation for alcohol problem, runaway adolescents and their families is rare. This study recruited primary alcohol problem adolescents ( N  =   119) and their primary caretakers from two runaway shelters and assigned them to (a) home-based ecologically based family therapy (EBFT), (b) office-based functional family therapy (FFT), or (c) service as usual (SAU) through the shelter. Findings showed that both home-based EBFT and office-based FFT significantly reduced alcohol and drug use compared with SAU at 15-month postbaseline. Measures of family and adolescent functioning improved over time in all groups. However, significant differences among the home- and office-based interventions were found for treatment engagement and moderators of outcome.     

The unique nature of textile and craft home-based workers: A comparison

Using data collected by a nine-state regional research project, textile and craft home-based workers are compared with the rest of the home-based workers in the sample on several selected variables: home-based work and worker characteristics, income, adaptive behaviors to hectic work times, and advantages and disadvantages of home-based work. Significantly more females than males are engaged in textile and craft home-based work. The findings are related to gender; compared with other workers, textile and craft workers spend fewer hours on home-based work, have lower gross business incomes but greater gross family incomes, have more spouses employed outside the home, and are more likely to use personal time than to hire help during hectic work times. Additional research should investigate gender effects and their relationship to the choice and context of home-based work as well as their impact on the household.This article reports results from the Cooperative Regional Research Project, NE-167, entitled,At-Home Income Generation: Impact on Management, Productivity and Stability in Rural and Urban Families, partially supported by Cooperative States Research Service, U.S. Department of Agriculture and the Experiment Stations at the University of Hawaii, Iowa State University, Lincoln University (Missouri), Michigan State University, Cornell University (New York), The Ohio State University, The Pennsylvania State University, Utah State University, and University of Vermont. The authors are listed alphabetically and have contributed equally to this publication.Her research interests include home-based work, social aspects of clothing, and consumer purchase behavior.Her research interests include farm family financial management, home-based work, and housing expenditures.     

A case study: service delivery and parents with disabilities

A Specialized Family Program, through a supervised paraprofessional, provided time-intensive, home-based service to a family in which both parents were deinstitutionalized disabled individuals. Interventive procedures consisted of systematic educational procedures in basic child care and home management and the case management of many active but uncoordinated agencies. Through this case history, the programmatic needs of disabled parents and their families are discussed, with emphasis on (1) an orientation of family support and advocacy; (2) active, home-based intervention; (3) educational methods based on systematic, behaviorally based instruction; (4) coordination of all workers involved; and (5) client control of decisions related to intervention.     

The Use of Boundaries by Self-employed,Home-Based Workers to Manage Work and Family: A Qualitative Study in Canada

This qualitative study used grounded theory methodology to explore the experiences of 30 self-employed, home-based workers in Canada. Using boundary and work–family border theories as central theoretical constructs, this research examined the extent to which workers used boundaries to manage work and family, the nature of these boundaries, and how they were negotiated by the workers and their families. The results indicated that self-employed, home-based workers used both conceptual and physical barriers to create and manage the boundaries between home and work and that these boundaries were reinforced by rules. Gender differences and similarities were observed in the ways that boundaries were constructed and managed. Based on these observations, several areas for further investigation are proposed.     

Home-based employment: Historical and current considerations

The purposes of this article are threefold. First, there is a brief review of current and historical research on home-based business with special emphasis on female home-based employment and the impact of such employment on family life. Second, a conceptual model for family work activities is advanced. Finally, concepts related to home-based employment that could be used to frame and describe the empirical study are specified.This article reports results from the Cooperative Regional Research Project, NE-167, entitled At-Home Income Generation: Impact on Management, Productivity and Stability in Rural/Urban Families, partially supported by the Cooperative States Research Service, U. S. Department of Agriculture and the Experiment Stations at the University of Hawaii, Iowa State University, Lincoln University (Missouri), Michigan State University, Cornell University (New York), The Ohio State University, The Pennsylvania State University, Utah State University, and the University of Vermont.Her research interests include measuring household production, at-home income generation, and rural families. She received her Ph.D. in Family and Consumer Economics from the University of Missouri-Columbia.Her research interests include home-based business and consumer behavior. She received her Ph.D from Virginia Polytechnic Institute and State University.Her research interests include consumer behavior and family economic issues. She received her Ph.D. from Virginia Polytechnic Institute and State University.     

Structuring Home-Based Therapy: Four Phases to Effective Treatment

ABSTRACT

Home-based services are gaining more popularity than in years past. Therapists going into the home are exposed to various treatment issues that differ from those in a clinic or office setting. One of these issues is that of structuring the therapeutic process. Much has been written about the structure and stages of clinic-based therapy; however, little is known about the process of home-based therapy. This paper will delineate four phases of home-based therapy which the in-home therapist can use as a guide to provide faster and more effective services.     

BEYOND THE CLINIC: IN-HOME THERAPY WITH HEAD START FAMILIES

Social workers and case managers have provided in-home services to families for some time. The field of Marriage and Family Therapy, however, has begun to do in-home work only recently. This paper describes the experiences of MFT interns who worked with families in their homes. Two university graduate MFT training programs conceptualized and practiced in-home therapy with families who had at least one child enrolled in the local Head Start program. This collaborative effort was part of the AAMFT-Head Start Training Partnership Project that had the goal of funding projects that demonstrated successful partnerships between MFT and Head Start. Six interns worked with 27 Head Start families in their homes. A model of the interns' transition from clinic-based to home-based therapy is discussed and applied to working with Head Start families. The framework of in-home therapy is expanded to conceptualizing larger systems and community-based interventions, and recommendations for family therapists in private practice and agency settings are made.     

The Intrusiveness of Home-Based Work on Family Life

This research is intended to ascertain factors related to intrusion of home-based work into the life of the family, and identify the relative impact of characteristics of the home-based worker, his or her family, and the business on intrusions. Logistic regression was used to examine three types of intrusions. Seeing clients at home more than once a week is almost exclusively a function of the characteristics of the work; receiving telephone calls daily and frequently sharing space are functions of the characteristics of the work and of the worker. Understanding the nature of intrusions can help advise families contemplating home-based work and help home-working families find a balance between family demands and work.     

Home-based early intervention: dimensions of current practice

Is home-based early intervention an invasion of the family that inadvertently undermines its self-confidence, or is it a life-saving service to families whose children are at risk of abuse and neglect?     

Home-based workers: Worker and work characteristics

The purpose of the study reported here is to describe the worker and work characteristics of 899 home-based business owners and wage earners, using a definition that excludes farmers, hobbyists, and persons taking work home from a job located elsewhere. Contrary to predictions by futurists of an influx of white-collar workers from the office to home, the home-based workers in this research are more likely to be marketing and sales persons, contractors, or mechanical and transportation workers. Full- or part-time employment status, home tenure, seasonality of work, and occupation are significantly associated with ownership status. Findings show significant group differences on age, education, years in the community, household size, and net annual home-based income. Business owners, on average, are older, have less education, come from larger households, have lived in their communities more years, and have lower net annual home-based incomes than their wage earner counterparts.This article reports results from the Cooperative Regional Research Project, NE-167, entitled, At-Home Income Generation: Impact on Management, Productivity and Stability in Rural and Urban Families, partially supported by Cooperative States Research Service, U.S. Department of Agriculture and the Experiment Stations at the University of Hawaii, Iowa State University, Lincoln University (Missouri), Michigan State University, Cornell University (New York), The Ohio State University, The Pennsylvania State University, Utah State University, and University of Vermont. Appreciation is expressed to Ana Marie Vargas and Johnny M. H. On for their assistance with the computer analyses, and to Florence Abe, Laraine Hoffman, and Meesok Lee for their help in the final preparation of this article. The authors acknowledge the patience and helpful suggestions of two anonymous reviewers.Her current research interests include home-based employment, multiple farm income families, and computer-based education. She received her Ph.D. from Oregon State University.Her current research interests include home-based employment, economic adjustments of farm families, and the interrelationship of management to an individual's quality of life. She received her Ph.D. from Purdue University.Her primary areas of research are rural households, the impact of employment on a family, learning theories as applied to financial education, retirement, and home-based employment. She received her Ph.D. from The Pennsylvania State University.     

The impact of the family on home-based work

This article reports on a study of 899 families with at least one member engaged in home-based work. Six work characteristics are examined in relation to family structure and gender of the home-based worker: business ownership, occupation of the home-based work, amount of income generated, location of the work space, number of hours worked, and availability of help with the work. Women in single-parent and full-nest families are found to do the most restructuring of work time and space and women home-based workers generate less income from the work than do men. Male home-based workers experience less conflict between family and work scheduling, are more likely to have an exclusive work space, and tend to have help with the home-based work.This article reports results from the Cooperative Regional Research Project, NE-167, entitled, At-Home Income Generation: Impact on Management, Productivity and Stability in Rural and Urban Families, partially supported by Cooperative States Research Service, U.S. Department of Agriculture and the Experiment Stations at the University of Hawaii, Iowa State University, Lincoln University (Missouri), Michigan State University, Cornell University (New York), The Ohio State University, The Pennsylvania State University, Utah State University and University of Vermont.Her research interests include divorce, work and family, and the economic well-being of women and children. She received her Ph.D. from Oregon State University.He has extensive experience in research, consulting, and training for small business owners and operators, including single parents, disabled veterans, Hispanics, rural and home-based. He received his Ph.D. from New York University.     

Managing work and family in home-based employment

Two 10-item scales, one describing the management of the home-based work and the other, the management of the family work, were administered to a sample of household managers who are also the home-based worker. Scale items are designed to assess dimensions of input, planning, implementing, and output.T-tests are used to compare the means of the individual items and the scale means. Confirmatory factor analysis is used to assess whether the factoring of the scale items support the theoretical framework. Scores are higher for the management of the home-based work than for the management of family work. Although both scales are highly reliable, the items in the home-based work scale factor clearly into the dimensions of standard setting and controlling. One interpretation may be that, given a choice, the dual-manager may choose to consciously organize the paid work instead of the family work.This paper reports results from the Cooperative Regional Research Project, NE-167, entitled, At-Home Income Generation: Impact on Management, Productivity and Stability in Rural/Urban Families, partially supported by the Cooperative States Research Service, U.S. Department of Agriculture and the Experiment Stations at the University of Hawaii, Iowa State University, Lincoln University (Missouri), Michigan State University, Cornell University (New York), The Ohio State University, The Pennsylvania State University, Utah State University, and the University of Vermont. Appreciation is expressed to Frank Chiang at Cornell University and Young Rae Oum at Iowa State University for the computer assistance needed to complete this research article. Patsy Sellen was instrumental in formatting and stylizing this paper to required guidelines.Her current research interests include household asset and debt formation, working families and employers' benefits, and home-based employment. She received her Ph.D. from Purdue University in 1978.Her current research work includes an analysis of family resource management in Mexico and housing conditions in rural areas. She is also involved in the study of households who work at-home for pay and their associated management practices and coping strategies. She received her Ph.D. from Pennsylvania State University in 1970.Her current research work includes such topics as divorce settlements, at-home income generation and management practices of households who are engaged in home-based employment. Her Ph.D. was received from Cornell University in 1978.     

Family Intervention and Services for Persons with Mental Illness in the People's Republic of China

ABSTRACT

Family services and intervention for persons with mental illness is crucial in mental health services. In this paper, the writer attempts to describe family intervention and services for persons with mental illness in the People's Republic of China. Family intervention and services like home-based care, guardianship network, family counseling, and psychoeducational programs are only preliminarily developed. Their effectiveness and challenges in future development are discussed.     

‘I Just Don't Agree’: A Voice-Oriented Analysis of An IFPS Case of Alleged Child Maltreatment

In contrast to the many outcome studies of Intensive Family Preservation Services (IFPS), little is known about the underlying personal and relational dynamics of family crisis interventions. This article focuses on the core evolving dynamics of the changing self-presentations of a parent involved in an intensive home-based family preservation case of alleged child maltreatment. Three key family intervention sessions were videotaped and transcribed including both verbal and nonverbal behavior. The Listening Guide Method – a theoretically flexible, qualitative, relationally oriented method of in-depth interpretative analysis – served as our guide for this case analysis. In the processes of change toward a jointly constructed meaningful narrative on responsibility and self-care, two key elements emerged as playing a pivotal role: (1) the momentum of a potential referral of children to out-of-home care that precedes the start of an IFPS intervention and (2) the rhizomatic or root-like intertwinement of the voices of both parent and therapist with respect to the rationale for any involvement of society in the family. We argue that discourses on imminent placement in the context of family preservation deserve a genuine and valuable position in the initial discourse of a family therapist when entering a family in the context of crisis intervention. Both in understanding and driving any processes of change, we may need to reconsider our own willingness to step into the blending interplay of discourse and counter-discourse with our clients on the subject of our often drastic intervention. Consequently, we may read this narrative analysis as an invitation to reflect on the conceptualization of ‘client readiness’ in psychotherapy and to shift our thinking on preconditions for therapy from a client's readiness toward a therapist's attentiveness to listen.     

Children's time in household work: Estimation issues

The purpose of this article is to analyze children's time in household production using tobit analysis to adjust for nonparticipation and to compare the results to a regression analysis. In general, more variables are significant in each of the analyses based upon gender and birth order of the children. More importantly, the additional variables go beyond whether the day was a schoolday and the age of the child. The past failure of children's time spent in household work to change with differences in their families' characteristics appears to have been an artifact of not accounting for nonparticipation when estimating marginal effects.Her current research interests include use of clothes washers and family members' time use. She received her Ph.D. from Cornell University.She is currently conducting research in the areas of home-based employment and small family businesses.     

A study of home-based services for families of adolescents

Adolescents and their families present some of the most difficult challenges for family-centered, home-based service providers. A study of 51 families of adolescents, who received services from one rural home-based program was conducted in order to describe the characteristics distinguishing families in which placement was averted from families in which placement was not. Content analysis of case records indicated group differences on severity and type of adolescent behavior, family functioning, and families' follow-up with discharge recommendations. Gender differences in placement rates were also noted. Implications for the provision of family-centered, home-based services to families of adolescents were discussed.     

Studying at-home income generation: Issues and methods

Methods used to locate and study 899 home-based workers and their households in nine states are described in detail, with emphasis on the rationale behind the decisions about the definition of home-based work, sampling, the development of the interview schedule, data collection procedures, and data preparation. More than 10% of all households in the nine states include someone who is engaged in home-based work; 7% of the households have a member who has been engaged in the activity for more than 1 year and who spends at least 312 hours annually in the activity. The respondents have a mean age of 42.5 years, and have completed a mean of 13.8 years of education. More than half live in communities of 2,500 or over, and have lived there for more than 10 years. More than 40% of the sample consist of individuals who are married and have children living in the home. The average household income in 1988 was just over $42,000.This article reports results from the Cooperative Regional Research Project, NE-167, entitled, At-Home Income Generation: Impact on Management, Productivity and Stability in Rural/Urban Families, partially supported by the Cooperative States Research Service, U. S. Department of Agriculture and the Experiment Stations at the University of Hawaii, Iowa State University, Lincoln University (Missouri), Michigan State University, Cornell University (New York), The Ohio State University, The Pennsylvania State University, Utah State University, and the University of Vermont.In addition to at-home income generation, her research interests include divorce settlements and time use. She received her Ph.D. from Cornell University in 1978.Her current research interests include family resource management in Mexico, determinants and consequences of intergenerational co-residence, as well as family management in households in which there is at-home income generation. She received her Ph.D. from The Pennsylvania State University in 1970.Her dissertation involves the estimation of a reservation age for home-based workers.She has had 15 years of experience in survey research, 10 years as Projects Coordinator, and served as Project Manager for this study.