Part I: A Review of the Literature on Multisystemic Treatment Within an Evidence-based Framework: Implications for Working With Culturally Diverse Families and Children

One key step in the evidence-based practice process directs practitioners to pose client-oriented, practical, evidence-search questions (COPES), seeking the truth about what will help their client (Gibbs, 2003 Gibbs , L. ( 2003 ). Evidence-based practice for the helping professions ; Pacific Grove , CA : Brooks/Cole-Thomson Learning . [Google Scholar]) and inform policy (Gambrill, 2006) and not to take a “one method fits all” position. Literature focusing on providing services to minority children and families in the child welfare system strongly supports this approach (Cohen, 2000 Cohen , N. ( 2000 ). Child welfare: A multicultural focus ; Needham Heights , MA : Allyn &; Bacon . [Google Scholar]; Lum, 2004 Lum , D. ( 2004 ). Social work practice and people of color: A process-stage approach ; Boston : Brooks/Cole . [Google Scholar]; Samantrai, 2004 Samantrai , K. ( 2004 ) . Culturally competent public child welfare practice . Belmont , CA : Brooks/Cole-Thompson Learning . [Google Scholar]). This article poses an effectiveness question, locates and evaluates existing evidence, and then presents implications for working with families and children from diverse backgrounds. The effectiveness question posed is, “If families and children from diverse populations experiencing mental health problems receive Multisystemic Therapy, will they have similar outcomes across race and ethnicity?”     

Mapping Social Capital: A Critical Contextual Approach For Working With Low-Status Families

Promoting justice in therapeutic work with families demands an analysis of contextual factors such as race, ethnicity, gender, and social class in relationship to societal systems of power, privilege, and oppression. A broad understanding of these dynamics, however, is inadequate to inform our work with families whose social capital severely limits available life choices, social influence, and material resources. In this article, we describe working from a critical contextual perspective to consider how families gain and/or lose social capital through participation in multiple contexts. We introduce a technique for mapping social capitol within and across multiple systems as well as suggestions for interventions aimed at increasing the social well-being of low-status families. These include considering the dynamics of boundary crossing, recognizing and optimizing resistance to oppressive dynamics, finding ways to limit constraints and optimize opportunities, and developing webs of allies to support family functioning and access to resources. We offer the example of 13-year-old Pepe as a case in point.     

Epidemiology of Partner Abuse Within Military Families

Partner abuse (PA) is a public health problem that affects a significant number of families. Experiencing PA places victims at risk for a variety of negative outcomes, including substance use or abuse, depression, post-traumatic stress disorder, and, in extreme cases, permanent injury or death. Furthermore, children who are exposed to PA are at risk for problems in the areas of cognitive functioning, self-esteem, psychological and emotional well‐being, interpersonal relationships, and behavior. Most of what is known about PA has accrued through studies of civilian families. In this article, the authors report the results of an in depth review of the epidemiology of PA in each branch of the military. Results revealed that most studies of the military have been conducted with Army families. Rates of nonclinically significant PA are higher in military samples than civilian samples. Men and women connected to the military engage in rates of mild to moderate PA at similar rates. Males in the military engage in more violent PA than do women. These findings are discussed within a prevention and risk/resilience framework. Practical suggestions for clinicians working with military personnel and families and ideas for future research are provided.     

The Family Outreach Model: Tools for Engaging and Working With Families in Distress

The purpose of this article is to present a family intervention model to family service providers that builds on previous research in areas of social support and family problem solving. The Family Outreach Model provides a set of strategies for engaging and working with families in five phases of family coping at different points in time in the family's life. The strategies reflect intentional choices by family service providers about both collaborative and directive styles of therapeutic alliance and highlights ways to determine which style best fits with what specific families want and need, depending on the manner of family coping that it is using. Implications for programs and public policy are presented.     

Stress Within Families: Some Questions and Possibilities

Individual children's capacity to cope with stressors may be predicated by the stress-coping mechanisms utilised by their families There appears to be a paucity of information about families' responses to stressors. It is postulated that there are significant questions about family coping mechanisms, and that research directed towards these questions may provide information of use in programmes which aim to facilitate the development of effective coping mechanisms in children. Assumptions about the delineation of coping mechanisms, the structure of family units, the designation of stressors., and the study of human behaviour are discussed. A brief outline is provided on a research project aimed at defining and analysing family coping behaviour, and at differentiating families that cope effectively with stressors from those that do not. Some initial impression of findings are presented.     

Interparental Agreement on Family Functioning Within Chinese Families

Although many studies have investigated the concordance of parent and adolescent perspectives on family functioning, little research has been conducted on concordance between parents’ perspectives. In this study the authors investigated this issue in China. Each parent of 729 children attending elementary schools in Chengdu, the capital of Sichuan province, completed a set of questionnaires including a version of the Chinese Family Assessment Instrument (C-FAI). Mother and father concordance was medium to strong for four of the five C-FAI subscales, suggesting that parents were generally in agreement with each other in their perceptions of family functioning. However, mothers reported significantly more family conflict than fathers when their child was a girl, and fathers reported significantly more control problems than mothers when the child was a boy. The findings are discussed in relation to the limitations of the study and the need for future research.     

Gender Power and Property Relations Within Entrepreneurial Wealthy Families

This article challenges the popular image of middle and upper class women as beneficiaries and consumers of wealth and correspondingly of men as the central agents in the creation of wealth. Rather this paper demonstrates that women are active in the generation of wealth, but are not given the recognition they deserve, and are increasingly marginalized in the management and ownership of wealth. In seeking to explain this, wealth formation will be identified as a process constituting three stages: wealth creation, wealth accumulation and wealth preservation, whereby gender relations underlined by patriarchal practices propel male kin to positions of power and influence whilst overshadowing female kin. Data for this paper have been drawn from the findings of a study of 70 rich families in one of the midland counties of England and includes industrial, commercial, landed and ‘old’ and ‘new’ wealth.     

Understanding and Working with Haitian Immigrant Families

SUMMARY

This conceptual analysis explores the Haitian cultural experience in the U.S. and offers a model for working with Haitian families. Relevant factors include: (1) an understanding of the history and culture of Haiti; (2) migration patterns of Haitian families to the U.S.; and (3) the experience which most Haitian families must endure upon arrival.     

Prefamily Counseling: Working with Blended Families

According to the literature, approximately 50% of all Americans have some kind of step-relationship. Living in a blended family has become more commonplace, as have significant issues related to family members' adjustment to and day-to-day maintenance of them. In the majority of instances, blended families enter into life together with little awareness of what to expect, common problems blended families experience, and plausible solutions to the difficulties often faced. Based on the current literature and clinical experience, preblended family counseling, a framework approach that brings family members together prior to remarriage or cohabitation, has been developed.     

African American Therapists Working With African American Families: An Exploration of the Strengths Perspective in Treatment

With the exception of Hill's (1971, 1999) work, historically much of the literature on African American families has focused more on pathology than strengths. This study used interviews with 30 African American psychotherapists, self-identified as employing a strengths perspective with African American families, to investigate which strengths they identified in the families and how they use those strengths in therapy. Themes emerging from data analysis confirmed the continued importance of the five strengths Hill noted. In addition, two new strengths were identified by the participants: a willingness of a greater number of families to seek therapy, and the importance of family structure. Strategies used in engaging the families in therapy and practice implications for family therapists are discussed.     

Family Therapy for Kids Without Families: Working Systemically With Children and Young People in Residential Care

A significant proportion (4%, Australian Institute of Health and Welfare, 2008) of children and young people in Australia live in some form of residential care, usually in small group‐homes staffed by residential care workers in shifts. However, as Hawkins‐Rodgers (2007) points out, these placements are often not resourced to heal the effects of trauma and multiple attachment disruptions in their residents. The lack of an archetypal ‘family’ has led in the past to family therapists considering that there is little work to be done with such clients. This leaves such placements to be supported most frequently by clinicians who specialise in behaviour management and other linearly founded models of practice. The Alternate Care Clinic (ACC) is the first mental health service in New South Wales dedicated entirely to children and young people in out of home care with a high level of complex needs. This article examines the systemic therapeutic model the clinic has developed in the last two years. In particular, the article seeks to explore the importance of ‘meaning making’ in a diffuse parental system, particularly with regards to the term ‘family’. The complexities of working in this area and possible ways forward are illustrated with a closely worked case study.     

Working with Military Families Through Deployment and Beyond

Military families experience considerable stress, periods of long separation, and changes to the family system due to family members planning to enter a war zone, actively living in a war zone, and reuniting after being in a war zone. Anticipation and understanding of the stages of deployment improves family, couple and individual functioning. The issues that the family and the couple are confronting at each stage of deployment: pre-deployment, deployment, and post-deployment are presented. Clinical interventions for the family and the couple are presented at each stage of deployment. Additionally, the impact of the service member’s war time experience on the family, couple, and her/himself is discussed.     

Working With Missing Values

Less than optimum strategies for missing values can produce biased estimates, distorted statistical power, and invalid conclusions. After reviewing traditional approaches (listwise, pairwise, and mean substitution), selected alternatives are covered including single imputation, multiple imputation, and full information maximum likelihood estimation. The effects of missing values are illustrated for a linear model, and a series of recommendations is provided. When missing values cannot be avoided, multiple imputation and full information methods offer substantial improvements over traditional approaches. Selected results using SPSS, NORM, Stata (mvis/micombine), and Mplus are included as is a table of available software and an appendix with examples of programs for Stata and Mplus.     

Sexual Behavior,Sexual Knowledge,and Sexual Attitudes of Emerging Adult Women: Implications for Working With Families

The purpose of this study was twofold: first, to examine the sexual behavior of emerging adult women in relation to their sexual knowledge, sexual attitudes, and perceptions of their parents' sexual attitudes; and second, to discuss the implications of this research in working with young adult women. Three hundred and sixty-four college-age women were administered the Sexual Experiences Inventory, Miller-Fisk Sexual Knowledge Questionnaire, and the Hendrick Sexual Attitude Scale. Ninety-six percent of the sample reported primarily heterosexual behavior. Sexual knowledge of participants was not related to their reports of sexual behavior. The sexual attitudes of college-age women and their perceptions of their parents' attitudes toward sexual behavior were found to relate positively to participant sexual permissiveness and sexual practice. The implications of these findings were discussed in relation to working with families and providing effective interventions to reduce unsafe sexual practices among emerging adult women.     

Working with Contact Father Families: Insights from Therapy

The incidence of marital and relationship breakdown, in particular where children are involved, continues to increase across Australia. For the contact father, the psychological and emotional effects of separation are often experienced concurrently with many practical matters and can raise issues such as dealing with loss, identity development and constructive role restructuring. The adjustment period can also expose an increasing need to move on in developmental terms. This paper describes the effects of relationship or marital breakdown and ongoing adjustment issues upon those contact fathers who have not initiated separation, who have physically left the family home and in doing so, have left their children behind with the mother. The paper also considers the psychological and therapeutic implications for working with this often marginalised group of clients. A working model which addresses various coping styles is presented.     

Understanding Motives for Migration in Working with Immigrant Families

There are good reasons to expect immigrant families' experiences in the host society to differ vastly. What impact might rationales for relocation have on immigrant families' pre-migration and post-migration characteristics in mainstream America? This article reviews existing research by drawing on various migration theories and explores the potential linkage between forces that propelled the move and immigrant families' adaptation patterns that followed. Three non-mutually exclusive principal motives were proposed to explain the substantial differences that exist among immigrants. Also considered are theoretical explanations that would facilitate effective practice and intervention among social work practitioners and policy planners.     

Evaluating Families With Custody or Visitation Problems

The mental health professional is increasingly being called upon by the courts to assist them in evaluating and intervening in families involved in disputes over custody or visitation of children. The evaluation requires the participation and cooperation of the entire family; assessing only individual dynamics and competencies is inadequate. In intervening in the family and making a recommendation to the court, the interviewer should take into account the well-being and perspectives of all family members, especially the loyalties of the children and the responsibilities and roles of the parents .