The KIND Program for Adolescent Family and Dating Violence

Adolescent relational violence has significant and pervasive impacts for young people's current and future relationships. It is known that there is a cross-over between adolescent family violence and other offending behaviour, meaning there is a need for youth justice systems to recognise and respond to these forms of violence. This paper outlines a pilot intervention, the KIND Program, run in Youth Justice South Australia, and aimed at intervening with adolescent family and dating violence. KIND aims to provide tailored systemic intervention to young people and their support network, reducing violence while increasing connection and strength within relationships. The pilot of KIND ran for seven months in 2017, and had eight families participating in the program. Participation in, feedback from, and impact of the program suggest that participation was worthwhile and useful for young people and their families. The KIND Program would benefit from a more extensive pilot period to explore the outcomes of this form of intervention.     

Modeling Trajectories of Adolescent‐Perceived Family Conflict: Effects of Marital Dissatisfaction and Parental Alcoholism

We evaluated the effects of marital dissatisfaction on adolescent‐perceived conflict in 435 families with and without a parental history of alcoholism. On average, family conflict decreased linearly as adolescents aged. Families with an alcoholic parent demonstrated higher adolescent‐reported family conflict and this effect was partially mediated by higher mother‐ and father‐reported marital dissatisfaction. Families with higher marital dissatisfaction had greater conflict when adolescents were young (based on fathers’ marital dissatisfaction) and as they aged (based on mother's marital dissatisfaction). Years in which mothers reported higher marital dissatisfaction than usual coincided with years in which adolescents reported greater family conflict. Results indicate that marital dissatisfaction has both within and between‐family effects on adolescent perceptions of conflict.     

Are the Children Playing Quietly? Integrating Child Psychotherapy and Family Therapy

Over many years, family therapy training programs have not included the engagement of children under seven. John Byng-Hall wrote in 1986 that family therapists could learn about understanding young children from child psychotherapists. It has long been my practice to include young children when working with families. This article describe ways of working that include young children's play as relevant information. I hope to encourage other child psychotherapists and family therapists to find better ways of integrating skills.     

Responding to Adolescent Violence in the Home – A Community Mental Health Approach

Family violence perpetrated by adults is increasingly understood as a health issue, and we argue that this pertains even more strongly to violence by adolescents. The co-dependence of the parent–child bond, lack of maturity in the adolescent, and often related issues of disability or mental illness make these young people both complex and also vulnerable. This research paper reviews the current literature relating to adolescent violence in the home, identifies known best practice, and evaluates the importance of taking a family-focused, therapeutic approach to adolescent family violence, in place of a punitive one. It describes the use of a co-design workshop to unpack gaps in service provision and develop a potential family focused model of care to address the needs both of young people who use violence, and their families. The findings indicate that an inclusive family approach is a key element in addressing adolescent violence in the home across a spectrum of behaviours and mental health care needs. The use of a coordinated, family-inclusive response through mental health care services is recommended to address the complexity of this issue, as well as to provide support both to adolescents and to their families and carers.     

A Mixed Methods Exploration of Single Session Family Therapy in a Child and Adolescent Mental Health Service in Tasmania,Australia

Single session therapy (SST) is grounded in the belief that clients and families can effect change after one therapeutic encounter, using their own resources, with brief support and assistance from therapists. SST has been found to be an effective intervention for children, young people, and their families presenting with a wide range of difficulties. Research in child and adolescent mental health has shown that over 50% of families find one SST encounter is enough with no need for further specialist input. This study aims to explore family member experiences of SST (undertaken as single session family therapy and termed hereafter SSFT) as an initial intervention in a regional child and adolescent mental health service (CAMHS), specifically in terms of worry, confidence, and satisfaction outcomes. An exploratory, mixed methods convergent design was utilised using a combination of open questions and Thurstone scales. All eligible family members were invited to complete questionnaires before and after the SSFT, asking about level of worry, confidence, and overall satisfaction with SSFT. Quantitative and qualitative findings indicated most family members had a positive experience of SSFT, although differences were found between young people, parents, and siblings. Overall, family members’ level of worry decreased, while only parental confidence in managing the presenting issue(s) increased. Over half of the families did not require further contact with CAMHS following the SSFT. Our findings support previous research that SSFT is an effective, family-inclusive, and well received intervention for a variety of mental health issues facing children and young people. SSFT could be considered a beneficial and well received first response for the majority of CAMHS clients, which prioritises a family-inclusive approach. Future research could focus on attaining a more in-depth understanding of individual family member experiences with a view to improving SST delivery.     

Engaging Fathers in Family Therapy with Violent Adolescents

Violent behavior in adolescents can often signal profound distress or pain arising from family conflicts, hostile marital separations, sudden losses and other family turmoil. By circumventing blame the therapist engages the family in a constructive process that allows adolescents to change and grow and parents to share pain and sorrow about their own issues and responsibilities for their children. This re‐establishes healthy generational boundaries, produces a clearer co‐parenting alliance (e.g. after divorce) and creates sibling support. This paper describes an experiential approach, for working with violent adolescents in family therapy influenced by the pioneer work of Satir and Whitaker. It integrates systemic and developmental theories linking the presenting problem to relevant family events. The therapist: (1) explores adolescent development in the family and social context; (2) establishes a therapeutic alliance through understanding the interpersonal context for violent behavior, and (3) re‐directs negative actions into positive connections with family members. Segments of family therapy sessions with two adolescent boys and their families from different cultural backgrounds illustrate the impact of paternal absence for adolescent well‐being and the need to actively engage fathers in family therapy. Mario, the father's ‘tumor’, and Juan with his despairing violence are two problematic adolescents brought to therapy because of their aggressive behavior at home and/or in the school. The paper describes how to give them a different voice and build a therapeutic alliance with the family.     

Transactional Process of African American Adolescents’ Family Conflict and Violent Behavior

This is the first longitudinal study of urban African American adolescents that has examined bidirectional effects between their family conflict and violent behavior across all of high school. Structured interviews were administered to 681 students each year in high school at ages 15, 16, 17, and 18 years. We used structural equation modeling to test a transactional model and found bidirectional effects between family conflict and violent behavior across the middle years of high school, while accounting for sex and socioeconomic status. Findings suggest a reciprocal process involving interpersonal conflict in African American families and adolescent engagement in youth violence.     

Aboriginal Women's Perceptions and Experiences of a Family Violence Transitional Accommodation Service

Abstract

This article presents a qualitative study of Aboriginal women's perceptions and experiences of a transitional housing program in South Australia that was established to assist long-term homelessness and family violence. The aim of the study was to explore the experiences and service outcomes for Aboriginal women and their children and to identify both facilitators and barriers to the effective operation of the program. Face-to-face interviews were conducted with 13 Aboriginal women and thematic analysis was used to report their collective stories. The women's stories showed individualised, flexible, and open-ended support as well as practical outcomes of stable, safe housing for themselves and their children were particularly valued. The women reported that these features of the program augmented feelings of strengthened confidence and self-efficacy. The authors argue the domestic and family violence sector has the opportunity to learn from the perceptions and experiences of Aboriginal women, particularly allowing time and commitment to working long-term with families.     

Adolescent Violence: A Systemic and Feminist Perspective

In writing this paper I want to locate adolescent violence toward family members firmly within the spectrum of family violence, including spouse abuse, child abuse, and elder abuse. To call violence of this sort ‘challenging behaviour’, or to see it as ‘delinquency’ is to locate it outside this spectrum, where it is less subject to scrutiny from a systemic and feminist perspective. This paper looks at the relevant literature on adolescent violence, and attempts to develop family therapy theory in this difficult area. It is a companion piece to Marni Sheehan's more practice-focused paper in this issue.     

Every Dot has a Meaning

Family therapy in Australia has recently begun a conversation with the indigenous people of this country. Part of this dialogue has involved family therapists listening to the stories of violence and oppression perpetrated against the Aboriginal people under the name of “protection”. This article is part of the ongoing exchange between family therapists and Kooris documenting the suffering of “the stolen generation”. Here two young people removed from their families as small children and raised in the same Aboriginal children's home, speak personally through their art, of an agonising search for family and cultural identity.     

Trajectories of Conflict Over Raising Adolescent Children and Marital Satisfaction

The present study examined trajectories of marital satisfaction among couples with adolescent children and evaluated how changes in parents' conflict over raising adolescent children were associated with changes in marital satisfaction over 4 years. Using a prospective, longitudinal research design and controlling for family socioeconomic status, dyadic growth curve analysis from a sample of 431 couples with adolescent children indicated that marital satisfaction decreased over time for parents with adolescent children and that the trajectories for mothers and fathers were substantially linked. More importantly, the study demonstrated that increases or decreases in parents' marital conflict over raising adolescent children were associated with corresponding decreases or increases in marital satisfaction for both mothers and fathers.     

Child's Play? Children and Young People's Resistances to Domestic Violence and Abuse

Children and young people's (CYP) space to play can be constrained in families affected by domestic violence and abuse (DVA), potentially impacting their development. Play also has the potential to strengthen CYP's capacity to resist controlling and abusive dynamics in the family. Interviews were conducted with 107 CYP aged 8–18, and were analysed using interpretive interactionism. Three themes relevant to children's experiences of play were identified: Play and Coercive Control; Play Re‐makes the World and Play and Relationality. This article highlights the potential for play to enable children to retain a sense of relational connectedness and agency, despite violence and control; we argue for more opportunities for children to play away from the gaze of adults and advocate for more dedicated services for families who experience DVA.     

Narrative Psychiatry and Family Therapy: Promoting Resilience and Collaboration with Persons with Intense Mental and Emotional Experiences at Risk of Causing Violence

Narrative psychiatry identifies meaning‐making as a primal force in our lives and guides family therapists and psychiatrists in cultivating narratives of resilience that support safety and wellbeing when working with families in which a member is dealing with intense mental and emotional experiences and may be at risk of causing violence. These contexts are fraught with implications about power, control, identity, and ethical responsibilities of care for those consulting with us and for the wider community. Offering benefits distinct from pathology‐focused psychiatric practice, narrative psychiatry applies the practices of narrative therapy in psychiatric contexts, focusing on strengths and meaning and honouring how values, intentions, and commitments compel and constrain our actions. Illustrated by case conversations, this paper describes five key practices of narrative psychiatry, including emotional attunement, understanding the person without the problem, externalising problems, creating narratives of resilience, and collaborative treatment planning. It shows how narrative psychiatry facilitates risk reduction through helping a person identify values and narratives that support non‐violence and strengthening abilities, relationships and resources that help them stay true to this commitment. Practical ways that family therapists and psychiatrists can use conversations about resources, including medicines, to deconstruct damaging discourses and generate narratives of resilience are described. Discussion is offered about how narrative psychiatry can support clinicians in ethically negotiating clinical dilemmas in which the preferences of the person or family are in conflict with the clinician's ethical and legal duty to protect life.     

Working with Immigrant Children and Their Families: An Application of Bronfenbrenner's Ecological Systems Theory

The influx of multicultural and multiethnic immigrants to the United States following the liberalization of immigration law in 1965 has resulted in a high representation of children who reside with immigrant families. As these children are approaching early adulthood, their encounter with various ecological systems is likely to be shaped by their cultural differences and the diversity of family settings. Drawing on the insights of Bronfenbrenner's ecological systems theory, this article highlights the critical function that family social ecology plays in how children of immigrants will fare over their adolescent life course. By providing a comprehensive picture of how immigrant family process takes place, this article suggests how understanding the ecology of immigrant families can help strengthen social work service delivery.     

Maintaining the Gains: What Worked in the Year after Brief Family Therapy

Brief family therapy, including single session therapy, is widely used to provide a timely and responsive service for children with emotional and behavioural problems. However, there is surprisingly little information about how these children and families fare in the longer term. The brief family therapy program described here was directed toward children with problems of moderate severity. Child Behaviour Checklists (CBCL) were completed by parents before, three months after, and twelve months after therapy; 110 parents also participated in semi‐structured telephone interviews twelve months after therapy. Parents' CBCL ratings showed a significant decrease in children's problems after therapy, which were maintained over the subsequent year, although some children continued to experience difficulties. Parents generally found brief therapy a helpful experience. Ways to strengthen the preventive possibilities of brief therapy work will be identified at both a practical and conceptual level.     

Creating a Family Centered Wellness Team: Lessons learned in creating an integrated continuum of care for families facing homelessness,addiction, and trauma recovery.

Abstract

Homelessness is often experienced by women and children, and recent evidence suggests that women and children are the fastest growing segments of the homeless population. Homelessness is often accompanied by mental illness, substance abuse, and histories of violence, for both women and their children. While trauma informed care has been incorporated into women's treatment systems there has not been widespread application of this knowledge to family centered work with homeless families. This paper explores the need for family strengthening approaches and identifies one model currently being evaluated that seeks to decrease service fragmentation, increase positive family interaction, and deepen the family's connections with each other and with the community.     

The Longitudinal Influence of Coparenting Conflict on Parental Negativity and Adolescent Maladjustment

This study addresses two limitations of coparenting research: first, little research on coparenting has been conducted with families of adolescents, and second, there is little understanding regarding the child and family contexts in which coparenting is most salient. The longitudinal relation of coparenting conflict to parenting and adolescent maladjustment across 3 years was investigated among 516 2-parent, 2-adolescent families. Coparenting conflict predicted as much or more unique variance in parenting and adolescent adjustment as did marital quality and disagreement together. After controlling for stability, coparenting conflict predicted mothers' and fathers' negativity and adolescent antisocial behavior (but not depression). Importantly, the influence of coparenting conflict in all cases varied as a function of family type, adolescent gender, or initial level of antisocial behavior, or all. The implications of these results for family processes in different relational and developmental contexts are discussed.     

Adolescent Sexuality: Disentangling the Effects of Family Structure and Family Context

Growing up in single‐parent, step‐, cohabiting, or lesbian families has been suggested to have negative effects on adolescent sexual behavior. However, our analysis reveals that, with the exception of girls in single‐parent families, family structure does not significantly influence adolescents' sexual initiation. Rather, the family context—more specifically the mother‐child relationship, their level of interaction, and the mother's attitudes toward and discussion of sex—is associated with adolescent sexual debut. When looking at sexually active teenagers, neither family structure nor family context have an impact on the sexual partnerships of boys, and they explain little in terms of girl's sexual partnering.