Therapeutic Communities

Family Therapy can be implemented in a different ways in a program that provides a facet of services, but it’s imperative that the approaches used are appropriate for the individual or families utilizing services. Functional Family Therapy is used to help deal with substance abuse in families but can also be used to assist with behavioral issues in children. A well rounded family service program can not only use this one approach but utilize other approaches to meet the needs of the population being served. And while implementing the service ethics will play a major role in the therapy being providing.

Family is something that plays a tremendous role in our life. Even though the structure of families has changed over the years, it is important to acknowledge that there many families out there whether they are traditional families, nuclear family, stepfamilies or others which tend to have different types of problems in their families. Therefore, many families attempt to go to family therapy in order for them to obtain help in solving the different types of issues they might have at home. As stated in the book Family Therapy by Michael P. Nichols (2013), “The power of family therapy derives from bringing parents and children together to transform their interaction… What keeps people stuck in their inability to see their own participation in the problems that plague them. With eyes fixed firmly on what recalcitrant others are doing, it’s hard for most people to see the patterns that bind them together. The family therapist’s job is to give them a wake-up call” (2013).

Not every addict should be treated the same. The regimen should address all of the aspects of an individual's life, including medical and mental health and follow up options. Behavioral Treatments help patients modify their attitudes and behaviors and increase healthy lifestyle skills and options. They can enhance the effectiveness of medication and help addicts stay committed to the treatment process. Cognitive Behavioral Therapy is a behavioral treatment with the goal of helping the user recognize, avoid, and cope with anything and everything involving their drug use and recovery (Davison, 2007). Therapeutic communities can also be extremely effective, especially for those who are severely addicted. They are highly structured programs that often involve residency for up to 12 months. It is important to recognize that no single treatment is appropriate for all individuals addicted to drugs (National, 2005).

The treatment facility offers many different services for families and the clients. Typically the inpatient treatment is a 90 day facility. They have family programming where the families get to come in from 8 am- 1 pm and spend time with the family member in inpatient treatment. Also after the first two weeks in the facility the clients can have sunday visitation hours from family or friends. The program also offers individual sessions with parents or probation officers and the clients to give them a good environment to discuss progress or other things that may be bothering them.

For my senior year field placement, I am currently working at Elwyn’s Media campus in the Children’s Behavioral Health Services Outpatient program. At the outpatient program I am working with the Director of Clinical Operations, Ellen Chung. I also work with Jennifer Torrey who is the Clinical Coordinator for Elwyn’s Media location’s Outpatient program. I also work one on one with the Outpatient Case Manager, Shaneen Brown. I am also working in the Therapeutic After School Program (TASP). At the TASP I work with the Case Manager Jennifer Ziegler and the Clinical Case Manager Denise Georganas. The outpatient therapy team at Elwyn is a multidisciplinary team that works to help children reach their fullest potential. Some services offered by the Outpatient program at Elwyn are psychiatric evaluations, individual therapy, group therapy, family therapy, medication management, client/family education and community resources. The goal of the Therapeutic Socialization Program is to facilitate socialization and communication skills and to decrease problematic behaviors through participation in fun and engaging in activities. This program is based on the principles of Applied Behavior Analysis and other proven approaches to develop individually tailored treatment protocols to help children, adolescents and young adults in the areas of socialization, self-regulation and communication. The TASP also focuses on providing parents with new information to better understand their child’s

Fisher and Harrison (2009), explain that inpatient treatment is positive for social interactions and decreased isolation. When touring the facility the patients were spending time together showing decreased isolation between them. The patients frequently have outings to activities such as a ropes course or attending community AA or NA meetings. Lakeside Milam has 24 hour care for its patients which make it less likely that the patients will use a substance while in treatment (Fisher & Harrison, 2009).

-Shifting the family’s view of treatment from focusing on the adolescent as “the problem” to enhancement of family relationships as an important part of the solution.

In this essay, I am going to give a structured reflective account on the development of a therapeutic relationship with a client on one of my clinical placements as part of my training as a student nurse. I will be using a reflective model which explores the processes involved in developing and maintaining such relationships bearing in mind theoretical knowledge and how it applies to this clinical experience. Jasper (2003) describes reflective practice as one of the ways that professionals learn from experience in order to understand and develop their practice. As a trainee health care professional, I have learnt the importance of reflection in

The family is made up of five people: Claudia, the IP; Carolyn, mother; Laura, the sister; Don, the brother; and David, the father. The family is coming into therapy because there have been mounting concerns about Claudia and her behavior—acting out, staying out late, some fairly typical teenage stuff. For the purpose of this paper, I will be starting at the beginning where the family is first coming into therapy. I will first school that I will apply is Structural Family Therapy and the second school is Bowen Family Therapy.

1. In general the purpose of the Functional Family Therapy Program is a short-term family-based prevention and intervention treatment applied across various context for treatment of at-risk and juvenile adolescents to address delinquent and behavior problems in hopes to modify community relations. The specific activities offered by the program are develop systemic and individualized family-based orientation to address behavioral problems of at-risk and juvenile delinquent adolescents. Participants then undergo three specific intervention phases in sequence: engagement and motivation, behavior change, and generalization. Each phase holds goals with assessment objectives, addressing different risk and protective aspects necessary for specific techniques from professions to address family and individual disruption.

therapy aims to improve family relations, and the family is encouraged to become a type of

Becvar, D. & Becvar R. (2009). Family therapy: a systemic integration. (7th ed.). Boston, MA: Pearson Education.

After a thorough review of the textbook and the course material, the specific family system approach that I choose to explore is the Bowenian Approach for this literature review. This specific family system approach is also known as the Bowen Family System Theory as well (D.V. Papero, 2006). The Bowen Family System Theory was established by Murray Bowen, a theorist and psychiatrist who specialized in treating children who were deranged and had schizophrenia (Rockwell, 2010). In the 1950s, Bowen wanted to explore a new venture so he decided that he wanted all of the family members of each child to be involved in an therapeutic process at the same time (Rockwell, 2010).

Approaches to Family Therapy: Minuchin, Haley, Bowen, & Whitaker Treating families in therapy can be a complex undertaking for a therapist, as they are dealing not only with a group of individuals but also with an overall system. Throughout history several key theorists have attempted to demystify the challenges families face and construct approaches to treatment. However, there have been key similarities and differences among the theoretical orientations along the way. While some have simply broadened or expanded from existing theories, others have stood in stark

The staffs of therapeutic communities mainly consist of former addicts and abusers, they know what the addicts are going through and can knowledgeably help them through the struggle. There is a high success rate for patients who do not stick with the program.