Levels of Family Functioning Associated with Treatment Outcomes in Children with Depression
| Author | : Daniel L. Klein |
| Publisher | : |
| Total Pages | : 152 |
| Release | : 2011 |
| Genre | : Depression, Mental |
| ISBN | : |
Levels Of Family Functioning Associated With Treatment Outcomes In Children With Depression
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Depression in Parents, Parenting, and Children
| Author | : Institute of Medicine |
| Publisher | : National Academies Press |
| Total Pages | : 488 |
| Release | : 2009-10-28 |
| Genre | : Medical |
| ISBN | : 0309121787 |
Depression is a widespread condition affecting approximately 7.5 million parents in the U.S. each year and may be putting at least 15 million children at risk for adverse health outcomes. Based on evidentiary studies, major depression in either parent can interfere with parenting quality and increase the risk of children developing mental, behavioral and social problems. Depression in Parents, Parenting, and Children highlights disparities in the prevalence, identification, treatment, and prevention of parental depression among different sociodemographic populations. It also outlines strategies for effective intervention and identifies the need for a more interdisciplinary approach that takes biological, psychological, behavioral, interpersonal, and social contexts into consideration. A major challenge to the effective management of parental depression is developing a treatment and prevention strategy that can be introduced within a two-generation framework, conducive for parents and their children. Thus far, both the federal and state response to the problem has been fragmented, poorly funded, and lacking proper oversight. This study examines options for widespread implementation of best practices as well as strategies that can be effective in diverse service settings for diverse populations of children and their families. The delivery of adequate screening and successful detection and treatment of a depressive illness and prevention of its effects on parenting and the health of children is a formidable challenge to modern health care systems. This study offers seven solid recommendations designed to increase awareness about and remove barriers to care for both the depressed adult and prevention of effects in the child. The report will be of particular interest to federal health officers, mental and behavioral health providers in diverse parts of health care delivery systems, health policy staff, state legislators, and the general public.
Parent and Family Outcomes of Community-based Mental Health Treatment for Adolescents
| Author | : Caroline Lewczyk Boxmeyer |
| Publisher | : |
| Total Pages | : 216 |
| Release | : 2004 |
| Genre | : Adolescent psychotherapy |
| ISBN | : |
Although youth mental health providers often target a broad range of youth, family, and contextual concerns, outcome measurement has typically been limited to youth symptoms and functioning. Parent and family outcomes have been assessed in several controlled child psychotherapy trials, but in few adolescent trials, particularly among adolescents receiving "real-world" community-based care. This study addresses this gap by examining parent and family outcomes in 170 families of male and female adolescents (ages 11 to 18) receiving publicly-funded outpatient mental health treatment in San Diego County. Associations between adolescent, parent, and family outcomes are examined, as well as treatment characteristics that predict outcomes. High levels of parent and family problems were observed at both youth treatment entry and 6-month follow-up. For example, 60% of parents' intake CES-D scores reflected depression symptoms in the clinical range, improving to only 51% at follow-up. Significant improvements were observed in caregiver strain and parent-reported family relationship quality, but not in parental depression, perceived social support, or adolescent-reported family relationship quality. Parent and family changes were correlated with adolescent changes, with the strongest association between reduction of adolescent externalizing problems and reductions in parental strain and depression. Therapist endorsement of family systems theoretical orientation predicted greater reduction of parental strain. Better parent-therapist alliance was associated with better parental depression, strain and family relationship outcomes. Other treatment characteristics (number of sessions, type of treatment goals, parental expectations) did not predict parent or family outcomes. These findings evidence the high level of distress among parents and families of adolescents receiving community-based mental health treatment and indicate that significant but moderate improvements in family contextual concerns occur during the course of youth treatment. Increased attention to family concerns may be critical for improving the effectiveness of "real world" youth mental health treatment, in order to create more stable family environments in which youths' therapeutic gains can be fostered and maintained.
Evaluating and Treating Families
| Author | : Gabor I. Keitner |
| Publisher | : Taylor & Francis |
| Total Pages | : 355 |
| Release | : 2012-10-12 |
| Genre | : Psychology |
| ISBN | : 1136915850 |
This comprehensive text is organized into two parts, the first of which presents an overview of the history, development, and theory of the model, and its specific applications to treatment, training, assessment, and research. Part II includes the instruments and assessment tools originally developed by the authors during their extensive clinical and research experience. Clinical case examples drawn from over four decades of family therapy work enrich the text, and an entire chapter is devoted to the authors' own research findings, current research plans, and new directions in their work.
Depression in Parents, Parenting, and Children
| Author | : Institute of Medicine |
| Publisher | : National Academies Press |
| Total Pages | : 489 |
| Release | : 2009-09-28 |
| Genre | : Medical |
| ISBN | : 0309145716 |
Depression is a widespread condition affecting approximately 7.5 million parents in the U.S. each year and may be putting at least 15 million children at risk for adverse health outcomes. Based on evidentiary studies, major depression in either parent can interfere with parenting quality and increase the risk of children developing mental, behavioral and social problems. Depression in Parents, Parenting, and Children highlights disparities in the prevalence, identification, treatment, and prevention of parental depression among different sociodemographic populations. It also outlines strategies for effective intervention and identifies the need for a more interdisciplinary approach that takes biological, psychological, behavioral, interpersonal, and social contexts into consideration. A major challenge to the effective management of parental depression is developing a treatment and prevention strategy that can be introduced within a two-generation framework, conducive for parents and their children. Thus far, both the federal and state response to the problem has been fragmented, poorly funded, and lacking proper oversight. This study examines options for widespread implementation of best practices as well as strategies that can be effective in diverse service settings for diverse populations of children and their families. The delivery of adequate screening and successful detection and treatment of a depressive illness and prevention of its effects on parenting and the health of children is a formidable challenge to modern health care systems. This study offers seven solid recommendations designed to increase awareness about and remove barriers to care for both the depressed adult and prevention of effects in the child. The report will be of particular interest to federal health officers, mental and behavioral health providers in diverse parts of health care delivery systems, health policy staff, state legislators, and the general public.
Adolescent-Focused Therapy for Anorexia Nervosa
| Author | : James Lock |
| Publisher | : Guilford Publications |
| Total Pages | : 242 |
| Release | : 2020-04-28 |
| Genre | : Medical |
| ISBN | : 1462542840 |
From pioneering family-based treatment developer James Lock, this is the first comprehensive guide to adolescent-focused therapy (AFT) for anorexia nervosa (AN), an evidence-based individual approach. AFT is an effective alternative to family-based treatment that may be a better fit for some patients. Lock explains how AN serves as a maladaptive response to developmental challenges of adolescence. He presents a manualized framework for helping adolescents find more adaptive coping strategies, manage difficult emotions, and develop greater autonomy and a stronger sense of self, while reducing risky behaviors and restoring weight. AFT emphasizes the therapist–patient alliance and involves parents in a supportive role. Rich case material and sample dialogues illustrate how to implement each phase of the approach. AFT is recognized as a best practice for the treatment of anorexia nervosa in adolescents by the U.K. National Institute for Health and Care Excellence (NICE).
Families, Children and the Development of Dysfunction
| Author | : Mark R. Dadds |
| Publisher | : SAGE |
| Total Pages | : 133 |
| Release | : 1995 |
| Genre | : Family & Relationships |
| ISBN | : 0803951922 |
The family plays a central role in the mental health of children. This study of the family in relation to child development and dysfunction explores whether there are critical family characteristics that are reliably predictive of childhood dysfunction - and whether these characteristics can be modified by family therapy. The author places specific types of dysfunction such as depression, conduct problems and anxiety in the context of family influences, and details issues of identification, assessment and treatment of childhood dysfunction in relation to family processes.
Normalization and Family Functioning in Families with a Child who is Technology Dependent
| Author | : Valerie Boebel Toly |
| Publisher | : |
| Total Pages | : 289 |
| Release | : 2009 |
| Genre | : Chronic diseases in children |
| ISBN | : |
The purpose of this study was to examine the relationship between child/maternal factors (child's functional status, level of technology dependence, mother's depressive symptoms, length of caregiving duration, amount of home health care nursing hours, race, family income and age of the child) and (a) family functioning, as well as (b) normalization in families with a child who is technology dependent. Additionally, this study examined whether there are differences in family functioning, normalization and mother's depressive symptoms based upon the child's level of technology dependence (mechanical ventilation, intravenous nutrition/medication, respiratory/nutritional support). A descriptive, correlational design was used in this cross-sectional study. Data were collected using the Functional Status II-Revised, Center for Epidemiological Studies- Depression, Feetham Family Functioning Survey and a subscale of the Normalization Scale in face-to-face interviews. Mothers of 103 children who are technology dependent and living at home comprised the sample. The sample of mothers aged 21-66 years were 73% Caucasian and 27% women of color, who cared for their technology dependent child aged 7 months-16 years; 73% received solely respiratory/nutritional support. Pearson correlations revealed that greater depressive symptoms and less use of normalization were significantly associated with poorer family functioning. In the hierarchical regression analysis, 35% of the variance in family functioning was explained, primarily by level of depressive symptoms. Conversely, several independent variables/covariates were found to be significant predictors and explained 34% of the variance in normalization. Better child's functional status, less depressive symptoms, fewer hours of nursing care, older child and Non-Caucasian race or Hispanic ethnicity were related to greater normalization efforts. Statistical analyses for mediation reveal that a mother's depressive symptoms are a mediator between the child's functional status and normalization. ANOVA analysis showed no statistically significant differences in outcomes based upon the child's level of technology dependence. Mothers of children who are technology dependent are at high risk for psychological distress that can affect overall family functioning. This work will be pivotal in designing interventions to assist families in the home management of this vulnerable and growing population of children.
Family-based Interpersonal Psychotherapy for Depressed Preadolescents
| Author | : Laura J. Dietz |
| Publisher | : Oxford University Press |
| Total Pages | : 337 |
| Release | : 2018 |
| Genre | : Psychology |
| ISBN | : 0190640030 |
Family-Based Interpersonal Psychotherapy for Depressed Preadolescents is a psychosocial intervention that aims to reduce depressive and anxiety symptoms among preadolescents and to provide them with skills to improve interpersonal relationships. Parents are systematically involved in all stages of the preteen's treatment to provide support and model positive communication and problem solving skills.
Functional Family Therapy
| Author | : Thomas L. Sexton |
| Publisher | : |
| Total Pages | : 10 |
| Release | : 2000 |
| Genre | : Electronic government information |
| ISBN | : |
