Family Centered Treatment (FCT)
Major Concepts/Areas of Model:
- Joining and Assessment Phase
- Restructuring Phase
- Valuing Changes Phase
- Generalization Phase
Key Technique Examples:
- Ecomaps
- Structural Family Assessment
- Family Life Cycle Assessment
- Practical Real-Time Feedback
- Enactments
- Integrate New Behaviors
- Emotional Blockages
- Family Centered Evaluation
- Making Changes
- Solution card
- MIGS
- Family Giving project
- We did it ourselves
- our plan for difficult times
- motivation for change
- value conflict
- internalization of change
- difficult-to-handle events
- family system responses
- integrate skills and strengths
- power of giving
1 2 3 Magic
Major Concepts/Areas of Model:
- Build Solid Parenting Foundation
- Control Obnoxious Behavior
- Manage Manipulation
- Encourage Good Behavior
- Strengthen Relationships
- Stay Consistent
Key Technique Examples:
- Little adult assumption
- Understanding “too much talking”
- Understanding “too much emotion”
- Counting
- Handling sibling rivalry
- Handling tantrums
- Handling lying
- Recognizing manipulation
- Positive routines
- Managing expectations
- Sympathetic listing
- Time-outs
- Start behaviors
- Stop behaviors
123 Magic Example Note
Goal: to improve parenting skills
Intervention: The Family Consultant (FC) worked on controlling obnoxious behaviors through the 123 Magic program. FC introduced the idea of counting to clients by reviewing the basics of counting, demonstrating how to count behaviors, and having parents practice. FC explored potential challenges with counting and working through solutions to these challenges.
Trust-Based Relational Intervention (TBRI)
Major Concepts/Areas of Model:
- Understanding Trauma
- Empowering Principles
- Connecting Principles
- Correcting Principles
- TBRI Portraits
Key Technique Examples:
- Introducing TBRI
- Complex developmental trauma
- Regulating the body
- Seeing it in action
- Nourishing the body
- Mindfulness
- Engagement strategies
- Giving voice
- Healing touch
- IDEAL response overview
- IDEAL response in action
- Playful engagement
- Structured engagement
- Calming engagement
- Protective engagement
- Reconnection after correction
- Nurture groups
- Light switch
- Life value terms
- Proactive strategies
- Response strategies
- Advanced IDEAL response
- Internalizing behaviors
- TBRI portraits – examples of impact
TBRI Example Note
Goal: to improve parenting skills
Intervention: The Family Consultant (FC) began working on understanding trauma in the Trust Based Relational Intervention program. FC and Client watched the video about understanding TBRI. FC and Client discussed optimal development, impact of experience on the brain and body, and helped client identify difficult experiences Client and children have had. FC and Client also discussed the different physical and emotional needs of children and reviewed and discussed the Child’s Hierarchy of Needs worksheet.
Seeking Safety
Major Concepts/Areas of Model:
- Introduction to Treatment/Case Management Safety
- PTSD: Taking Back Your Power
- Detaching from Emotional Pain
- When Substances Control You
- Asking for Help
- Taking Good Care of Yourself
- Compassion
- Red & Green Flags
- Honesty
- Recovery Thinking
- Integrating the Split Self
- Commitment
- Creating Meaning
- Community Resources
- Settling Boundaries in Relationships
- Discovery
- Getting Others to Support Your Recovery
- Coping with Triggers
- Respecting Your Time
- Healthy Relationships
- Self-Nurturing
- Healing from Anger
- The Life Choices Game
- Termination
Key Technique Examples:
- Safe coping skills
- Linking PTSD and substance abuse
- Grounding
- Exploring commitment
- Understanding consequences
- Self-care
- Increasing compassion
- Signs of danger and safety
- Self-exploration
- Understanding emotional blocks
- Developing action plans
- Creating meaning
- Learning to say no
- Assessing boundaries
- Exploring beliefts
- Identifying triggers
- Focusing on the present
- Time schedules
- Unhealthy relationship beliefs
- Creating a behavioral plan
- Explore safe self-nurturing practices
- Understanding anger
- Creating aftercare plan
Seeking Safety Example Note
Goal: to process and cope with trauma experiences
Intervention: The Family Consultant (FC) worked with Client on taking good care of yourself through the Seeking Safety program. FC introduced the idea of the downward spiral of substance abuse to Client by going through a self-care questionnaire and identifying self-care problem areas to improve. FC explored how Client’s self-care is linked to their substance use.
Motivational Interviewing
Major Concepts/Areas of Model:
- Importance of Change
- Enhancing Confidence
- Resolving Ambivalence
- Solidifying Commitment
- Working Through a Change Plan
- Maintaining New Status Quo
Key Technique Examples:
- OARS
- Change talk
- Collaboration
- Exploring and resolving ambivalence
- Evocative Questions for Change
- Selectively reinforcing the elements that focus on change
- Exploring values
- Information Sharing
- Offering concerns
- Readiness ruler
- Envisioning/miracle question
- Develop discrepancy between goals and values
- Support autonomy
- Roll with resistance and sustain talk
- Support self-efficacy
- Scaling questions
- Decisional matrix
- Amplify ambivalence
Motivational Interviewing Example Note
Goal: to improve relapse prevention skills
Intervention: The Family Consultant (FC) worked with Client on resolving ambivalence through the Motivational Interviewing model. FC introduced the idea of developing discrepancies between goals and values with Client by utilizing value sort cards, utilizing goal sort cards, identifying underlying beliefs of status quo behaviors, and identifying gaps in current behaviors and future goals. FC utilized OARS to avoid sustain talk and encourage change talk.
Cognitive Behavioral Therapy (CBT)
Major Concepts/Areas of Model:
- Core Beliefs
- Dysfunctional Assumptions
- Negative Automatic Thoughts
Key Technique Examples:
- Understanding beliefs about self, others, and the world
- Mindfulness
- Practice positive self-statements
- Problem-solving skills
- Thought-stopping & thought-interruption skills
- Cognitive triangle (ABC model)
- Address and correct cognitive distortions
- Activity scheduling
Cognitive Behavioral Therapy Example Note
Goal: to minimize depression symptoms
Intervention: The Therapist (TH) worked with Client on core beliefs through the Cognitive Behavioral Therapy model. TH introduced the idea of the cognitive triangle to Client by exploring current belief systems, assessing current irrational beliefs, exploring how current beliefs link to behaviors, and reframing irrational beliefs. TH reviewed journaling homework from last session.
Trauma-Focused Cognitive Behavioral Therapy (TF-CBT)
Major Concepts/Areas of Model:
- Psycho-education and parenting skills
- Relaxation
- Affective Modulation
- Cognitive processing
- Trauma narrative
- In Vivo Desensitization
- Conjoint Parent-Child sessions
- Enhancing Safety and Social Skills
Key Technique Examples:
- Focused/Deep Breathing
- Progressive muscle relaxation
- Mindfulness
- Practice positive self-statements
- Problem-solving skills
- Thought-stopping and thought-interruption skills
- Cognitive triangle (ABC model)
- Address and correct cognitive distortions
- Desensitization plan
- Develop safety plan
- Develop children’s body safety skills
Trauma-Focused Cognitive Behavioral Therapy Example Note
Goal: to process and cope with trauma experiences
Intervention: The Therapist (TH) worked with Client on in vivo desensitization through the TF-CBT model. TH went through the desensitization plan with Client by practicing deep breathing and relaxation exercises, coping skills, and thought-stopping skills. Client read up to the first abuse encounter, from the trauma narrative, and TH cued Client to relaxation exercise and coping skills as necessary. TH utilized rating scales to check in with Client. TH reviewed emotional identification with Client.