Format

Individual Presentation

First Presenter's Institution

NA

Second Presenter's Institution

NA

Location

Scarbrough 2

Strand #1

Family & Community

Strand #2

Mental & Physical Health

Relevance

Family Centered Treatment, the featured model of the presentation, has high relevancy in working with, and providing positive cost saving outcomes, for you and families in STRANDS IV. Health, and V. Home. FCT as a home and community based model has demonstrated effectiveness with abroad population including individuals and families with diagnosed mental health and substance abuse issues, those considered ‘medically fragile’, as well as complex or multidimensional disorders effecting the functioning of the family system. Additionally, as a home based family therapy program, it is imperative for FCT to engage all members of the family system including caregivers, foster parents and/or those with a vested stake in the family dynamics. Because the distinguishing factor of FCT is the strong emphasis on the family gaining sustainable skills and valuing changes that they make in treatment, ensuring that family and community are integral partners in the treatment process is critical.

Brief Program Description

This presentation is intended to show best practice and innovative approaches to implementing home based treatment methods that emphasize working with families and creating sustainable change. Anyone with a vested interest in learning more about the how’s and why’s of home based approaches is encouraged to attend.

Summary

Effective implementation of innovative and viable treatment approaches for you at risk can be a challenging venture. Developing researched processes and data driven implementation systems is key to ensure that known evidenced based models are adhered to with fidelity upon application to their intended target populations. This presentation will look at methods of implementation and the clinical presentation of an evidence-based in-home family therapy model for youth at risk and their families. The model for review will be Family Centered Treatment® (FCT). FCT was developed as a treatment approach for use in the provision of intensive in-home services. FCT origins derive from practitioners’ efforts to find simple common sense solutions for families faced with forced removal of their children from the home or dissolution of the family due to external and internal stressors and circumstances. Out of a desire and mission to create opportunity for lasting change for families that were seemingly stuck in a downward spiral, grew a practice approach that is non-traditional, yet grounded in the use of treatment components that are sound and research based. Beyond the distinctive clinical approach of FCT, stand the detailed requirements of key model implementation drivers. Effective delivery of FCT is contingent management’s commitment to promote sustained quality of success through the components of implementation drivers. FCT integrates a sophisticated approach to standardization in training, supervision, adherence measures developed by the family, data collection, replication, and transparency. It is the goal of this presentation to share unique aspects of the model clinical approaches as well as engage participant to learn about the many moving parts of implementations science practice to promote long term viability of clinical models. Participants will be given interactive and take home material to assist their learning and ability to assess implementation practice of models of treatment they have utilized or are considering for use.

Evidence

Family Centered Treatment, has been studied, and published in the peer reviewed Journal of Juvenile Justice (citation). Amongst the important findings in the publication study, FCT when compared to the cross group demonstrated post treatment:

  • FCT youth had fewer residential placements, 38% vs. 50%, (p = .002).
  • Frequency of residential placements was lower for FCT youth, .50 vs. .63, (p = .03).
  • FCT youth spent less days in residential housing, 64 vs. 91 days, (p = .002).
  • FCT youth spent less time in community detention, conditional on placement, 44.5 days vs. 54 days, (p = .007).
  • FCT youth spent less time in pending placements, 14.6 days vs. 24.3 days, (p = .01).
  • FCT youth spent fewer days in pending placement, conditional on placement, 51 vs. 72, (p = .004).

Significantly, offense recidivism two years post-treatment in a cross group comparison showed that:

  • FCT youth had a significantly lower proportion of youth with adjudications, (p = .02).
  • FCT youth experienced a larger decline in frequency of adjudications, (p = .08).
  • Both groups reduced the proportion of youth offending and no significant differences were found.

This presentation will examine how these outcomes were achieved and can be replicated when implemented with fidelity. The presentation will also look at valid research around Implementation Science that produces a process for effective and consistent implementation of the model. FCT has been listed as a model on SAMSHA’s NREPP and the California Clearing-house of Evidence Based Practices. This presentation will briefly look at additional measures and research recorded by these listings to demonstrate the models effectiveness. Finally, this presentation will briefly examine a secondary peer reviewed study due for publication Fall 2015 developed by the University of Maryland School of Social Work Institute for Innovations and Implementation.

Biographical Sketch

Tim Wood, MS, LPC has over 15 years of experience as a provider, trainer and supervisor of mental health, developmental disability and traumatic brain injury services. As a Licensed Professional Counselor, Tim has helped develop and implement training curricula for family preservation practice, system of care coordination, utilization review and staff competency and development. A graduate of East Carolina University Rehabilitation Studies graduate program, Tim has gone on to serve as a practitioner, trainer, supervisor, and has assisted with the ongoing development and oversight of the evidenced based family preservation treatment model, Family Centered Treatment.

Currently, Tim serves as the Executive Director of a multi-state non-profit organization FCT Foundation, which is the owner of FCT, and the related training program, Wheels of Change©. This organization licenses family preservation agencies that meet the stringent criteria necessary to implement FCT.

Tim has been a speaker or presenter both nationally and internationally covering topics such as family therapy implementation practices, implementation science, family preservation services, and effective use of researched models.

Keyword Descriptors

implementation science, in-home therapy, family therapy, sustained outcomes, innovative approaches

Presentation Year

2016

Start Date

3-9-2016 9:45 AM

End Date

3-9-2016 11:00 AM

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Mar 9th, 9:45 AM Mar 9th, 11:00 AM

Effective Implementation of a Family Centered Treatment Approach with High Risk Youth and their Families.

Scarbrough 2

This presentation is intended to show best practice and innovative approaches to implementing home based treatment methods that emphasize working with families and creating sustainable change. Anyone with a vested interest in learning more about the how’s and why’s of home based approaches is encouraged to attend.