PSYC 377

 Use the following link to access Oxford Health: Children and Family Division en-and-families  Using this website answer the following questions:  What kind of services are available for children and families?  Why are all of these services offered?  Note something interesting that you would like to share with the class.  What kind of a children and family services would you offer in your institution? Why?

Educational: 1. Self-Management Model for Chronic Illness: Teaches clients affected by mental health condition, to perform the care necessary to maintain and control symptoms of their illness by:  Self-monitoring  Self-instruction  Relaxation  Imagery Outcome measurement: self-efficacy and mastery

 This strategy includes six steps:  Goal selection  Information collection  Information processing  Information evaluation  Decision making  Action  Self-reaction In a study with youth dealing with diabetes and associated anxiety, improving self-management skills have been documented to reduce medication use, improved exercise and cognitive and physical symptom management (Creer et al. 2004)

2. Psycho-education Coping with Depression – A course for Adolescents: Training takes place in a group (16 week) followed by booster courses at 4 month intervals for a 2 year period Clients are taught to: ◦ recognize cognitive features of depression such as negative thinking ◦ Substitute positive thoughts ◦ Elicit positive enforcement from the environment ◦ Use social skills

3. Family Therapy: Multisystemic Therapy (MST) for Antisocial and Delinquent Adolescents: ◦ Focuses on intervening and altering behavior by focusing on multi systems such as parents, school and peers. ◦ Aims to develop adolescent’s behavior so that they can deal with difficulties and facilitate well functioning of parents, eliminating negative emotions between parents and children and creating emotional warmth among them ◦ First, risk and protective factors are identified and interventions are individualized and may include:  Marital therapy  Skills training  Contingency management

This method is effective in:  Children and youth with attention-deficit, conduct and oppositional disorders

4. Medical Family Therapy: Designed to help families with a member who is experiencing a health problem such as anorexia and bulimia a)Family education and support Provides information and emotional support to families led by a professional or peer counselor who had experienced the same illness b)Family psycheducation Education, support and therapy for the family

5. Community and School-Based Home Visitation Program: Family Health Promotion Program (FHPP) Designed for children aged 3-8 who abuse substances using two treatment approach:  Treatment approach for children: child care, school and recreational activities  Treatment approach for their parents: Empowerment and increasing protective factors by providing home visitation, organizing parent advisory council meetings, support groups, family weekend activities, training for key school and in-house staff, provision of daily transportation and art therapy sessions

 Evaluation of FHPP program:  Decline in parents’ use of tobacco, alcohol and amphetamines between pre and post test  Improved school success, delayed onset or abstinence from alcohol, tobacco, and illegal drug use  Teacher ratings of problems such as hyperactivity, inattentive-passive and hyperactivity disorders were decreased

 Family interventions are more effective in improving mental and physical health of families  However, more research on families and health from infancy is needed