1. Family Interventions
CHAPTER 35

2. Family Functions Management Boundaries Communication
Clear
Diffuse or enmeshed
Rigid or disengaged
Communication
Emotional-supportive
Socialization

3. Frameworks of Family Therapy
Strategic Model
Assumes that changing any single element in the family system will bring about change in the entire system
Structural Model
Explains family problems from perspective of dysfunctional boundary and role structure

4. Working with the Family
The family as a system
The identified patient
Family triangles
Nuclear family emotional system

5. Assessment Assessment is usually intermixed with treatment:
Family system and subsystems
Individual members of the family
Phases of family life cycle
Sociocultural context
Multigenerational issues

6. Nursing Diagnoses for Family Interventions
Impaired parenting
Dysfunctional family processes
Caregiver role strain
Ineffective denial
Defensive coping

7. Outcomes Identification
Reduce dysfunctional behavior of individual family members and resolve/reduce conflicts
Mobilize family resources, encourage adaptive family problem-solving behaviors, improve family’s communication skills, heighten awareness and sensitivity to other family members’ emotional needs
Strengthen family’s ability to cope with major life stressors and traumatic events, including chronic physical or psychiatric illness
Improve integration of family system into societal system

8. Planning
Immediate and long-term needs of the family should be determined
Analysis of assessment data
Identify most appropriate family interventions
Psychoeducational teaching: accepting the illness of a family member, understanding medications, finding community resources, and regaining or acquiring a sense of control and balance in family life

9. Implementation Counseling and Communication Techniques:
Develop and practice good listening skills.
View family members in a positive, nonjudgmental way.
A nonjudgmental manner promotes open and flexible communication.
Listen to each family member’s perspective of a situation.

10. Implementation Continued
Family therapy
Traditional
Psychoeducational
Self-help groups
Case management
Pharmacological interventions

11. The family of a child with attention deficit hyperactivity disorder (ADHD) and behavioral problems is referred for family therapy. Select the appropriate goal for family therapy.

12. The patient will develop stress-reduction techniques.
The parents will provide structure and limit-setting.
The patient will be adherent to medication regimen.
The patient will be free from aggressive behavior.