Group Interventions for Families Homework Assignment
Group Interventions for Families – Partner Abuse
Compared with other forms of therapy, psychoeducational groups require a unique set of skills.
-
Identify and discuss
four
skills essential to facilitating a Domestic Violence/Partner Abuse Group or “Class”. - Next, discuss the research literature and efficacy of group treatments for partner abuse.
- How can motivational techniques and the therapeutic relationship yield promising outcomes?
© 2016. Cengage Learning. All rights reserved. For classroom use only.
Diane R. Gehart
Theory and Treatment Planning in Family Therapy
Chapter 16:
Evidence Based
Group Treatments for
Couples and Families
• Severe mental illness
• Partner abuse and domestic violence
• Marital enrichment
• Parent training
© 2016. Cengage Learning. All rights reserved. For classroom use only.
Diane R. Gehart
• Evidence-based group therapy models:
Theory and Treatment Planning in Family Therapy
Lay of the Land
•
Psychoeducational groups or ”classes:” content
•
Process groups: focus on interpersonal process
•
Combined groups: part educational and part
process
focused and educational
rather than content
© 2016. Cengage Learning. All rights reserved. For classroom use only.
Diane R. Gehart
3 Types of Groups:
•
Theory and Treatment Planning in Family Therapy
Brief Intro to Groups
• Process groups
• Adults/teens=8
• Children=4
• Psychoeducational
• Adults=up to 30
• Teens=up to 8
• Open vs. Closed
• Open groups: Clients do not have to wait to join
• Closed groups: Allows for the intimacy and trust
necessary for in-depth process groups
© 2016. Cengage Learning. All rights reserved. For classroom use only.
Diane R. Gehart
• Number of People
Theory and Treatment Planning in Family Therapy
General Group Guidelines
• Presenting problem
• Level of problem resolution
• Ability to meaningfully contribute
• Group Rules
• Confidentiality
• Respectfulness
• Punctuality and attendance
© 2016. Cengage Learning. All rights reserved. For classroom use only.
Diane R. Gehart
• Group Selection
Theory and Treatment Planning in Family Therapy
General Group Guidelines
• Schizophrenia
• Bipolar disorder
• Childhood mood disorders
• Evidence-based practice
• Long history
• Surprisingly limited implementation
© 2016. Cengage Learning. All rights reserved. For classroom use only.
Diane R. Gehart
• Family psychoeducation is used to treat:
Theory and Treatment Planning in Family Therapy
Multi-family Groups for Severe
Mental Illness
© 2016. Cengage Learning. All rights reserved. For classroom use only.
Diane R. Gehart
• Traditional gender-based groups
• Conjoint couples treatment of domestic violence
Theory and Treatment Planning in Family Therapy
Groups for Partner Abuse
• Psychoeducational
• Cycle of Violence
• Honeymoon phase
• Tension building phase
• Acting out or explosion
© 2016. Cengage Learning. All rights reserved. For classroom use only.
Diane R. Gehart
• The Duluth model
• Feminist assumptions
Theory and Treatment Planning in Family Therapy
Traditional Gender-Based Groups
• Previously considered inappropriate for treatment of domestic
violence
• Little research supports this assumption
• Client Selection
• Designed for mild cases of “family only” battering without
apparent psychopathology
• Majority of violent relationships are bidirectional
• Provides a safe forum for the couple to safely discuss their
relationship
© 2016. Cengage Learning. All rights reserved. For classroom use only.
Diane R. Gehart
• Couple’s Approach
Theory and Treatment Planning in Family Therapy
Conjoint Treatment of IPV
• Each partner is carefully screened for
appropriateness in individual or multi-group sessions
• Primary goal is decreasing violence
• Partners are encouraged to take responsibility for
their own violence
• Skill-building component emphasizes identifying
when one is angry and how to de-escalate
• Effectiveness measured by reduction in violence
© 2016. Cengage Learning. All rights reserved. For classroom use only.
Diane R. Gehart
• Common characteristics of conjoint couple
treatment of partner violence include:
Theory and Treatment Planning in Family Therapy
Conjoint Couples Treatment of
DV
•
•
•
Preventive interventions for non-distressed
couples wanting to improve the quality of their
relationships
Grounded in cognitive-behavioral therapies
Groups may include lectures, demonstrations,
audio-visual programs, practice, and discussion
© 2016. Cengage Learning. All rights reserved. For classroom use only.
Diane R. Gehart
One of the most common forms of multi-couple
group sessions:
Theory and Treatment Planning in Family Therapy
Relationship Enhancement Programs
•
•
•
•
•
Assess risk factors
Encourage high-risk couples to attend relationship
enhancement
Assess and educate about relationship aggression
Offer relationship education at change points
Promote early presentation of relationship
problems
Match content to couples with special needs
Enhance accessibility of evidence-based
relationship education programs
© 2016. Cengage Learning. All rights reserved. For classroom use only.
Diane R. Gehart
•
•
Theory and Treatment Planning in Family Therapy
Relationship Enhancement: Guidelines
CBT
•
•
Effective in treating a wide range of childhood
problems
Evidence
•
Oppositional defiant disorder (ODD)
•
Only treatment that produces normalization of child
functioning with attention-deficit, hyperactivity
disorder (ADHD)
•
Shown effective with both individual family or multi-family
group formats
© 2016. Cengage Learning. All rights reserved. For classroom use only.
Diane R. Gehart
•
Theory and Treatment Planning in Family Therapy
Parent Training
Group therapy with couples and families is gaining
increasing recognition as an evidence-based approach
for working with a number of common clinical issues
including:
•
•
•
•
•
•
schizophrenia
bipolar disorder
domestic violence
ADHD
ODD
Most couple and family groups are psychoeducational
groups that integrate a cognitive-behavioral, family
systems approach
© 2016. Cengage Learning. All rights reserved. For classroom use only.
Diane R. Gehart
•
Theory and Treatment Planning in Family Therapy
Summary
© 2016. Cengage Learning. All rights reserved. For classroom use only.
Diane R. Gehart
• Minnesota Couples Communication Program (MCCP):
www.couplecommunication.com
• Relationship Enhancement Program (PE), National Institute for
Relationship Enhancement: www.nire.org
• Practical Application of Intimate Relationship Skills (PAIRS):
www.pairs.com
• Prevention and Relationship Enhancement Program (PREP):
www.prepinc.com
• SAMHSA Description of PREP, Review of Evidence-Based Program:
www.nrepp.samhsa.gov/programfulldetails.asp?PROGRAM_ID=86
• SAMHSA Family Psychoeducation Toolkit:
www.mentalhealth.samhsa.gov/cmhs/communitysupport/toolkits/f
amily
Theory and Treatment Planning in Family Therapy
Online Resources
Purchase answer to see full
attachment
