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About Family Check-Up

Process: Feedback Session

The third session of the FCU, the family feedback session, can be scheduled at the family home, a clinic, school, or community center. Case conceptualization is a critical feature of the feedback session, and particular attention is given to harm reduction. Family change is approached in a realistic, step-wise fashion, with issues of safety and security addressed first, followed by behavior management and increasing children’s adaptive behavior, such as communication and activities of daily living, and relationship building. At the end of the feedback session, a variety of family-based interventions is discussed collaboratively with the caregivers. Options include (a) monthly follow-up support, (b) brief training in specific parenting issues, (c) individualized family management therapy, (d) school consultations, and (e) community referrals.

The feedback session is grounded in the literature about motivational interviewing (Brown & Miller 1993; Miller, 1987, 1989; Miller & Sovereign, 1989). Norm-referenced assessment data are provided for parents in a strength-based, motivational interviewing paradigm. A set of procedures provides clients with a basis for better decision making regarding the need for change. Five behavior-change principles are encapsulated in our FRAMES model: F = feedback, R = responsibility, A = advice, M = menu, E = empathy, S = self-efficacy. The FCU can be used as a stand-alone, brief intervention or as a framework for building a relationship and continuing treatment with a family. Most families continue treatment, which is guided by the assessment conducted during the FCU.

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