FamilyLive

Scientific Rating:
NR
Not able to be Rated
See scale of 1-5
Child Welfare System Relevance Level:
High
See descriptions of 3 levels

About This Program

The information in this program outline is provided by the program representative and edited by the CEBC staff. FamilyLive has been reviewed by the CEBC in the area of: Trauma Treatment - Client-Level Interventions (Child & Adolescent), but lacks the necessary research evidence to be given a Scientific Rating.

Target Population: Caregivers (e.g., biological, foster, relative, adoptive) of children from birth to18 years of age whose trauma histories and present day stress exposures interfere with the ability to benefit from child- and youth-focused trauma treatments

For children/adolescents ages: 0 – 18

For parents/caregivers of children ages: 0 – 18

Brief Description

FamilyLive is a strengths-based caregiver-focused family therapy intervention that helps caregivers with unresolved trauma histories and significant present day stress improve parenting skills and respond to their children’s trauma-affected moods and behaviors. The model places emphasis on specialized engagement strategies that highlight competencies and encourage caregivers to become active participants in the treatment process. The model was developed in response to the needs of families and children exposed to significant adversities including racial and economic marginalization, community violence and traumatic family histories including parental incarceration, domestic violence, and homelessness.

Program Goals:

The goals of FamilyLive are:

  • Improve self-awareness and self-care
  • Improve affect regulation
  • Improve interpersonal functioning
  • Improve emotional perspective taking
  • Improve personal and parental reflective function
  • Manage stress
  • Benefit more substantially from sources of support
  • Improve team work with co-caregivers
  • Enhance structure
  • Boost emotional responsiveness to children and adolescents in their care
  • Decrease internalizing and externalizing behavior in children and adolescents
  • Increase help-seeking behavior in children and adolescents
  • Improve family communication

Essential Components

The essential components of FamilyLive include:

  • Individualized clinic-based family therapy
  • One-way mirror separating the clinical space from the observation space
  • “In-room Clinician” to sit in the clinical space with the family
  • Specially trained “Team Lead” to provide individualized “verbalizations” or “call in’s” from the observation space
  • Telephone through which to provide individualized verbalizations
  • Audio equipment to project sound from the clinical space to the observation space
  • In-session and between session trauma-informed engagement strategies
  • Emergency response system to address child and adult issues as needed
  • Attentive scheduling system
  • Strong outreach to families living in stressful conditions

Child/Adolescent Services

FamilyLive directly provides services to children/adolescents and addresses the following:

  • Mood problems, a range of trauma symptoms, internalizing and externalizing behaviors and problems functioning in multiple settings

Parent/Caregiver Services

FamilyLive directly provides services to parents/caregivers and addresses the following:

  • Hyper and hypo arousal, poor stress management, diffuse boundaries and unstable interpersonal relationships which interfere with ability to engage in traditional mental health services
Services Involve Family/Support Structures:

This program involves the family or other support systems in the individual's treatment: The following can be involved in therapy as needed: extended family, case management services, DSS workers, psychiatric rehabilitation services, schools, psychiatrists, primary care providers, and day treatment programs.

Delivery Setting

This program is typically conducted in a(n):

  • Outpatient Clinic

Homework

FamilyLive includes a homework component:

Occasionally but not formatted into the intervention

Languages

FamilyLive does not have materials available in a language other than English.

Resources Needed to Run Program

The typical resources for implementing the program are:

One-way mirror, audio equipment, telephones, trained team lead, in-room clinician, emergency response system

Minimum Provider Qualifications

Team Leads complete team lead training which includes didactic, live-session observation, video review, and coached live practice elements.

Education and Training Resources

There is a manual that describes how to implement this program, and there is training available for this program.

Training Contact:
Training is obtained:

Available in Baltimore/Washington Metro Area

Number of days/hours:

Depends on current practice level of those being trained.

Relevant Published, Peer-Reviewed Research

This program has been reviewed and it was determined that this program lacks the type of published, peer-reviewed research that meets the CEBC criteria for a scientific rating of 1 – 5. Therefore, the program has been given the classification of "NR - Not able to be Rated." It was reviewed because it was identified by the topic expert as a program being used in the field, or it is being marketed and/or used in California with children receiving services from child welfare or related systems and their parents/caregivers. Some programs that are not rated may have published, peer-reviewed research that does not meet the above stated criteria or may have eligible studies that have not yet been published in the peer-reviewed literature. For more information on the "NR - Not able to be Rated" classification, please see the Scientific Rating Scale.

Child Welfare Outcomes: Not Specified

Currently, there are no published, peer-reviewed research studies for FamilyLive.

References

Gardner, S., Loya, T. & Hyman, C. (2014). FamilyLive: Parental skill building for caregivers with Interpersonal trauma exposures. Clinical Social Work Journal, 42(1), 81-89. doi:10.1007/s10615-012-0428-8

Contact Information

Name: Sarah Gardner, LCSW-C
Agency/Affiliation: Center for Child and Family Traumatic Stress at Kennedy Krieger Institute
Email:
Phone: (443) 923-5957

Date Research Evidence Last Reviewed by CEBC: April 2016

Date Program Content Last Reviewed by Program Staff: May 2016

Date Program Originally Loaded onto CEBC: June 2015