About This Program

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

Program Overview

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

Logic Model

The program representative did not provide information about a Logic Model for FamilyLive.

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

Program Delivery

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.

Recommended Intensity:

Three or four 50-minute sessions per month

Recommended Duration:

18 months

Delivery Setting

This program is typically conducted in a(n):

  • Outpatient Clinic


FamilyLive includes a homework component:

Occasionally but not formatted into the intervention

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

Manuals and Training

Prerequisite/Minimum Provider Qualifications

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

Manual Information

There is a manual that describes how to deliver this program.

Training Information

There is training available for this program.

Training Contact:
Training Type/Location:

Available in Baltimore/Washington Metro Area

Number of days/hours:

Depends on current practice level of those being trained.

Relevant Published, Peer-Reviewed Research

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

Additional 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

Sarah Gardner, LCSW-C
Agency/Affiliation: Center for Child and Family Traumatic Stress at Kennedy Krieger Institute
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 2016