Lee, Mo Yee, Greene, Gilbert J., Hsu, Kai Shyang, Solovey, Andy, Grove, David, Fraser, J. Scott, Washburn, Phil, and Teater, Barbara
To authenticate to the full-text of this article, please visit this link: http://dx.doi.org/10.1111/j.1545-5300.2009.01291.x Byline: MO YEE LEE (*), GILBERT J. GREENE (*), KAI SHYANG HSU ([dagger]), ANDY SOLOVEY ([double dagger]), DAVID GROVE (s.), J. SCOTT FRASER ([paragraph]), PHIL WASHBURN ([parallel]), BARBARA TEATER (**) Keywords: Home-Based Treatment; At-Risk Youth; Emotional or Behavioral Problems; Family Treatment Abstract: Community mental health agencies are consistently challenged to provide realistic and effective home-based family-centered treatment that meets local needs and can realistically fit within available budget and resource capabilities. Integrated Family and Systems Treatment (I-FAST) is developed based on existing evidence-based approaches for working with at-risk children, adolescents, and families and a strengths perspective. I-FAST identified 3 evidence-based, core treatment components and integrated them into a coherent treatment protocol; this is done in a way that builds on and is integrated with mental health agencies' existing expertise in home-based treatment. This is an intervention development study in which we conducted an initial feasibility trial of I-FAST for treating families with children at risk of out-of-home placement. The outcomes of the study provide initial empirical evidence that supports the effectiveness of I-FAST. Findings indicate that there were significant improvements in child behavior, significant increases in parental competency, and significant increases in the level of cohesion and adaptability in these families. All observed changes were significant from pre- to posttreatment with the families able to maintain these positive changes at 6-month follow-up. A more rigorous and robust research design, however, will be needed to establish definitive evidence of the effectiveness of I-FAST. Abstract (French) RESUMEN Las organizaciones de salud mental comunitarias deben enfrentarse constantemente al desafio de ofrecer tratamientos centrados en la familia que sean realistas y eficaces, que se brinden en el hogar, que respondan a las necesidades locales y que puedan encajar de manera realista dentro del presupuesto disponible y de las capacidades de los recursos. El tratamiento integrador de familias y sistemas (I-FAST, por sus siglas en ingles) se desarrolla sobre la base de enfoques basados en evidencia existente para trabajar con ninos, adolescentes y familias en riesgo y sobre la base de una perspectiva de enfasis en las virtudes. El I-FAST identifico 3 componentes basados en evidencia que son fundamentales para el tratamiento y los integro en un protocolo de tratamiento coherente. Esto se hace de una manera que continua ampliandose y se integra con la experiencia en tratamientos domiciliarios que ya tienen las organizaciones de salud mental. Este es un estudio de desarrollo de intervenciones en el que realizamos un ensayo inicial de viabilidad del I-FAST para tratar a familias con ninos en riesgo de que se los aparte de sus hogares. Los resultados del estudio proporcionan evidencia empirica inicial que respalda la eficacia del I-FAST. Los resultados indican que hubo mejoras importantes en el comportamiento de los ninos, aumentos considerables de la competencia de los padres y aumentos significativos en el nivel de union y adaptabilidad dentro de estas familias. Todos los cambios observados fueron significativos si se compara el periodo anterior al tratamiento con el periodo posterior. Ademas, las familias fueron capaces de mantener estos cambios positivos durante los seis meses posteriores al tratamiento. Sin embargo, se necesitara un modelo de investigacion mas riguroso y solido para crear evidencia definitiva de la eficacia del IFAST: Palabras clave: tratamiento domiciliario, jovenes en riesgo, problemas emocionales o conductuales, tratamiento familiar Author Affiliation: (*)College of Social Work, The Ohio State University, Columbus, OH ([dagger])Chaoyang University, Taiwan ([double dagger])Scioto Paint Valley Mental Health Center, Columbus, OH (s.)Family Therapy Institute of Columbus, Westerville, OH ([paragraph])Wright State University, Dayton, OH ([parallel])Thompkins Child and Adolescent Services, New Concord, OH (**)Department of Social Work, University of Bath, England Article note: Correspondence concerning this article should be addressed to Mo Yee Lee, College of Social Work, Ohio State University, 325W Stillman Hall, 1947 College Rd., Columbus, OH 43210. E-mail: Lee.355@osu.edu