Funders of mental health services to youth and families have
increasingly required providers to use treatments deemed to be
"evidence-based." There are several evidence-based family treatment
(EBFT) approaches found to be effective with the same types of
presenting problems and populations. All of these EBFTs claim to be
based on similar theoretical approaches and have specified
treatment protocols that providers must follow to be faithful to
the model. These EBFTS are expensive for agencies to establish and
maintain. Many agencies that initially adopted one of these EBFTs
later de-adopted it because they could not sustain it when billing
Medicaid is the only way to pay for such services. Meta-analyses of
treatment outcome studies have found that various theoretical
approaches to therapy are effective but no one approach is more
effective than any other. What accounts for client improvement is
not the specific treatment approach but rather the factors they all
have in common. To provide an effective, affordable, and flexible
approach to family treatment the authors of this book developed and
have conducted researched on an approach they call Integrative
Family and Systems Treatment (I-FAST). I-FAST is a meta-model
organized around the common factors to family treatment. Such a
model does not require practitioners to learn a completely new way
to provide treatment but rather it builds on and incorporates the
clinical strengths and skills they already possess. This book is a
manual for how to faithfully and flexibly provide I-FAST. A manual
for a meta-model to treatment based on the common factors has never
been provided. This book provides clear guidelines illustrated by
cases examples for not only how to provide I-FAST but also how to
teach and supervise it as well as how to integrate I-FAST with the
rest of an agency's services and programs.
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