Toward effective service to persons, couples, and stepfamilies


In-service Parts About Stepfamilies
, p. 2

B) Clinical Topics

By Peter K. Gerlach, MSW
Member NSRC Experts Council

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The Web address of this article is https://sfhelp.org/pro/study2.htm

Note - this model and series was originally designed to focus on effective clinical work with typical di-vorcing families and stepfamilies. It is being reorganized in 2009 to pertain to all "low-nurturance" (multi-problem, "dysfunctional") families, and persons recovering from early-childhood trauma ("Grown Wounded Children" - GWCs). Sections still hilight keys to serving divorcing and stepfamily members effectively.

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        This article is one of a series on effective professional counseling, coaching, and therapy with (a) low-nurturance (dysfunctional) families and with (b) typical survivors of childhood neglect and trauma. These articles for professionals are under construction.

        This series assumes you're familiar with:

        Before continuing, pause and reflect - why are you reading this article? What do you need?

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In-service Topics about Assessment and Intervention

xx) Effective service - long-term systemic outcomes vs. short-term crisis/problem resolution / review 5 hazards & 12 projects and _ client definition

xx) Context - review five clinical requisites, _ five client-types, _ three phases of divorce, and _ three phases of work with these families. Option: present and discuss illustrative cases

xx) Self-assessment for psychological wounds

xx) Workplace nurturance level

xx) Overall guidelines - long-term systemic outlook; mixed modalities, "surface vs. primary needs and problems; education vs. therapy; separate & prioritize multiple problems, and stay focused; use help, homework, networks, include strengths, constructive confrontation vs. enabling; seed,  

xx) Effective assessment - client-assessment grid

xx) Effective first-meetings / Intakes

 

xx) Common blocks to effective service

 

In-service Resources

1) Stepfamily “Trigger” Film / Video Showing and Group Discussion - There are several useful trigger (multi-vignette) films and videos available for enhancing discussion and visual learning. Contact the National Council on Family Relations (NCFR) or the National Stepfamily Resource Center (NSRC) for information. Use of such media can fill a two to three-hour in-service session focused on raising stepfamily awareness.

        Because typical multi-home-stepfamily clients are extra-complex multi-problem cases - often in a presenting crisis, effective Tx can call for a mix of family, couple, and individual sessions over time. The Tx process can range between education, clarification and problem-solving facilitation, and intrapsychic work. In cases with high divorced-spouse hostility, having a clinician for each household (i.e. co-therapists) is ideal.

        Stepfamily clients can be specially helped by informed case management and clinical teams, where available: i.e. case managers strategically using specialists in marital Tx, grief-work, communication skill-building, addictions management, GWC recovery facilitation, child Tx, and building effective parenting awareness and skills.

        Networking is often highly appropriate for stepfamily clients - e.g. with Rainbows (grief-support) or 12-step groups, and co-parent support groups [15], where available. Connection to local Mothers Without Custody (MWoC) or Tough Love chapters is helpful in some cases. 

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Updated November 24, 2014