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Related Experiment Videos

Home/community-based services: a two-tier approach.

H J Aponte1, J J Zarski, C Bixenstine

  • 1Marriage and Family Training Program, University of Akron, Ohio.

The American Journal of Orthopsychiatry
|July 1, 1991
PubMed
Summary

This study presents a two-tier model combining community multiple-family groups and home-based therapy for high-risk families. This innovative approach aims to improve support and intervention strategies for vulnerable family systems.

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Area of Science:

  • Family Therapy
  • Social Work
  • Child and Adolescent Psychiatry

Background:

  • High-risk families require specialized interventions.
  • Existing models may not adequately address complex family needs.
  • A need exists for integrated community and home-based support systems.

Purpose of the Study:

  • To present a novel two-tier model for working with high-risk families.
  • To describe the ecostructural conceptual framework underpinning the model.
  • To illustrate the model's application through a case vignette.

Main Methods:

  • Integration of multiple-family groups within the community.
  • Provision of home-based family therapy for individual families.
  • Application of an ecostructural conceptual framework.

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Main Results:

  • The two-tier model offers a structured approach to high-risk family intervention.
  • The ecostructural framework facilitates understanding of family-environment interactions.
  • Case vignette demonstrates practical application and potential benefits.

Conclusions:

  • The presented two-tier model provides a comprehensive framework for supporting high-risk families.
  • Integrated community and home-based interventions can enhance therapeutic outcomes.
  • The ecostructural perspective is valuable for guiding practice with complex family systems.