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Families changing families: the protective function of multi-family therapy for children in education
Emma Morris1, Corin Le Huray2, Elin Skagerberg3
1Central and North West London NHS Foundation Trust, London, UK Emma.Morris@annafreud.org.
Insights
Early intervention using a multi-family group approach significantly improved children's conduct problems and maintained family functioning. This approach offers a cost-effective solution for at-risk families.
Area of Science:
- Child and Adolescent Psychology
- Family Therapy
- Intervention Science
Background:
- Children with conduct problems and poor school functioning face significant long-term costs to families and society.
- Early intervention is crucial for mitigating negative outcomes in at-risk youth.
- The Marlborough Family Education Centre (MFEC) developed a unique multi-family group approach.
Purpose of the Study:
- To evaluate the effectiveness of the MFEC's multi-family group approach.
- To compare outcomes for families receiving the MFEC intervention versus a control group.
- To assess changes in child and family social, emotional, and behavioral functioning.
Main Methods:
- A comparative study involving 50 families in the MFEC intervention group and 28 control families.
- Data collection at referral, 6 months, and 12 months post-intervention.
- Assessment of child and family social, emotional, and behavioral functioning.
Main Results:
- Statistically and clinically significant improvements in children's behavior reported by parents in the MFEC group, maintained at 12 months.
- No significant changes observed in the control group.
- Family functioning remained stable in the MFEC group, while the control group showed significant deterioration.
Conclusions:
- The MFEC multi-family group approach demonstrates efficacy in improving child conduct problems and family functioning.
- Findings support the value of early intervention for at-risk families.
- Further research is needed to address methodological limitations and explore broader applications.
Abstract:
The Marlborough Family Education Centre (MFEC) uses a specific multi-family group approach with families where children exhibit (primarily) conduct problems and function poorly in school. Research indicates that failure to intervene with these children carries great potential cost to both the family and society. Outcomes for 50 families receiving intervention from the MFEC were compared with a control group of 28 who had access to a range of interventions, but not the multi-family group approach pioneered by the MFEC. Data on child and family social, emotional and behavioural functioning were collected at the point of referral, and at 6 and 12 months. Parents of children receiving support from the MFEC reported statistically and clinically significant improvements in their children that were maintained at 12 months whereas there was no change in the control group. In addition, measures of family functioning were fairly stable for the MFEC group, while the control group showed significant deterioration over the same time period. Other results were not significant. These findings are interpreted within the context of early intervention. The methodological limitations of the study are considered and suggestions for future research are outlined.
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