Core Competencies in Family Therapy for Adolescent Behavior Problems: Systemic Stance and Systemic Skills.

Area of Science:

• Psychology
• Family Therapy
• Adolescent Behavioral Health

Background:

• Systemic Family Therapy (SFT) is evidence-based for adolescent behavior issues.
• Manualized SFT models face adoption challenges due to resource demands.
• A core competencies framework is needed for broader SFT implementation.

Purpose of the Study:

• To present a core competencies framework for Systemic Family Therapy (SFT).
• To facilitate the adoption of SFT in routine care for adolescents and families.
• To address challenges in SFT training and implementation.

Main Methods:

• Discussed challenges in implementing SFT in routine care.
• Presented a core elements strategy for SFT.
• Developed competency guidelines based on a paradigm shift in SFT.
• Articulated competencies into Systemic Stance and Systemic Skills categories.

Main Results:

• Identified "Systemic Stance" competencies: Collaborative, Nonjudgmental Curiosity, Respect for Complexity, Relational Focus, Process Focus, Awareness of Differences, Critical Consciousness.
• Identified "Systemic Skills" competencies: Systemic Assessment, Relational Cycle Construction, Problem Formulation, Broadening the Map, Goal Formulation, Maintaining Balance, Putting Forth and Drawing Forth.
• Established a comprehensive framework for SFT competency.

Conclusions:

• The proposed framework offers a pathway for wider SFT adoption.
• Implications for practice, training, and future research in adolescent SFT are discussed.
• This competency framework can enhance the delivery of SFT to families with adolescent behavior problems.