2.3 Family Therapy Video Implementing solution focused therapy

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Running head: FAMILY THERAPY VIDEO: IMPLEMENTING SOLUTION-FOCUSED THERAPY 1 Family Therapy Video: Implementing Solution-Focused Therapy Rachel Stover SWK 656 Indiana Wesleyan University

FAMILY THERAPY VIDEO: IMPLEMENTING SOLUTION-FOCUSED THERAPY 2 Identified Problem In the first session, it was identified that the family was referred to outpatient services as a component of their Child Protective Services (CPS) case plan. This referral stemmed from the incident that George had disclosed to his school counselor about his dad pushing him (physical abuse) within their household, which in turn lead the school to call CPS. Peter, the father, works night shifts and Saturdays, rendering Juanita, the mother, to do everything at the house by herself. Often times, Juantia feels as though she is a single parent taking care of the children and the house. This has had an impact on Juantia’s mental health. Juanita grapples with depression and experiences suicidal ideations, which lead to her recent stay in the psych ward. Within the family unit, conflict between Peter and George is a recurring issue because Peter is wanting George to do more around the house but George is wanting to spend time with his friends on the weekends. Lucy, the daughter/sister of George, retreats to her room whenever there is yelling or fighting going on. Recognizing the strain on her mother, Lucy assumes additional responsibilities around the house to help Juanita. Miracle Question The social worker employed the “miracle question” intervention as a strategic approach to encourage family members to discuss their desires for change within the household. This technique invites family members to answer a unique question and envision future scenarios in which their issues and concerns were miraculously resolved. The question that is asked is, “Imagine you went to bed tonight, and everything is exactly like it is right now, but in the morning you wake up and this miracle had occurred. The miracle is that things have changed in

FAMILY THERAPY VIDEO: IMPLEMENTING SOLUTION-FOCUSED THERAPY 3 your family. The very problems we have discussed have been resolved. They are not there anymore. Tell me what it would look like for you. What is the first thing you would notice that was different?” (University) . By framing the miracle questions as a hypothetical scenario, the social worker aimed to elicit the families aspirations and goals for a most positive household environment. It also gave the family a platform to express their hopes and desires regarding the household environment. This approached helped the family discuss shared goals, and served as a starting point in developing a family-centered intervention plan tailored to help the family improve things within their household. Common Solution The family members collectively identified several common solutions that resonate with their shared desires for positive change within the household. These solutions included reducing arguments, increasing quality family time, promoting Juanita’s well-being, and enhancing the overall family participation in the household chores. In order to reduce arguments, the family can apply effective conflict resolution and communication skills. This can be worked on within family therapy to help improve communication and manage disagreements constructively. Ensuring that the family schedules quality family time is essential. Setting aside this time each week for family activities can help bring the family closer together and reduce the feelings of isolation. Ensuring that Juanita’s health and well-being is taken care of is crucial. Juanita can benefit from individual therapy sessions, support groups, and utilizing community resources to help address her depression and suicidal ideations. The social worker can encourage the family to

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FAMILY THERAPY VIDEO: IMPLEMENTING SOLUTION-FOCUSED THERAPY 4 have open discussions about her needs and feelings can also contribute to her overall well-being. Ensuring that everyone contributes to the household, it is essential that the family sits down together and comes up with a plan, like Peter had stated about having a chore chart to ensure that everyone in the family is doing their part. Family Cohesion Scale & Revised Family Communication Pattern Instrument The completion of the Family Cohesion Scale and Revised Family Communication Pattern Instrument is important in the context of family therapy and assessments for several reasons. The assessment tools provide valuable insight to the family dynamics, as well as their communication patterns. Additionally, they can help measure progress throughout the therapy sessions. The Family Cohesion Scale assess the emotional bonds and connections within the family. It can help a clinician determine and understand how close or distant the family members feel from one another. This information is vital in assessing the overall health of the family relationships. The results of the Family Cohesion Scale can guide the development of the treatment plan for the family, such as goals and interventions. The Revised Family Communication Pattern Instrument assesses the communication styles within the family, distinguishing between conformity and conversation orientations. It helps determine whether the family’s communication style is more open or more rigid. By identifying the family’s communication style, the clinician can then help the family identify barriers within the family’s communication. This is important information to help in the intervention part of the treatment plan for the family. The results can help a clinician be able to tailor the sessions to help the family with their communication and guide them to have more open and respectful dialogue.

FAMILY THERAPY VIDEO: IMPLEMENTING SOLUTION-FOCUSED THERAPY 5 Solution-Focused Therapy to Address Concerns SFT started by helping George be able to articulate his goals. The social worker explored George’s strengths and coping mechanisms, such as his ability to express his feelings at school. The focus would be on how George can use these strengths to address the challenges within the family. SFT emphasizes taking small yet manageable steps toward change. George and the social worker can identify the small changed he can make in his behavior and/or communication that could contribute to reducing the conflicts at home. SFT encourages Juanita to set achievable goals for her emotional well-being. The social worker can help Juanita define what “feeling better” means to her and the steps on how to get there. The social worker can help Juanita explore moments when her depression felt less intense. SFT involves identifying and mobilizing support systems. The social worker can help Juanita recognize the support she has within her family, community, and her friends. SFT involves clarifying what Peter expects from George and the family. The social worker can facilitate a discussion to understand Peter’s concerns and how he envisions George contributing more within the house. Peter’s commitment to help the family financially by working weeknights and Saturday’s shows how dedicated he is to his family. The social worker can help Peter identify his strengths while working on how to balance his work and family life more effectively. Peter and the social worker can work together to identify specific ways that George can help more and how to have better communication with George. SFT recognizes Lucy’s role in taking additional responsibility around the house. The social worker can help Lucy see the positive impact that her contribution has on the family. The

FAMILY THERAPY VIDEO: IMPLEMENTING SOLUTION-FOCUSED THERAPY 6 social worker can also help Lucy learn some self-care technique. The social worker can also help Lucy explore her concerns about what is going on within the household. Coping Strategies Coping with setbacks is an essential aspect of any therapeutic process. The family can benefit from learning and implementing coping strategies to deal with potential setbacks as they work towards achieving their treatment goals/plan. One of the skills the family can learn is resilience-building skills to bounce back from setbacks. This involves developing the skills and mindset to adapt and recover when facing the challenges that might arise. It is important for the social worker to tell the family to not see the setbacks as failures but to see them as steppingstones towards their ultimate goals. Improved communication within the family can be a valuable coping strategy. Open and honest dialogue can help family members share their feelings, frustrations, and concerns related to setbacks, like the social worker has been encouraging the family to do during their sessions. It is important to ensure that everyone in the family is being heard and that they are given adequate time to express how they are feeling about what is going on within the family. Another coping strategy that can be taught to the family is to be flexible and adapt to the situations and setbacks that are happening. Setbacks are a natural part of the therapeutic process and it is important to adjust the families strengths and goals when necessary. By incorporating these coping strategies, the family can navigate the setbacks more effectively while maintaining their willingness to achieve their goals. Empathy

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FAMILY THERAPY VIDEO: IMPLEMENTING SOLUTION-FOCUSED THERAPY 7 Empathy plays a crucial role in effective implementation of Solution-Focused Brief Therapy. It is essential for clients to experience a sense of being understood and affirmed by the social worker. One way that I would incorporate empathy in working with this family is with Lucy. Lucy frequently seek solitude in her room because she cannot cope with the fighting and arguing and the imbalance within the family. When Lucy shares how her viewpoint of the miracle question that was asked, you could hear the sadness and loneliness in her voice. One thing I would say to Lucy is that I as the social worker is there for her that I will listen to what she has to say and support her. Strength By identifying and acknowledging the existing positive aspects in the client’s life, we validate their natural strengths. This self-awareness of their strengths not only elevates their self- esteem but also enhances their ability for progress within their treatment. It is important to emphasize the clients’ strengths when engaging in conversations with the family regarding their desired outcomes of the miracle. It is notable that the miracles mentioned by each family member revolve around how the family dynamics used to be. George mentioned that the family would each be doing their part in the chores without yelling or fighting. Peter stated he would be closer with his family which is similar to what Juanita and Lucy stated about wanting to have more quality family time.

FAMILY THERAPY VIDEO: IMPLEMENTING SOLUTION-FOCUSED THERAPY 8 Bibliography University, I. W. (Director). (n.d.). Family Therapy Video: Solution-Focused Family Therapy [Motion Picture].

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