Common Components of Home-Based Family Therapy Models: The HBFT Partnership in Kansas

Abstract

In this article, we provide an analysis of components shared by varying home-based family therapy (HBFT) practices and evidence-based models. Applying a consistent statewide standard for HBFT presents challenges for the training of therapists from varying disciplines, with different levels of experience, and from diverse agencies. We propose focusing on common components across existing evidence-based models and discuss the trainings developed to integrate those components. We address indications and contraindications for using an HBFT approach and illustrate ways to address the particular challenges of HBFT supported by a unique partnership in Kansas. We conclude by offering suggestions for further research and for continued training development.

Physical framework for a counselling environment in India: Thematic analysis of counsellors' perceptions

“…Settings are controlled in the sense that potential distractions and safety concerns are predictable (Bowen, ). Furthermore, traditional office‐based settings allow a counsellor to proactively identify safety hazards and create effective contingency plans to maintain session focus and overall safety for all attendees (Bowen & Carson, ; Macchi & O'Conner, ). Sanders and Lehmann () had concluded that if there is flexibility in the therapeutic framework for modifications in the environment from the client, the counsellors should allow for it because the sense of safety and comfort this can create has an impact on the therapy.…”

“…Sanders and Lehmann () had concluded that if there is flexibility in the therapeutic framework for modifications in the environment from the client, the counsellors should allow for it because the sense of safety and comfort this can create has an impact on the therapy. The impending feeling of lack of control over the surroundings while working in an unfamiliar setting can lead to various levels of discomfort to the counsellor (Macchi & O'Conner, ). This brings into question the sense of control over the environment and the process of counselling and to what extent the physical framework compliments both in the client's overall experience of therapy.…”

A Qualitative Analysis of Home‐Based Counselors' Experiences in a Rural Setting

“…Equally important, a home-based counselor practices within a setting that is determined by the client or his or her family (Macchi & O'Conner, 2010;Mosier et al, 2001;Stinchfield, 2004). In turn, a home-based counselor may conduct a session in a setting that includes multiple distractions and safety concerns (Gale & Austin, 2003).…”

“…Home-based counseling was created principally as an alternative to out-of-home placement for at-risk youth (Cortes, 2004;Macchi & O'Conner, 2010;Stinchfield, 2004). It gained wide recognition beginning in the 1990s (Hammond & Czyszczon, 2014), and home-based counseling is currently one of the fastest growing segments of mental health services (American Counseling Association [ACA], 2011; U.S. Bureau of Labor Statistics, 2014).…”

Predictors and Processes Associated with Home‐Based Family Therapists' Professional Quality of Life

“…Therapists who do not adequately attend to their own self‐of‐the‐therapist concerns are less likely to provide their clients with quality service (Durtschi & McClellan, ). Furthermore, theoretical descriptions of home‐based therapy have repeatedly suggested that providers engaging in these services face additional demands related to their unique roles and responsibilities (Macchi & O'Conner, ).…”