Toward Differentiated Decision-Making: Family Systems Theory with the Homeless Clinical Population

Hertlein, Katherine M.; Killmer, J. Mark

doi:10.1080/01926180490425667

Cited by 5 publications

(4 citation statements)

References 12 publications

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“…The interview and focus group themes were synthesized into larger study themes, and additional quotes supporting each theme are detailed in Table : (a) Knowledge gaps and misperceptions, (b) Desire for frank, individualized information, (c) Emotional barriers including fear and feeling overwhelmed, and (d) Decisional support needs including social network involvement and increased support from the medical community. These themes were incorporated into a conceptual framework to guide approaches to better support kidney transplant candidates (Figure ), the Kidney Transplant Candidate Support Framework, which incorporates the concepts of Family Systems and Social Ecological Theories.…”

Section: Resultsmentioning

confidence: 99%

Decision support needs of kidney transplant candidates regarding the deceased donor waiting list: A qualitative study and conceptual framework

Hart

Bruin

Chu

et al. 2019

Clinical Transplantation

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Background: Kidney transplant candidates face complex decisions about transplant options such as living donation or acceptance of lower quality kidneys. We sought to characterize knowledge and decision support needs regarding kidney transplant outcomes and options. Methods: We conducted 10 interviews and four focus groups of 28 adult kidney transplant candidates from two centers in Minnesota. Transcripts were analyzed thematically using a grounded theory approach. Results: We identified four themes: First, candidates have a limited understanding of treatment options and demonstrate confusion or a lack of awareness about waiting list outcomes and prognosis. Second, candidates desired frank discussions about likely outcomes and individualized prognosis. Third, emotional barriers impact how patients make informed decisions. Finally, participants relied on the support of family and friends to help process information, and many favored the medical community engaging their family and friends in their medical decisions. These findings were incorporated into a conceptual model to support kidney transplant candidates in medical decision making. Conclusions: Transplant candidates had limited understanding about treatment options and outcomes on the kidney transplant waiting list. Individualized risk information and cognitive approaches that recognize how patients process information and balance competing risks may improve informed decision making.

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Section: Resultsmentioning

confidence: 99%

Decision support needs of kidney transplant candidates regarding the deceased donor waiting list: A qualitative study and conceptual framework

Hart

Bruin

Chu

et al. 2019

Clinical Transplantation

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“…Although there is a vast amount of literature concerning homelessness and families experiencing homelessness, the literature concerning parenting programs and homelessness is sparse (Paquette & Bassuk, 2009). As previously suggested, therapeutically those experiencing homelessness are underserved (Hertlein & Killmer, 2004). Many evidence-based interventions are generally not developed for families sharing similar contextual situations, such as homelessness (Zlotnick et al, 2010), but rather tend to be focused on specific presenting problems (Kaslow et al, 2012).…”

Section: Resultsmentioning

confidence: 99%

“…Women living in shelters often report previous traumas, including physical or sexual abuse (Bassuk et al., ; McChesney, ). As a result of the many stressors and lack of resources faced by families experiencing homelessness, these families often have a variety of pressing clinical and nonclinical needs (e.g., parenting issues, assistance in effective decision making, affordable housing, social support, and quality healthcare; Fraenkel et al., ; Hertlein & Killmer, ; Perlman et al., ).…”

Section: Families Experiencing Homelessnessmentioning

confidence: 99%

“…Therapists have a long history of working with multi-need, multi-stressed families in disenfranchised communities (Dawe & Harnett, 2007;Fraenkel, Hameline, & Shannon, 2009), such as families experiencing homelessness. Much of the research about families experiencing homelessness and professionals that work with them concerns the thoughts and feelings, the conditions, the lack of resources, and the strengths of families experiencing homelessness (Cosgrove & Flynn, 2005;Fonfield-Ayinla, 2009;Fraenkel et al, 2009;Hertlein & Killmer, 2004). However, no studies were found that examined the experiences of marriage and family therapists (MFTs) working with this population.…”

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confidence: 99%

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Experiences of Family Therapists Working with Families in a Transitional Homeless Community

Harris‐McKoy

Woods²,

Brantley

et al. 2013

J Marital Family Therapy

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The purpose of this study was to explore the experiences and observations of marriage and family therapists (MFTs) conducting an empirically supported parenting program at a transitional homeless community. A diary method was used in recording five MFTs' observations and reactions to implementing the psychoeducational groups. Fifty-one recordings were collected from three different parenting groups over the course of 20 weeks. Constant comparative method was used to identify themes related to MFTs' experiences of conducting the parenting program. These themes included the needs of at-risk families, confidentiality, and role ambivalence and boundary ambiguity. We provide recommendations for best practices and an example of therapists' decision-making process using Kitchener's (1984) model.

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Group Work with Homeless Mothers: Promoting Resilience Through Mutual Aid

Knight

2017

Social Work

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In the article, the author discusses how group work can be used to promote strength and resilience in homeless mothers, based on the current theoretical and empirical literature. The advantages of group work for homeless mothers are identified, as well as the skills and tasks associated with effective leadership of such groups. Common themes that surface in these groups are examined, as are challenges. The author's experiences facilitating a group for homeless mothers in a residential shelter are used to illustrate key points.

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Toward Differentiated Decision-Making: Family Systems Theory with the Homeless Clinical Population

Cited by 5 publications

References 12 publications

Decision support needs of kidney transplant candidates regarding the deceased donor waiting list: A qualitative study and conceptual framework

Decision support needs of kidney transplant candidates regarding the deceased donor waiting list: A qualitative study and conceptual framework

Experiences of Family Therapists Working with Families in a Transitional Homeless Community

Group Work with Homeless Mothers: Promoting Resilience Through Mutual Aid

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