Table Of ContentWorking with Families
An Integrative Model
by Level of Need
FIFTH EDITION
Allie C. Kilpatrick
Emeritus, University of Georgia
Thomas P. Holland
University of Georgia
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Library of Congress Cataloging-in-Publication Data
Working with families : an integrative model by level of need / [edited by] Allie C. Kilpatrick,
Thomas P. Holland.—5th ed.
p. ; cm.
Includes bibliographical references and indexes.
ISBN-13: 978-0-205-67392-6
ISBN-10: 0-205-67392-9
1. Family psychotherapy. 2. Family social work. I. Kilpatrick, Allie C. II. Holland, Thomas P.
[DNLM: 1. Family Therapy—methods. 2. Family Relations. 3. Needs Assessment.
4. Social Work. 5. Socioeconomic Factors. WM 430.5.F2 W9255 2009]
RC488.5.K55 2009
616.89'156—dc22
2008036655
Printed in the United States of America
10 9 8 7 6 5 4 3 2 1 HAM 12 11 10 09 08
The fifth edition of this book
is lovingly dedicated to all the
students and practitioners who
are working diligently toward the
development of healthy, resilient,
ethical, and spiritually connected
families internationally.
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Contents
Foreword xiii
Preface xv
About the Authors xxi
About the Contributors xxiii
Outline of Approaches xxvi
PART I ● Theory Base and Contextual Practice: Metatheories
for Working with Families at Four Levels of Need 1
1
Levels of Family Need 3
Allie C. Kilpatrick
Level I 5
Level II 7
Level III 8
Level IV 9
Intervention Criteria 10
Summary 12
Discussion Questions 13
Internet Resources 13
Suggested Readings 14
References 14
v
vi Contents
2
An Ecological Systems–Social Constructionism
Approach to Family Practice 15
Thomas P. Holland and Allie C. Kilpatrick
Ecological Systems Perspective 15
Applications to Family Practice 18
Caveats in Using the Ecosystems Metatheory 21
Social Constructionist Perspective 22
Applications to Family Practice 23
Caveats in Using the Social Constructionist Metatheory 24
Comparing and Integrating the Metatheories 25
Summary 28
Discussion Questions 28
Internet Resources 29
Suggested Readings 29
References 30
3
Contexts of Helping: Commonalities and Human Diversities 32
Allie C. Kilpatrick, June Hopps, and Kareema J. Gray
The Helping Relationship/Therapeutic Alliance 32
Client Diversity 35
Ethnic-Sensitive Practice, Multiculturalism, and Cultural Democracy 36
Gender Justice 39
Power and Powerlessness 41
Poverty, Children, and Persistent Poverty 43
Family Structure 43
Summary 45
Discussion Questions 45
Internet Resources 46
Suggested Readings 46
References 47
Contents vii
4
Ethically Informed and Spiritually Sensitive Practice 50
Allie C. Kilpatrick, Thomas P. Holland,
and Dorothy S. Becvar
Ethically Informed Practice 50
Spiritually Sensitive Practice 59
Ethical Challenges 66
Summary 67
Discussion Questions 68
Internet Resources 68
Suggested Readings 68
References 69
PART II ● First Level of Family Need: Basic Survival 73
5
Interventions with Level I Neglectful Families 75
James M. Gaudin
Case Study 75
Needs of Level I Neglectful Families 76
Assessment 78
Strategies for Effective Engagement 84
Goals and Basic Tenets 86
Interventions with Level I Families 87
Application to Families on Levels II, III, and IV 91
Evaluation of Effectiveness 92
Ethical Challenges 92
Summary 92
Discussion Questions 93
Internet Resources 93
Suggested Readings 93
References 94
viii Contents
6
A Family Case Management Approach for Level I Needs 96
Roberta R. Greene and Nancy P. Kropf
Family Needs 96
Family Case Assessment 97
Treatment Goals 99
Treatment Approach: A Generalist Model of Case Management 100
Evaluation 108
Application to Families at Other Levels of Need 109
Ethical Challenges 109
Summary 110
Discussion Questions 110
Internet Resources 111
Suggested Readings 111
References 111
PART III ● Second Level of Family Need: Structure, Limits, and Safety 115
7
Structural Family Interventions 117
Harry J. Aponte
Levels of Family Need 117
Assessment 118
Goals 120
Intervention Approach 120
Evaluation 123
Application to Families at Other Levels of Need 124
Ethical Challenges 124
Summary 125
Discussion Questions 125
Suggested Videotapes 126
Suggested Readings 126
References 127
Contents ix
8
Social Learning Family Interventions 129
Arthur M. Horne and Thomas V. Sayger
Family Needs 129
Assessment and Treatment Goals 132
Social Learning Family Interventions 134
Evaluation of Effectiveness 140
Application to Families on Levels I, III, and IV 141
Ethical Challenges 141
Summary 141
Discussion Questions 142
Internet Resources 142
Suggested Readings 143
References 143
PART IV ● Third Level of Family Need:
Boundaries and Control 145
9
Solution-Focused Family Interventions 147
Jeffrey J. Koob
Assumptions 147
Typical Needs of Level III Families 149
Assessment 149
Theory Base and Basic Tenets 150
Treatment Goals 152
Application 154
Application to Spirituality 157
Interventions 158
Evaluation 163
Application to Families on Levels I, II, and IV 165
Ethical Challenges 166
Summary 166
