Attachment‐Based Family Therapy in a Psychiatric Inpatient Unit for Young Adults
Abstract
This paper describes the implementation of an evidence‐based family therapy program in an inpatient young adult psychiatric unit. This unit was initially organised on a cognitive behaviour therapy framework but this did not sufficiently meet the young adults’ developmental demands. The unit leadership team decided to implement attachment‐based family therapy (ABFT). This is an outpatient family therapeutic program that aims to restore ruptures in the relationships between youngsters and their primary caregiving environment. To implement ABFT, the unit staff (1) adjusted the family therapeutic model to fit the young adults’ developmental needs, and (2) adjusted the treatment milieu of the unit to support the family therapeutic sessions. In this contribution we present a descriptive evaluation of the first 3 years of experience in adjusting ABFT to meet hospitalised young adults’ needs in mental health care and in the transition of the unit into an attachment‐based family‐focused treatment milieu.
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For emerging adults, not addressing family conflict might exacerbate the problem or inhibit the family from being a source of support.
“Even for emerging adults, who are in a developmental phase of striving for autonomy, not addressing family conflict might exacerbate the problem or inhibit the family from being a source of support for the patient [20].”
Multiple studies have shown high acceptability and feasibility of ABFT for both adolescents and emerging adults.
“Multiple studies have shown high acceptability and feasibility of ABFT for both adolescents and emerging adults [20, 24–27].”
Emerging adults with severe mental health problems are often impaired in their attachment development, which makes it harder for them to develop autonomy and other competencies in this developmental phase.
“Emerging adults with severe mental health problems are often impaired in their attachment development, which makes it harder for them to develop autonomy and other competencies in this developmental phase [20].”
Pilot studies indicated the acceptability and feasibility of ABFT in the Netherlands and Belgium and also for the young adult population.
“Our pilot studies indicated the acceptability and feasibility of ABFT in the Netherlands and Belgium [20, 25, 27] and also for the young adult population.”
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“Emerging adults with severe mental health problems are often impaired in their attachment development, which makes it harder for them to develop autonomy and other competencies in this developmental phase [20].”
BackgroundInfluentialSelf-citation
- Authors
- Devacht, I., Bosmans, G., Dewulf, S., Levy, S., & Diamond, G. S.
- Affiliations
- Psychiatric Residential Care Unit for Young Adults Sint‐Truiden
- KU Leuven (BE)
- Drexel University (US)
- Corresponding author
- Bosmans, Guy
- Venue
- Australian and New Zealand Journal of Family Therapy
- Publisher
- Wiley
- Published
- 2019-09
- Volume
- 40
- Issue
- 3
- Pages
- 330-343
- ISSN
- 0814-723X (ISSN-L)
- 1467-8438
- OpenAlex
- W2973176641
- Cited by
- 9
- References
- 14
- Citations by year
- 2026: 1 · 2025: 1 · 2024: 1 · 2023: 2 · 2022: 1 · 2021: 2 · 2019: 1
- FWCI
- 1.17
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Australian and New Zealand Journal of Family Therapy (publishedVersion)
- Lirias (KU Leuven) (submittedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Counseling, Therapy, and Family Dynamics
- Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
- Social Sciences › Psychology › Clinical Psychology › Psychoanalysis and Psychopathology Research
- Keywords
- attachment-based family therapy, young adults, psychiatric inpatient units, cognitive behavioral therapy, family-focused therapy
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