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Cited by 202Counseling, Therapy, and Family DynamicsPsychotherapy Techniques and ApplicationsCounseling Practices and Supervision

Evidence-Based Solutions for Overcoming Access Barriers, Decreasing Attrition, and Promoting Change With Underserved Families.

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Snell-Johns, Jessica, Mendez, Julia L., Smith, Bradley H.·2004·Journal of Family Psychology
DOI 10.1037/0893-3200.18.1.19
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Abstract

Various definitions exist for what constitutes family therapy (e.g., Haley, 1976; Minuchin, 1974; Webster-Stratton, Kolpacoff, & Hollinsworth, 1988). In this article, we consider family therapy to encompass any intervention that targets family interactions and conceptualizes problems as existing beyond individual clients (Gurman, Kniskern, & Pinsof, 1986; Hazelrigg, Cooper, & Borduin, 1987). Numerous individual studies and several quantitative reviews have established family therapy as an effective treatment modality and the treatment of choice for many disorders (Kazdin, 1987; Shadish et al., 1993; Weisz & Hawley, 1998). However, critiques of existing service provision highlight the unfortunate fact that numerous barriers to treatment exist at multiple levels of the broader ecology, preventing many families from benefiting from these services (Imber-Black, 1988).

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  • Youth and family treatment outcomes are more likely to succeed when therapy can address couples' relational distress, caregiver social isolation and therapeutic attunement to the realistic parental stress levels for families coping with chronic adversity.

    “Youth and family treatment outcomes are more likely to succeed when therapy can address couples' relational distress, caregiver social isolation and therapeutic attunement to the realistic parental stress levels for families coping with chronic adversity (Snell-Johns et al., 2004).”

    From Development of a Differential Assessment Guide to Improve Engagement with Youths & Families Living with Chronic Trauma (2023) · cites this paper as Snell-Johns et al., 2004

    In “A Social-Ecological View: Understanding the Underserved” (page unavailable), the paper links social isolation, marital distress, and parental stress to poorer treatment response, retention, or therapeutic change. “Address Parents’ Individual Needs” reports lower dropout when treatment addressed additional parent concerns, but it also reports no added child-behavior gains from one program and no added gains from an intervention offering support to isolated parents. The paper therefore supports the importance of these concerns, but not the broader claim that addressing all three—including therapeutic attunement to realistic stress levels—makes youth and family outcomes more likely to succeed. (LLM, conf=0.86)

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Research works printed but not linked: 3

  1. [27]27. Kinney, J., & Dittmar, K. (1995). Homebuilders: Helping families help themselves. In I. M.Schwartz & P.AuClaire (Eds.), Home-based services for troubled children (pp. 29-54). Lincoln: University of Nebraska Press.
  2. [44]44. Rao, S. A. (1999). The short-term impact of the family check-up: A brief motivational intervention for at-risk families. Dissertation Abstracts International, 597-B3710.
  3. [65]65. Szapocznik, J., & Kurtines, W. M. (1989). Basic concepts in brief strategic family therapy. In J.Szapocznik & W. M.Kurtines (Eds.), Breakthroughs in family therapy with drug-abusing and problem youthNew York: Springer.

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Related

Authors
Snell-Johns, J., Mendez, J. L., & Smith, B. H.
Affiliations
  • Temple University (US)
  • University of South Carolina (US)
ORCID
Venue
Journal of Family Psychology
Publisher
American Psychological Association (APA)
Published
2004
Volume
18
Issue
1
Pages
19-35
ISSN
  • 0893-3200 (ISSN-L)
  • 1939-1293
DOI
10.1037/0893-3200.18.1.19
OpenAlex
W1981978180
Cited by
202
References
105
Citations by year
2026: 3 · 2025: 4 · 2024: 2 · 2023: 6 · 2022: 9 · 2021: 6 · 2020: 12 · 2019: 15 · 2018: 10 · 2017: 11 · 2016: 15 · 2015: 14 · 2014: 10 · 2013: 12 · 2012: 9
FWCI
1.36
Type
journal article
Language
en
Open access
Locations
  • Journal of Family Psychology (publishedVersion)
  • PubMed (publishedVersion)
  • NC Digital Online Collection of Knowledge and Scholarship (The University of North Carolina at Greensboro) (submittedVersion)
Topics
  • Social Sciences › Psychology › Clinical Psychology › Counseling, Therapy, and Family Dynamics
  • Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
  • Social Sciences › Psychology › Social Psychology › Counseling Practices and Supervision
Keywords
family therapy, underserved families, access barriers, treatment discontinuation, barriers to treatment, family intervention, evidence-based practice
MeSH terms
Mental Disorders, Family Therapy, Health Promotion, Health Services Accessibility, Humans, Medically Underserved Area, Mental Health Services, Evidence-Based Medicine

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