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Evidence-Based Solutions for Overcoming Access Barriers, Decreasing Attrition, and Promoting Change With Underserved Families.
Open accessAbstract
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 (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
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Metadata
- Authors
- Snell-Johns, J., Mendez, J. L., & Smith, B. H.
- Affiliations
- Temple University (US)
- University of South Carolina (US)
- Venue
- Journal of Family Psychology
- Published
- 2004
- Volume
- 18
- Issue
- 1
- Pages
- 19-35
- ISSN
- 0893-3200 (ISSN-L)
- 1939-1293
- 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
- green
- libres.uncg.edu
- 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 › Clinical 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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