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Family Assessment in Child Welfare - Center for Social Services ...

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McMaster Model. The McMaster Model relies on multiple <strong>in</strong>struments to assess sixdimensions of function<strong>in</strong>g: (1) problem solv<strong>in</strong>g, (2) roles, (3) communication, (4) affectiveresponsiveness, (5) affective <strong>in</strong>volvement, and (6) behavior control. The three complementary<strong>in</strong>struments <strong>in</strong>clude: the <strong>Family</strong> <strong>Assessment</strong> Device (FAD), a 60-item self-report questionnaire;the McMaster Cl<strong>in</strong>ical Rat<strong>in</strong>g Scale (MCRS), an observational rat<strong>in</strong>g used by cl<strong>in</strong>ician or otherobserver; and the McMaster Structured Interview of <strong>Family</strong> Function<strong>in</strong>g (McSiff), whichprovides a series of structured questions on each of the six doma<strong>in</strong>s. The MCRS and the FADprovide a s<strong>in</strong>gle score <strong>for</strong> each of the six dimensions, and the McSiff is used to obta<strong>in</strong> a reliablecl<strong>in</strong>ical rat<strong>in</strong>g on the MCRS. The cl<strong>in</strong>ical utility and psychometric validity and reliability of theMcMaster <strong>in</strong>struments have been documented <strong>in</strong> several studies (Epste<strong>in</strong> et al., 2003; Miller etal., 2000). The FAD is easy to adm<strong>in</strong>ister and cost effective, has predictive validity <strong>for</strong> severalcl<strong>in</strong>ically relevant outcomes, can differentiate between cl<strong>in</strong>ical and non-cl<strong>in</strong>ical families and isavailable <strong>in</strong> at least sixteen languages (Epste<strong>in</strong> et al., 2003; Miller et al., 2000). The Ch<strong>in</strong>ese andSpanish versions of the FAD appear to possess good psychometric properties (Shek, 2001; Shek,2002; Walrath et al., 2004). While the <strong>in</strong>struments presently lack normative data on child welfarepopulations, they may provide early identification of families who may benefit from therapydespite reluctance to seek services (Akister & Stevenson-H<strong>in</strong>de, 1991; Miller et al., 2000).<strong>Assessment</strong> of Strategies <strong>in</strong> Families-Effectiveness (ASF-E). The ASF-E is a brief, 20-item screen<strong>in</strong>g <strong>in</strong>strument to determ<strong>in</strong>e the perceived need <strong>for</strong> therapy and to determ<strong>in</strong>e progressas a result of family therapy <strong>in</strong> cl<strong>in</strong>ical sett<strong>in</strong>gs. The ASF-E measures congruence and familyhealth on four dimensions of family behavior patterns and strategies; namely, stability, growth,control, and connectedness/spirituality. High <strong>in</strong>ternal consistency and validity have beenestablished <strong>for</strong> the ASF-E <strong>in</strong> the U.S. and the measure has been tested with populations<strong>in</strong>ternationally (Friedemann, Astedt-Kurki, & Paavila<strong>in</strong>en, 2003).Circumplex Model. The Circumplex battery of <strong>in</strong>struments <strong>in</strong>tegrates three dimensionsof family function<strong>in</strong>g (communication, cohesion, and flexibility) and is designed <strong>for</strong> use <strong>in</strong>cl<strong>in</strong>ical assessment, treatment plann<strong>in</strong>g, and family <strong>in</strong>tervention research. The CircumplexModel <strong>in</strong>cludes the <strong>Family</strong> Adaptability and Cohesion Scale (FACES), a self-reportquestionnaire that has gone through multiple revisions over the past 20 years to improve thereliability and validity of the <strong>in</strong>strument. The latest version, the FACES IV, has been found to bereliable and valid <strong>for</strong> cl<strong>in</strong>ical use (Olson & Gorall, 2003). Additional Circumplex measures16

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