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

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<strong>in</strong>clude the Cl<strong>in</strong>ical Rat<strong>in</strong>g Scale (CRS) <strong>for</strong> rat<strong>in</strong>g couples and family systems based on cl<strong>in</strong>ical<strong>in</strong>terviews or observations; the <strong>Family</strong> Communication Scale, which focuses on the exchange offactual and emotional <strong>in</strong><strong>for</strong>mation; the <strong>Family</strong> Satisfaction Scale to determ<strong>in</strong>e the family’ssatisfaction with their function<strong>in</strong>g; the <strong>Family</strong> Strengths Scale, which focuses on familycharacteristics and dynamics that enable families to demonstrate resilience and deal with familyproblems; and the <strong>Family</strong> Stress Scale, which taps <strong>in</strong>to levels of stress currently be<strong>in</strong>gexperienced by family members with<strong>in</strong> their family system (Olson, 2000; Olson & Gorall, 2003).While the CRS has been validated, it is unclear whether self-report questionnaires other than theFACES IV have established validity and reliability.<strong>Family</strong> <strong>Assessment</strong> Measure III. The FAM III is a set of self-report questionnaires thatmeasure family strengths and weaknesses <strong>in</strong> the seven constructs related to: (1) taskaccomplishment, (2) role per<strong>for</strong>mance, (3) communication, (4) affective expression, (5) affective<strong>in</strong>volvement, (6) control, and (7) values and norms. While the concepts are similar to thosemeasured <strong>in</strong> the McMaster Model, the FAM III is unique <strong>in</strong> assess<strong>in</strong>g family strengths andweaknesses from perspectives on three scales: the family as a system (general scale), variousdyadic relationships (dyadics scale), and <strong>in</strong>dividual family members (self-rat<strong>in</strong>g scale). Thecollection of data from all three perspectives facilitates the analysis of family processes frommultiple system levels. The FAM III consists of 94 items and can be completed by familymembers at least 10-12 years of age. Numerous studies attest to the cl<strong>in</strong>ical utility of the FAMIII, <strong>in</strong>clud<strong>in</strong>g its ability to differentiate between cl<strong>in</strong>ical and non-cl<strong>in</strong>ical families and itspredictive validity <strong>in</strong> relation to children’s problems. The FAM III has demonstrated sensitivityto change <strong>in</strong> treatment, has been developed and tested with cl<strong>in</strong>ical and non-cl<strong>in</strong>ical families, andhas twenty years of research to support its efficacy (Sk<strong>in</strong>ner et al., 2000).In summary, research has found the FACES, the FAM III, and the FAD to be highlycorrelated, to suggest that these three <strong>in</strong>struments may be <strong>in</strong>terchangeable (Olson, 2000; Beavers& Hampson, 2000). Although the Circumplex <strong>in</strong>struments appears best at provid<strong>in</strong>g amultisystem-multimethod assessment of the family, the McMaster <strong>in</strong>struments provide theclearest l<strong>in</strong>k with a therapeutic model of <strong>in</strong>tervention (Carlson, 2003). McMaster <strong>in</strong>strumentsalso have demonstrated superior sensitivity <strong>in</strong> identify<strong>in</strong>g families with cl<strong>in</strong>ical needs and greatercorrespondence between cl<strong>in</strong>ical rat<strong>in</strong>g scales and family member self-report <strong>in</strong>ventories whencompared to the Circumplex <strong>in</strong>struments (Drumm & Fitzgerald, 2002). More studies compar<strong>in</strong>g17

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