There are a number of Family Behavior Therapy (FBT) intervention options that may be implemented for adolescents, adults and adults who are served within the child welfare system. For both adolescent and adult populations there are foundation interventions that are implemented in a set order at the initiation of intervention (orientation meeting to assist understanding of FBT; consequence review meeting to raise motivation to achieve goal-oriented behavior; treatment planning to determine which interventions are desired by families with assistance from provider). There are also skill-based interventions that are implemented sequentially and cumulatively based on the aforementioned consumer driven treatment planning (contingency management, Level System for adolescents and Behavioral Goals and Rewards for adults; Reciprocity Awareness to encourage statements of affection and gratitude; Positive Request communication skills; Environmental Control, Self Control; Job-Getting Skills training, Last Session Conclusion to review progress throughout treatment and establish a generalization plan). Interventions are also additionally available to assist adult parents in raising their children to reach their full potential (an addendum to Goals & Rewards; Emergency Management to assist parents in managing emergent conditions for which they are at-risk to experience; Catching My Child Being Good to assist parents in learning to positively reinforce their children for desired behavior, empathize with the concerns of their children, and engage with their children in pleasant activities; Positive Request to assist parents in disciplining their children through omission of blame and encouragement to practice desired behaviors; Home Safety & Beautification to Assist parents in making their homes aesthetically pleasing, stimulating, and safe for their children through family safety tours; Financial Management to learn ways of decreasing expenses and increasing income). The adolescent and adult interventions are typically implemented in a 60-minute outpatient session, whereas the child welfare clients typically require more intensive 90-minute home-based sessions. Some programs have implemented FBT in groups to be more economically feasible. However, this latter application has yet to be examined in controlled trials. The agency head should assure all FBT intervention protocols are implemented in a manner that is consistent with State and federal laws.
