Intensive family therapy - a context for hopes put into practice

Abstract: This dissertation consists of four sections. Section 1 deals with a presentation of a model for Intensive Family Therapy (IFT) and of the units practising this model. References to research in the field of Family Therapy as well as to relevant theories are made. A theoretical model for describing the functioning of these units is presented. Measuring instruments were developed on the basis of this model. Seven Swedish Units for Intensive Family Treatment (IFTUs) were evaluated. The analysis yielded two profile measures (structure and staff satisfaction) which were used to group the units into three clusters. Section 2 deals with a multicenter study of treatment effectiveness (a pilot study and a main study). 109 families (86 in the follow-up) at a number of Swedish units for intensive family therapy took part in the main study. The families were investigated regarding symptom load and family function before and six months after the start of treatment. They were compared with other relevant groups of families with regard to symptom load before and six months after the start of treatment. The group of families treated with intensive family therapy showed clear statistical changes on follow-up. Half of the families reported notable clinical changes which must be considered satisfactory as the target group is composed of multiproblem families. Section 3 presents a hypothetical model for family investigations called information-seeking work for change. Section 4 weighs the profiles of the different units against the treatment results achieved. The conclusion is drawn that larger, more independent, more competent and more problem-focused units achieve better treatment results.