• The Mission of
elping ndividuals isualize xcellence (
is to provide highly effective and accessible Behavioral Health
Services, restoring hope and improving the quality of life for At-Risk
youth ages 11-17, their families and our communities.
Theoretical Model of the Group
is a short-term program lasting between 3 to 5 weekly
sessions, typically lasting about three months. Sessions are
conducted in a community setting to the whole family and are
provided by trained and supervised interventionists. The program
strives to improve family communication by promoting positive
family interactions. It assists family members in adopting positive
solutions to family problems by recognizing that they can be related
to factors involving school, peers, healthy decision-making skills. A
major goal of
is to utilize the family's strengths to help build
positive interactions within the family as well as within the
community. The services we provide include family therapy, case
management and educational advocacy.
• (sheildsforfamily.org) access 10/22/2013
Theoretical Model- Family Systems Theory
• A person who is abusing substances influences a number of
systems. These systems also interact with each other. (CHART)
• The theory focuses attention on the family because the interactions
in the family are among the most powerful forces in a person’s life
and are most easily available for observation and intervention The
family context therefore provides a unique resource for creating
• The Therapist role is to empower the family and help everyone to
behave responsibly and helpfully.
• McCollum, E.E., and Trepper, T.S. Family Solutions for Substance
Abuse: Clinical and Counseling Approaches. Binghamton, NY:
Haworth Press, 2001.
FAMILY SYSTEMS THEORY
Systems of Daily Life
School , Work, Friends,
Uncle, Cousins, Other
Functional Therapy System
• Functional Family Therapy (FFT) is a
prevention/intervention program for youth who have
demonstrated a range of maladaptive, acting out
behaviors and related syndromes. Intervention services
consist primarily of direct contact with family members,
in person and telephone; however, services may be
coupled with supportive system services such as remedial
education, job training and placement and school
placement. Some youth are also assigned trackers who
advocate for these youth for a period of at least three
months after release.
Family Roles Activity
Think of a bad
experience from your
life that still affects you
now. Imagine that
some part of you ran
away because of the
pain of that experience.
Identify what part of
you ran away: strength,
pride, courage, trust in
others, self-esteem, etc.
• Part I
• Draw, color, or paint a picture of
how that part of you looks or feels
when it is in its full and healthy
• How did you feel
• Part II
• Write a letter to that part of you,
asking it to return. Make your own
letter or use the following sample:
• "Dear ____, I know you left because
of ____. It is now safe for you to
return because ____. I promise to
make sure it stays safe by _____. I
miss you and I need you in my life
because _____. Please return so I
can be whole. Love, ____"
If desired, write a response letter
from the missing part
recapturing those old
•How does it feel to give
yourself permission to feel
those feelings again?
• How does it feel to get
rid of those negative
Co-Dependency Behavior Activity
“Letting go doesn't
mean bout someone
anymore. It's just
realizing that the
only person you
really have control
over is yourself.”Deborah Reber
• Write down five goals you have for the
• Once done label how many of these goals are
for yourself and how many are related to
your family member.
• Process Questions:
– Was there a discrepancy between the number of
goals you had for yourself and the ones you had
for your family member?
– Why do you have less/more goals for yourself or
for the family member?
– What can you do to help each other accomplish
their own goals?
–Learn to focus on our own goals/future and help
each other along the way.
Children of Alcoholics Activity
God grant me the
serenity to accept the
things I can't change,
the courage to change
the things I can, and
the wisdom to know the
Make two lists:
• "The things I can change"
• "The things I can't change."
• On side, list the “Things you can
and can't change in your life.
• On another sheet of paper, draw
how your life would look after you
successfully changed the things on
your list, "The things I can change."
• Which side did you find the
easiest to come up with a list?
• Are you willing to make
whatever adjustments to your
list of “The things I can
• How will these changes affect
• In a Utah study, FFT families showed significant improvement compared to no
treatment and alternative treatment groups in rates of re-offense (26% versus
47%-73%), juvenile court records of siblings of targeted youth (20% versus 40%63%), and recidivism among serious delinquent youth (60% versus 89%-93).
• In an Ohio study, FFT families showed significant improvement compared to
usual services in recidivism after 28 months (11% versus 67%) and after 60
months (9% versus 41%).
• In a Swedish study with a 2-year follow-up, FFT families showed improvement
compared to a usual-treatment group in recidivism (41% versus 82%) and in
youth and parent reports of externalizing and internalizing symptoms.
• In a Washington State study, FFT families who worked with a competent
therapist showed significant improvement in 18-month recidivism (44% versus
50%-54%) compared to families in control groups or working with not competent
• A meta-analysis of effect size for eight evaluations of FFT (Aos et al., 2011) reported an
adjusted mean effect size of 32.
Evidence Based Intervention
• A study of New Jersey youth with behavior problems
showed improvement from FFT relative to others
receiving individual therapy or mentoring in
–life domain functioning related to family, school, and
–child behavioral/emotional needs (impulsivity,
depression, anxiety, anger control, substance abuse), and
–child risk behaviors (suicide risk, self-mutilation, danger
to others, sexual aggression, running away, delinquency,
Program Treatment Referrals
9 W. Broadway
Paterson, NJ 07505
80 W Main St
Mendham, NJ 07945
252 County Road 601,
Belle Mead, NJ 08502
New Pathways Counseling
20 Powers Dr
Paramus, NJ 07652
• Giant Step Program
H 61 Monroe Street
Hoboken, NJ 07030
• North Hudson Community
West New York
• Mt. Carmel Guild Behavioral
2201 Bergenline Avenue
Union City, NJ 07087
• Palisades Counseling Center
7600 River Rd,
North Bergen, NJ 07047
High Focus Centers
70 Eisenhower Dr.
Paramus, NJ 07652
Christ Hospital Adolescent
179 Palisade Avenue
Jersey City, NJ 07306
Inter County Council on
480 Kearny Avenue
Child Protection Services
• The Division of Children and Family Services (DCF)
DCF Office of Adolescent Services
PO Box 717
Trenton, NJ 08625-0717
• Child Protective and Permanency
Hudson Central LO- #470
438 Summit Avenue, 4th Floor
Jersey City, NJ 07306
Passaic North LO - #472
100 Hamilton Plaza, 11th Floor
Paterson, NJ 07505
Manager - Maria Rios
• (www.state.nj.us) access 10/22/2013