Funders of mental health services to youth and families have increasingly required providers to use treatments deemed to be "evidence-based." There are several evidence-based family treatment (EBFT) approaches found to be effective with the same types of presenting problems and populations. All of these EBFTs claim to be based on similar theoretical approaches and have specified treatment protocols that providers must follow to be faithful to the model. These EBFTs are expensive for agencies to establish and maintain. Many agencies that initially adopted one of these EBFTs later de-adopted it because they could not sustain it when billing Medicaid is the only way to pay for such services. Meta-analyses of treatment outcome studies have found that various theoretical approaches to therapy are effective, but no one approach is more effective than any other. What accounts for client improvement is not the specific treatment approach, but rather the factors they all have in common. To provide an effective, affordable, and flexible approach to family treatment the authors of this book developed and have conducted researched on an approach they call Integrative Family and Systems Treatment (I-FAST). I-FAST is a meta-model organized around the common factors to family treatment. Such a model does not require practitioners to learn a completely new way to provide treatment but rather it builds on and incorporates the clinical strengths and skills they already possess. This book is a manual for how to faithfully and flexibly provide I-FAST. A manual for a meta-model to treatment based on the common factors has never been provided. This book provides clear guidelines illustrated by cases examples for not only how to provide I-FAST but also how to teach and supervise it as well as how to integrate I-FAST with the rest of an agency's services and programs.

Integrative Family and Systems Treatment (I-FAST): A Strengths-Based Common Factors Approach

Health, Fitness & Dieting

Fraser, J. Scott

Psychology & Counseling

Oxford University Press

Mental health professionals have long debated what makes effective psychotherapy work. Is it a specific treatment modality, or a set of common factors such as a strong therapeutic relationship? In this book, J. Scott Fraser argues that both perspectives are correct. His transtheoretical, transdiagnostic framework identifies the process of change that underlies all effective treatments. From this viewpoint, all client problems boil down to negative, recurring cycles of thought and behavior. The goal of psychotherapy is to disrupt or reverse those cycles. While successful treatment requires common factors linked with specific interventions, these components must be embedded in a therapeutic rationale that implies a direction for treatment. There are many possible “correct” rationales, so finding the one that best fits the client and therapist is the task of treatment planning. The book uses varied and compelling case examples, featuring different client problems and treatments, to illustrate a common process of change. Both philosophically rich and highly practical, this book helps readers understand the complexity and promise of psychotherapy.

Unifying Effective Psychotherapies: Tracing the Process of Change

Mental Health

American Psychological Association

Crisis Intervention: Using Tipping Points to Achieve Transformative Change in Therapy

After more than 40 years of research, a substantial body of evidence has shown psychotherapy to be helpful in ameliorating psychological suffering. This is seldom questioned in professional circles, yet intense debate persists over how, when, and why therapy works. Those claiming to know the answers fall into two main camps, one arguing that some empirically supported treatments are therapeutic for specific problems, while others are less effective. The other camp posits that all approaches work equally well, as long as a strong therapist–client relationship and other common curative factors are present. Can both doctrines be correct? Second-Order Change in Psychotherapy: The Golden Thread That Unifies Effective Treatments asserts that they can, but what is needed is a unifying framework of change that underlies both positions. Drs. Fraser and Solovey identify that framework as second-order change in psychotherapy, or the “golden thread” that runs through the labyrinth of all effective therapies. To better elucidate this, first-order change refers to solutions that do not change the problem but that create stability, while second-order change transforms the first-order solutions, resulting in a resolution of the problem. In this fascinating and rich book written for researchers, practical theorists, and policy makers, the authors show how second-order change is at the core of all effective treatments and demonstrate how to creatively employ specific, targeted approaches in an interpersonal context of shared respect, empathy, and compassion.

Second-order Change in Psychotherapy: The Golden Thread That Unifies Effective Treatments

Solovey, Andrew D.

Fraser, Scott J.

Amer Psychological Assn

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