Family assessment and family interventions — branching viva

Branching viva on systematic family assessment, the three named mechanisms (coercive cycle, expressed emotion, chronic stress), intensity-matched intervention selection across parent training, structured family therapy and multisystem care, and a safeguarding conversion when family violence surfaces.

branching clinical structured oral4 min readVerification in progress

Prompt

You are the general paediatrician assessing and supporting a family whose child's presentation is not settling. The examiner will test your family assessment, the mechanisms, intensity-matched intervention selection, the evidence base, a pharmacotherapy trap, and a safeguarding twist.

Stem

The examiner opens with a child whose presentation is not settling, then escalates through family assessment, the mechanisms, intervention selection, the evidence, a pharmacotherapy trap, and a safeguarding twist. [6] [12]

Paediatrics Fellowship Pro

You have read the opening of this viva. The complete unit — every section and its primary-source references — is part of the Paediatrics Fellowship fellowship atlas.

References8Show ledger

[1]Henggeler SW, Melton GB, Brondino MJ, Scherer DG, Hanley JH Multisystemic therapy with violent and chronic juvenile offenders and their families: the role of treatment fidelity in successful dissemination. J Consult Clin Psychol, 1997.PMID 9337501
[2]Sexton TL, Turner CW The effectiveness of functional family therapy for youth with behavioral problems in a community setting. J Fam Psychol, 2010.PMID 20545407
[4]Sanders MR, Kirby JN, Tellegen CL, Day JJ The Triple P-Positive Parenting Program: a systematic review and meta-analysis of a multi-level system of parenting support. Clin Psychol Rev, 2014.PMID 24842549
[6]Kazdin AE Parent management training for conduct problems in children: Enhancing treatment effectiveness. Int J Clin Health Psychol, 2018.PMID 30487914
[7]Thomas R, Abell B, Webb HJ, Avdagic E, Zimmer-Gembeck MJ Parent-Child Interaction Therapy: A Meta-analysis. Pediatrics, 2017.PMID 28860132
[9]Lock J, Le Grange D, Agras WS, Moye A, Bryson SW, Jo B Randomized clinical trial comparing family-based treatment with adolescent-focused individual therapy for adolescents with anorexia nervosa. Arch Gen Psychiatry, 2010.PMID 20921118
[10]Miller IW, Kabacoff RI, Epstein NB, Bishop DS, Keitner GI, Baldwin LM, van der Spuy HI The development of a clinical rating scale for the McMaster model of family functioning. Fam Process, 1994.PMID 8039568
[12]Mingebach T, Kamp-Becker I, Christiansen H, et al. Meta-meta-analysis on the effectiveness of parent-based interventions for the treatment of child externalizing behavior problems. PLoS One, 2018.PMID 30256794