The conceptualization, development, implementation, and evaluation of the Family Empowerment Project are described in this article. A multicomponent parent training curriculum was designed, incorporating three components: knowledge about the service system; skills with which to interact with the system; and mental health services efficacy, or improved and optimistic attitudes of efficacy and intention to collaborate actively with service providers in securing appropriate treatment for their children. An experimental design was used to test the efficacy of this model with caregivers of children receiving mental health services (n = 250), randomly assigned to the parent group curriculum or a no-treatment control group. Intermediate outcomes of the project at a 3-month follow-up were assessed. The parent group intervention was found to significantly affect two factors that appear crucial to increasing caregiver empowerment: knowledge of the mental health services system and mental health services efficacy.
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References
1.
American Psychiatric Association. (1987). Diagnostic and statistical manual of mental disorders (3rd ed., rev.). Washington, DC: Author.
2.
BanduraA. (1977). Self-efficacy: Toward a unifying theory of behavioral change.Psychological Review, 84, 191215.
3.
BanduraA. (1986). Social foundations of thought and action.Englewood Cliffs, NJ: Prentice-Hall.
4.
BanduraA., AdamsN. E., & BeyerJ. (1977). Cognitive processes mediating behavioral change.Journal of Personality and Social Psychology, 35 (3), 125139.
5.
BeharL., BickmanL., LaneT., KeetonW. P., & SchwartzM. (1996). Fort Bragg Child and Adolescent Mental Health Demonstration Project. In RobertsN. (Ed.), Model programs in child and family mental health (pp. 351372). Hillsdale, NJ: Erlbaum.
6.
BernheimK. F. (1989). Psychologists and families of the severely mentally ill: The role of family consultation.American Psychologist, 44, 561564.
7.
BickmanL. (Ed.). (1987). Using program theory in evaluation.San Francisco: Jossey-Bass.
8.
BickmanL., EarlE., & KlindworthL. (1991). Vanderbilt Mental Health Service Efficacy Questionnaire.Nashville, TN: Vanderbilt University.
9.
BronfenbrennerU. (1979). The ecology of human development: Experiments by nature and human design.Cambridge, MA: Harvard University Press.
10.
BurnsB. J., & FriedmanR. M. (1989). The research base for child mental health services and policy: How solid is the foundation? In GreenbaumP., FriedmanR., DuchnowskiA., KutashK., & SilverS. (Eds.), Conference proceedings: Children's mental health services and policy: Building a research base (pp. 713). Tampa: University of South Florida, Research and Training Center for Children's Mental Health.
11.
CochranM. (1987). Empowering families: An alternative to the deficit model. In HurrlemannK., KaufmannF. X., & LoselF. (Eds.), Social intervention: Potential and constraint (pp. 105120). New York: Walter de Gruyter.
12.
CohenJ. (1988). Statistical power analysis for the behavioral sciences.Hillsdale, NJ: Erlbaum.
13.
CunninghamC., & DavisH. (1985). Working with parents: Frameworks for collaboration.Philadelphia: Open University Press.
14.
DunstC. J., & PagetK. D. (1991). Parent-professional partnerships and family empowerment. In FineM. J. (Ed.), Collaboration with parents of exceptional children (pp. 2544). Brandon, VT: Clinical Psychology Publishing.
15.
DunstC. J., TrivetteC. M., & DealA. G. (1988). Enabling and empowering families: Principles and guidelines for practice.Cambridge, MA: Brookline Books.
16.
FriedmanR. M., DuchnowskiA. J., & HendersonE. L. (1989). Advocacy on behalf of children with serious emotional problems.Springfield, IL: Thomas.
17.
FriesenB. J. (1989). Parents as advocates for children and adolescents with serious emotional handicaps: Issues and directions. In FriedmanR. M., DuchnowskiA. J., & HendersonE. L. (Eds.), Advocacy on behalf of children with serious emotional problems (pp. 6878). Springfield, IL: Thomas.
18.
GrubbC. (1992). Mental Health Services Knowledge Questionnaire.Nashville, TN: Vanderbilt University.
19.
GutierrezL., & OrtegaR. (1991). Developing methods to empower Latinos: The importance of groups.Social Work with Groups, 14 (2), 2343.
20.
HeflingerC.A. (1996). Implementing a system of care: Findings from the Fort Bragg Evaluation Project.Journal of Mental Health Administration, 23 (1), 1629.
21.
HeflingerC. A., AndersonJ., DigbyJ., GrubbC., & WilliamsC. (1994). Vanderbilt Family Empowerment Project: Family Group Curriculum Manual (Rev. ed.). Nashville, TN: Vanderbilt Center for Mental Health Policy.
22.
HeflingerC. A., & BickmanL. B. (1996). Family empowerment: A conceptual model for promoting parent-professional partnership. In HeflingerC. A., and NixonC. (Eds.), Families and mental health services for children and adolescents (pp. 96116). Newbury Park, CA: Sage.
23.
HeflingerC. A., & NixonC. T. (Eds.). (1996). Families and mental health services for children and adolescents.Newbury Park, CA: Sage.
24.
HobbsN., DokeckiP. R., Hoover-DempseyK. V., MoroneyR. M., ShayneM. W., & WeeksK. H. (1984). Strengthening families.San Francisco: Jossey-Bass.
25.
HunterR. W., & FriesenB. J. (1996). Family-centered services for children with emotional, behavioral, or mental disorders. In HeflingerC. A. and NixonC. (Eds.), Families and mental health services for children and adolescents (pp. 1840). Newbury Park, CA: Sage.
26.
JensenP. S., LewisR.L., & XenakisS. N. (1986). The military family in review: Context, risk, and prevention.Journal of the American Academy of Child Psychiatry, 25, 225234.
27.
JensenP. S., WatanabeJ. K., RichtersJ. E., CortesR., RoperM., & LiuS. (1995). Prevalence of mental disorder in military children and adolescents: Findings from a two-stage community survey.Journal of the Academy of Child and Adolescent Psychiatry, 34, 15141524.
28.
KelkerK. A. (1987). Working together: The parent-professional partnership.Portland, OR: University of Portland, Families as Allies Project, Research and Training Center to Improve Services for Seriously Emotionally Handicapped Children and Their Families.
29.
KorenP. E., DeChilloN., & FriesenB. J. (1992). Measuring empowerment in families whose children have emotional disabilities: A brief questionnaire.Rehabilitation Psychology, 37 (4), 305321.
30.
LefleyH. P. (1989). Family burden and family stigma in major mental illness.American Psychologist, 44, 556560.
31.
MittlerP., & McConachieH. (Eds.). (1983). Parents, professionals and mentally handicapped people: Approaches to partnership.Cambridge, MA: Brookline Books.
32.
MoroneyR. M., & DokeckiP. R. (1984). The family and the professions: Implications for public policy.Journal of Family Issues, 5, 224238.
33.
MungerR. L. (1991). Child mental health practice from the ecological perspective.Lanham, NY: University Press of America.
34.
NorthrupD. A., BickmanL., & HeflingerC. A. (1995). The Mental Health Services Efficacy Questionnaire: Psychometric properties.Nashville, TN: Vanderbilt Center for Mental Health Policy.
35.
RappaportJ. (1987). Terms of empowerment/exemplars for prevention: Toward a theory for community psychology.American Journal of Community Psychology, 15, 121148.
36.
RathusS. A. (1973). A 30-item schedule for assessing assertive behavior.Behavior Therapy, 4, 398406.
37.
SchönD. A. (1983). The reflective practitioner: How professionals think in action.New York: Basic Books.
38.
SchweitzerT. B., & HankinsB. J. (1990). Developing Families as Allies: Participant manual.Jackson: State of Mississippi Department of Mental Health.
39.
SokolyM. (1993). Parent-professional relationships and family empowerment: Developing a framework for understanding. Unpublished doctoral dissertation, Vanderbilt University, Nashville, TN.
40.
SonnichsenS. E. (1994). Factors related to parental participation in children's mental health services: Exploratory analysis of the status of parents and families. Unpublished master's thesis, Vanderbilt University, Nashville, TN.
41.
StroulB. A., & FriedmanR. (1986). A system of care for children and youth with severe emotional disturbances (Rev. ed.). Washington, DC: Georgetown University Child Development Center, CASSP Technical Assistance Center.
42.
TurnbullH. R., & TurnbullA. P. (1985). Parents speak out: Then and now.Columbus, OH: Merrill.
43.
VandersliceV. (1984). Empowerment: A definition in progress.Human Ecology Forum, 14 (1), 23.
44.
Vosler-HunterR. W. (1989). Changing roles, changing relationships: Parent-professional collaboration on behalf of children with emotional disabilities.Portland, OR: University of Portland, Families as Allies Project, Research and Training Center to Improve Services for Seriously Emotionally Handicapped Children and Their Families.
