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Chapter 1 Introduction and Overview of the Book, 1,
PART I. AT-RISK ADOLESCENTS AND THEIR FAMILIES,
Chapter 2 At-Risk Adolescents and Their Families: Behaviors, Risk, and Protective Factors, 15,
Chapter 3 Cultural, Racial, and Socioeconomic Issues, 33,
Chapter 4 Working with Kinship Care Families, 63,
Chapter 5 Multigenerational Patterns in Families of At-Risk Adolescents, 87,
PART II. THE MULTISYSTEMS MODEL AND HOME-BASED FAMILY THERAPY,
Chapter 6 An Overview of the Multisystems Model and Home-Based Family Therapy, 121,
Chapter 7 Multisystemic Therapy, 148,
Chapter 8 Multisystems Model Case Example, 164,
Chapter 9 Supervision and Training of Home-Based Family Therapists, 189,
PART III. ACHIEVEMENT MENTORING: AN EVIDENCE-BASED, SCHOOL-BASED INTERVENTION,
Chapter 10 School Engagement, Disengagement, Dropout, and a Learning Theory Approach with Patricia Simon, 207,
Chapter 11 The Achievement Mentoring Program, 226,
Chapter 12 Communication Skills for Achievement Mentoring, 253,
Chapter 13 Achievement Mentoring: A Case Example, 267,
Chapter 14 Achievement Mentoring Implementation in Schools with Mina Yadegar, 285,
PART IV. RESEARCH,
Chapter 15 Relevant Research for Home-Based Family Therapists and Achievement Mentors, 303,
References, 341,
Author Index, 361,
Subject Index, 368,
Introduction and Overview of the Book
This book draws upon our collective experience of more than 40 years each of clinical work, supervision, and the development of programs that reach out to at-risk adolescents and their families in their homes, schools, and communities. Throughout our careers, we have witnessed many professionals such as therapists, counselors, clinical program directors, and school personnel (i.e., teachers, counselors, mentors, principals, and other administrators), who have been well trained to work with adolescents and families, become demoralized as they discover that their clients, students, and families often do not choose to participate in available programs. Many of these at-risk adolescents and their families are not self-referred and may not trust or believe in therapy or in school-based interventions. This response to participation in these programs is unfortunate because the trajectory for too many at-risk youth starts with school failure and all too often ends with involvement in the juvenile justice system. As a result, many of these adolescents are not well served by the very systems that are in place to help them. This book is dedicated to mental health and school-based professionals who are committed to reversing this process by reaching out to these adolescents and ensuring that they can overcome challenges, achieve their potential, and realize their life goals.
The number of at-risk youth in this country, particularly among ethnic minority groups and those from poor families, has continued to rise. These adolescents are at risk for school disengagement, academic failure, dropping out of school, behavior and conduct problems, school and community violence, involvement with delinquent peers, juvenile delinquency, gang involvement, drug and alcohol abuse, incarceration, family conflict, child abuse and neglect, removal from their families, teenage pregnancy, and other serious issues.
With these risks in mind, we have developed effective strategies for reaching out to engage these adolescents through their families and their schools. This new book builds on the ideas we first introduced in Reaching Out in Family Therapy: Home-based, School and Community Interventions (Boyd-Franklin & Bry, 2000). In order to address the needs of at-risk adolescents in different settings, this book presents the evolution of our reaching-out model in two different approaches: home-based family therapy and the implementation of the school-based Achievement Mentoring Program for at-risk students. The reaching-out approach is essential for programs serving a population that is often facing complex, multiple, and overwhelming life challenges, such as poverty, racism, discrimination, unsafe communities, violence, homelessness, and struggling schools. With these complex issues in mind, we have incorporated the Multisystems Model as a core principle in our work to empower these adolescents and their families, and to assist service providers in coordinating care and avoiding redundancy in interventions.
THE MULTISYSTEMS MODEL
The Multisystems Model is a problem-solving approach that helps adolescents and families with multiple problems to focus and prioritize their issues, and that allows clinicians to maximize the effectiveness of their interventions (Boyd-Franklin, 1989, 2003; Boyd-Franklin & Bry, 2000; Boyd-Franklin, Cleek, Wofsy, & Mundy, 2013). This model was introduced by Boyd-Franklin (1989) in her book, Black Families in Therapy: A Multisystems Approach, which was the first to combine a Multisystems Model with a multicultural approach to the treatment of African American families. It represents a combination of structural family therapy (Minuchin, 1974; Nichols, 2011), strategic (Haley, 1976), and behavioral/family systems (Robin & Foster, 2002) approaches.
Our Multisystems Model incorporates multiple systemic levels, including the individual, family, extended family, "nonblood kin" and other close friends, peers of the adolescents, church and community resources, and other outside systems (see Chapter 6). This outside systems level deserves particular emphasis here because therapists and school personnel often discover that many of the adolescents and families with whom they work are dealing with multiple complex problems and have a preexisting involvement with an array of agencies, systems, and institutions, including schools, medical or health care providers, mental health agencies, child welfare or protective services, welfare programs, housing authorities, courts, and the juvenile justice system. To further complicate matters, individual family members may have separate relationships with such agencies, institutions, and systems, many of which may be negative and most of which will have a considerable impact on the therapeutic relationship, the outcome of therapy, and the adolescent's performance in school. The Multisystems Model covers these various systems and also includes a final level that addresses societal forces that impact these youth and their families on a systemic level: poverty, racism, discrimination, immigration policies, homophobia, ageism, and sexism, among others.
A number of researchers and clinical scholars (Aponte, 1995; Boyd-Franklin, 1989, 2003; Boyd-Franklin & Bry, 2000; Boyd-Franklin et al., 2013; Bronfenbrenner, 1977; Henggeler et al., 2009) have developed different pragmatic approaches to understanding complex ecosystems and have encouraged therapists to intervene at multiple systemic levels. It is extremely helpful in work with poor families, including those who are White, who may simultaneously confront a staggering number of problems. In addition, because the Multisystems Model recognizes the impact of the dual sociopolitical stressors of poverty and racism or prejudice, it is particularly useful in work with African American, Latino, and other ethnic minority families...
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