Rapid Evaluation of Family Dynamics: On the Evaluation of Family Crisis Situations,
MADIGAN ARMY MEDICAL CENTER TACOMA WA
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This paper describes methods used in a child and family psychology clinic located at the 97th General Hospital, Frankfurt, to affect rapid evaluation of family dynamics and problems. Particularly important was the effective utilization of a small staff of behavioral science specialists and professionals employing a diagnostic childrens group emphasizing both social interaction and directed standard projective drawings kinetic family drawings with whole family participation structured developmental and a problem oriented parental interview individual examination of the identified patient and effective staff integration of the data prior to direct feedback to the family. Generally, it was found that a staff of two professionals and a minimum of four supporting paraprofessionals was able to effectively evaluate and affect disposition usually to treatment of up to four families in our four to four-and-a-half hour period. One advantage of these methods was that families referred for elevation and treatment from remote areas with few or no behavioral science resources could begin high-impact treatment, generally the day after evaluation. Since it was rare to have some families available for more than five clinical days, the necessity for rapid evaluation was paramount.