Monthly Summary
DATE OF REPORT / AGENCY PROVIDING SERVICE / PHONE NUMBER (INCLUDE AREA CODE)
DATE OF REFERRAL / THERAPIST NAME / CA SOCIAL WORKER
SERVICE PERIOD
to / FAMLINK CASE ID # / FAMILY NAME
Therapy Goals-
identified after initial (engagement & motivation) phase of therapy
Goal 1 - / Goal 2 -
Activity #1 / Activity #1
Activity #2 / Activity #2
Activity #3 / Activity #3
PLACEMENT PRESERVATION/PLACEMENT PREVENTION / REUNIFICATION
Intervention Contacts
DATE & Phase / SESSION SPECIFIC PROGRESS
Document how each session went with the caregiver(s), specific ways in which the caregiver is making progress on the FFT phase. Ensure to include:barriers to progress or internalization and application of new skills and ideas, successes that the family has had. / FAMILY PROGRESS ON MODULE
Choose Tx PhaseEngagement & MotivationBehavior ChangeGeneralization
Date of Session: Click here to enter a date / Choose an itemAdditional Engagement reqClient No ShowEngaged - needs adtl practiceEngaged - completed phase
Choose Tx PhaseEngagement & MotivationBehavior ChangeGeneralization
Date of Session: Click here to enter a date / Choose an itemAdditional Engagement reqClient No ShowEngaged - needs adtl practiceEngaged - completed phase
Choose Tx PhaseEngagement & MotivationBehavior ChangeGeneralization
Date of Session: Click here to enter a date / Choose an itemAdditional Engagement reqClient No ShowEngaged - needs adtl practiceEngaged - completed phase
Choose Tx PhaseEngagement & MotivationBehavior ChangeGeneralization
Date of Session: Click here to enter a date / Choose an itemAdditional Engagement reqClient No ShowEngaged - needs adtl practiceEngaged - completed phase
Choose Tx PhaseEngagement & MotivationBehavior ChangeGeneralization
Date of Session: Click here to enter a date / Choose an itemAdditional Engagement reqClient No ShowEngaged - needs adtl practiceEngaged - completed phase
Choose Tx PhaseEngagement & MotivationBehavior ChangeGeneralization
Date of Session: Click here to enter a date / Choose an itemAdditional Engagement reqClient No ShowEngaged - needs adtl practiceEngaged - completed phase
Case Related
Dates work was done: /
Date: - Activities
Date: - Activities
Date: - Activities
Summary of FFT Phases*Engagement & Motivation / The therapist's focus is on immediate responsiveness to family needs and maintaining a strength-based relational focus. Activities include high availability, telephone outreach, appropriate language and dress, contact with as many family members as possible, "matching" and a respectful attitude.
Behavior Change / The goals of this phase include creating a positive motivational context by decreasing family hostility, conflict and blame, increasing hope and building balanced alliances with family members. Therapists work to change the meaning of family relationships by emphasizing possible hopeful alternatives, maintaining a nonjudgmental approach and conveying acceptance and sensitivity to diversity.
Generalization / The goal of this phase is to identify the patterns of interaction within the family to understand the relational "functions" or interpersonal payoffs for individual family members' behaviors. The therapist focuses on eliciting and analyzing information pertaining to relational processes, and assess each dyad in the family using perception and understanding of relational processes.
*taken from
1
CA FFT7-1-16