scholarly journals Factors related to the length of solution-focused brief therapy working with adolescents

Medicina ◽  
2007 ◽  
Vol 43 (8) ◽  
pp. 630 ◽  
Author(s):  
Antanas Goštautas ◽  
Rytis Pakrosnis ◽  
Viktorija Čepukienė ◽  
Ina Pilkauskienė ◽  
James Fleming

The objective of the study was to identify factors related to the number of solution-focused brief therapy sessions required to solve adolescents’ problems. The study was conducted at the foster care and health care institutions. The sample consisted of 73 adolescents (41% of males, 59% of females), aged 12 to 18 years, who achieved high level of therapeutic progress during solution-focused brief therapy. Respondents from foster care institutions made up 47% and from health care institutions – 53%. The study design included: (1) an initial evaluation, where adolescents’ psychosocial adjustment and personality traits were evaluated as well as information on demographic characteristics and type of referral for therapy was collected; (2) solutionfocused brief therapy was carried out. In the first session, information on the type and severity of the problem presented for the therapy and motivation to solve the problem was collected; (3) the effectiveness of solutionfocused brief therapy was evaluated. Standardized interview for the evaluation of psychosocial adjustment of adolescents was used to evaluate the difficulties of adolescents’ psychosocial functioning. Eysenck Personality Questionnaire was administered to evaluate adolescents’ personality traits. Therapist’s evaluation of improvement was used to evaluate the effectiveness of solution-focused brief therapy. The analysis of results showed that 60.3% of adolescents needed two to three solution-focused brief therapy sessions to solve their problems. Lower number of sessions needed to achieve a solution was related to lower level of psychoticism, lower level of subjectively evaluated problem severity, and living with parents (as the opposite of living in foster care institutions). Ordinal regression analysis revealed that living with parents, self-referral to the therapy, lower level of subjectively evaluated problem severity, and higher self-confidence were significant predictors of lower number of sessions needed to achieve solution.

This book is a comprehensive overview of how solution-focused brief therapy (SFBT) can be used as a treatment approach for working with clients managing various forms of trauma. This book includes an overview of SFBT with its basic tenets and a description of the current research supporting SFBT as an evidence-based practice. This is followed by a comparison of how SFBT clinicians may approach trauma cases differently than clinicians from other therapeutic approaches. The bulk of the book includes various chapters contributed by skilled SFBT clinicians, with differing clinical expertise, illustrating SFBT as it is applied to different traumatic experiences/clinical cases. This book is the first solution-focused book to comprehensively discuss how traumatized clients can be helped to develop a unique preferred future and move toward healing and health. The distinguishing feature of this book lies not only in its unique approach to trauma but also in the outstanding contributors from various specialties in the field of trauma and SFBT: These contributors will share their knowledge and describe their strength-based, resiliency focus of applying SFBT in different traumatic circumstances.


2016 ◽  
Vol 28 (4) ◽  
pp. 452-462 ◽  
Author(s):  
Johnny S. Kim ◽  
Jody Brook ◽  
Becci A. Akin

Objective: This study examined the effectiveness of solution-focused brief therapy (SFBT) intervention on substance abuse and trauma-related problems. Methods: A randomized controlled trial design was used to evaluate the effectiveness of SFBT in primary substance use treatment services for child welfare involved parents in outpatient treatment for substance use disorders. Mixed linear models were used to test within- and between-group changes using intent-to-treat analysis ( N = 64). Hedges’s g effect sizes were also calculated to examine magnitude of treatment effects. Results: Both groups decreased on the Addiction Severity Index-Self-Report and the Trauma Symptom Checklist-40. The between group effect sizes were not statistically significant on either measures, thus SFBT produced similar results as the research supported treatments the control group received. Conclusion: Results support the use of SFBT in treating substance use and trauma and provide an alternative approach that is more strengths based and less problem focused.


1994 ◽  
Vol 57 (3) ◽  
pp. 95-98 ◽  
Author(s):  
Chris Iveson

A new approach to counselling, solution focused brief therapy, is based on assumptions of client well-being which are very close to those underlying the work of occupational therapists. Two cases, one of memory loss and one of suicide risk assessment, are used to illustrate the principles of brief therapy translated into everyday practice.


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