The Ecology of Intensive Community-Based Intervention
This chapter presents a case study for practitioners in intensive community-based family work. The story of the Vega family helps describe the roots, program development, and strategic clinical techniques of a service designed to maintain children who have experienced or are at risk of hospitalization or residential care. The aim is twofold. First, as program developers, the authors describe the roots of their model and how it can be constructed, supported, and implemented clinically. Second, as clinicians they seek to move beyond basic principles to describe some of the approaches they have refined over years of working with severely challenged families. These include ecological assessment, the art of intensive case management and metasystemic family work, contingency planning for urgent intervention, and assisting families in making transitions in care. With the Vegas' help, the chapter also illustrates how this work can be carried out through grassroots work by a relatively small community-based agency.
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