
Brief strategic family therapy or BSFT is an approach that includes 12-17 weekly sessions of at least 60-90 minutes. This evidence-based approach addresses external and internal symptoms of behavioral issues in children aged 7-16.
Full Answer
What are the goals of Strategic Family Therapy?
The goals of strategic family therapy are to solve problems, achieve the family’s goals, and ultimately, change an individual’s dysfunctional or problematic behaviors. How do You Become a Strategic Family Therapist?
How much does Brief Strategic Family Therapy cost?
The average overall cost of SFT when working with a therapist that has been trained in Brief Strategic Family Therapy is $3,500. The average length of treatment is four months and specializing therapists typically work with 12 families at a time.
What is strategic therapy and how does it work?
According to a website devoted to strategic therapy pioneer Jay Haley, “strategic therapy is any type of therapy where the therapist initiates what happens during therapy and designs a particular approach for each problem.”
What are the key concepts of Structural Family Therapy?
The key concepts of structural family therapy are similar to that of strategic family therapy but slightly different. Family interactions are also still important in structural family therapy, but therapists view the family as independent entities.

What is the strategic family therapy model?
Strategic family therapy (SFT) combines two major therapeutic models – strategic therapy and family therapy – a combination of therapies that necessitate a carefully crafted plan to effectively manage or ameliorate a family's particular problems or issues.
What is the basic process of Brief Strategic Family Therapy?
Major techniques used are joining (engaging and entering the family system), tracking and diagnosing (identifying maladaptive interactions and family strengths), and restructuring (transforming maladaptive interactions).
What is a treatment plan in family therapy?
In therapy, a treatment plan refers to the specific goals you have for therapy and interventions your therapist might use to help you reach these goals.
How do you structure a family therapy session?
Setting the stage for strength-based, positive talk. Trust-building before the first session. Clarity of roles for each family member....By establishing expectations and rules for dealing with:Interruptions.Going off track.Personal attacks on one another.Clear roles for the participants and the therapist.
What are the focus areas of treatment in strategic family therapy?
Brief Strategic Family Therapy (BSFT®) is an award-winning evidence-based practice that treats externalizing (e.g. substance abuse, acting-out, truancy, bullying) and internalizing (e.g. depression, anxiety) symptomatology in youth aged 6-18 years while restructuring problematic family interactions.
How long is brief strategic family therapy?
60 to 90 minutesBSFT is a short-term, problem-focused intervention with an emphasis on modifying maladaptive patterns of interactions. Typical sessions last from 60 to 90 minutes, with 12–15 sessions over three months.
What should a treatment plan look like?
A treatment plan will include the patient or client's personal information, the diagnosis (or diagnoses, as is often the case with mental illness), a general outline of the treatment prescribed, and space to measure outcomes as the client progresses through treatment.
How do you write a therapy treatment plan?
Treatment plans usually follow a simple format and typically include the following information:The patient's personal information, psychological history and demographics.A diagnosis of the current mental health problem.High-priority treatment goals.Measurable objectives.A timeline for treatment progress.More items...•
What is the difference between structural family therapy and strategic family therapy?
The strategic approach focuses on repeating sequences of behavior, particularly those that break hierarchical rules through cross-generational coalitions. Structural therapists focus on resolving structural problems in the family, whereas strategic therapists focus on the presenting symptom.
What are the 3 goals of family therapy?
Goals of Family Therapy Develop and maintain healthy boundaries. Facilitate cohesion and communication. Promote problem-solving by a better understanding of family dynamics.
What are the five approaches of family therapy?
There are five different parts to strategic therapy including a brief social stage, the problem stage, interactional stage, the goal-setting stage and the task-setting stage.
What are four common family therapy techniques?
There are numerous family therapy techniques, but four main models dominate the spectrum. This blog reviews the main therapy family techniques: structural, Bowenian, strategic and systematic.
What is the difference between structural family therapy and strategic family therapy?
What is the difference between strategic and structural family therapy? Strategic family therapy is similar to, but not identical to, structural family therapy. To oversimplify a bit, a structura list tends to look at the family as a whole, as one solid organism.
What is family therapy?
Family therapy combines listening to a family’s problems and creating specific solutions and plans to solve those family issues. Strategic family therapy SFT is an extremely useful approach for families dealing with multiple issues and issues spanning multiple people.
How does structural therapy work?
For structural therapy to work, the therapist must join the family dynamic and earn their trust and confidence as part of their structure. After “joining the family” in a sense, the therapist may then observe and change their family dynamics for the better.
What is transgenerational family therapy?
Transgenerational family therapy is a broad category of therapies that seek to deal with familial issues that span multiple generations. The therapist seeks to understand generational dynamics and problems to solve better current problems based on the past and improve interactions further in the future.
What is structural family therapy?
Structural family therapy focuses on viewing the family structure as an organism. It doesn’t view the family as a collection of individuals but rather as a living, changing organism that greatly impacts and affects its members. Therefore, therapists can look to find structural issues within the family.
What is family interaction in family therapy?
In structural family therapy, family interactions are also still important, but therapists tend to view the family as independent entities. The family structure itself can be thought of as an “organism under stress,” Thus, the therapist is searching to solve problems within the structure of the family itself.
How does structural family approach work?
The structural family approach considers the family itself as an organism that needs attention. The goal is to work out kinks within the family structure itself to help the individual members.
What Is Strategic Family Therapy?
Strategic family therapy (SFT) is a time limited, short-term type of family therapy that typically lasts between 12 and 16 sessions with an understanding that the family is the strongest influence on adolescent development and behavior.
Core Concepts of Strategic Family Therapy
There are three principles that guide SFT: all family members are connected, a family’s habits impact the behavior of its members, and intervention needs to be targeted to the problem and meet the needs of the family.
What Can SFT Help With?
This intervention is specifically designed for children and adolescents diagnosed with conduct disorders, substance use disorder, aggressive behaviors, and noncompliance.
The Steps of Strategic Family Therapy
SFT is considered a short-term intervention with a therapist that tends to last an average of 12 sessions. The first few sessions consist of joining with the clients, which basically means the therapist gets to know the family members and starts the process of building rapport and a therapeutic alliance.
Strategic Family Therapy Examples
SFT is most commonly used as an intervention for substance abuse, aggression, risky sexual behaviors, or delinquency. 5 While referrals often come from the juvenile justice system, they could also come from a school system or parent.
Cost of Strategic Family Therapy
SFT is an evidenced-based intervention that is typically covered by most insurance companies. However, your out-of-pocket cost will depend on your specific plan and the amount of your deductible.
How to Find a Strategic Family Therapist
Recognize that your search for a SFT therapist may be longer if you are looking for an in-network provider. If you’re going this route, contact the member services number on the back of your insurance card and request a list of in-network family therapists near you.
What is strategic therapy?
According to a website devoted to strategic therapy pioneer Jay Haley, “strategic therapy is any type of therapy where the therapist initiates what happens during therapy and designs a particular approach for each problem.”. Perhaps the best explanation for strategic therapy is to describe what it is not: strategic therapy is not ...
What is family therapy?
Family therapy, also called family systems therapy, considers families as systems, systems that organically develop rules and interactions, and systems that affect the psychological health of all those involved. Just as a governmental or organizational system affects individuals, so does the family system.
What is required to practice as a therapist?
To practice as a therapist or counselor, states require licensing, and each state has specific requirements in meeting its licensing requirements. Additional coursework or certification in strategic family therapy is also required to utilize this specialized therapeutic model.
What is Haley's model of family therapy?
Haley’s model for effective family therapy can be summarized as follows: Individuals don’t develop problems in isolation, but as a response to their social environment. In strategic family therapy, the therapist develops techniques for solving problems specific to the family’s interactions and structure. The therapist sees the problem as part of ...
What is the emphasis of a therapist?
The therapist sees the problem as part of a sequence of interactions of those in the individual’s immediate social environment. Symptoms of a particular pathology or behavior must be studied in relation to the social unit or family system. The emphasis of the therapy is not on the individual but on the social situation or structure.
Do family therapists draw a causal link between pathology and family dynamics?
Family therapists don’t draw a causative link between pathology and family dynamics but rather show how family interactions or the lack of interactions contribute to the problems, often supporting them in dysfunctional ways.
What is family therapy?
Program Goals and Target Population#N#Brief Strategic Family Therapy (BSFT) is a family-based intervention designed to prevent and treat child and adolescent behavior problems. The goal of BSFT is to improve a youth’s behavior by improving family interactions that are presumed to be directly related to the child’s symptoms, thus reducing risk factors and strengthening protective factors for adolescent drug abuse and other conduct problems. BSFT targets children and adolescents who are displaying—or are at risk for developing—behavior problems, including substance abuse.#N#Program Components#N#BSFT is based on the fundamental assumption that adaptive family interactions can play a pivotal role in protecting children from negative influences and that maladaptive family interactions can contribute to the evolution of behavior problems and consequently are a primary target for intervention. The therapy is tailored to target the particular problem interactions and behaviors in each client family. Therapists seek to change maladaptive family interaction patterns by coaching family interactions as they occur in session to create the opportunity for new, more functional interactions to emerge.#N#Major techniques used are joining (engaging and entering the family system), tracking and diagnosing (identifying maladaptive interactions and family strengths), and restructuring (transforming maladaptive interactions). Through the technique of joining, the therapist develops a therapeutic alliance with the family, one that gives due respect to each individual within the family as well as to the way the family is organized. As this working alliance is established, the therapist tracks and diagnoses family strengths, weaknesses, and patterns, which sets the foundation for the treatment plan. Restructuring or reframing techniques help the family reduce problematic relations and patterns, and instead develop mutually supportive and effective relations and patterns. Depending on the case, these techniques may include helping families develop effective behavior management skills, conflict resolution skills, or communications skills and helping parents learn parenting skills.#N#BSFT is a short-term, problem-oriented intervention. A typical session lasts 60 to 90 minutes and is held with the adolescent and one or more other family members. The average length of treatment is 12 to 16 sessions over a 3- to 4-month period. For more severe cases, such as substance-abusing adolescents, the average number of sessions and length of treatment may be doubled. Treatment can take place in the office, home, or community settings.
What are the techniques used in family therapy?
Major techniques used are joining (engaging and entering the family system), tracking and diagnosing (identifying maladaptive interactions and family strengths), and restructuring (transforming maladaptive interactions). Through the technique of joining, the therapist develops a therapeutic alliance with the family, ...
What is BSFT in psychology?
BSFT is based on the fundamental assumption that adaptive family interactions can play a pivotal role in protecting children from negative influences and that maladaptive family interactions can contribute to the evolution of behavior problems and consequently are a primary target for intervention. The therapy is tailored to target ...
How long is BSFT?
BSFT is a short-term, problem-oriented intervention. A typical session lasts 60 to 90 minutes and is held with the adolescent and one or more other family members. The average length of treatment is 12 to 16 sessions over a 3- to 4-month period.
Is BSFT better than TAU?
According to parent reports, BSFT was significantly more effective (al though with a small effect) than TAU at improving family functioning. According to adolescent reports, however, there were no statistically significant differences between the treatment and control conditions in improvements in family functioning.
Why are treatment plans important?
Treatment plans are important for mental health care for a number of reasons: Treatment plans can provide a guide to how services may best be delivered. Professionals who do not rely on treatment plans may be at risk for fraud, waste, and abuse, and they could potentially cause harm to people in therapy.
Why do people need treatment plans?
Treatment plans can also be applied to help individuals work through addictions, relationship problems, or other emotional concerns. While treatment plans can prove beneficial for a variety of individuals, they may be most likely to be used when the person in therapy is using insurance to cover their therapy fee.
What is HIPAA treatment plan?
Treatment Plans and HIPAA. The Health Insurance Portability and Accountability Act (HIPAA) Privacy Rule grants consumers and people in treatment various privacy rights as they relate to consumer health information, including mental health information.
What is a mental health treatment plan?
Mental health treatment plans are versatile, multi-faceted documents that allow mental health care practitioners and those they are treating to design and monitor therapeutic treatment. These plans are typically used by psychiatrists, psychologists, professional counselors, therapists, and social workers in most levels of care.
What does a therapist do for Chris?
Therapist will provide psychoeducation on positive parenting and will support Chris in developing a concrete parenting plan. Therapist will provide materials for Chris to document the new house rules, rewards, and consequences system.
Do you need a treatment plan for a 3rd party?
Treatment plans are required if you accept 3rd party reimbursement and are just good practice. They are a road map to treatment. They are fluid and are developed with the client/patient. Pretty much necessary if you are doing your job as a therapist.
Do MCOs require treatment plans?
Some commercial insurances and most managed care organizations (MCOs) require that treatment plans be completed for every person in treatment. MCOs offer specific guidelines regarding what should go into a treatment plan and how frequently plans should be updated and reviewed.
