Altered Family Processes

 

Instructions: Fill out this form, print it, and hand it in with your assessment to your instructor. When you click on Next at the bottom of the page, you see the data you submitted. Please follow the instructions on how to save the data on the next page.

AOL users: Read this instruction.

Definition: state in which a usually supportive family experiences a stressor that challenges its previously effective functioning

1. Your initials (required): 

2. Defining Characteristics- check those that apply to your client:

None- high risk diagnosis  change in communication  change in emotional support change in completion of tasks 
change in decision making or problem solving expressions of conflict change in rituals 
3. Related Factors- check those that apply to your client:

developmental transition or crisis change in health status of family member change in finances situational crisis, disaster
change in role of family member (working mother for example) loss of family member conflicts


4. Goal (ultimate, long term) 

5. Outcome Criteria (short term) 

6. Evaluation: Was the outcome criteria met? 

Yes- Give Evidence: 

No- Explain how you would change the plan: 

7A. Interventions 

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7B. Rationale for each intervention
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