
https://www.canva.com/design/DAGh56i7iS8/Gy-w8mAbMrk5fM201EFHpQ/view?embed
The Philadelphia Child and Family Therapy Training Center is proud to announce that Denise Stoneroad has been nominated as a supervisor for the 2025 Marion Lindblad-Goldberg (MLG) Award. Denise’s nomination is a powerful recognition of her unwavering commitment to systemic family therapy, her leadership in guiding clinicians, and her dedication to fostering resilience in families.
With a deep appreciation for systemic perspective, Denise challenges the traditional view of adolescents with “bad” behavior being seen in isolation. Instead, she ensures that her teams assess family interactions as a whole, seeking to understand the root causes of behaviors rather than focusing on a single identified client. During the challenges of the pandemic, she demonstrated exceptional leadership, guiding her team to grow stronger, adapt, and collaborate rather than becoming isolated—just therapists encourage families to do in therapy.
As a supervisor, Denise embodies the balance between professional boundaries and collaboration. She has cultivated a culture where clinicians build their own competence and resilience rather than relying on her to “rescue” them. By reinforcing patience and preparation, she helps clinicians and families develop the confidence to tackle challenges independently.
Denise also engages in social ecology with a keen sense of self-awareness. She encourages her teams to explore their own lived experiences and how those experiences shape their professional growth. A strong proponent of deliberate practice and videotaping, she fosters an environment of continuous learning—both for herself and for those she supervises.
Where others might see chaos as overwhelming, Denise sees opportunity. She remains calm and courageous in the face of crises, guiding her teams to help families make meaningful, lasting changes. Whether supporting caregivers in shifting family dynamics or helping clinicians navigate their own professional challenges, she instills the mindset that struggle is a stepping stone to transformation.
Denise’s ability to assess with complexity while acting with simplicity makes her an invaluable mentor. She helps her teams synthesize large amounts of data, break it down into meaningful insights, and use it to engage families in treatment planning. Through her guidance, clinicians help caregivers see problems in a new light and build stronger, child-centered, caregiver-led plans for family success.
Denise Stoneroad’s nomination is a testament to her extraordinary impact on systemic family therapy. Her leadership, insight, and commitment to second-order change embody the very essence of the MLG Award.
Please join us in celebrating Denise and her remarkable contributions to the field. Stay tuned as we continue to highlight the incredible nominees shaping the future of family therapy!
When working with families, systemic therapists know that the foundation of change isn’t built on interventions alone—it’s built on relationships, trust, and belief in the family’s ability to grow. Ted Lasso, with his unshakable optimism and human-centered leadership, provides the perfect framework for approaching therapy with warmth, curiosity, and connection. In this first installment of our Ted Lasso Leadership Lessons for Systemic Family Therapists series, we explore three core principles that set the stage for effective therapy: Be Curious, Not Judgmental; Believe in Your People; and Build Relationships First.
One of Ted’s most memorable quotes comes from an impromptu game of darts: “Be curious, not judgmental.” This mindset is critical in family therapy. When families enter the therapy room, they often expect to be judged—by society, by professionals, even by each other. Our job as systemic therapists is to replace judgment with genuine curiosity.
🔹 Instead of assuming why a caregiver reacts a certain way, ask about their experience.
🔹 Rather than labeling a child as “oppositional,” explore the relational function of their behavior within the family system.
🔹 Shift from seeing a family’s struggles as resistance to seeing them as adaptations to their environment.
Curiosity opens doors to deeper understanding, allowing us to join with families instead of positioning ourselves as distant experts. It also models a relational stance that caregivers can adopt in their interactions with their children.
One of Ted Lasso’s defining qualities is his unwavering belief in his team—even when they don’t believe in themselves. Families coming into therapy often feel defeated and stuck, weighed down by patterns they can’t seem to break. Therapists must hold the hope for them, even when they’ve lost sight of it themselves.
🔹 Instead of focusing solely on deficits, highlight family strengths—even the small ones.
🔹 Normalize the difficulty of change while reinforcing that progress is possible.
🔹 When a caregiver expresses doubt, remind them of moments when they successfully supported their child.
Believing in families doesn’t mean ignoring their struggles—it means seeing their potential for growth and resilience, even when they can’t see it themselves.
Ted Lasso doesn’t walk into a locker room and immediately start coaching strategy—he builds relationships first. Systemic therapists must do the same. Techniques and interventions are important, but without a strong therapeutic alliance, they fall flat. Families need to feel safe, heard, and valued before they’re willing to engage in change.
🔹 Take the time to join with each family member and understand their perspective.
🔹 Use humor, warmth, and presence to create an environment where families feel comfortable.
🔹 Be mindful of power dynamics and subsystems, ensuring that all voices—especially those who feel unheard—have space in the room.
Therapy is a collaborative process, and when families feel a connection with their therapist, they are more willing to take the risks necessary for change.
Systemic therapy is about creating an environment where transformation is possible—and that starts with how we show up. When we approach families with curiosity instead of judgment, believe in their ability to grow, and prioritize relationships over interventions, we lay the foundation for meaningful change.
Stay tuned for the next installment in our series, where we explore how optimism, vulnerability, and small actions shape the therapeutic process. Until then, remember: Believe!
As systemic family therapists, we often meet caregivers who feel exhausted, overwhelmed, and hopeless. They’ve tried everything, yet nothing seems to change. The child’s behaviors persist, stress mounts, and they begin to believe that their situation is unfixable. This is where reframing becomes one of the most powerful tools we have.
Why Do Caregivers Lose Hope?
Caregivers become hopeless when they no longer believe in their ability to make a difference in their child’s life. This can happen for many reasons:
When a caregiver loses hope, their ability to be an effective leader in the family weakens, making it even harder for change to happen. This is why reframing is essential—it shifts their perspective and helps them see a path forward.
The Power of Reframing
Reframing isn’t about ignoring a caregiver’s struggles or dismissing their pain. It’s about helping them see things differently so they can regain a sense of agency, purpose, and confidence.
Example 1
Caregiver: “They cut themselves again!”
Therapist: “This is a high stakes situation…it makes sense you are scared you don’t want to lose your child to depression…you know what it takes to overcome depression…I can’t help but wonder how you did that…can you tell me about that…”
Example 2
Caregiver: “They have to go to the hospital they want to die.”
Therapist: “Oh my…your child believes they have burdened you and killing themselves is the only option they have…It is tragic how they aren’t experiencing the love you have for them…”
Example 3
Caregiver: “The kid is the problem…not me”
Therapist: “Can I tell you where I think we need your leadership? The unwanted guest of addiction has everyone bound to secrecy…Can you help me take stand against the addiction haunting this family?!”
Reframing Is Isomorphic
The way we reframe for caregivers is isomorphic to what we want them to do for their child. Just as caregivers need to see their efforts in a new light, children need caregivers who can see beyond their behaviors and recognize their underlying needs.
Final Thoughts
When caregivers feel hopeless, they don’t need more strategies or interventions, they need a shift in perspective that restores their confidence. As therapists, our job is to help them see their strength, their efforts, and their ability to create change—because once a caregiver believes in themselves again, hope returns, and change becomes possible.
💡 Want to learn more about using reframing in systemic family therapy? Stay connected with our blog for insights, training opportunities, and expert guidance!
Trainee Info (Admission)
Thank you for your interest in the PCFTTC Agency and Organization training programs. Please complete the form below and we will contact you with next steps.
Thank you for your interest in the PCFTTC Clinical Supervision programs. Please complete the form below and we will contact you with next steps.
Thank you for your interest in the PCFTTC Home Based Training programs. Please complete the form below and we will contact you with next steps.
Some intro content about going to the Online In-Person Workshop site.
Creating Competence From Chaos: A Comprehensive Guide To Home-Based Services (1998) by Marion Lindblad-Goldberg, Martha Dore and Lenora Stern, W.W. Norton, New York.
Children with emotional and behavioral disorders are often adrift in our society, lacking adequate mental health care or caught between several child-serving systems, such as child welfare, juvenile justice, and the schools.
In Pennsylvania, a commitment has been made, on a statewide basis, to serve these children and strengthen their vulnerable families through a home-based approach grounded in ecosystemic thinking and practice. This book tells the story of Pennsylvania’s evolving treatment program, providing a model for other professionals who believe that a family’s needs are best met through individually tailored, family-centered, community-based, culturally competent, and outcome-oriented services.
This is a complete, comprehensive guide, covering everything from planning and development of home-based services through supervision and training of home-based practitioners and evaluation of treatment outcomes. Particular attention is given to the clinical challenges faced by home-based therapists working with families where children are depressed and perhaps suicidal, oppositional and defiant, out-of-control and aggressive, or hyperactive/impulsive. These families commonly have multiple problems, complex histories, and a negative view of outside “helpers.”
Delivered in the family’s home and involving parents as partners, the services described here work to improve child and family functioning through family therapy, creation of collaborative links between appropriate community and family resources, and provision of family support funds for concrete services such as transportation, respite care, and emergencies. Home-based treatment serves both children at risk for out-of-home placement due to a diagnosis of severe mental illness or behavioral disorders and children being discharged from inpatient hospitals and psychiatric residential placements.
The authors, active at every level of program conceptualization and implementation, share their wealth of experience with readers. Their advice and case studies move from the big picture to the small details of where to sit in a family’s home, what to say, and how to think about a problematic situation. Several appendices of forms used for assessment, evaluation, and training add to the book’s practical value. Theoretically sound and fully practical, this guide to home-based services will encourage all professionals serving children to involve their families and communities-and to meet them where they live.
“This book provides the blueprint for this groundbreaking care system, with practical guidelines for starting a home-based system on the right foot; maximizing collaboration…with agencies; and, most important, delivering hands-on help to at-risk children and vulnerable families. Therapy chapters run the gamut of skills needed for providing home-based care…Case examples…illustrate systemic intervention used in a variety of family situations.”
Behavioral Science
“This book lives up to its…promise of being a ‘comprehensive guide to home-based services.’ Clearly written with many case examples, it fills a hole in the family therapy literature.”
Eric McCollum, The Family Therapy Networker
“This wonderful volume takes a huge step towards specifying competence in a field that has tremendous potential. I highly recommend this pragmatic and insightful text to practitioners and administrators alike.”
Scott W. Henggeler, Ph.D.
“This book about home-based services is written from the perspective of three disciplines-policy making, clinical services, and research. Reading this book is like opening one of those fertile Russian nesting dolls… Even when we get to the smallest details about the training of home-based staff and the supervision and organization of treatment, we understand how they are interconnected and fit within the big picture.”
Salvador Minuchin, MD.
“This richly illustrated book is an excellent resource. It should be a reference for all professionals who work with children and an essential text for those who provide home-based care.”
Lee Combrinck-Graham, MD.