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.
Buy On Amazon
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.
Quotations from Professional Reviews
“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.
Julie is the same with her family and friends, always caring and considerate and willing to help. We depend on her a lot and she is always there for us, she certainly deserves to win the award
Julie is my Niece and I have known since she was a little girl that she was a healer. she is the sunshine in our family’s lives, and she brings light and hope to everyone she is with! Julie sees potential in everyone no matter who they are .I am so proud of her as I know her mother is too looking down on her. I am so grateful she is being honored for her healing ways! Congratulations my sweet Niece , we love you Aunt Donna and Micheal
Congratulations, Julie, on your nomination! You are more than deserving of this award. It has truly been wonderful watching you develop, grow, and build your brand in your professional career. You never lose sight of your mission to help others. Anyone who crosses paths with you, always leaves feeling better. Your guidance, persistence, hard work, and empathy touch the lives of so many. You not only exemplify these qualities at work, but in your personal life as well. There may be challenges and obstacles in life, but you always use them to learn, build, and execute any necessary changes. Your mindset to innovate and collaborate with others doesn’t go unnoticed. Whether you are spending countless hours building treatment plans or spending priceless hours with family and friends, your presence and relationships have a special bond. You are someone special to us all! We love you!
xo Brittany
Congratulations on this nomination, Julie! Your momma is shouting and praising you up in heaven, telling everyone about what her youngest daughter has done! I am so incredibly proud of you, to see you work so hard to help others, in the midst of all of the battles that you have persevered through. I love you and am so inspired by you! Keep using the gifts that God has given you!
Julie is an absolute amazing angel she cares about everyone and her heart is pure and full of love and joy and she goes above and beyond for everyone!!! I know she deserves this award!! Her heart is so precious to all these wonderful people out there! She has a beautiful gift!! I hope she win this award!!! It a huge honor to know her and watch her shine!!!
Julie McNeil, you are a true hero, changing the world one youth at a time. You continue to make me a better person everyday so I can only imagine the impact you make on a daily basis! Congratulations and keep up the hard work and dedication.
Love you,
Leon
Congratulations on being nominated Julie! You are such an amazing person and bring joy to others with just your presence. You show passion for what you do with your willingness to continue growing and learning and how you speak about your commitments. Shine bright and keep the positivity flowing. Love you!