Effects Of Family Intervention Research Articles

Specialist early parenting intervention: Effectiveness of a novel nurse-led approach for rural families

BackgroundRural Australian families report lower access to specialist early parenting services than urban families. To address the early parenting needs of rural families with children aged 0–3, a novel specialist-nursing early parenting service, Tresillian To You, was implemented for five rural communities in New South Wales, Australia. This study aimed to investigate the initial impact and reach of the service. MethodsConvenience sampling was used to recruit 36 parents who attended the service. Of these, 34 completed structured pre-and-post intervention phone interviews. Additional data were collected from the parent and child health record. Data were imported into SPSS for descriptive and inferential data analysis. FindingsAll parent participants were mothers, with a mean age of 31.5 (SD 4.582). Sleep and settling was the primary reason for referral (78%, n = 28). Following service engagement, statistically significant improvements were seen in parent adjustment (95% CI = −1.71, −0.52, p < .001), parent comprehensibility (95% CI = −1.81, −0.42, p = .003), and parent perception of child sleep (95% CI = 16.3, 34.9, p < .001). Families from non-target communities (n = 15) reported a higher level of need at baseline, compared with families from target rural communities (n = 21). Following service engagement, a similar level of benefit was reported between both groups. DiscussionPreliminary evidence suggests that this new service may be an effective method of providing specialist early parenting intervention for families in rural communities. Practice implicationsThe provision of effective nurse-led specialist early child and family interventions may help to alleviate early parenting difficulty for rural families, leading to improvements in child and family outcomes.

Effect of family intervention on relapse rate of Chinese patients with alcohol-dependent.

This study explored the impact of a family intervention on the relapse rate of Chinese patients with alcohol dependence. A total of 151 male patients with alcohol dependence who were discharged from the Substance Dependence Department of the Wenzhou Seventh People's Hospital from January to December 2020 were selected. They were divided into the control (n = 73) and experimental (n = 78) groups. Patients in both groups received routine alcohol cessation treatment. Moreover, patients in the experimental group were followed up by a professional psychiatrist to carry out individual family intervention. The Family Function Rating Scale (FAD), a Self-made general information questionnaire, and the Chinese version of the Family Intimacy and Adaptability Scale (FACESI-CV) were performed. Re-drinking rate and readmission rate were assessed. Family intervention could reduce relapse rate (31, 39.74%) and rehospitalization (27, 34.62%) compared with the control group. After family training, FAD factor scores were improved in the experiment group in comparison with the control group. Family training improved communication (18.2 ± 3.7), role (20.8 ± 2.5), emotional response (10.8 ± 1.8), emotional involvement (13.7 ± 1.2), behavioral control (19.8 ± 1.2), and overall functionality (23.5 ± 2.1) in the experiment group in comparison with the control group. After family training, intimacy (70.5 ± 8.7) and adaptability (64.1 ± 6.9) in the experiment group was higher than in the control group. After family intervention, Michigan Alcohol Dependence Scale (MAST) (9.21 ± 0.68) and Short-Form 36 (SF-36) (80.32 ± 4.47) in the experiment group were higher than the control group. Family intervention for families of patients with alcohol dependence can improve their family function, increase their family intimacy and adaptability, and reduce the rate of relapse.

The effectiveness of a dialogical family guidance intervention regarding child treatment response in families with a child with neurodevelopmental disorders

BackgroundChildren with neurodevelopmental disorders (NDD) can have emotional and behavioral symptoms affecting not only the child, but the whole family. Since family members have a strong impact on each other, studies highlight the need to offer effective family interventions to strengthen the wellbeing of the family. The aim of the current study is to clarify whether there is a difference between parents` opinions regarding their child`s emotional and behavioral condition immediately after Dialogical Family Guidance (DFG) has ended and after a three and six month follow-up.MethodFifty families with a child with NDD were randomized into two groups. Group 1 received DFG with an immediate starting point, and Group 2 received DFG after a three-month waiting period. Parent experiences of treatment response regarding their children`s emotional and behavioral symptoms were estimated before and after DFG using the parent version of the Strengths and Difficulties Questionnaire (SDQ-p) at baseline, and after three and six months. Additionally, comparisons between boys and girls, and the age of the child were analyzed.ResultsThe total difficulties score between Group 1 and Group 2 showed no difference immediately after DFG, or after three months. Regarding subdomains boys had more peer problems than girls, and at baseline, children between 3 and 6 years appeared to have more conduct problems than children between 7 and 13 years. Subdomain prosocial behavior increased statistically significantly during the study period in Group 1. Other SDQ-p subdomains remained constant in both groups between baseline and three and six month follow-up.ConclusionsThe result does not show any differences between parents` opinions regarding their child immediately after or three months after DFG regarding SDQ-p total difficulties scores in either group. The difference between younger and older children regarding conduct problems at baseline, and the difference between boys and girls regarding peer problems is worth paying attention to in the clinical setting. Because of the small sample, it is not possible to draw relevant conclusions regarding the intervention`s effect regarding the child`s mental health dimensions, gender, or age. Nevertheless, Dialogical family Guidance represents one intervention that can be used.Trial registrationClinicalTrials.gov NCT04892992 (retrospectively registered May 18th 2021).

LEGAL PROTECTION AND RESTORATIVE APPROACH IN HANDLING CHILDREN INVOLVED IN TERRORISM CRIMES IN INDONESIA

This study examines the implementation of restorative justice in handling children involved in terrorism crimes in Indonesia. Restorative justice, which focuses on rehabilitating and reintegrating individuals into society, is a relevant approach to rehabilitating children involved in criminal acts of terrorism. The concept also allows community and victim participation in the settlement process. The study uses normative legal and analytic philosophical approaches. Although restorative justice has the potential to handle terrorism cases involving children, its implementation still faces challenges and requires cooperation from various parties. The research emphasizes that restorative justice should be part of a broader strategy in protecting children from involvement in terrorism, involving effective education, early intervention, and support for families and communities vulnerable to extremist influences. This study also emphasizes that implementing restorative justice in the context of criminal acts of terrorism involving children poses significant challenges and requires cooperation between various parties, including the legal system, educational institutions, families, and communities. The research argues that restorative justice should be an integral part of a broader strategy that involves effective education about the values of peace and tolerance, early intervention to detect and prevent radicalization, and support for families and communities vulnerable to extremist influences.

Using Games as an Effective Intervention for Supporting Families Living with Dementia

This paper explores the role of games in supporting dementia family caregivers during the pre- and early stages of the disease. It provides a comprehensive review of existing studies that focus on support mechanisms for both dementia patients and their caregivers, with a specific emphasis on games designed for this purpose. This paper outlines a research study conducted in two experiments. The first experiment involved conducting separate focus groups to explore how technology can assist older adults during the COVID-19 pandemic and its aftermath. Group A consisted of 9 participants from the UK, while Group B comprised 8 participants from Taiwan. The aim was to gather insights and perspectives from different cultural contexts. The second experiment of the study involved testing games with dementia family caregivers to assess their effectiveness and identify areas for refinement and improvement. A total of 20 participants took part in this experiment. By conducting focus groups and game testing with participants from different regions, this research aimed to gather diverse perspectives and insights, enhancing the validity and applicability of the findings. The findings of this project extend beyond the scope of dementia care and have implications for addressing various long-term health conditions. Games platforms have the potential to serve as effective tools for supporting communities that provide care for individuals with dementia. They offer opportunities for promoting self-understanding, accessing relevant resources, and facilitating informed decision-making within the context of health journeys.

Moderated Online Social Therapy for Carers of Early Psychosis Clients in Real-World Settings: Cluster Randomized Controlled Trial.

Family carers of youth recovering from early psychosis experience significant stress; however, access to effective family interventions is poor. Digital interventions provide a promising solution. Our objective was to evaluate across multiple Australian early psychosis services the effectiveness of a novel, web-based early psychosis intervention for carers. In this cluster randomized controlled trial conducted across multiple Australian early psychosis services, our digital moderated online social therapy for carers (Altitudes) plus enhanced family treatment as usual (TAU) was compared with TAU alone on the primary outcome of perceived stress and secondary outcomes including mental health symptoms and family variables at the 6-month follow-up. Eighty-six caregivers were randomized and data were available for 74 young people in their care. Our primary hypothesis that carers randomized to Altitudes+TAU would report greater improvements in perceived stress at follow-up compared with carers randomized to TAU alone was not supported, with the TAU alone group showing more improvement. For secondary outcomes, the TAU alone group showed improved mindfulness over time. Regardless of group assignment, we observed improvements in satisfaction with life, quality of life, emotional overinvolvement, and burden of care. In contrast, hair cortisol concentration increased. Post hoc analyses revealed more contact with early psychosis services in the intervention group compared to TAU alone and that improvements in perceived stress and social support were associated with use of the intervention in the Altitudes+TAU group. In this study, 80% (12/15) reported a positive experience with Altitudes and 93% (14/15) would recommend it to others. Our trial did not show a treatment effect for Altitudes in perceived stress. However, our post hoc analysis indicated that the amount of use of Altitudes related to improvements in stress and social support. Additional design work is indicated to continue users' engagement and to significantly improve outcomes in problem-solving, communication, and self-care. Australian and New Zealand Clinical Trials Registry ACTRN12617000942358; https://trialsearch.who.int/Trial2.aspx?TrialID=ACTRN12617000942358.

The Influence of Family Intervention on the Treatment of Adolescent Patients With Borderline Personality Disorder: A Literature Review.

Borderline personality disorder (BPD) is a widespread mental disorder linked to functional impairment and a high suicide rate. Adolescent BPD is now recognized as a reliable and valid diagnosis in psychiatric classification systems and national treatment guidelines. Family issues, such as parental underinvolvement or neglect, may affect the mentalization process and attachment styles. Thus, the family is crucial to understanding the etiology of BPD in adolescents. Family intervention was primarily used as a component of the psychotherapy strategy in the current treatment of BPD, including pharmacological and psychotherapy measures. The primary objective of this study is to review previous research on the effectiveness of family intervention in treating adolescents with BPD.Although there is currently little data, studies in this paper show that family intervention is a realistic treatment option for adolescents with BPD.

Effects of family interventions on interpersonal conflicts: A network perspective

Summary Intense conflicts are prevalent in families receiving child welfare services. Research in the field of family interventions usually focusses on dyadic conflicts within the limits of the nuclear family unit, ignoring the larger social context of families. Therefore, this study analyses effects on interpersonal conflicts in personal networks of parents during a family intervention. The theoretical framework is based on the family systems theory, which highlights the role of mutual trust for conflict resolution. This research applied ego-centric network analysis in combination with a longitudinal design. The sample consists of 46 parents who were enrolled in a home-based family intervention in Switzerland. Findings The results show that development of mutual trust between practitioners and the network members of parents is associated with significant decrease in conflict density and conflict reciprocity. Hence, network members experience fewer interactions that are associated with conflict as well as less intense conflicts in the medium term. However, no effects were found on the centrality of parents in interpersonal conflicts. Applications The results of this study suggest that practitioners in family interventions must establish mutual trust with not only parents but also other individuals to promote a less stressful family environment. This emphasizes the importance of a network perspective on interpersonal conflicts in child welfare interventions.

Impacts of Perinatal Death on Women and Families: A Qualitative Systematic Review

Perinatal death is the death of unborn or newborn children that is perceived as the death of a non-person which affects not only women but also the whole family and may have a long-lasting negative impact on the living child. This review aimed to outline current evidence concerning focus on the impacts of perinatal death on women and families. A systematic review of literature focused on women and families facing perinatal death was undertaken using Joanna Briggs Institute Critical Appraisal Checklist for Qualitative Research. The search was limited to published studies from January 2012 to December 2021, and the relevant databases utilized to conduct the systematic search included CINAHL Complete, MEDLINE, PsycARTICLES, PsycINFO, SCOPUS, and Google Scholar. Over 1,000 titles were initially identified, which yielded 11 studies for evaluation and synthesis. Data extraction was conducted using the Joanna Briggs Institute data-extraction tool. Thematic synthesis was used to synthesize the data. Two core themes were identified: 1) impact on women (being overwhelmed with suffering, losing a sense of self-worth, risks of pathological grief); and 2) impact on families (subsequent pregnancy produces mixed emotions, neglecting a living child, marital disharmony, lacking support from a health professional). In conclusion, further research is needed on the voices of men, existing children, and entire families. In particular, there is a need to develop an effective intervention for entire families experiencing perinatal death by focusing on individuals and different cultures.

FAMILY HEALTH CARE FOR CHRONIC ILLNESS PEOPLE IN COMMUNITY: QUALITATIVE STUDY

Introduction: Chronic illness person has trouble in both body and mind, including family system. Therefore, health personnel should provide care for the whole family. However, there is less insight into family health care practice for families with chronic illness persons in community settings. Therefore, the study aimed at describing family health care practices for chronic illness persons from the participants ‘view. Method: Qualitative study was conducted. Participants included chronic illness persons, family members, healthcare personnel, and community leaders. Data collection consisted of in-depth interviews with tape recording, observation, note taking, and focused group interviews. Content analysis was done for data analysis. Findings: The findings displayed three major themes with nine subthemes in relation to the participants’ narration. First, “prioritizing personal illness severity for providing care at home.” Second, “common disease, more complication, difficult to control, and need special one to provide health care.” And third, the “community strongly participation, supports, follows up, and learns from patients and families’ styles.” Conclusion: The results support nurses and health personnel in gaining insight into family health care in the community setting based on the perception of patients, family members, health personnel, and community leaders. Therefore, an effective family health care model and intervention should thus be developed fitting to the needs and primary health care system.

EzPreemie study protocol: a randomised controlled factorial trial testing web-based parent training and coaching with parents of children born very preterm

IntroductionChildren born very preterm (VPT; gestational age <32 weeks) are twice as likely to demonstrate behaviour problems such as aggression, non-compliance, temper tantrums and irritability compared with their term-born peers....

Caregiver maltreatment history and treatment response following an intensive Emotion Focused Family Therapy workshop.

This single-arm, repeated measures study investigated the impact caregiver trauma history may have on treatment response following an intensive, 2-day Emotion Focused Family Therapy (EFFT) caregiver workshop. Caregivers (n = 243) completed questionnaires regarding their child's emotion regulation and clinical symptoms, as well as their own childhood trauma history (i.e., exposure to various forms of child maltreatment), caregiver self-efficacy and caregiver blocks (e.g., fears) to support their child's treatment and recovery. Questionnaires were administered prior to and immediately following the workshop and again 4, 8 and 12 months later. At baseline, caregivers who reported experiences of childhood maltreatment demonstrated more blocks compared with caregivers who did not (B = 6.35, SE = 2.62, p < 0.05). Results indicated that caregivers with and without maltreatment histories reported similar, significant gains in their child's total difficulties (B = 0.64, SE =0.41, p = 0.12) and emotional negativity and lability (B = 0.51, SE =0.48, p = 0.29) at 12-month post-workshop. Caregivers with maltreatment histories reported greater improvements in caregiver blocks (B = 5.15, SE =1.34, p < 0.001) and child emotion regulation (B = 0.90, SE =0.18, p < 0.001) than caregivers without maltreatment histories. They also report less, but still significant, improvement in parental self-efficacy (B = -0.68, SE =0.26, p < 0.01) when compared with caregivers without maltreatment histories. Findings suggest that EFFT workshops may be an acceptable and effective trans-diagnostic intervention for families presenting with complex histories, including caregiver exposure to childhood maltreatment.

Family therapy for persons with schizophrenia: neglected yet important

Since the 1950s, the observed disturbances in family relationships in which a member has been diagnosed as having schizophrenia has led many systemic family therapists to the hypothesis that these family interactions may have preceded the onset of illness and contributed to it. However, attempts at using traditional family therapy with families of patients with schizophrenia were not successful or widely adopted. With the introduction of neuroleptic medication, the treatment of schizophrenia changed dramatically, and patients often returned to their family in varying stages of partial remission, increasing the burden on relatives. Furthermore, research based on the expressed emotion concept demonstrated that the chance of relapse increases by a factor of 2.5 when a patient returns to a high-EE-family in contrast to a low-EE-family environment; consequently, the vulnerability–stress model started to guide treatment development. Based on these developments, since 1980, several psychoeducational family management programs have been evaluated showing a significant reduction in relapse when compared to standard psychiatric care from 49 to 13%. To date, at least 50 RCT studies have been published showing the effectiveness of family interventions in various culturally diverse countries. Therefore, according to the NICE and other guidelines, family intervention should be offered to all families of people with psychosis who live with or are in close contact with the patient, in conjunction with neuroleptic treatment. Despite this strong recommendation, family involvement is under-implemented in mental health care, despite its strong scientific, economic, legal and moral basis. To improve the psychosocial health of patients with psychotic disorders and their relatives, more research is necessary, as well as more training for professionals in effective family interventions.

Effects of family intervention on psychosocial functioning and mood symptoms of youth at high risk for bipolar disorder.

Family-focused therapy (FFT) is associated with reduced rates of mood episodes among youth at high risk for bipolar disorder (BD). In a randomized trial of FFT compared to a psychoeducation-only treatment (enhanced care, EC), we sought to determine if changes in psychosocial functioning mediate mood improvements among high-risk youth. 119 youths with active mood symptoms and a family history of BD were randomized to either 4 months of FFT or EC. Participants were rated on mood symptom severity and provided self-ratings of psychosocial functioning across domains of family, social-emotional, and school functioning. Repeated measures mixed modeling and bootstrapped mediational analyses evaluated the effects of treatment conditions and psychosocial functioning on mood improvements immediately posttreatment and over 2 years of follow-up. Youths in FFT reported greater improvements in family functioning over 24 months compared to those in EC, F(5, 76.8) = 3.1, p < .05. Improvements in family functioning partially mediated participants' improvements in depressive symptoms, B = -0.22, p < .01; 95% CI [-0.55, -0.02]. The effects of FFT versus EC on family functioning were stronger among youth with comorbid anxiety and externalizing disorders than among youth without these comorbid disorders. The findings suggest a temporal link between changes in youths' perceptions of family functioning and improvements in depressive symptoms among high-risk youth in FFT. Family conflict and cohesion are important treatment targets for youth who present with early signs of BD. Future studies should examine whether changes in observational measures of family interaction precede improvements in mood among high-risk youth. (PsycInfo Database Record (c) 2022 APA, all rights reserved).

Effective family interventions for people with schizophrenia

It is encouraging to read a research paper with findings ready for immediate translation to clinical practice. In The Lancet Psychiatry, Alessandro Rodolico, Irene Bighelli and colleagues 1 Rodolico A Bighelli I Avanzato C et al. Family interventions for relapse prevention in schizophrenia: a systematic review and network meta-analysis. Lancet Psychiatry. 2022; (published online Jan 27.)https://doi.org/10.1016/S2215-0366(21)00437-5 Google Scholar report the findings of a thorough systematic review and network meta-analysis of family interventions for relapse prevention in schizophrenia. The authors evaluated 90 randomised controlled trials, with more than 10 000 participants, and identified 11 different models of family therapy. Sometimes simple is best. Family psychoeducation alone reduced the relapse rate significantly when compared with treatment as usual, and to a larger extent than more complex interventions. The findings showed that informing the family about the illness, symptoms, and treatment options had a protective role in the prevention of relapse: about 10% of patients involved in family psychoeducation relapsed compared with 37% among patients who received treatment as usual. Family interventions for relapse prevention in schizophrenia: a systematic review and network meta-analysisAlmost all family intervention models were efficacious in preventing relapse in schizophrenia. Family psychoeducation alone, without behavioural or skills training, was superior to the more complex models. Our results suggest that in contexts where there are financial constraints, family psychoeducation alone should be implemented. Full-Text PDF

51.2 ICARE: INTERNET-BASED CHILD-ADULT RELATIONSHIP ENHANCEMENT FOR FAMILIES AT RISK FOR EMOTIONAL DYSREGULATION AND CHILD MALTREATMENT

Objectives: Slowing the spread of the SARS-CoV-2 virus has necessitated families to remain socially isolated at home. The pandemic has led to increased emotional, financial, and educational turmoil. Its impact has exacerbated underlying mental health issues for both parents and children and has increased risk for child maltreatment. The pandemic has also posed unique challenges to delivering mental health interventions to families. Internet-Based Child-Adult Relationship Enhancement (iCARE) is a tier 1 and 2 intervention that aims to enhance parents’ relationship with children with emotional and behavioral problems and those at increased risk of maltreatment. Parents are taught to connect with children of different ages, support social-emotional learning, give effective directions, and address mild problematic behaviors. Methods: The presentation will focus on describing a novel 6-week parenting skills workshop called iCARE for parents of children aged 2 to 6 years. It will also provide preliminary qualitative and quantitative results on the feasibility and possible effectiveness of this intervention. Changes in parents’ satisfaction and parenting attitudes, parental stress level, and child behavior problems will be shared. Results: Participants will learn about an intervention for parents who are already seeking mental health services in an academic outpatient center. They will understand the feasibility of using an internet-based group format as a mental health intervention. Participants will consider its potential effectiveness. Lastly, they will understand how this type of group may be implemented in their own practice. Conclusions: The COVID-19 pandemic has created an acute mental health crisis. Many families are requiring mental health care. Providing accessible, effective interventions for families will continue to be of great importance. P, PSC, TREAT

FAMILY INTERVENTIONS TO DEAL WITH PSYCHO SOCIAL PROBLEMS OF CARETAKERS OF PERSONS LIVING WITH CANCER – CASE STUDY

Family has a central role at the time of crisis. When an individual suffers with terminal illness like Cancer it definitely becomes more supportive. But in a crisisful situation like such, the family requires supportive interventions. This article presents a case study of primary caretaker of a cancer patient who undergoes severe psycho social challenges. Aim of this paper is to highlight the need and effectiveness of family intervention by Medical Social Worker through a case study. Psycho education to family, team work, utilizing the resources has shown remarkable results in reducing the psycho social problems of caretaker. Family environment plays a very significant role in psycho social support of its members. Positive environment and family socialization experiences enhances one’s ability to cope with stress and anxiety. Hence family interventions for caretakers of persons living with cancer can support both care givers and patients. Multidisciplinary approach in cancer care is the need of the hour. It can build a proper support mechanism for the person suffering from cancer and his family. The most important implication of the current study is the unveiling of the need for Medical Social Workers in oncology settings and the interventions they can deliver. A professionally trained medical Social Worker, equipped with psycho social skills to work with caretakers, patients and their families can be a effective oncology Social Worker

Grief experiences in parents of adult children with serious mental illness

AbstractBecause of systemic changes in mental health treatment since deinstitutionalization, parents have taken on more involved roles for their children with serious mental illness (SMI), even when their children have reached young adulthood. However, the changes in parental roles and relationships with their adult children with SMI, and the grief that stems from those changes, have not been adequately reflected in research or treatment interventions. Studies primarily focus on individual perspectives and neglect the relational nature of grief within a family. The absence of a family perspective in treatment systems leave parents to navigate grief and loss on their own. In this article, we systematically review 12 papers on the grief experiences of parents of an adult child with SMI. Through a thematic analysis of the findings it becomes clear that there is a need for employing a family theoretical perspective to address the inherent relational nature of grief. Ambiguous loss theory provides a relationally grounded model which expands our understanding of parents' grief and gives direction for more effective interventions for families.

Development of a 3‐Day Intervention Program for Family Members of Hikikomori Sufferers1

AbstractHikikomori (a severe form of social withdrawal) is a serious mental health issue. A family approach is the initial step to support hikikomori; thus effective family intervention programs are warranted. We recently developed a 5‐day family intervention program (120 min weekly) based on Mental Health First Aid (MHFA) and Community Reinforcement and Family Training (CRAFT). In the present study, we modified the 5‐day program to a 3‐day program (180 min fortnightly), and examined the effectiveness of the 3‐day program using a single‐arm procedure. Data of 23 parents (four fathers and 19 mothers; age = 62.0 ± 9.1 years) were analyzed. Mental health conditions among participants themselves improved at the 4‐month follow‐up, but the confidence in hikikomori support declined and stigma toward mental health problems did not change. However, short‐term improvements in perceived skills in approaching hikikomori sufferers were detected. Hikikomori sufferers’ actual behavioral changes, such as social participation or utilization of support, were also observed (six out of 20 hikikomori sufferers). Preliminary effectiveness was confirmed for the 3‐day program. Further revision of the program and a validation study with controls are required.

Assessing values within collaborative interventions for families with parental substance use and child welfare involvement

ABSTRACT Effective intervention for families with parental substance use disorders (SUD) and child maltreatment requires multiple agencies to collaborate on system changes to deliver family-centered services. The Collaborative Values Inventory (CVI) was designed for use in multi-system interventions to facilitate understanding of differences in beliefs among professionals. This study reports on significant revisions to the CVI and the psychometrics of the CVI_2. The primary aim was to develop CVI measures suitable for research by identifying a subset of CVI_2 items with adequate factor loadings, sensitivity to interagency differences, and strong overall reliability. The Outcomes CVI includes 24-items that met the inclusion criteria and subsequently showed a strong factor structure and strong unidimensional reliability. Suggestions for research on values and beliefs for family-centered initiatives are included.