Multi-system Model Research Articles

The Hoop of Learning: A Holistic, Multisystemic Model for Facilitating Educational Resilience among Indigenous Students

The Hoop of Learning: A Holistic, Multisystemic Model for Facilitating Educational Resilience among Indigenous Students

Multi-agent collaborative design system model based on the internet and experiments

Development of complicated products is a project of system engineeringIt involves extensive and complicated knowledge,design meth ods and auxiliary technologyVarious factors affect each otherSo,modern produ ct development is a typical group problem with distributed and dynamic features It is apparent superiority to solve this problem with a multiagent system re presenting various knowledge domainsDistributed artificial intelligence knowle dge being used,the multiagent collaborative design system concept and model ba sed on Internet environment are put forwardThe realizing method of product developing agents,interactive process among multiagents,and organiz ation and implementing of the design project of the multiagent collaborative d esign system are discussed in detailApplication examples are also presented

Preventing iatrogenic disability from chronic pain

This article reviews the AMA guidelines for judging impairment that involves anatomic or physiologic deficits and should be evaluated objectively based upon current biomedical knowledge. Disability, in contrast, is a biopsychosocioeconomic phenomena based upon many nonmedical demands. Chronic pain syndrome is examined as a disabiling condition best conceptualized and treated with such a multisystems model, while the underlying impairment needs to be assessed and rated by a biomedical model.The wide range of "central processes" relevant to chronic pain are reviewed. It argues that patients should not be viewed as reaching MMI unless they have been treated at a comprehensive chronic pain rehabilitation program, or are unable or unwilling to do so. A balanced, direct yet compassionate approach is recommended in treating these patients: the source of pain and that it will not cause harm is carefully explained and a clear expecatation that the patient’s condition is not disabling and that he or she can return to work is conveyed.The need to change the compensation and disability systems so that they encourage early intervention with incentives toward rehabilitation and return to work is emphasized.

Multisystem Model for Management of Neurologically Impaired Adults—An Update and Illustrative Case

Physical therapists require focused and efficient clinical reasoning skills to determine effective treatment plans, write appropriate goals, and choose intervention strategies that optimize patients' functional abilities. Disablement models applied to clinical practice assist the clinical reasoning process and the resulting patient management. One such model, developed by Schenkman and Butler and published in 1989, has been used in a variety of settings. The original model focused on interrelationships among impairments and disability resulting from a single pathological process. Models also are needed that take into account impairments and disability resulting from multiple underlying disorders. This article presents an updated version of Schenkman and Butler's model, using the pathway to disablement proposed by Nagi and incorporating risk factors and modifiers as elaborated by several other authors. The clinical reasoning process, based on this model, is then illustrated by a patient who was admitted for rehabilitation following shunt revision for normal pressure hydrocephalus. The patient had several other pathologies, including a prior CVA, plantar fasciitis, and blindness in one eye. The influence of his cognitive status, support system, and home environment are discussed.

Social Work Practice and Juvenile Delinquency

ABSTRACT The multisystemic model is useful as an instrument for preparing social work students for direct practice with serious juvenile offenders. The model synthesizes traditional and emergent social work roles combining micro and macro practice: case management, therapist, multisystem team member and large system change specialist. The graduate curriculum is distributed over two semester courses. The first course examines the nature of the juvenile justice system and provides an overview of the multisystemic model. The second course promotes direct practice and coincides with an appropriate practicum. Students learn multisystemic assessment and intervention at the individual, family, and larger system levels.

Restorying family therapy

This article describes a multi-systemic model of therapy developed by the author over the past decade and summarizes the main products of this project: Explication of key family systems notions, strategic family play therapy, multi-systemic therapy, and culturally-competent family therapy. The model incorporates beyond the family system, culture, wider ecosystems, psychodynamics, and the individual's neuropsychological, cognitive, and socio-emotional development. The model enables the therapist to design flexible multimodal interventions.

The Nature and Diversity of Problems Leading to Failure to Thrive

Failure to thrive increases a child's risk for developmental problems and warrants intensive intervention. At the same time, infants with failure to thrive and their families can present a complex number of issues that need to be addressed for successful outcome. The traditional approach which draws a distinction between organic and nonorganic failure to thrive does not reflect current work in the area and can be too simplistic to help the therapist develop an effective assessment and intervention strategy. This article examines the literature and presents a multi-systems model to organize the factors that can contribute to failure to thrive. By emphasizing the interactive nature of systems the occupational therapist will be able to identify the range of issues for assessment with multiple opportunities for intervention.

Enhancement of social learning family interventions for childhood conduct disorder.

Social learning family intervention (SLFI) is the treatment of choice for young children exhibiting severe conduct disorder and antisocial behavior. Despite the reported success of this intervention, high levels of resistance, poor engagement, and inadequate maintenance of improvements are observed for a substantial proportion of distressed families. These obstacles have inspired enhancement efforts to improve basic social learning family-intervention models. The present review identifies promising approaches for maximizing treatment gains for the conduct-disordered child. Relevant studies were organized into 3 approaches: enhancements and expansions (a) within a dyadic (parent-child) interaction model, (b) within a broad-based model that acknowledges a wider range of family influences, and (c) through a multisystems model. SLFI enhancements within the dyadic model have centered on either the strengthening of parental skills already included in the SLFI regimen or the adding of new interactional strategies. Some gains, but only partial success, have been achieved with the dyadic model supplements. SLFI expansions from a broad-based model have focused on parental adjustment, parental expectations during treatment, and social-environmental stressors. The multisystems adjuncts to SLFI include cognitive-behavioral interventions to affect peer relations and ecological approaches to sweep across domains. The broad-based and multisystems expansions have produced promising but undertested treatment regimens. Related areas of investigation included therapy process research, medication combined with SLFI, and the involvement of fathers in treatment. Recommendations are offered for improvement of SLFI research. The apparent theoretical crossroads for SLFI treatment of childhood conduct disorder are discussed.

A multisystems approach to the treatment of a Black, inner-city family with a schizophrenic mother.

Many clinicians working in inner-city community mental health centers find themselves overwhelmed by the complexity of the treatment cases presented. This paper illustrates the application of a multisystems model of family therapy that allows the clinician to organize and implement a treatment plan at the nuclear family, extended family, and systems levels.

The work of Milton Erickson: A multisystem model of eclectic therapy.

The work of Milton Erickson: A multisystem model of eclectic therapy.