Family Empowerment as a Mediator between Family-Centered Systems of Care and Changes in Child Functioning: Identifying an Important Mechanism of Change

UNCG Author/Contributor (non-UNCG co-authors, if there are any, appear on document)
Terri L. Shelton, Vice Chancellor (Creator)
The University of North Carolina at Greensboro (UNCG )
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Abstract: We investigated the associations among perceived fidelity to family-centered systems of care, family empowerment, and improvements in children's problem behaviors. Participants included 79 families, interviewed at two time points across a one-year period. Paired samples t-tests indicated that problem behaviors decreased significantly across a one-year period. Hierarchical multiple regressions indicated that both fidelity to family-centered systems of care and family empowerment independently predicted positive change in children's problem behavior over a one-year period. However, when family empowerment is entered first in the regression, the relationship between fidelity to family-centered systems of care and change in children's problem behavior drops out, indicating that family empowerment mediates the relationship between family-centered care and positive changes in problem behaviors. Consistent with other literature on help-giving practices, family empowerment appears to be an important mechanism of change within the system of care philosophy of service delivery. Implications for practice and staff training are discussed.

Additional Information

Journal of Child & Family Studies, 16 (4), 556-566
Language: English
Date: 2007
system of care, empowerment, community mental health, family-centered care, child functioning

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