Garf Assessment Sourcebook : Using the DSM-IV Global Assessment of Relational Functioning

by Yingling, Lynelle C.; Miller, William E.; McDonald, Alice L.; Galewaler, Susan T.; Yingling, Lynelle C.

• ISBN13: 9780876308646
• ISBN10: 0876308647
• Format: Hardcover
• Copyright: 1998-01-01
• Publisher: Routledge

Summary

The GARF Assessment Sourcebook is a comprehensive guide to the Global Assessment of Relational Functioning (GARF) scale for family assessment. This comprehensive guide to the GARF is an essential tool for practicing professionals as well as students in training programs. It provides a thorough description of each element of the GARF, a comprehensive review of the GARF in relation to other marriage and family assessment tools, summaries of GARF research, and a comprehensive appendix of reproducible GARF-related forms. The GARF Assessment Sourcebook challenges marriage and family therapists to use, evaluate, and refine the GARF so that it may be included in the main portion of the next revision of the Diagnostic and Statistical Manual of Mental Disorders (DSM). As managed care becomes more pervasive and providers start giving more direction over treatment options, the GARF will become an important new tool in family mental health treatment to assist clinicians who are struggling to improve services andjustify their work to the broader health-care community.

Table of Contents

Foreword	vii	(2)
Preface	ix
Chapter 1. A Multi-Systems Approach: Collaborating for Health Through Systems Theory	1	(8)
Purpose and Readers' Guide	1	(2)
Marriage and Family Therapy (MFT) Evolution	3	(2)
Futuristic Partnering with Systemic Business Principles	5	(4)
Chapter 2. DSM-IV: GARF	9	(26)
Defining the GARF	9	(5)
Historical Development	14	(2)
Collecting and Analyzing GARF Data	16	(18)
Summary	34	(1)
Chapter 3. Systemic Assessment Tools	35	(10)
Assessment in the Therapeutic Process	35	(2)
MFT Models Distinguished	37	(2)
Value Added: Providing Quality Clinical Services	39	(1)
Skills Summary for MFT Clinicians: A Quality Assessment Tool	40	(5)
Chapter 4. Putting GARF Assessment into Clinical Context	45	(32)
Rating Initial Session GARFs	46	(3)
GARF as an Outcome and Process Instrument	49	(7)
GARF Self-Report Instrument as a Process/Outcome Tool	56	(1)
Other Applications of the GARF as an Outcome/Process Tool	57	(1)
Expanded Case Example--The Rodriguez Family	58	(15)
Ethical Guidelines for Use of the GARF	73	(3)
Summary	76	(1)
Chapter 5. Comparison with Other Family Assessment Tools	77	(18)
Foundations for the GARF	77	(4)
Model Highlights: Beavers System, Circumplex, and McMaster Models	81	(10)
Newly Developed Related Assessment Tools: SAFE and GAS	91	(3)
Clinical Interview Assessment Tools: Impact on the GARF	94	(1)
Chapter 6. GARF in Multi-Systems Partnering	95	(14)
Meeting the Needs of Stakeholders	95	(2)
Applying Business Principles to Clinical Practice	97	(1)
Establishing a Record System for Outcome Data: Agency/Solo Practice	98	(9)
Future Challenges for GARF Users: Clinicians, Business Managers, and Educators	107	(2)
References	109	(4)
Appendixes	113	(52)
Appendix A. Systemic MFT Skill Development Scale	115	(2)
Appendix B. GARF Training and Record Keeping Charts	117	(4)
DSM-IV Description	118	(1)
Levels of Functioning by Sub-Scales	119	(1)
GARF Profile Chart	120	(1)
Appendix C. Developed GARF Tools	121	(6)
GARF Self-Report for Families	122	(2)
Goal Attainment Scale (GARF Version)	124	(3)
Appendix D. Systemic Assessment of the Family Environment (SAFE)	127	(18)
Appendix E. Record Keeping Forms Including GARF Ratings	145	(6)
Coded Research Case Notes	146	(2)
Clinical Case Notes	148	(1)
Therapist Periodic Assessment	149	(1)
Supervision Case Presentation Guidelines	150	(1)
Appendix F. Clinic Research/Clinical Forms Not Including GARF Ratings	151	(14)
Clinic Client Intake Form	152	(2)
Intake Form	154	(1)
Contact Summary Sheet	155	(1)
Duty to Warn	156	(1)
Permission for Consultation/Taping/Research	157	(1)
Consent for the Release of Confidential Information	158	(1)
Parental Release Form	159	(1)
No Suicide Contract	160	(1)
Contract for Non-Violence	161	(1)
Termination Form	162	(1)
Family's Evaluation of Services	163	(2)
Index	165