Family Empowerment as a Mediator between Family-Centered Systems of Care and Changes in Child Functioning: Identifying an Important Mechanism of Change |
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| Authors: | Kelly N. Graves Terri L. Shelton |
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| Affiliation: | (1) Department of Psychology, Bennett College for Women, 900 E. Washington Street, Box 23, Greensboro, NC 27402, USA;(2) Department of Psychology, Center for Youth, Family, and Community Partnerships, University of North Carolina, Greensboro, USA |
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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. |
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| Keywords: | System of care Empowerment Community mental health Family-centered care Child functioning |
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