An Institution for Change: Developing a Family Day Unit |
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Authors: | Alan Cooklin MB ChB FRC PSYCH DPM Ann C Miller BA Brenda McHugh LUD NCSD ADB |
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Institution: | Consultant in Family Psychiatry, Marlborough Family Service, 38 Marlborough Place, St John's Wood, London NW8 OPJ.;Senior Clinical Psychologist, Marlborough Family Service.;Teacher in Charge, Family Day Unit. |
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Abstract: | This paper describes the theory and structure of a day unit designed to intervene in the systems of families who present with severe or multiple problems to agencies attempting to help them, but who are difficult to engage in a therapeutic pact and unresponsive to attempts at outpatient therapy. An analysis of these families is offered in terms of the relations between internal and external boundaries and difficulties in making transitions in the daily contexts of life. The principles of the unit are described in terms of the creation of an artificial extended family, the intensification of sequence and patterns of interaction, and the making and traversing of boundaries. Particular attention is paid to the function of agency interventions in family patterns and to redefining the relationship between family and agencies. |
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