TOOLS IN FAMILY ASSESSMENT

1. TOOLS IN FAMILY ASSESSMENT De Guzman, Marenieza D. Medicine I Sept. 18, 2009

2. INTRODUCTION

3. TOOLS IN FAMILY ASSESSMENT • Designed to help the practitioner to elicit data about certain aspects of family structures function and process • Also to aid the health professional in determining major family concerns, needs and strengths

4. TOOLS IN FAMILY ASSESSMENT • Composed of 5: • Family Genogram or “Family Tree” • Family Map • Family APGAR • SCREEM • Family Lifeline

5. FAMILY GENOGRAMor“FAMILY TREE”

6. FAMILY GENOGRAM/FAMILY TREE • A genogram is a graphic representation of a family tree that displays the interaction of generations within a family • It goes beyond a traditional family tree by allowing the user to analyze family, emotional and social relationships within a group • Used to identify repetitive patterns of behavior and to recognize hereditary tendencies

7. FAMILY GENOGRAM/FAMILY TREE Genograms capture family history by noting: • Relationships • Births • Losses • Connections • Patterns • Roles • Occupations • Alignments • Communication patterns • Health history and supports

8. FAMILY GENOGRAM/FAMILY TREE • It must consist of 3 or more generations and each generation is identified by Roman numbers. • Genogram graphically shows all the living and dead people who genetically, emotionally, and legally comprise a family.

9. FAMILY GENOGRAM/FAMILY TREE Includes: • Names and ages of all family members • Exact dates of birth, marriage, divorce, separation, death and other significant life events including causes of death • Information of three or more generations • Illnesses • First born of each family to the left with sibling sequential to the right • Name of two families • Informant/s • Date constructed

10. FAMILY GENOGRAM/FAMILY TREE • Uses: • Provides a quick overview of the family members and relationships • A way of visually overlay biomedical and psychosocial information • A study tool for gaining a comprehensive understanding of multigenerational family systems

11. FUNCTIONAL CHART • This gives a more dynamic image of the family, especially or relationship of members. • It allows one to judge the totality of family unit, its strengths and weaknesses and its ability to withstand future stressful situations.

12. Family Illness/ History • This denotes the presence of inherited diseases or familial tendencies indicating potential problems in the family.

13. The ff information will be seen in the genogram: • Record of names and roles of each member of the family • Extended family and households • Medical problems of each member of the family • Significant date in the family • More subtle information about the family

14. --- 2066 --- 2066 or 80 23 1986 --- GENOGRAMSYMBOLS Male Death Female Year of Death Gay Lesbian Age at Death Age Year of Birth or Pregnancy

15. GENOGRAMSYMBOLS Triplets with stillbirth Miscarriage Biological Child l l l l l l Abortion F A Identical Twin Spontaneous Abortion Foster Child or Fraternal Twin Unknown Gender ? Triplet Twin Adopted Stillbirth

16. GENOGRAM SYMBOLS (Relationships) Engagement and Separation Married __ _ __ _ __ _ __ _ __ Legal Cohabitation Separation in fact __ _ __ _ __ _ __ _ __ Legal Cohabitation and Separation in fact Legal Separation __ _ __ _ __ _ __ _ __ Divorce Legal Cohabitation and Legal Separation Nullity _ _ _ _ _ _ _ _ _ _ Non Sentimental Cohabitation Widowed _ _ _ _ _ _ _ _ _ _ Non Sentimental Cohabitation and Separation Engagement __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ Engagement and Cohabitation Committed relationship (long term) __ __ __ __ __ __ __ __ __ Committed relationship and separation

17. Family Genogram(Relationships) Separation in fact Married with Date 2016 Legal Separation A family Divorce Nullity

18. Family Genogram Living Together Strong bond l l l A Gay Couple with Year (LT) Married with Adopted Child LT 2005 Lesbian Couple with year of marriage m 2005

19. Family Genogram m 2016 m 2020 People within the broken lines are within same household

20. Additional Symbols(Interactional Patterns between people) Normal/Plain Defines a plain normal relationship Distant Relationship between two individual. Very Limited communication, usually due to different lifestyle Distant/Poor Close/Friendship Close relationship (friendship), sharing affection or esteem and engage in mutually helping behaviors Hostile relationship. Individuals argue on major issues and feel heightened stress and aggression when they are together Hostile Close-Hostile Close-hostile relationship. These people often come into contact, but they argue and keep secrets from one another

21. Additional Symbols(Interactional Patterns between people) Relationship in which one individual has an unhealthy focus (obsession) on another individual. May include favoritism and stalking Cut-off relationship. No contact at all. Characterized by extreme disengagement and emotional intensity where there had formerly been love, affection or friendliness Fused relationship. Individuals become dependent on one another, and also become inseparable, with little room for their own identities Fused-Hostile relationship. Individuals are always together and depend on each other, yet they are unable to live without an arguing.

22. Index pt Marital discord