The Friedman Family Assessment Form

The Friedman Family Assessment Form The Friedman Family Assessment Model (Short Form) modified for this assignment The following Friedman Family Assessment Short Form is useful as a quick instrument to help highlight areas of family function that will need more exploration. Before using the following guidelines in completing family assessments, two words of caution are noted: First, not all areas included below will be appropriate for the families you interview and assess. The guidelines are comprehensive and allow depth when probing is necessary. Second, by virtue of the interdependence of the family system, one will find unavoidable redundancy. For the sake of efficiency, please try not to repeat data, but to refer back to sections where this information has already been described. IDENTIFYING DATA 1. Family Name (Initials only) 2. Family Composition: The Family Genogram 3. Cultural (Ethnic) Background 4. Religious Identification 5. Social Class Status 6. Social Class Mobility DEVELOPMENTAL STAGE AND HISTORY OF FAMILY 7. Family’s Present Developmental Stage 8. Extent of Family Developmental Tasks Fulfillment 9. Nuclear Family History 10. History of Family of Origin of Both Parents ENVIRONMENTAL DATA 11. Characteristics of Home 12. Characteristics of Neighborhood and Larger Community 13. Family’s Geographical Mobility 14. Family’s Associations and Transactions With Community 15. Communication Patterns Extent of Functional and Dysfunctional Communication (types of recurring patterns) Extent of Emotional (Affective) Messages and How Expressed Characteristics of Communication Within Family Subsystems Types of Dysfunctional Communication Processes Seen in Family Areas of Closed Communication 18. Power Structure Decision-making Process 19. Role Structure Formal Role Structure Informal Role Structure Variables Affecting Role Structure 20. Family Values Identify important family values and their importance (priority) in family. Presence of Value Conflicts in Family Effect of the Above Values and Value Conflicts on Health Status of Family FAMILY FUNCTIONS 1 The Friedman Family Assessment Form 21. Affective Function Mutual Nurturance, Closeness, and Identification Separateness and Connectedness 22. Socialization Function Family Child-rearing Practices Adaptability of Child-rearing Practices for Family Value of Children in Family Cultural Beliefs That Influence Family’s Child-rearing Patterns Social Class Influence on Child-rearing 23. Health Care Function Family’s Health Beliefs, Values, and Behavior Family’s Definitions of Health-Illness and Its Level of Knowledge Family’s Perceived Health Status and Illness Susceptibility Family’s Dietary Practices ■ Adequacy of family diet ■ Function of mealtimes and attitudes toward food and mealtimes Sleep and Rest Habits Physical Activity and Recreation Practices Family’s Therapeutic and Recreational Drug, Alcohol, and Tobacco Practices Family’s Role in Self-care Practices Medically Based Preventive Measures (physicals, eye and hearing tests, immunizations, dental care) Complementary and Alternative Therapies Family Health History (both general and specific diseases—environmentally and genetically related) Feelings and Perceptions Regarding Health Services FAMILY STRESS, COPING, AND ADAPTATION 24. Family Stressors, Strengths, and Perceptions Stressors Family Is Experiencing Strengths That Counterbalance Stressors Family’s Definition of the Situation 25. Family Coping Strategies How the Family Is Reacting to the Stressors Extent of Family’s Use of Internal Coping Strategies (past/present) Extent of Family’s Use of External Coping Strategies (past/present) Dysfunctional Coping Strategies Utilized (past/present; extent of use) 26. Family Adaptation Overall Family Adaptation Estimation of Whether Family Is in Crisis 2