Milestones

organizational issues can also be taught in collaboration to provide a consistent systems approach.

Milestones: To gauge a resident’s performance and guide resident evaluation

Level 1.

Arranges to meet families and establishes an alliance. Obtains collateral information about the patient's illness. Is supportive and collaborative in the face of multiple points of view and high levels of emotion. Includes family in treatment, discharge and follow-up planning. Encourages family members to seek community resources and provides information.

Level 2.

Obtains a three generation genogram and family timeline. Provides family with information regarding their developmental stage, and normative family issues. Inquires appropriately about cultural/racial/ethnic issues impacting illness and treatment. Understands and supports families of varied structure and composition. Provides basic psychoeducation. Recognizes and promotes resilience, hope and strength. Recognizes when family therapy is indicated and refers appropriately.

Level 3.

Assess a family and develop a systemic formulation. Intervene in simple problems such as communication difficulties, setting limits and problem solving. Manages and discusses confidentiality in outpatient settings allowing family inclusion in treatment planning. Works with other therapists and systems involving the patient (school, child welfare, etc.). Identifies how systemic issues play out in settings such as healthcare, school and military systems.

Level 4.

Recognizes and treats (or refers appropriately) issues that need specialized intervention e.g. chronic medical illness, sexuality/gender issues, family violence, addiction etc. Assesses and treats couples and adult families who present with systemic issues rather than psychiatric illness. Recognizes and manages his/her own feelings and attitudes about families and couples whose structure and attitudes are widely different than their own.