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March 2026: Recognizing Maladaptive Structural Patterns in Families

A Live, Interactive Webconference

Cost: This training is free but open only to supervisors and behavioral health professionals working in agencies contracted with CFBT

Friday, March 6, 2026, FBMHS Training Groups via Live Interactive Zoom
8:25am-12:40pm

In systemic therapies, a major focus of assessment when treating children and adolescents with severe emotional and behavioral problems is the relational context of the family. The link between family functioning and the course of child problems is well-established in the empirical literature. While there are numerous available questionnaires and rating scales for assessing family relationships, this workshop focuses primarily on informal direct clinical observation of family interactions. This training introduces a conceptual framework for describing dimensions of family structure originally developed by Salvador Minuchin and which still inform family assessment in evidence-based family therapy models, as well as the promising practice, Eco-Systemic Structural Family Therapy (ESFT). The structural concepts introduced and described in this workshop include subsystem boundaries, hierarchy and power, and closeness distance.

An overarching goal of this training is to help therapists working in intensive, in-home treatment programs to recognize structural patterns organizing parent-child relationships which have been linked to exacerbation of child problems in the empirical literature. These broad patterns include enmeshment, under organization, and coercive/authoritarian parenting. A typology is introduced as an informal heuristic clinical tool for facilitating observations of family interactional patterns. Throughout the training, videotape examples are utilized to help participants identify and differentiate these different patterns. Implications for family treatment direction is provided for each of the three maladaptive structural patterns described in the training.

Objectives 

As a result of attending this training, participants will be able to:

  1. Explain the nature of family structure
  2. Identify three maladaptive family structures linked to SED in children and adolescence.
  3. Describe interactional patterns that distinguish each maladaptive family structure
  4. Describe how family structure can be used to organize treatment

This is an intermediate level course. The target audience is behavioral health professionals working within Pennsylvania’s Family Based program and North Carolina’s Intensive In-Home Program. This is a live synchronous distance learning activity conducted in real time, allowing for simultaneous participation of participants and instructors from different locations.

Agenda

8:25am-10:30am: Focus on Objectives 1-2
10:30am-10:40am: Break
10:40am-12:40pm: Focus on Objectives 3-4

Frequently Asked Questions
Visit our Policies & FAQs on Live, Interactive Webconferences for additional information regarding CFBT live interactive workshops, accommodations for disabilities, reporting problems with the training, instructions for registering for a training, etc.

April 2026 What ESFT Therapists Do in Sessions to Create Change

A Live, Interactive Webconference

Cost: This training is free but open only to supervisors and behavioral health professionals working in agencies contracted with CFBT

Friday, April 24, 2026, FBMHS Training Groups via Live Interactive Zoom
8:25am-12:40pm

This workshop is part of our ongoing series devoted to clinical tools developed by the Center for Family Based Training and the Consortium for the Advancement of EcoSystemic Structural Family Therapy (CAESFT) designed to sharpen clinical skills through deliberate practice.  These clinical tools, which can be used in supervision or as self-ratings, support the development of clinical competencies by creating a growth promoting feedback loop wherein therapists compare their actions in sessions to those listed in the clinical tool, then self-correct as needed. This workshop introduces the ESFT Treatment Adherence Scale, a 22-item checklist that allows therapists and their supervisors to rate the degree to which their clinical work embodies the eight core ESFT mechanisms of change.  The scale answers the question, “What specific actions do I take in sessions to promote change?” Each of the eight core ESFT mechanisms of change and the actions associated with each are described in detail and demonstrated through videotapes of family therapy sessions.  Participants will practice using the ESFT Adherence Scale with videotaped family therapy sessions to identify therapists’ actions consistent with ESFT mechanisms of change.

Objectives 

As a result of attending this training, participants will be able to:

  1. Describe how to conduct a family session using ESFT.
  2. Explain the nature of change mechanisms in treatment and the link with the ESFT Logic Model
  3. Describe eight core ESFT mechanisms of change.
  4. Recognize the presence or absence of ESFT mechanisms of change in videotaped family therapy sessions.

This is an intermediate level course. The target audience is behavioral health professionals working within Pennsylvania’s Family Based program and North Carolina’s Intensive In-Home Program. This is a live synchronous distance learning activity conducted in real time, allowing for simultaneous participation of participants and instructors from different locations.

Agenda

8:25am-10:30am: Focus on Objectives 1-2
10:30am-10:40am: Break
10:40am-12:40pm: Focus on Objectives 3-4

Frequently Asked Questions
Visit our Policies & FAQs on Live, Interactive Webconferences for additional information regarding CFBT live interactive workshops, accommodations for disabilities, reporting problems with the training, instructions for registering for a training, etc.

December 2025: Family Based Youth Suicide Prevention: Risk Assessment & Safety Planning

A Live, Interactive Webconference

Cost: This training is free but open only to supervisors and behavioral health professionals working in agencies contracted with CFBT

Friday, December 5, 2025, FBMHS Training Groups via Live Interactive Zoom
8:25am-12:40pm

How often do adolescents present in therapy with suicide ideation? Or unexpectedly reveal these thoughts during a session? When do we tell caregivers? How do we tell caregivers? Do we send adolescents to the hospital or create a safety network to keep them at home? What level of risk are we comfortable managing in our practice? Learning some practical, state of the art, empirically supported clinical strategies to manage a youth suicide crisis can improve clinical decision making and ethical practice.

This workshop provides an introduction to state of the art, empirically supported family based suicide risk management practices to help therapists and clinical staff manage suicide concerns when they arise. First, we discuss trauma informed care, adolescent and family development and the national concern about adolescent suicide risk. Then we teach a family-centered care approach to risk assessment and safety planning. Lecture, discussion, and experiential exercises are used throughout the workshop.

Objectives 

At the completion of the workshop participants should be able to:

  1. List the important aspects of a risk assessment.
  2. Discuss how to include caregivers in assessment and when to meet with youth alone.
  3. Describe the decision making process of what level of care is needed to match the level of risk.
  4. Explain importance of a family generated safety plan.

This is an intermediate level course. The target audience is behavioral health professionals working within Pennsylvania’s Family Based program. This is a live synchronous distance learning activity conducted in real time, allowing for simultaneous participation of participants and instructors from different locations.

Agenda

8:25am-9:30am: Introduction
9:30am-10:30am: Understanding Suicide Risk
10:30am-10:45am: Break
10:45am-11:30am: Understanding suicide risk continued
11:30am-12:40pm: Safety Planning from a Family Perspective

About the Trainer

Guy Diamond, PhD is Professor Emeritus at the University of Pennsylvania School of Medicine and formerly served as Associate Professor at Drexel University’s College of Nursing and Health Professions, where he retired in 2023. During his tenure at Drexel, he was the founding Director of the Center for Family Intervention Science (CFIS), leading pioneering research in family-based mental  health treatments and suicide prevention. Dr. Diamond has authored over 150 peer-reviewed publications and book chapters, and has been awarded or contributed to over $30 million in research funding. His work has significantly advanced the development and dissemination of evidence-based interventions aimed at improving family dynamics and reducing suicide risk across diverse communities. On the prevention front, Dr. Diamond developed a comprehensive program for suicide prevention training, screening, and triage designed for implementation in non-behavioral health settings such as primary care and educational institutions. In the realm of treatment, he is best known for his leadership in the development and empirical validation of Attachment-Based Family Therapy (ABFT), a transdiagnostic model focused on repairing ruptures in family attachment to support youth experiencing depression and suicidal ideation. ABFT has been successfully adapted for children, adolescents, LGBTQ+ populations, and young adults, and is now practiced in clinical settings worldwide. Currently, Dr. Diamond serves as President of the ABFT International Training Institute, which promotes global dissemination and training in the ABFT model. In recognition of his contributions to the field, he was honored as the 2025 Family Psychologist of the Year by the American Psychological Association’s Division 43.

 

Frequently Asked Questions
Visit our Policies & FAQs on Live, Interactive Webconferences for additional information regarding CFBT live interactive workshops, accommodations for disabilities, reporting problems with the training, instructions for registering for a training, etc.

October 2025: Constructing Effective Enactments

A Live, Interactive Webconference

Cost: This training is free but open only to supervisors and behavioral health professionals working in agencies contracted with CFBT

Friday, October 10, 2025, FBMHS Training Groups via Live Interactive Zoom
8:25am-12:40pm

Thursday, October 30, 2025, NC IIH ESFT Training Groups via Live Interactive Zoom
8:25am-12:40pm

Children and adolescents with severe emotional and behavioral issues and their families often become entrenched in negative interactional patterns that perpetuate and exacerbate high-risk behavior. Enactment, the cornerstone of the ESFT approach, is a core assessment and treatment method utilized in most current evidence-based child and adolescent focused family therapies (e.g., ABFT, MDFT, BSSFT). Enactments refer to family members being encouraged to interact and problem-solving directly with one another in session, with the therapist in a noncentral, facilitative role.

This workshop introduces the newly released Family Therapy Enactment Scale, (FTES) a tool that can be used to guide therapists and supervisors in the effective use of enactments. There are two versions, one focused on using enactments to assess family patterns, and the other focused on changing family patterns. This is an interactive training where participants will have an opportunity to use the scales to evaluate and discuss videotaped enactments. This workshop shows how assessment enactments can be used to bring negative interactional patterns into the room for direct observation and discussion, helping to shift families from a behavioral view of problems to one that is relational. Focus is also given to how change enactments can be used to disrupt and shift negative interactional patterns to more functional ones.

Objectives 

As a result of attending this training, participants will be able to:

  1. Explain the nature of enactments and when to use them
  2. Describe the FTES scales and how to use them to become more skilled in using enactments.
  3. Describe how to use assessment enactments to shift families to a relational frame of problems and solutions
  4. Describe how to use change enactments to disrupt and shift negative interactional patterns to more functional ones.

This is an intermediate level course. The target audience is behavioral health professionals working within Pennsylvania’s Family Based program. This is a live synchronous distance learning activity conducted in real time, allowing for simultaneous participation of participants and instructors from different locations.

Agenda

8:25am-10:30am: Focus on Objectives 1-2
10:30am-10:40am: Break
10:40am-12:40pm: Focus on Objectives 3-4

Frequently Asked Questions
Visit our Policies & FAQs on Live, Interactive Webconferences for additional information regarding CFBT live interactive workshops, accommodations for disabilities, reporting problems with the training, instructions for registering for a training, etc.