ESFT Treatment Manual

Setting the Stage for Change: An Eco-Systemic Approach to In-Home Family Based Treatment, 2nd Edition

By C. Wayne Jones, Ph.D.

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C. Wayne Jones, Ph.D., is Clinical Associate Professor of Psychology in the Department of Psychiatry at the University of Pennsylvania’s School of Medicine. He is the founder and director of the Center for Family Based Training. Dr. Jones has been designing curricula and providing training to Pennsylvania’s Family Based Mental Health Service programs since it was first launched more than 30 years ago.


Dr. Jones, in this second edition of Setting the Stage for Change, has again succeeded in distilling his years of experience as a therapist, trainer and curriculum developer into a coherent and richly detailed roadmap to help organize and respond effectively to the otherwise overwhelming reality of families in crises.  The guidelines for setting up a working context for effective change are grounded on solid conceptualization and clearly translated into concrete interventions while avoiding the pitfall of straight-jacketing therapists into mechanical “paint by numbers” recipes.  Therapists, supervisors, and trainers alike will welcome this manual that provides them with a solidly articulated frame of reference within which to exercise their clinical judgment.
– Jorge Colapinto, L.Psych, LMFT, Coordinator of Training and Consultation at the Minuchin Center for the Family.

In Setting the Stage for Change, Dr. Jones articulates a smart strengths-based eco-systemic treatment model for guiding therapists working with fragile families. These families can be overwhelming to the average therapist. This book clearly delineates critical strategies for organizing treatment delivered to these families in the home and community. Major emphasis is given to establishing collaborative treatment teams and creating safety through the development of an intense therapeutic alliance. In short, anyone interested in a well-articulated, evidence-based practical guide to working successfully with this population will find this book an extremely valuable resource.
– Scott Browning, Ph.D., ABPP, Professor of Professional Psychology, Chestnut Hill College, Philadelphia, Pennsylvania.  Recipient of the APA Division 43 Distinguished Scholar on Couple and Family Psychology.

This much-needed treatment manual is by far the most valuable resource for practitioners and supervisors I have seen during my 25 years of working in Pennsylvania’s Family-Based Mental Health Services Program.  In this Second Edition of Setting the Stage for Change, Dr. Jones has further clarified and defined an eco-systemic clinical model to guide us in helping children who have complex and severe emotional problems, and their multi-stressed families.  The book is engaging, well-organized and full of useful case examples. Anyone who has had the pleasure of attending Dr. Jones’s training will immediately recognize in these pages his ability to synthesize a vast amount of information simply and practically.
– Jerryl Miller, MA, Level of Care Director, Family Based Mental Health Services, WellSpan Philhaven, Mt Gretna, Pennsylvania

As I was reading Setting the Stage for Change, I found myself thinking what a valuable compilation of key touchstones and tools this is for anyone working with high-risk children and their families in the home and community.  The book operationalizes the core tenet of the Family-Based Mental Health Services initiative, which suggests that with skillful support, families are capable of being the solution to their children’s problems.  Dr. Jones presents a method for helping providers become craftsmen — combining the knowledge, skill, intuition, and passion needed to see through temporary chaos and find strengths to help children and families discover a pathway to recovery.”
– Connell O’Brien, MSW, Policy Specialist on Integrated Healthcare, the Rehabilitation and Community Providers Association (RCPA) and the Coalition for CommonHealth, Harrisburg, PA.