Professional Documents
Culture Documents
Family Assessment Tools
Family Assessment Tools
1. Family Genogram
2. Family APGAR
3. Family Circle Technique
4. SCREEM
5. Minuchin’s Family Map
6. Family Lifeline
7. Ecomap
8. Family Life Cycle
FAMILY GENOGRAM
• Uses:
• A quick overview of the interrelationships
between family members
• A way of looking at the medical and
psychosocial problems
• As a tool for understanding the
multigenerational family systems
HOW TO CONSTRUCT A FAMILY GENOGRAM
Make a family tree using the standard symbols
HOW TO CONSTRUCT A FAMILY GENOGRAM
Family Interaction Patterns
FAMILY GENOGRAM
Hypertension
Kidney stones
Bronchial asthma
Atopic Dermatitis
PTB
FAMILY GENOGRAM
Each
generation is
identified by
a Roman
numeral.
Hypertension
Kidney stones
Bronchial asthma
Atopic Dermatitis
PTB
FAMILY GENOGRAM
The first born of each
generation is farthest
to the left.
Hypertension
Kidney stones
Bronchial asthma
Atopic Dermatitis
PTB
FAMILY GENOGRAM
Connect spouses
in a horizontal
line. Males should
Hypertension
be on the left.
Connect children
Kidney stones
to them using a
Bronchial asthma
vertical line.
Atopic Dermatitis
PTB
The family name is placed
FAMILY GENOGRAM above each major family unit.
Hypertension
Kidney stones
Bronchial asthma
Atopic Dermatitis
PTB
Address of the family
FAMILY GENOGRAM should be placed below
the family name.
Hypertension
Kidney stones
Bronchial asthma
Atopic Dermatitis
PTB
Date when the chart was
FAMILY GENOGRAM developed follows the
address so ages can be
adjusted over time.
Hypertension
Kidney stones
Bronchial asthma
Atopic Dermatitis
PTB
FAMILY GENOGRAM
Atopic Dermatitis
PTB
FAMILY GENOGRAM
Bronchial asthma
Atopic Dermatitis
PTB
FAMILY GENOGRAM
PTB
FAMILY GENOGRAM
Significant
Hypertension diseases can be
Kidney stones illustrated using
Bronchial asthma
symbols which
Atopic Dermatitis
appear in the
legend.
PTB
FAMILY APGAR
This is a 5-item questionnaire designed to elicit the
patient’s perception of the current state of his family
relationships and serves as a rapid screening
instrument for family dysfunction.
Takes 10-15 minutes to answer.
Ideally, each member of the family should answer.
An estimate of the family satisfaction by the female head
of the household will provide an accurate assessment
of family functioning.
FAMILY APGAR
Limitations
The data obtained is restricted to what the
patient is willing to disclose about
himself/herself and his family
The tool measures the patient’s satisfaction
with his family’s functioning, but not the family
functioning itself
FAMILY APGAR
Almost Some of Hardly
always the time ever
RELIGIOUS
Religion offers satisfying spiritual Dogma and rituals are so rigid that they
experiences as well as contacts with an limit the family's problem-solving capacity.
extra-familial support group.
SCREEM
RESOURCES PATHOLOGY
ECONOMIC
Economic stability is sufficient to Financial problems make it difficult for
provide both a reasonable satisfaction the family to meet monetary demands
with financial status and an ability to of crisis or illness.
meet the economic demands of normal
life events and illness.
EDUCATIONAL
Education of the family members is Handicaps limit the ability of family
adequate to allow members to solve or members to comprehend the problem
comprehend most of the problems that or recommend solutions.
arise within the format of the lifestyle
established by the family.
• Social
• We help each other in our family
• We are helped by friends and other members of the
community
• Cultural
• Our culture gives our family strength
• A culture of helping and cooperation in our
community helps our family
• Religious
• Our faith and religion helps our family
• We are helped by members of our church or other
religious groups
• Economic
• Our family’s savings is adequate for our needs
• Our family’s income is adequate for our needs
• Educational
• Our education/knowledge is adequate to
understand information about the illness
• Our education/knowledge is adequate to care for
the patient
• Medical
• It is easy to access medical help in our community
• We are helped by doctors, nurses, and health
workers
SCREEM FAMILY RESOURCE SURVEY
12-item self-administered family resources questionnaire in Filipino
based on SCREEM.
Aids in assessing the family's capacity to participate in the provision
of health care or cope with crisis.
Scoring
0 to 6 = family has severely inadequate family resources
7 to 12 = moderately inadequate family resources
13 to 18 = adequate family resources
FAMILY MAP
This tool facilitates the communication of information about the family
system and its dynamics in order to address psychosocial issues.
The following family processes are involved:
Enmeshment – one has to explore whether family members seldom act
independently or get overinvolved with each other. =========
Disengagement – one has to explore whether family members are isolated
from each other or have little emotional response from each other.
…………….
Triangulation – one has to explore whether the family members talk
directly to each other about personal matters.
Coalition – one has to explore whether one member of the family is siding
with another member. { }
FAMILY MAP
Reflects family relationships and interaction patterns.
FAMILY LIFELINE
Shows the significant events in a family over a period of time in a chronological
sequence.
Allows for exploration of certain family issues.
Includes how the family coped with the stressful events
It includes both normative and non-normative crisis.
It is sometimes placed side-by-side with the illness history.
It helps provess how flexible the family is when dealing with these changes.
Allows for a quick retrieval of information that identifies the factors that may affect
the health of the family
Useful when anticipating a long-term illness, the presence of difficult caregiving, non-
adherence to treatment strategies, and in situations where the doctor needs to
“think family”
FAMILY LIFELINE
Year Age Event Headache severity
2004 17 Father died **
2003 18 Entered college – lived at home ***
2004 19 Brother died **********
2005 20 Difficulty with school *****
2007 22 Graduated from college **
2008 23 First relationship *
2009 24 Began first job – Difficult boss *********
2010 25 Changed jobs ****
2011 26 Married *
ECOMAP
A pictorial representation of a family’s
connections to persons and/or systems in
their environment.
It can illustrate 3 separate dimensions for each
connection
STRENGTH of connection (weak,
tenuous/uncertain, strong)
IMPACT of connection (none, draining resources
or energy, providing resources or energy)
QUALITY of connection (stressful, not stressful)
ECOMAP
Purpose:
To support classification of family needs and
decision-making about potential interventions
To create shared awareness of the family’s
significant connections and the constructive or
destructive influences those connections may
be having
ECOMAP
VA LUA B L E B E C AU S E I T: