1. TOOLS IN FAMILY ASSESSMENT
De Guzman, Marenieza D.
Medicine I
Sept. 18, 2009

2. INTRODUCTION

3. TOOLS IN FAMILY ASSESSMENT
Designed to help the practitioner to elicit data about certain aspects of family structures function and process
Also to aid the health professional in determining major family concerns, needs and strengths

4. TOOLS IN FAMILY ASSESSMENT
Composed of 5:
Family Genogram or “Family Tree”
Family Map
Family APGAR
SCREEM
Family Lifeline

5. FAMILY GENOGRAM or “FAMILY TREE”

6. FAMILY GENOGRAM/ FAMILY TREE
A genogram is a graphic representation of a family tree that displays the interaction of generations within a family
It goes beyond a traditional family tree by allowing the user to analyze family, emotional and social relationships within a group
Used to identify repetitive patterns of behavior and to recognize hereditary tendencies

7. FAMILY GENOGRAM/ FAMILY TREE
Genograms capture family history by noting:
Relationships
Births
Losses
Connections
Patterns
Roles
Occupations
Alignments
Communication patterns
Health history and supports

8. FAMILY GENOGRAM/ FAMILY TREE
It must consist of 3 or more generations and each generation is identified by Roman numbers.
Genogram graphically shows all the living and dead people who genetically, emotionally, and legally comprise a family.

9. FAMILY GENOGRAM/ FAMILY TREE
Includes:
Names and ages of all family members
Exact dates of birth, marriage, divorce, separation, death and other significant life events including causes of death
Information of three or more generations
Illnesses
First born of each family to the left with sibling sequential to the right
Name of two families
Informant/s
Date constructed

10. FAMILY GENOGRAM/ FAMILY TREE
Uses:
Provides a quick overview of the family members and relationships
A way of visually overlay biomedical and psychosocial information
A study tool for gaining a comprehensive understanding of multigenerational family systems

11. FUNCTIONAL CHART
This gives a more dynamic image of the family, especially or relationship of members.
It allows one to judge the totality of family unit, its strengths and weaknesses and its ability to withstand future stressful situations.

12. Family Illness/ History
This denotes the presence of inherited diseases or familial tendencies indicating potential problems in the family.

13. The ff information will be seen in the genogram:
Record of names and roles of each member of the family
Extended family and households
Medical problems of each member of the family
Significant date in the family
More subtle information about the family

14. GENOGRAM SYMBOLS Male Death Female Year of Death Gay Lesbianor
Male
Death
Female
Year of Death
Gay 80
Lesbian
Age at Death 23
Age or
Year of Birth
Pregnancy

15. GENOGRAM SYMBOLS Triplets with stillbirth Miscarriage Biological Child
Abortion
Identical Twin
Spontaneous Abortion
Foster Child
Fraternal Twin or l F ?
Unknown Gender
Triplet Twin l A
Adopted
Stillbirth

16. GENOGRAM SYMBOLS (Relationships)
Engagement and Separation
__ __ __ __ __
Married
Legal Cohabitation
Separation in fact
__ _ __ _ __ _ __ _ __
Legal Cohabitation and Separation in fact
Legal Separation
__ _ __ _ __ _ __ _ __
Divorce
Legal Cohabitation and Legal Separation
__ _ __ _ __ _ __ _ __
Nullity
Non Sentimental Cohabitation
Widowed
_ _ _ _ _ _ _ _ _ _
Non Sentimental Cohabitation and Separation
__ __ __ __ __
Engagement
_ _ _ _ _ _ _ _ _ _
__ __ __ __ __
Engagement and Cohabitation
Committed relationship
(long term)
__ __ __ __ __ __ __ __ __
Committed relationship and separation
__ __ __ __ __ __ __ __ __

17. Family Genogram (Relationships)
Separation in fact
Married with Date
2016
Legal Separation
A family
Divorce
Nullity

18. Family Genogram Living Together Strong bond Gay Couple with Year (LT)
Married with Adopted Child
LT 2005
Lesbian Couple with year of marriage
m 2005

19. Family Genogram
m 2020
m 2016
People within the broken lines are within same household

20. Additional Symbols (Interactional Patterns between people)
Normal/Plain
Defines a plain normal relationship
Distant Relationship between two individual. Very Limited communication, usually due to different lifestyle
Distant/Poor
Close/Friendship
Close relationship (friendship), sharing affection or esteem and engage in mutually helping behaviors
Hostile relationship. Individuals argue on major issues and feel heightened stress and aggression when they are together
Hostile
Close-Hostile
Close-hostile relationship. These people often come into contact, but they argue and keep secrets from one another

21. Additional Symbols (Interactional Patterns between people)
Relationship in which one individual has an unhealthy focus (obsession) on another individual. May include favoritism and stalking
Cut-off relationship. No contact at all. Characterized by extreme disengagement and emotional intensity where there had formerly been love, affection or friendliness
Fused relationship. Individuals become dependent on one another, and also become inseparable, with little room for their own identities
Fused-Hostile relationship. Individuals are always together and depend on each other, yet they are unable to live without an arguing.

22. Index pt
Marital discord