The Experience of Family Therapists Working With Traumatized Families Using the FOCUS (Families OverComing Under Stress) Treatment Program

Abstract

This qualitative study explores the experiences of Israeli therapists implementing the FOCUS (Families OverComing Under Stress) intervention. Originally developed for US military families, the FOCUS model was adapted to support civilian families exposed to chronic trauma. Through in-depth interviews with 13 therapists, the study identified three main themes: the shift from individual to family trauma-focused care, acquisition of new therapeutic tools, and challenges in implementation. Therapists emphasized the importance of addressing trauma within the family system but reported lacking appropriate tools before using FOCUS. The program offered structured yet adaptable methods to help families reconstruct a shared narrative and strengthen resilience. Challenges included the need for prior family therapy experience, intensive supervision, and difficulties recruiting all family members. The findings support the integration of trauma-informed care and family therapy, highlighting the need for further research on FOCUS's long-term effects and adaptability in diverse settings involving all family members.