Using a Shared Areas of Negotiated Action Model

The acronym SANA, Shared Areas of Negotiated Action, is the Italian equivalent of the meaning healed or integrally healthy, which also encapsulates the underlying missions and visions of the Specialized Family Therapeutic model. On more practical terms, the purpose of creating a SANA Team and decision structure within the SFT Therapeutic Continuum is twofold:
a. To consolidate and strengthen the reliability and validity of the intervention design and,

b. To engage and provide appropriate and adequate opportunities for actively enlisting the participation and involvement of all the relevant stakeholders parents and children in care and planning decisions
By validity and reliability of the intervention design we are directly referring to establish and maintain practice-based evidence of the model. Specifically, that of being able to evaluate the intervention efficacy (i.e., what worked for whom and under what conditions it worked) and the effectiveness (i.e., how much did it work, how well the client responded to the intervention, and for how long did it take to achieve the desired response to intervention).
The term “negotiation” implies and indicates the decisions made by professionals and co-parents about how and who should be involved in the care process, what the priorities and focus should be and what will be needed to enable and achieve optimal resolutions to their problem(s).
The focus of the SANA is thus to maintain an ongoing collaborative engagement milieu and represent the core of functional assessment, planning interventions, and services supports decisions for promoting positive family and children outcomes.
Does evidence-base exist to support the SANA approach? There is indeed convincing research evidence that support interdisciplinary team decision-making based on authentic observation and appraisal (i.e., clients are actively engaged in evaluating and assessing progress) and clinical judgment to have significant contribution to the positive outcomes of the interventions (Goldman, 1999; Burns & Goldman, 1999; Bruns, Suter et al 2005; Drake, Goldman et al., 2001; Suen, Bagnato et al. 1993; Hagen, Noble et al. 2005; Suen, Logan, et al.1995; Meisels, Bickel, et. al, 2001).

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