Encyclopedia of Couple and Family Therapy

2019 Edition
| Editors: Jay L. Lebow, Anthony L. Chambers, Douglas C. Breunlin

MEND Psychosocial Family Systems Program for Pediatric Chronic Illness

  • Brian DistelbergEmail author
  • Daniel Tapanes
Reference work entry
DOI: https://doi.org/10.1007/978-3-319-49425-8_1094




The MEND (Mastering Each New Direction; Tapanes et al. 2017) model provides behavioral health-oriented treatment for chronically ill pediatric and adult patients. It is a psychosocial family systems-based intervention, and therefore includes individual, peer group, and multifamily group interventions. The ultimate goal of MEND is to encourage the health-related quality of life (HRQL) of the patient and the family caregiving system. It focuses on inter- and intrapersonal processes within the patient and the family system and targets biopsychosocial stress response patterns as well as maladaptive illness narratives. MEND is delivered in a multidisciplinary setting and a true integration of mental and physical health care. To date, MEND has been delivered at the Loma Linda University Health Behavioral Medicine Center, which offers intensive outpatient and partial hospitalization formats of MEND. It began by serving pediatric patients and their families, and in...

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Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  1. 1.Loma Linda University | Loma Linda University Health Behavioral Medicine CenterLoma LindaUSA

Section editors and affiliations

  • Kelley Quirk
    • 1
  • Adam Fisher
    • 2
  1. 1.Human Development and Family StudiesColorado State UniversityFort CollinsUSA
  2. 2.The Family Institute at Northwestern UniversityEvanstonUSA