# A Case Report on How BOAM Offers a Brief Family-Based Treatment by Integrating Psychoeducation and Self-Diagnostics

## TL;DR

BOAM is a family-based therapy that uses visual models to help families understand and address a child's emotional and behavioral issues through psychoeducation and collaboration.

## Contribution

This case report demonstrates the practical application and potential effectiveness of BOAM in a real-world family context.

## Key findings

- Parents reported significant improvements in child behavior and self-regulation after BOAM sessions.
- Reductions in parenting stress were observed at post-test and follow-up assessments.
- BOAM's models were successfully adapted to align with the family's cultural values.

## Abstract

BOAM is a family-based method in which children and parents together create an explanatory, personal and systemic diagnosis. Based on ten playful and visual models, the therapist provides universal psychoeducation to gain insight into the personal, relational and contextual causes of the child’s problems for a shared understanding of how to approach them. This case report describes a seven-session BOAM trajectory in a family with a 6-year-old child with emotional and behavioural dysregulation, such as frequent temper tantrums, hitting her infant sister, and threatening with knives. In this case report, the course of the sessions is described, including the way the family applied the BOAM models within their (cultural) family values. The mother completed questionnaires on child psychopathology (Child Behaviour Checklist), executive functioning (Behaviour Rating Inventory of Executive Function), parenting stress (Parenting Stress Index) and partner relationship (Family Functioning Questionnaire) at baseline, pretest, post-test, and 3- and 5-month follow-up, and the father completed questionnaires on child psychopathology and parenting stress at baseline and 5-month follow-up. Parents reported clinically significant improvements, as calculated with reliable change indexes, in child externalising psychopathology, self-regulation, and parenting stress (post-test and 3- and 5-month follow-up). BOAM is a short and accessible method for psychoeducation, diagnostics and treatment. BOAM seems to be an effective intervention for this family; however, more research is necessary to demonstrate its effectiveness. This case report painted a vivid picture of how family conversations can be structured and targeted using the models.