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The models emphasize the engagement of family members to support young people , and they deploy court authority , through graduated rewards and sanctions , to encourage young people to participate actively in their treatment . Assessment is based on the assumption that for services to be relevant and effective , workers must systematically gather information and continuously evaluate the needs of children and parents / caregivers as well as the ability of family members to use their strengths to address their problems . This program has made it possible for millions of family members to remain living at home among their family and friends , which is the overwhelming preference of the American people . This situation may be the result of inability of family members to contribute to food preparation , or not being able to fulfil cultural or religious practices surrounding food preparation and consumption or inappropriate or unpalatable food provided institutionally . Thailand 's Health Ministry is experimenting in three provinces " to enroll the help of family members to oversee the DOTS regime , " says Nadda .