Family Behavior Therapy for Substance Abuse and Other Associated Problems

Donohue, Brad; Azrin, Nathan H.; Allen, Daniel N.; Romero, Valerie; Hill, Heather H.; Tracy, Kendra; LaPota, Holly B.; Gorney, Suzanne; Abdel-Al, Ruweida; Caldas, Diana; Herdzik, Karen; Bradshaw, Kelsey Michael; Valdez, Robby; Hasselt, Vincent B. Van

doi:10.1177/0145445509340019

Cited by 28 publications

(38 citation statements)

References 27 publications

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“…Once the participant acquired sufficient skills to complete target behaviors during role-plays with minimal therapist involvement, the skills were reviewed to a progressively lesser extent. A brief description of FBT components follow (see Donohue et al 2009 for a more detailed description of these components).…”

Section: Treatmentmentioning

confidence: 99%

Incorporating a Healthy Living Curriculum within Family Behavior Therapy: A Clinical Case Example in a Woman with a History of Domestic Violence, Child Neglect, Drug Abuse, and Obesity

et al. 2011

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Women reported to child protective service agencies frequently report problems that significantly interfere with the health and well-being of their children and themselves. Behavioral treatment programs appear to be effective in managing these co-existing problems, such as domestic violence and substance abuse. However, evidence-supported interventions are rarely exemplified in complicated clinical cases, especially within child welfare settings. Therefore, in this case example, we describe the process of adapting an evidence-supported treatment to assist in managing significant co-existing health-related problems in a mother who was referred due to child neglect and drug abuse. At the conclusion of therapy, the participant reported improvements in perceived family relationships, illicit drug use, child maltreatment potential, whereas other health-related outcomes were mixed. Most improvements were maintained at 4-month follow-up. Issues relevant to implementing evidence-based treatments within community contexts are discussed, including methods of increasing the likelihood of valid outcome assessment, managing treatment integrity, and adjusting standardized treatments to accommodate co-occurring problems.

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Section: Treatmentmentioning

confidence: 99%

Incorporating a Healthy Living Curriculum within Family Behavior Therapy: A Clinical Case Example in a Woman with a History of Domestic Violence, Child Neglect, Drug Abuse, and Obesity

et al. 2011

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“…Along these lines, Family Behavior Therapy (FBT) is an evidence-based therapy that includes components to address many of the aforementioned problems (see reviews by Donohue, Allen, & Lapota, 2009; Donohue et al, in press). In this approach, substance use is conceptualized to be a strong positive reinforcer leading to pleasant physiological symptoms and social support.…”

Section: Theoretical and Research Basismentioning

confidence: 99%

Concurrent Treatment of Substance Abuse, Child Neglect, Bipolar Disorder, Post-Traumatic Stress Disorder, and Domestic Violence: A Case Examination Involving Family Behavior Therapy

Donohue

Romero

Herdzik

et al. 2009

Clinical Case Studies

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High rates of co-occurrence between substance abuse and child neglect have been well documented and especially difficult to treat. As a first step in developing a comprehensive evidence-based treatment for use in this population, the present case examination underscores Family Behavior Therapy (FBT) in the treatment of a mother who evidenced Substance Dependence, child neglect, Post-Traumatic Stress Disorder, Bipolar I Disorder, and domestic violence. Utilizing psychometrically validated self-report inventories and objective urinalysis, treatment was found to result in the cessation of substance use, lower risk of child maltreatment, improved parenting attitudes and practices, and reduced instances of violence in the home. The importance of utilizing validity scales in the assessment of referrals from child welfare settings is discussed, and future directions are reported in light of the results.

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“…This review explores the specific family‐based intervention Family Behavior Therapy (FBT) (Azrin, Donohue, Besalel, Kogan & Acierno, 1994a; Donohue & Azrin, 2001; Donohue et al, 2009). The review attempts to clarify the effects of the FBT program for relevant groups of young people aged 11‐21 years.…”

Section: Introductionmentioning

confidence: 99%

Family Behavior Therapy (FBT) for Young People in Treatment for Non‐opioid Drug Use: A Systematic Review

Lindstrøm¹,

Saidj²,

Kowalski³

et al. 2015

Campbell Systematic Reviews

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This publication is a systematic Campbell review of the effect of the family therapy approach Family Behavior Therapy (FBT) for treatment for non‐opioid drug use (e.g., cannabis, amphetamine, ecstasy or cocaine) among young people aged 11‐21 years. After a rigorous search for all relevant studies conducted to date, we identified two randomized controlled trials with, respectively, 56 and 26 participants. We used meta‐analysis to synthesize the empirical evidence on the effects of FBT on reduction of drug use frequency, family functioning, and risk behavior. The evidence found was limited, as only two studies with very few participants were included in the data‐analysis. The quality of the evidence is also limited. We were therefore unable to draw any firm conclusion regarding the effectiveness of the treatment. Overall, Family Behavior Therapy for the purpose of treating young people's drug use has not been evaluated with sufficient rigor to unequivocally determine its effectiveness Key messages This publication is a systematic Campbell review of the effect of the family therapy approach Family Behavior Therapy (FBT) for treatment for non‐opioid drug use (e.g., cannabis, amphetamine, ecstasy or cocaine) among young people aged 11‐21 years. Youth drug use is a severe problem worldwide. Recent reports describe concerning trends in the use of drugs by young people and a lack of available treatment. FBT is a manual‐based family therapy approach that seeks to reduce drug use among youth by identifying stimuli and triggers for drug taking, and teaching self‐control and other skills to correct the problem behaviors related to drug use. This approach is based on the therapeutic premise that the family carries a profound influence on child and youth development and that interventions need to be flexible and tailored to the unique characteristics of the families. It is also argued that there is a need for interventions to be problem‐focused, targeting first those patterns of behavior that most directly influence the youth's drug use. After a rigorous search for all relevant studies conducted to date, we identified two randomized controlled trials with, respectively, 56 and 26 participants. We used meta‐analysis to synthesize the empirical evidence on the effects of FBT on reduction of drug use frequency, family functioning, and risk behavior. The findings are as follows: ‐ On drug usage: There is no evidence that FBT has an effect on reduction of drug use frequency compared to Individual Cognitive Problem‐Solving (ICPS) and supportive counseling (SC). ‐ On family functioning: FBT may improve family functioning as reported by parents compared to Individual Cognitive Problem‐Solving (ICPS) and supportive counseling (SC). There is no evidence that FBT has an effect on family functioning as reported by youth compared to Individual Cognitive Problem‐Solving (ICPS) and supportive counseling (SC). ‐ On risk behavior: There is no evidence that FBT has an effect on risk behavior compared to Individual Cognitive Problem‐Solving (IC...

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Family Behavior Therapy for Substance Abuse and Other Associated Problems

Cited by 28 publications

References 27 publications

Incorporating a Healthy Living Curriculum within Family Behavior Therapy: A Clinical Case Example in a Woman with a History of Domestic Violence, Child Neglect, Drug Abuse, and Obesity

Incorporating a Healthy Living Curriculum within Family Behavior Therapy: A Clinical Case Example in a Woman with a History of Domestic Violence, Child Neglect, Drug Abuse, and Obesity

Concurrent Treatment of Substance Abuse, Child Neglect, Bipolar Disorder, Post-Traumatic Stress Disorder, and Domestic Violence: A Case Examination Involving Family Behavior Therapy

Family Behavior Therapy (FBT) for Young People in Treatment for Non‐opioid Drug Use: A Systematic Review

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