If you build it, they will come: Statewide practitioner interest in contingency management for youths

Henggeler, Scott W.; Chapman, Jason E.; Rowland, Melisa D.; Halliday‐Boykins, Colleen A.; Randall, Jeff; Shackelford, Jennifer; Schoenwald, Sonja K.

doi:10.1016/j.jsat.2006.07.006

Cited by 27 publications

(27 citation statements)

References 34 publications

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“…FFT also had a significantly positive impact on youth with the highest levels of family and peer risk levels in this sample. High family and peer risk are important because they are among those risk factors that make positive outcome even more difficult (Elliott, 1997 Similar effects for specific model adherence have been identified in other evidence based treatment models (Henggeler et al, 2007;Hogue et al, 2008). The critical role of model adherence has on client outcomes in FFT is no surprise.…”

Section: Discussionmentioning

confidence: 87%

The effectiveness of functional family therapy for youth with behavioral problems in a community practice setting.

Sexton¹,

Turner²

2011

Couple and Family Psychology: Research and Practice

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The study examined the effectiveness of Functional Family Therapy (FFT), as compared to probation services, in a community juvenile justice setting 12 months post treatment. The study also provides specific insight into the interactive effects of therapist model specific adherence and measures of youth risk and protective factors on behavioral outcomes for a diverse group of adolescents. The findings suggest that FFT was effective in reducing youth behavioral problems, although only when the therapists adhered to the treatment model. High adherent therapists delivering FFT had a statistically significant reduction of (35%) in felony, a (30%) violent crime, and a marginally significant reduction (21%) in misdemeanor recidivisms as compared to the control condition. The results represent a significant reduction in serious crimes one year after treatment, when delivered by a model adherent therapist. The low adherent therapists were significantly higher than the control group in recidivism rates. There was an interaction effect between youth risk level and therapist adherence demonstrating that the most difficult families (those with high peer and family risk) had a higher likelihood of successful outcomes when their therapist demonstrated model specific adherence. These results are discussed within the context of the need and importance of measuring and accounting for model specific adherence in the evaluation of community-based replications of evidence-based family therapy models like FFT.Adolescents involved in the justice system are clinically complex, with particularly high rates of behavior problems, mental health disorders, and other "at risk" behaviors. Estimates are that 50% to 80% of delinquent adolescents meet the criteria for a mental disorder, such as conduct or substance-related disorders (Kazdin & Weisz, 2003). Considering the family's important role in the initiation and escalation of adolescent problem behaviors, family-based interventions have been of great interest to treatment researchers and community practitioners (Rowe & Liddle, 2003). Numerous reviews have identified Functional Family Therapy (FFT) as one of the emerging evidence-based intervention programs for at-risk adolescent youth and their families (Elliott, 1997;Alexander & Sexton, 2002;Sexton, et al., 2003;Waldron & Turner, 2008). FFT has an established record of outcome studies that demonstrate its efficacy with a wide variety of adolescent related problems including youth violence, drug abuse, and other delinquency related behaviors. The positive outcomes of Address Correspondence to: Thomas Sexton, Ph. D., Center for Adolescent and Family Studies, Indiana University, 1901 East 10 th Street, Bloomington, IN, 812-856-1485 (phone), 812-856-2084, thsexton@indiana.edu. FFT remain relatively stable even after a five-year follow-up (Gordon, Arbuthnot, Gustafson, & McGreen, 1988), and the positive impact also affects siblings of the identified adolescent (Klein, Alexander, & Parsons, 1977). NIH Public AccessOne of the great promis...

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Section: Discussionmentioning

confidence: 87%

The effectiveness of functional family therapy for youth with behavioral problems in a community practice setting.

Sexton¹,

Turner²

2011

Couple and Family Psychology: Research and Practice

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“…Several studies have reported successful dissemination of CM programs implemented by community treatment providers (e.g., Henggeler et al, 2008b; Kellogg et al, 2005; Ledgerwood et al, 2008) and at least one country has advocated its use in addiction treatment (Department of Health [England], 2007). Henggeler et al (2008a) reported that 91% of the public sector substance abuse provider organizations in a statewide study supported a 1-day workshop training a CM intervention and over half of the therapists trained in CM reported adopting its use with at least one patient during the following 6 months (Henggeler et al, 2008b). …”

Section: Discussionmentioning

confidence: 99%

Is exposure to an effective contingency management intervention associated with more positive provider beliefs?

Kirby

Carpenedo

Stitzer³

et al. 2012

Journal of Substance Abuse Treatment

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This study empirically examined opinions of treatment providers regarding Contingency Management (CM) programs while controlling for experience with a specific efficacious CM program. In addition to empirically describing provider opinions, we examined whether the opinions of providers at the sites that implemented the CM program were more positive than those of matched providers at sites that did not implement it. Participants from 7 CM treatment sites (n = 76) and 7 matched non-participating sites (n = 69) within the same nodes of NIDA's Clinical Trials Network completed the Provider Survey of Incentives (PSI), which assesses positive and negative beliefs about incentive programs. An intent-to-treat analysis found no differences in the PSI summary scores of providers in CM program vs. matched sites, but correcting for experience with tangible incentives showed significant differences, with providers from CM sites reporting more positive opinions than those from matched sites. Some differences were found in opinions regarding costs of incentives and these generally indicated that participants from CM sites were more likely to see the costs as worthwhile. The results from the study suggest that exposing community treatment providers to incentive programs may itself be an effective strategy in prompting the dissemination of CM interventions.

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“…Most (82%) had a master's degree. The average practitioner reported about 10 years of counseling experience (see Table 1 and Henggeler et al, 2007, for more details).…”

Section: Participantsmentioning

confidence: 99%

Measuring Practitioner Attitudes Toward Evidence-Based Treatments: A Validation Study

Ashcraft

Foster

Lowery

et al. 2011

Journal of Child & Adolescent Substance Abuse

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If you build it, they will come: Statewide practitioner interest in contingency management for youths

Cited by 27 publications

References 34 publications

The effectiveness of functional family therapy for youth with behavioral problems in a community practice setting.

The effectiveness of functional family therapy for youth with behavioral problems in a community practice setting.

Is exposure to an effective contingency management intervention associated with more positive provider beliefs?

Measuring Practitioner Attitudes Toward Evidence-Based Treatments: A Validation Study

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