Mechanisms of change in multisystemic therapy: Reducing delinquent behavior through therapist adherence and improved family and peer functioning.

Huey, Stanley J.; Henggeler, Scott W.; Brondino, Michael J.; Pickrel, Susan G.

doi:10.1037/0022-006x.68.3.451

Cited by 398 publications

(336 citation statements)

References 71 publications

(92 reference statements)

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“…Studies indicate that family members, particularly parents, are instrumental in facilitating the adolescent's change process (Huey, Henggeler, Brondino, & Pickrel, 2000;Schmidt, Liddle, & Dakof, 1996).…”

Section: Preventing Dropout In Family Therapymentioning

confidence: 99%

Adolescent and parent therapeutic alliances as predictors of dropout in multidimensional family therapy.

Robbins¹,

Liddle²,

Turner³

et al. 2006

Journal of Family Psychology

145

115

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The authors examined the relations between adolescent-therapist and mother-therapist therapeutic alliances and dropout in multidimensional family therapy for adolescents who abuse drugs. The authors rated videotapes of family therapy sessions using observational methods to identify therapist-adolescent and therapist-mother alliances in the first 2 therapy sessions. Differences in adolescent and mother alliances in families that dropped out of therapy and families that completed therapy were compared. Results indicate that both adolescent and mother alliances with the therapist discriminated between dropout and completer families. Although no differences were observed between the 2 groups in Session 1, adolescents and mothers in the dropout group demonstrated statistically significantly lower alliance scores in Session 2 than adolescents and parents in the completer group. These findings are consistent with other research that has established a relationship between therapeutic alliance and treatment response.

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Section: Preventing Dropout In Family Therapymentioning

confidence: 99%

Adolescent and parent therapeutic alliances as predictors of dropout in multidimensional family therapy.

Robbins¹,

Liddle²,

Turner³

et al. 2006

Journal of Family Psychology

145

115

View full text Add to dashboard Cite

show abstract

“…Several studies have found that therapist adherence to the treatment protocol is an important predictor of clinical outcomes, especially when studies are conducted in community settings (Henggeler et al, 1999;Hogue et al, 2008;Huey et al, 2000;Schoenwald et al, 2000). Despite its importance, there is a lack of research regarding the role of treatment adherence in successful community replications of efficacious family-based programs.…”

Section: Nih Public Accessmentioning

confidence: 99%

“…Treatment fidelity is most often defined as therapist adherence, or the degree to which a given therapy is implemented in accordance with essential theoretical and procedural aspects of the model (Hogue et al, 2006; Waltz, Addis, Koerner, & Jacobson, 1993). In a few cases, treatment adherence has also been linked to treatment outcomes in family-based therapies (Henggeler et al, 1999;Huey et al, 2000;Schoenwald, Henggeler, Brondino & Rowland, 2000). However, treatment adherence may not always be related to better outcomes.…”

mentioning

confidence: 99%

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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“…Moreover, family involvement may be essential to successful medication adherence and treatment retention with some specialized populations, including adolescents (Huey et al, 2000). Weaknesses include limited generalizability, in that studies which require the involvement of significant others will necessarily be limited to the subset of patients who have comparatively strong social supports and family members who are willing to participate in treatment.…”

Section: Family and Couples Approachesmentioning

confidence: 99%

Choosing a behavioral therapy platform for pharmacotherapy of substance users

Carroll

Kosten

Rounsaville

2004

Drug and Alcohol Dependence

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Behavioral therapy platforms have become virtual requirements in pharmacotherapy trials due to their utility in reducing noise variability, preventing differential medication adherence and protocol attrition, enhancing statistical power and addressing ethical issues in placebo-controlled trials. Selecting an appropriate behavioral platform for a particular trial requires study-specific tailoring, taking into account both the stage of development of the medication being evaluated, as well as the specific strengths and weaknesses of a broad array of available empirically supported behavioral therapies and the range of their possible targets (e.g., enhancing medication adherence, preventing attrition, addressing co-morbid problems, fostering abstinence, and targeting specific weaknesses of the pharmacologic agent). Choosing a suitable behavioral platform also requires consideration of the characteristics of the population to be treated, stage of scientific knowledge regarding the medication's effects, appropriate balance of internal and external validity, and consideration of potential ceiling effects. Available manualized behavioral treatments are reviewed, noting their strengths and limitations as behavioral therapy platforms for pharmacotherapy trials and as potential concomitant therapies in clinical practice.

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Mechanisms of change in multisystemic therapy: Reducing delinquent behavior through therapist adherence and improved family and peer functioning.

Cited by 398 publications

References 71 publications

Adolescent and parent therapeutic alliances as predictors of dropout in multidimensional family therapy.

Adolescent and parent therapeutic alliances as predictors of dropout in multidimensional family therapy.

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

Choosing a behavioral therapy platform for pharmacotherapy of substance users

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