Changing provider practices, program environment, and improving outcomes by transporting multidimensional family therapy to an adolescent drug treatment setting.
Effective interventions for drug abusing adolescents are underutilized. Using an interrupted time series design, this study tested a multicomponent, multi-level technology transfer intervention developed to train clinical staff within an existing day treatment program to implement multidimensional family therapy (MDFT), an evidence-based adolescent substance abuse treatment. The sample included 10 program staff and 104 clients. MDFT was incorporated into the program and changes were noted in the program environment, therapist behavior, and in most (e.g., drug abstinence, and out of home placements) but not all (e.g., drug use frequency) client outcomes. These changes remained after MDFT supervision was withdrawn.
Liddle
Howard A
HA
Center for Treatment Research on Adolescent Drug Abuse, University of Miami Miller School of Medicine, Miami, Florida, USA. hliddle@med.miami.edu
Rowe
Cynthia L
CL
Gonzalez
Alina
A
Henderson
Craig E
CE
Dakof
Gayle A
GA
Greenbaum
Paul E
PE
D000293:Adolescent; D003131:Combined Modality Therapy; D003631:Day Care, Medical / Q000379:methods*; D019317:Evidence-Based Medicine; D005196:Family Therapy / Q000379:methods*; D005260:Female; D005581:Foster Home Care / Q000379:methods; D019983:Guideline Adherence; D006801:Humans; D008297:Male; D010043:Outcome and Process Assessment, Health Care; D017060:Patient Satisfaction; D010818:Practice Patterns, Physicians'; D011369:Professional-Patient Relations; D012931:Social Environment; D016320:Substance Abuse Treatment Centers; D019966:Substance-Related Disorders / Q000523:psychology / Q000534:rehabilitation*; D018581:Technology Transfer