title: Implementation outcomes of Multidimensional Family Therapy-Detention to Community: a reintegration program for drug-using juvenile detainees.
abstract: Responding to urgent calls for effective interventions to address young offenders' multiple and interconnected problems, a new variant of an existing empirically-validated intervention for drug-using adolescents, Multidimensional Family Therapy (MDFT)-Detention to Community (DTC) was tested in a two-site controlled trial. This article (a) outlines the rationale and protocol basics of the MDFT-DTC intervention, a program for substance-using juvenile offenders that links justice and substance abuse treatment systems to facilitate adolescents' post-detention community reintegration; (b) presents implementation outcomes, including fidelity, treatment engagement and retention rates, amount of services received, treatment satisfaction, and substance abuse-juvenile justice system collaboration outcomes; and (c) details the implementation and sustainability challenges in a cross-system (substance abuse treatment and juvenile justice) adolescent intervention. Findings support the effectiveness of the MDFT-DTC intervention, and the need to develop a full implementation model in which transfer and dissemination issues could be explored more fully, and tested experimentally.
authors.affiliation: Department of Epidemiology and Public Health, Center for Treatment Research on Adolescent Drug Abuse, Miller School of Medicine, University of Miami, 1120 NW 14th Street, Miami, FL 33136, USA. HLiddle@med.miami.edu
authors.forename: Howard A
authors.initials: HA
authors.lastname: Liddle
authors.forename: Gayle A
authors.initials: GA
authors.lastname: Dakof
authors.forename: Craig
authors.initials: C
authors.lastname: Henderson
authors.forename: Cindy
authors.initials: C
authors.lastname: Rowe
mesh_terms: D000293:Adolescent; D000437:Alcoholism / Q000523:psychology / Q000534:rehabilitation*; D000987:Antisocial Personality Disorder / Q000523:psychology / Q000534:rehabilitation*; D002648:Child; D003131:Combined Modality Therapy; D003156:Community Mental Health Services / Q000458:organization & administration*; D015897:Comorbidity; D019955:Conduct Disorder / Q000523:psychology / Q000534:rehabilitation; D003299:Cooperative Behavior; D005196:Family Therapy / Q000379:methods* / Q000458:organization & administration*; D005260:Female; D006284:Health Plan Implementation; D006801:Humans; D033183:Interdisciplinary Communication; D007406:Interview, Psychological; D007604:Juvenile Delinquency / Q000331:legislation & jurisprudence* / Q000523:psychology / Q000534:rehabilitation*; D008297:Male; D001523:Mental Disorders / Q000523:psychology / Q000534:rehabilitation; D011329:Prisoners / Q000523:psychology*; D012114:Residential Treatment; D012931:Social Environment; D012951:Socialization; D019966:Substance-Related Disorders / Q000523:psychology / Q000534:rehabilitation*; D013598:Systems Theory; D013781:Texas; D055815:Young Adult