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This publication is a Campbell Systematic Review of the effect of Multidimensional Family Therapy (MDFT) for treating abuse of cannabis, amphetamine, ecstasy or cocaine (referred to here as non‐opioid drugs) among young people aged 11‐21 years. The misuse of prescription drugs and the use of ketamine, nitrous oxide and inhalants such as glue and pe...
Citations
... It is a manual-based treatment specifically designed to recognize the important role of the family in the development and treatment of adolescents with drug problems. MDFT seeks to produce positive changes in a young person's life, by creating multiple therapeutic alliances with the youth, family members, and other extra familial support systems (Filges et al., 2015). ...
Informed by the social control theoretical perspective, this study intends to identify the factors more likely to differentiate American Indian (AI) adolescents who never used illicit drugs (abstainers) and those who used drugs in the past but did not report recent drug usage (desisters) from their peers who reported lifetime and recent drug usage (persisters). This secondary analysis is based on data from a multi-site study conducted between 2009 and 2013. It is based on a gender-balanced sample (N = 3,380) of AI adolescents (50.50% male; Mean age = 14.75; SD = 1.69) representing the major AI languages and cultural groups in the U.S. Half of the AI adolescents reported lifetime drug use (50.40%), 37.50% never used drugs, and 12.10% stopped using drugs. When controlling for the variables included in the analysis, AI boys were significantly more likely than AI girls to desist from drug use. Both boys and girls who never used drugs tended to be younger, were less likely to have delinquent friends and a lower level of self-control, had stronger bonds to school, but lower levels of family attachment, and reported increased parental supervision. Compared to drug users, desisters associated significantly less with delinquent peers. While school attachment, self-control, and parental monitoring did not differentiate female desisters from female drug users, adolescent boys who desisted from drug use were more likely to report higher levels of school attachment and parental monitoring and their level of self-control was less likely to be low.
One of the most serious psychosocial problems worldwide is substance abuse because of its repercussions not only on the physical and psychological health of the abuser but also on their relational functioning. Among the well‐established therapeutic approaches for the treatment of substance abuse is family therapy, which, in addition to influencing personal variables, promotes changes in family dynamics. The main objective of this study is to review the scientific literature published from 2010 to the present on the efficacy and effectiveness shown by family‐based treatment approaches for substance use problems both in adolescent and adult samples. In addition, the effect on secondary variables such as family functioning and behavioral problems is evaluated. The empirical evidence accumulated in the last decade and reviewed in the present study indicates that the incorporation of family members in the treatment of substance abuse produces benefits by diminishing consumption and improving family functioning. Limitations of this study and of the research reviewed are discussed and directions for future research are provided.
We developed principles drawn from empowerment and realist evaluation theories to guide a family youth alcohol and drug program evaluation, before reflecting on our experience to develop additional principles for future work. The research team included the program clinician and an independent researcher. A purposive sample of young people and one parent took part in interviews. The principles we applied include practical and transformative elements: a collaborative, multidisciplinary team; valuing client perspectives; diffusing power; the belief that programs aim to achieve positive results; capacity building; and sharing information for personal benefit. Additional principles were having young people on collaborative research teams, addressing organizational readiness to embed young people’s involvement in research, accounting for gatekeepers in recruitment processes, and using information communication technology. While principles should be flexibly applied at project level, they can guide project design and encourage the development of organizational systems that support collaborative inquiry.
The study examined Multidimensional family therapy (MDFT) on outpatient drug abusers in the psychiatric ward of Specialist hospital Jalingo, Taraba State, Nigeria. The design involved pre-test and post-test quasi-experimental. The study used 18 drug abusers discharged by the hospital but attended schedule follow-up to avoid relapse. All the outpatients were used for the study sample. A four-point scale questionnaire was used in the study. The pre-test result (M= 1.88, SD= 0.67) revealed that drug abusers had no idea on the effect of Multidimensional family therapy (MDFT) before intercession. After intervention, it was however, discovered that the Multidimensional family therapy (MDFT) has huge significant effect (M= 3.64, SD= 0.51) on outpatients drug abusers in the psychiatric ward of specialist hospital, Jalingo, Taraba State with (t =-18.431, df = 34, p = 0.000). Based on the findings of this study, it was recommended that Counsellors and families adopt Multidimensional family therapy (MDFT) contingents to prevail on any family member, friends or relations found to abuse drugs and other related substances. This achievement should be replicated in learning institutions, place of worship, communities and other social organisations where most of these youths tend to visit to have fun. The researchers also recommended that aside the chemical drug therapy to stabilize drug abusers, Government and Non-Governmental Organisations should as a matter of urgency consider setting up Counselling Centres and employ qualified Counsellors across the state to support, encourage rehabilitation and positive behaviour among youths through psychosocial approach.
Purpose
This paper aims to report on the first comprehensive, social marketing systematic review of interventions targeting illicit drug use by young adults.
Design/methodology/approach
A total of 3,169 papers were screened, with 20 relevant empirical studies meeting the eligibility criteria for the systematic review. These were analysed according to Andreasen’s (2002) and NSMC’s (2006) social marketing benchmarks.
Findings
The findings provide evidence regarding the efficacy of behavioural and clinical interventions targeting individuals and groups, including motivational, life skills training, cognitive behavioural therapy, comprehensive health and social risk assessments and buprenorphine treatment interventions. Further, results evidence that there is yet to be an intervention which has implemented the full marketing mix, and limited studies have used the social marketing benchmarks of exchange and competition.
Originality/value
To the best of the authors’ knowledge, this study is the first to conduct a comprehensive systematic review and provide key recommendations outlining the potential for social marketing to support the improved uptake and efficacy of interventions. A research agenda is also put forward to direct future social marketing scholarship in the area of young adult drug interventions.
In this article, we argue that basic social policy concepts can fertilise the discussion on active labour market policy (ALMP). During the last decades, research on ALMP has become a flourishing field. This is an overall positive development. However, the development tends to fractionate the wider picture of social policy and distance the discussion from social policy seen as a multifold set of government measures that have a direct impact on the welfare of the citizens, by providing services and/or income. We analyse a local ALMP programme in the light of three classical social policy concepts: universalism, selectivism and need. To understand what is going on in ALMP programmes, we argue that it is as important to uncover claims made by the state as it is to satisfy the human needs most often presented as the objectives of ALMP programmes. We propose that the programme under study be characterised as a hybrid, combining elements frequently perceived as dichotomies in social policy literature. Selectivism and universalism are both present as principles and the programme consists of benefits in cash and in kind.
Current State of Family-Based Prevention and Therapy of Substance-Use Disorders in Children and Adolescents: A Review Adolescence is a vulnerable period for substance use disorders (SUD) as indicated by epidemiological studies. Research demonstrates the family's role for the etiology of SUD and provides a rationale for interventions based on family-associated risk and resilience factors. In this article, we summarize published results for family-based interventions from 2008-2018. Taken together, prevention programs can be effective when they focus on the promotion of broader developmental competencies and familial resources, rather than narrowly addressing substance use. Moreover, programs could benefit from targeting youth and parents as done in the "Strengthening Families Program 10-14"; most existing programs however target parents and do not include the adolescents. Family-based treatment programs with an evidence base are Multisystemic Therapy, Functional Family Therapy, Multidimensional Family Therapy and Brief Strategic Family Therapy. Overall, the effects of family-based interventions are small-to-middle sized but vary significantly across populations. Across the field of family-based interventions, there is a need for more knowledge on effective components and differential effects. The results could be improved by translational research such as on the emerging concept of mindfulness. Moreover, there is a need for implementation research and the effectiveness of service delivery programs on the community level in Germany.
This article updates the evidence base on outpatient behavioral treatments for adolescent substance use (ASU) since publication of the previous review completed for this journal by Hogue, Henderson, Ozechowski, and Robbins (2014). It first summarizes the Hogue et al. findings along with those from recent literature reviews and meta-analytic studies of ASU treatments. It then presents study design and methods criteria used to select 11 comparative studies subjected to Journal of Clinical Child and Adolescent Psychology level of support evaluation. These 11 studies are detailed in terms of their sample characteristics, methodological quality, and substance use outcomes. Cumulative level of support designations are then made for each identified treatment approach. These cumulative designations are virtually identical to those of the previous review: ecological family-based treatment, individual cognitive-behavioral therapy, and group cognitive-behavioral therapy remain well-established; behavioral family-based treatment and motivational interviewing remain probably efficacious; drug counseling remains possibly efficacious; and an updated total of 5 multicomponent treatments combining more than 1 approach (3 of which include contingency management) are deemed well-established or probably efficacious. Treatment delivery issues associated with evidence-based approaches are then reviewed, focusing on client engagement, fidelity and mediator, and predictor and moderator effects. Finally, to help accelerate innovation in ASU treatment science and practice, the article outlines promising horizons in improving youth identification and access, specifying and implementing pragmatic treatment in community settings, and leveraging emerging lessons from implementation science.
Aims:
Motivational interviewing (MI) is a commonly used intervention approach to promote reduction or cessation of substance abuse. Effects may be different for adolescents and so it is useful to assess the state of the evidence in this subpopulation. This paper aimed to assess evidence for MI effectiveness in adolescents.
Method:
EBSCOhost, ProQuest, and Digital Dissertation Consortium were searched using keywords. Ten randomized trials from the UK, US and Taiwan, including 1,466 participants, were identified and analyzed using a random effects model. Primary outcome measures captured were: the extent of drug use, intention to use drugs, and readiness to change. Each study received a high quality score based on the Miller Quality Scoring Coding System. Moderator analyses were also conducted to examine the impacts of follow-up period, delivery setting, and study design on the effectiveness of MI.
Results:
No statistically significant effect of MI on change of drug use behaviors was found (d = 0.05, 95% CI [-0.06, 0.17], P = 0.36). A significant effect was found on attitude change (d = 0.44, 95% CI [0.20, 0.67], P = 0.0002). The funnel plot was asymmetric, suggesting publication bias favouring small studies with higher effect sizes.
Conclusion:
Motivational interviewing has not thus far been found to reduce adolescent use of illicit drugs. It may influence intentions to change but evidence of publication bias weakens confidence in this conclusion. This article is protected by copyright. All rights reserved.
