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Midtreatment Problems Implementing Evidence-based Interventions in Community Settings.

Phillippe B Cunningham1, Sharon L Foster2, Debra M Kawahara2

  • 1Medical University of South Carolina, Charleston, SC.

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PubMed
Summary
This summary is machine-generated.

Multisystemic Therapy (MST) and Functional Family Therapy (FFT) share common midtreatment challenges for adolescents. However, specific implementation problems differ between MST and FFT, impacting treatment success.

Keywords:
Evidence-Based TreatmentFunctional Family TherapyMidtreatment ProblemsMultisystemic Therapyproblemas de mediados del tratamientoterapia familiar funcionalterapia multisistémicatratamiento factual中期治疗问题功能家庭心理治疗多系统心理治疗证据为基础的治疗

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Area of Science:

  • Child and Adolescent Psychology
  • Family Therapy Research
  • Evidence-Based Practices

Background:

  • Multisystemic Therapy (MST) and Functional Family Therapy (FFT) are leading evidence-based family treatments for adolescent behavioral issues.
  • Understanding midtreatment implementation challenges is crucial for optimizing these widely used interventions.

Purpose of the Study:

  • To investigate common and model-specific implementation problems encountered during midtreatment for MST and FFT.
  • To identify factors predicting these problems and their impact on treatment outcomes.

Main Methods:

  • A mixed-method study involving semistructured telephone interviews with experienced MST and FFT therapists and supervisors across the U.S.
  • Retrospective identification and qualitative coding of midtreatment process problems into five major themes and 12 categories.

Main Results:

  • Therapists and supervisors reported numerous similar midtreatment problems in both MST and FFT, including family engagement and strategy implementation difficulties.
  • Model-specific differences emerged, with FFT showing more family relational issues and MST having more follow-through problems.
  • Predictors of problems and variations in outcomes based on problem type, model, and therapist-family race/ethnicity were analyzed.

Conclusions:

  • Both MST and FFT face shared implementation hurdles, necessitating a focus on common factors.
  • Addressing model-specific challenges is essential for tailoring support and improving treatment efficacy in adolescent family therapy.
  • Recognizing both universal and unique implementation issues is key to successful treatment process in family-based interventions.