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Evaluating Supervision Models in Functional Family Therapy: Does Adding Observation Enhance Outcomes?
Michael S Robbins1,2, Holly Barrett Waldron1, Charles W Turner1
1Oregon Research Institute, Eugene, OR.
Family Process
|October 20, 2018
Summary
Observation-based supervision (BOOST) significantly reduced externalizing behaviors in adolescents with clinically elevated symptoms compared to supervision as usual (SAU). This highlights the impact of supervision methods on therapy outcomes for at-risk youth.
Area of Science:
- Psychology
- Clinical Psychology
- Family Therapy
Background:
- Functional Family Therapy (FFT) is used for adolescent behavior problems.
- Therapist supervision methods can impact treatment outcomes.
- Understanding effective supervision is crucial for improving youth mental health services.
Purpose of the Study:
- To compare observation-based supervision (BOOST) with supervision as usual (SAU) in FFT.
- To examine the effects of supervision on youth externalizing and internalizing behaviors.
- To investigate if family functioning moderates treatment outcomes.
Main Methods:
- Quasi-experimental design in 8 community agencies.
- 26 therapists received BOOST, 21 received SAU.
- 105 families in BOOST, 59 in SAU, with adolescents referred for behavior problems.
Main Results:
- Adolescents with externalizing behaviors above clinical thresholds showed greater problem reduction with BOOST vs. SAU.
- No differential response was observed for clients below clinical thresholds.
- BOOST supervisors had more FFT experience, potentially influencing results.
Conclusions:
- Observation-based supervision (BOOST) is associated with improved outcomes for adolescents with clinically significant externalizing behaviors.
- Supervision experience may play a role in treatment effectiveness.
- Client case mix is an important consideration in implementation studies.
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