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Multidimensional Family Therapy for Justice-Involved Young Adults with Substance Use Disorders.

Howard A Liddle1, Gayle Dakof2, Cynthia Rowe1

  • 1University of Miami Miller School of Medicine, Miami, USA.

The Journal of Behavioral Health Services & Research
|August 2, 2023
PubMed
Summary
This summary is machine-generated.

Multidimensional Family Therapy (MDFT) adapted for young adults in drug court proved feasible and effective. The intervention significantly reduced substance use, improved employment, and decreased legal issues for participants.

Keywords:
Criminal justiceEmerging adults/transitional age youth (TAY)Multidimensional family therapy (MDFT)Substance useYoung adults

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Area of Science:

  • Psychology
  • Criminal Justice
  • Addiction Medicine

Background:

  • Multidimensional Family Therapy (MDFT) is an evidence-based treatment for adolescents.
  • Young adults in criminal justice programs often face challenges with substance use and vocational functioning.

Purpose of the Study:

  • To evaluate the acceptability, feasibility, fidelity, and outcomes of a young adult adaptation of MDFT.
  • To assess the impact of adapted MDFT on substance use, vocational functioning, and criminal justice involvement.

Main Methods:

  • A young adult adaptation of MDFT was implemented with 22 individuals aged 19-25 in a criminal drug court program.
  • Data were collected on treatment completion, satisfaction, substance use, employment, and legal outcomes.
  • Follow-up assessments were conducted at 6 and 18 months.

Main Results:

  • MDFT adaptation was feasible, delivered with high fidelity, and highly satisfactory to participants (95% completion rate).
  • Statistically significant decreases in substance use and legal risk were observed.
  • A 73% increase in full-time employment and 86% of participants had no rearrests by 18-month follow-up.

Conclusions:

  • Adapted MDFT is a viable and effective intervention for young adults in criminal drug court programs.
  • Family-based interventions show promise for improving outcomes in this population.
  • Further research is recommended for implementing and refining family-based interventions for young adults.