The Effects of Family Therapies for Adolescent Delinquency and Substance Abuse: A Meta‐analysis

“…Baldwin, Christian, Berkeljon, Shadish, and Bean (2012) reviewed 24 FBT studies that targeted ASU, delinquency, or both. Four FBT models were sampled: BSFT, FFT, MDFT, and MST.…”

Section: Meta-analytic Studiesmentioning

confidence: 99%

Evidence Base on Outpatient Behavioral Treatments for Adolescent Substance Use: Updates and Recommendations 2007–2013

Hogue

Henderson

Ozechowski

et al. 2014

Journal of Clinical Child & Adolescent Psychology

146

120

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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 Waldron and Turner (2008). It first summarizes the Waldron and Turner findings as well as those from more recent literature reviews and meta-analytic studies of ASU treatment. It then presents study design and methods criteria used to select 19 comparative studies subjected to Journal of Clinical Child & Adolescent Psychology level of support evaluation. These 19 studies are grouped by study category (efficacy or effectiveness) and described for sample characteristics, methodological quality, and substance use outcomes. Cumulative level of support designations are then made for each identified treatment approach: ecological family-based treatment, group cognitive-behavioral therapy, and individual cognitive-behavioral therapy are deemed Well Established; behavioral family-based treatment and motivational interviewing are deemed Probably Efficacious; drug counseling is deemed Possibly Efficacious; and four integrated treatment models combining more than one approach are deemed Well Established or Probably Efficacious. The remainder of the article (a) articulates fidelity, mediator, and moderator effects reported for evidence-based approaches since 2008 and (b) recommends four enhancements to the prevailing business model of ASU outpatient services to accelerate penetration of evidence-based approaches into the underserved consumer base: pursue partnerships with influential governmental systems, utilize web-based technology to extend reach and control costs, adapt effective methods for linking services across sectors of care, and promote uptake and sustainability by emphasizing return on investment. INTRODUCTIONThis article reviews the evidence base on outpatient behavioral treatments for adolescent substance use (Turner, Muck, Muck, Stephens, & Sukumar, 2004). Because practice guidelines in behavioral healthcare now favor on-site treatment over referral for comorbid disorders (see Sacks et al., 2013), behavioral therapists should be fully prepared to manage common ASU problems that present as a secondary reason for referral or an emergent treatment issue. Thus for behavioral health providers who serve teenage populations in a variety of settings, identifying effective treatments for ASU remains a top priority.The following two sections specify the area of intervention science surveyed in this update and recap the Waldron and Turner (2008) findings that are the launching point for review. The remainder of the article summarizes findings from other literature reviews and meta-analytic studies of ASU treatment published since 2008 and introduces the main contributions of the current review; defines the search parameters and inclusion criteria for identifying the final pool of 19 comparative studies subjected to the JCCAP evidence-based treatment evaluation criteria (Southam-Gerow & Prinstein, 2014); describes the main findings of these ...

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“…Their mean effect size of systemic interventions did not differ from the effects of other family therapies. Other meta-analyses assessed only single systemic approaches or effects on an individual mental disorder (e.g., Baldwin, Christian, Berkeljon, Shadish, & Bean, 2012;Curtis, Ronan, & Borduin, 2004). Even though some authors claimed and tried to prove the efficacy of systemic therapy (see, e.g., , the effects of some forms of systemic therapy have not yet been evaluated in randomized, controlled trials.…”

Section: Introductionmentioning

confidence: 98%

Effects of Systemic Therapy on Mental Health of Children and Adolescents: A Meta-Analysis

Riedinger¹,

Pinquart²,

Teubert³

2015

Journal of Clinical Child & Adolescent Psychology

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Systemic therapy is a frequently used form of psychotherapy for the treatment of mental disorders in children and adolescents. The present study reports the results of the first meta-analysis on the effects of systemic treatment of mental disorders and behavior problems in children and adolescents. Based on systematic search in electronic databases (PsycINFO, Psyndex, PubMed, ISI Web of Knowledge, CINAHL), k = 56 randomized, controlled trials met the inclusion criteria. We computed a random-effects meta-analysis. Systemic therapy showed small-to-medium effects in comparison with an untreated control group (posttest: k = 7, g = .59 standard deviation units, follow-up: k = 2, g = .27) and alternative treatment (posttest: k = 43, g = .32, follow-up: k = 38, g = .28). At follow-up, longer interventions produced larger effect sizes. No other moderator effects were identified. Although available randomized, controlled trials show convincing results, their effects refer to a limited number of systemic approaches and mental disorders, and also pertain to adolescents rather than younger children. Thus, more research is needed before more general conclusions about the effects of systemic therapy can be drawn.

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The Effects of Family Therapies for Adolescent Delinquency and Substance Abuse: A Meta‐analysis

Cited by 213 publications

References 81 publications

Teenage Pregnancy and Mental Health

Teenage Pregnancy and Mental Health

Evidence Base on Outpatient Behavioral Treatments for Adolescent Substance Use: Updates and Recommendations 2007–2013

Effects of Systemic Therapy on Mental Health of Children and Adolescents: A Meta-Analysis

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