A randomized clinical trial of family therapy in juvenile drug court
Autor: | Weixu Wang, Maya M. Boustani, Cynthia L. Rowe, Gayle A. Dakof, Craig E. Henderson, Paul E. Greenbaum, Clarisa Linares, Howard A. Liddle, Samuel W. Hawes |
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Rok vydání: | 2015 |
Předmět: |
Family therapy
Male medicine.medical_specialty Adolescent Substance-Related Disorders medicine.medical_treatment Poison control Suicide prevention Article law.invention Group psychotherapy Randomized controlled trial law medicine Juvenile delinquency Juvenile Humans Psychiatry General Psychology Drug court business.industry Criminals Treatment Outcome Florida Juvenile Delinquency Psychotherapy Group Family Therapy Female Crime business Follow-Up Studies |
Zdroj: | Journal of family psychology : JFP : journal of the Division of Family Psychology of the American Psychological Association (Division 43). 29(2) |
ISSN: | 1939-1293 |
Popis: | The objective of this article is to examine the effectiveness of 2 theoretically different treatments delivered in juvenile drug court—family therapy represented by multidimensional family therapy (MDFT) and group-based treatment represented by adolescent group therapy (AGT)—on offending and substance use. Intent-to-treat sample included 112 youth enrolled in juvenile drug court (primarily male [88%], and Hispanic [59%] or African American [35%]), average age 16.1 years, randomly assigned to either family therapy (n 55) or group therapy (n 57). Participants were assessed at baseline and 6, 12, 18 and 24 months following baseline. During the drug court phase, youth in both treatments showed significant reduction in delinquency (average d .51), externalizing symptoms (average d 2.32), rearrests (average d 1.22), and substance use (average d 4.42). During the 24-month follow-up, family therapy evidenced greater maintenance of treatment gains than group-based treatment for externalizing symptoms (d 0.39), commission of serious crimes (d .38), and felony arrests (d .96). There was no significant difference between the treatments with respect to substance use or misdemeanor arrests. The results suggest that family therapy enhances juvenile drug court outcomes beyond what can be achieved with a nonfamily based treatment, especially with respect to what is arguably the primary objective of juvenile drug courts: reducing criminal behavior and rearrests. More research is needed on the effectiveness of juvenile drug courts generally and on whether treatment type and family involvement influence outcomes. Trial Registry Name: Clinical Trials.gov, Identified NCT01668303. |
Databáze: | OpenAIRE |
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