Article

Comparative Efficacy of Family and Group Treatment for Adolescent Substance Abuse

Department of Pediatrics, University of Iowa, Iowa City, Iowa, United States
American Journal on Addictions (Impact Factor: 1.74). 11/2006; 15(s1):s131 - s136. DOI: 10.1080/10550490601006253

ABSTRACT Due to the continuing prevalence of adolescent substance abuse, promising treatment models need to be developed and evaluated. Thus, the purpose of this study was to evaluate the efficacy of two promising models, Strengths Oriented Family Therapy (SOFT) and The Seven Challenges® (7C). Adolescents who qualified for outpatient treatment and agreed to participate in our study were randomly assigned to one of the two treatments and assessed at 3 and 6-months following baseline. Using a two-part, random-effects model, we examined the odds of achieving abstinence or full symptom remission between treatments and over time. For those not achieving full abstinence or full problem remission, we investigated whether frequency of use or symptom severity were reduced at follow-up. Participants in both SOFT and 7C demonstrated significant reductions in substance use and related problems, but treatments did not differ at 3 and 6 months following baseline. Overall, treatment services were delivered as planned. Both SOFT and 7C were efficacious with adolescents who abuse substances, as participants in both conditions were significantly more likely to be in symptom remission or abstinent at follow-up interviews versus at baseline. Replication studies are needed that address this study's limitations.

Download full-text

Full-text

Available from: Douglas Smith, Jul 04, 2015
0 Followers
 · 
89 Views
  • Source
    [Show abstract] [Hide abstract]
    ABSTRACT: Agencies that provide adolescent drug treatment services have reported increased demand to treat multiple families in groups. However, little attention has been paid to the challenges associated with implementing multiple-family group interventions for adolescent substance abusers. To address this gap in the literature, the authors discuss the implementation of multiple-family groups embedded within a promising multimodal intervention called Strengths-Oriented Family Therapy (SOFT). We provide a brief description of the system of care within which the SOFT multiple-family groups were developed and outline the process of implementation. The authors discuss challenges they faced implementing multiple-family groups in their partnership with a not-for-profit agency using Gotham's (200611. Gotham , H. J. 2006 . Advancing the implementation of evidence-based practices into clinical practice: How do we get there from here? . Clinical Psychology: Research and Practice , 37 ( 6 ) : 606 – 613 . [CrossRef], [Web of Science ®]View all references) conceptual framework for the transfer of evidence-based models into community practice. The challenges included meeting state licensure standards, providing services in rural areas, supervising the multiple-family groups, and addressing therapist's concerns and assumptions about the model. The authors conclude with practical recommendations for others that are developing or implementing multifamily groups as adolescent substance abuse treatment models.
    Social Work With Groups 04/2010; 33(2-3):122-138. DOI:10.1080/01609510903366236
  • Source
    [Show abstract] [Hide abstract]
    ABSTRACT: The purpose of this study was to evaluate the association between authoritative, authoritarian, indulgent, and neglectful parenting, and clinical severity of adolescent substance abuse. Data were examined from 2 substance abuse treatment outcome studies: the Cannabis Youth Treatment (CYT) study and Project Iowa SCY. In both studies, authoritative parenting was associated with less parent-reported substance problem severity compared to neglectful parenting. In CYT, authoritative parenting was also associated with lower conduct disorder severity when compared to authoritarian and neglectful parenting. Findings were not replicated with adolescent-reported outcomes. Lower level of care recommendations are made for authoritatively parented youth when compared to those from authoritarian and neglectful homes. Additional research should rule out shared method variance explanations and investigate whether changes in parenting practices predict substance abuse treatment outcomes.
    Journal of Social Work Practice in the Addictions 10/2008; 8(4):440-463. DOI:10.1080/15332560802341073
  • Source
    Social work 05/2008; 53(2):185-8. DOI:10.1093/sw/53.2.185 · 1.15 Impact Factor