Treatment FAQ

how is multidimensional family therapy the appropriate treatment intervention

by Michel Willms Published 3 years ago Updated 2 years ago
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Multidimensional Family Therapy (MDFT) is an integrated, comprehensive, family-centered treatment for teen drug abuse and related behavioral problems. MDFT focuses on key areas of the adolescent’s life and provides an effective and cost-efficient treatment.

MDFT family-focused interventions include parental reconnection, engaging in self-help groups or drug counseling, enhancing monitoring and discipline skills, linking parents with social supports and resources, and working with teens and parents individually and conjointly on communication and interactional skills.

Full Answer

What is multidimensional family therapy?

Brief Description of the Intervention: Multidimensional Family Therapy (MDFT) is an integrated, comprehensive, family-centered treatment for teen drug abuse and related behavioral problems. MDFT focuses on key areas of the adolescent’s life and provides an effective and cost-efficient treatment.

What is multidimensional treatment foster care?

Multidimensional treatment foster care (MTFC) is another community-based model designed to address the needs of youths referred from the juvenile justice system.

Do therapist ratings predict outcomes of multidimensional family therapy?

Observational ratings of therapist interventions were used to predict outcomes at 6 and 12 months posttreatment for 63 families receiving multidimensional family therapy. Greater use of in-session family-focused techniques predicted reduction in internalizing symptoms and improvement in family cohesion.

What are the intervention principles of mdft?

The intervention principles of MDFT emphasize that therapists focus on the individual problems, strengths, and goals of the adolescent in addition to focusing on parent issues, parenting and family relationships, and extrafamilial influences.

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What are multidimensional interventions?

The multidimensional intervention program consisted of three components: improvement of risk perception, health behavior training, and promotion of a safe working environment. Risk perception has been proposed as a determinant for preventive health behaviors in a number of behavioral theories [28].

What is multidimensional therapy?

Multidimensional Family Therapy (MDFT) is a manualized family-based treatment and substance abuse prevention program developed for adolescents with drug and behavior problems and delinquency. It is typically delivered in an outpatient setting, though it can also be used in inpatient settings.

What techniques are used in systemic family therapy?

The primary systemic family therapy technique is called circular questioning. Circular questions aim to make someone think about the connections between family members. They introduce a person to other people's perceptions and the differences in how family members view situations.

What are the MDFT four areas of attention?

The approach has four target areas: (1) adolescent, (2) parent, (3) family inter- action, and (4) extrafamilial social systems.

What is the multidimensional theory?

The multidimensional anxiety theory predicts that cognitive and somatic anxiety will differentially and independently relate to performance while the catastrophe theory is a three-dimensional model examining the joint effects of cognitive and somatic anxiety.

What is multidimensional treatment foster care?

Multidimensional Treatment Foster Care (MTFC) is a behavioral treatment alternative to residential placement for youth who have problems with chronic antisocial behavior, emotional disturbance, and delinquency. There are three versions of MTFC, each serving specific age groups.

Why is systemic therapy effective?

Benefits of Systemic Therapy Systemic therapy provides many benefits. It helps individuals understand the ways their emotional life affects how they interact with others. It provides a safe space for people to talk about personal issues that may have been too painful or difficult to share with others.

What interventions are used to improve family life?

The three family intervention strategies effective in reducing risk factors and increasing protective fac- tors are behavioral parent training, family therapy, and family skills training or be- havioral family therapy.

What are family intervention strategies?

Family intervention programs are designed to help both the individual with the problem and his family members. Programs offer encouragement and support, increase a family's awareness and knowledge about a loved one's problem, as well as improve communication and conflict resolution skills within the family unit.

What is structural family therapy used for?

The goal of SFT is to improve communications and interactions among family members and to highlight appropriate boundaries to create a healthier family structure.

Who developed MDFT?

Howard LiddleMDFT was developed by Howard Liddle, Ed. D, Professor of Public Health Sciences, Psychology, and Counseling Psychology at the University of Miami Miller School of Medicine. MDFT originated from a desire to transform the treatment services landscape in youth substance use and delinquency.

What is the focus of family systems theory?

Family systems theory places primary focus on exchanges of behavior that take place in a given moment of interaction between members of the family. The theory states that patterns of interaction between family members create, maintain, and perpetuate both problem and nonproblematic behaviors.

What is MDFT in therapy?

Approach. Approach. Multidimensional family therapy (MDFT) is a family-based treatment developed for adolescents with drug and behavior problems.

How often does MDFT occur?

Sessions may occur multiple times during the week, in a variety of contexts including the home, the MDFT clinic, community settings such as schools or courts, or by phone.

Is MDFT multidimensional?

Emotions, cognitive processes, and behavior are interconnected and are all addressed in MDFT. Adolescent problems such as drug abuse and delinquency are multidimensional in etiology and current manifestation, and therefore attempted remedies and therapist behavior must be multidimensional as well.

What is MDFT treatment?

Multidimensional Family Therapy (MDFT) is an outpatient family-based drug abuse treatment program for teenage substance abusers. MDFT is being implemented in state-wide dissemination initiatives and investigators are examining the process of adapting and transporting the model into an existing day treatment drug program for adolescents. MDFT has been applied in several geographically distinct settings with a range of populations, targeting ethnically diverse adolescents at risk for abuse and/or abusing substances and their families. The majority of families treated have been from disadvantaged inner-city communities. As a developmentally- and ecologically-oriented treatment, MDFT takes into account the interlocking environmental and individual systems in which clinically referred teenagers reside. Targeted outcomes in MDFT include reducing the impact of negative factors as well as promoting protective processes in as many areas of the teen's life as possible. Objectives for the adolescent include transformation of a drug-using lifestyle into a developmentally normative lifestyle and improved functioning in several developmental domains, including positive peer relations, healthy identity formation, bonding to school and other pro-social institutions, and autonomy within the parent-adolescent relationship. For the parent (s), intermediate objectives include: increasing parental commitment and preventing parental abdication; improved relationship and communication between parent and adolescent; and increased knowledge about parenting practices (e.g., limit-setting, monitoring, appropriate autonomy granting).

Does MDFT help with anxiety?

Systematic reviews comparing the effective of adolescent drug use interventions across studies found that MDFT reduces substance use, delinquency, behavior problems, and symptoms of anxiety and depression. The program has also been found to improve educational performance.

What is family therapy?

Family therapy is a form of treatment that views psychological problems and their treatment in terms of the interactions among family members. Families are seen as an integrated, interconnected unit in which psychological functioning is influenced by each and every family member individually and collectively as an entire system.

What is functional family therapy?

Functional Family Therapy (FFT) is a family-based therapy that was developed to help youth with behavioral issues, and has been proven effective in treating substance use disorders in adolescents.

What is family based behavioral therapy?

In Family-Based Behavioral Treatment, parents set a positive example by changing their own behavior to help their children change their behaviors in the long run. An important component of this type of therapy is training parents in child management and problem-solving skills.

Is it important to include parents in therapy?

Parents are often an important part of therapy for children , and in family-based therapy, research has shown that in treating children with obesity or overweight issues, it can often be beneficial to include only the parent (s) in the therapy process .

Is MDFT effective for substance use?

MDFT has been proven through research to be effective in treating substance use disorders in adolescents . Multisystemic Therapy (MST) Multisystemic therapy (MST) is a family-focused evidence-based intervention for youth with significant antisocial behaviors, delinquency, and substance problems.

What is MTFC in foster care?

Multidimensional treatment foster care (MTFC) is another community-based model designed to address the needs of youths referred from the juvenile justice system. MTFC is appropriate for severe cases, including those with repeated criminal offending, complex psychiatric and family histories, multiple comorbidities, and failure to respond to previous placements (e.g., group homes, state hospitals). Foster care placement serves as an intermediate step in the transition from alternative placements back into the home and the broader community and is meant to provide a stable environment for 6–9 months. The integrated intervention is based on social learning theory and underscores the importance of the context in which the youth is embedded. Like MST, MTFC can be conceptualized as a package of modes of intervention aimed to promote generalization of gains through active in vivo practice of skills in multiple naturalistic settings, including in the home, school, and community. The major aims of this intervention are to (1) increase the likelihood of successful community living through skill development as well as support and monitoring by positive adult models while (2) aiding parents in the development of effective parenting skills that will maximize smooth reintegration of the youth back into the home environment.

What is MTFC in the community?

MTFC was designed to be a cost effective alternative to group or residential treatment, incarceration and hospitalization for adolescents who have problems with chronic antisocial behavior, emotional disturbance and delinquency. Community families are recruited, trained and closely supervised to provide MTFC-placed adolescents with treatment and intensive supervision at home, in school and in the community; clear and consistent limits with follow-through on consequences; positive reinforcement for appropriate behavior; a relationship with a mentoring adult; and separation from delinquent peers. Training for community foster families emphasizes behavior management methods to provide youths with a structured and therapeutic living environment. After completing a pre-service training and placement of the youth, MTFC parents attend a weekly group meeting run by a program supervisor where ongoing support and supervision are provided. Foster parents are contacted daily during telephone calls to check on youth progress and problems. MTFC staff are available for consultation and crisis intervention 24/7.

What is GLM in rehabilitation?

The GLM is a rehabilitation framework , which means it is “a hybrid theory comprised of values, etiological assumptions, and practice guidelines” ( Ward, Melser, et al., 2007, p. 211). That is, it consists of ethical, etiological and clinical principles that are used to guide treatment. However, as a broad rehabilitation framework, the model does not provide or suggest concrete methods or strategies for the treatment of offenders ( Fortune, under review ). Consequently, the model can easily “wrap around” existing evidence-based treatment programs for particular offender populations, including detained female adolescents.

What is MTFC in Oregon?

The Oregon Multidimensional Treatment Foster Care (MTFC) model was originally developed for adolescents with severe and chronic problems with delinquency, and interventions are implemented using multiple methods (e.g., family and individual therapy, skills training, and academic supports) in a number of key settings (Chamberlain, 2003 ). The model was designed in the 1980s to address serious and violent juvenile offenders who would otherwise need to be placed in a group or residential program ( Green et al., 2014; SAMHSA, 2011 ).

Why do foster parents need a daily report?

Foster parents complete a Parent Daily Report to monitor progress and ongoing problems. To address school-related behaviors, youths keep a card that is taken to school every day and signed by each teacher in order to document attendance, homework completion, and classroom behavior.

Is foster care empirically validated?

As has been the case in multiple arenas, the focus in services for adolescents in foster care has shifted to empirically validated interventions. In this arena, there are at least two distinct approaches that have demonstrated efficacy in carefully controlled studies and effectiveness in subsequent replication attempts.

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