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

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Abstract

The present study explored the acceptability, feasibility, fidelity, and outcomes of a young adult adaptation of multidimensional family therapy (MDFT), an evidence-based family treatment originally developed for adolescents. Participants included 22 individuals between the ages of 19 to 25 who were enrolled in a criminal drug court program. MDFT was found to be feasible and was delivered with strong fidelity to young adults and their families. Participants reported high satisfaction with MDFT, and 95% completed treatment. Analyses revealed statistically significant decreases in substance use on all indicators from baseline to the 6-month follow-up. Significant improvements were also noted in vocational functioning, including a 73% increase in full-time employment from baseline to 6-month follow-up. Criminal justice outcomes included a significant decrease in legal risk, and 86% of study participants had no rearrests from baseline through the 18-month follow-up period. The article concludes with recommendations for implementing family-based interventions with young adults, as well as future research directions in this important area.

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APA

Liddle, H. A., Dakof, G., Rowe, C., Mohamed, A. B., Henderson, C., Foulkrod, T., … DiFrancesco, M. (2024). Multidimensional Family Therapy for Justice-Involved Young Adults with Substance Use Disorders. Journal of Behavioral Health Services and Research, 51(2), 250–263. https://doi.org/10.1007/s11414-023-09852-5

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