Suchergebnisse

Background: Multidimensional family therapy is the most researched family based intervention for adolescent substance abuse. Research and coverage: Funded continuously since 1985 in a series of controlled trials, process studies, economic analyses, and implementation studies, MDFT has achieved positive outcomes at post treatment and at various follow-up periods at one year and beyond when compared to a variety of active treatments, including cognitive behavior therapy, group counseling, multifamily groups, as well as in comparisons against services as usual. MDFT is a treatment system rather than a one size fits all model, having been adapted for testing and implementation in a variety of U.S. locations and in a multinational controlled trial in Europe over the past 5 years (Berlin, Paris, Brussels, The Hague, and Geneva). Studies have tested MDFT in juvenile justice settings such as drug courts, detention centers, residential treatment, as well as in outpatient treatment offered in drug and juvenile justice outpatient settings.

An economic evaluation of five outpatient adolescent treatment approaches (12 total site-by-conditions) was conducted. The economic cost of each of the 12 site-specific treatment conditions was determined by the Drug Abuse Treatment Cost Analysis Program (DATCAP). Economic benefits of treatment were estimated by first monetizing a series of treatment outcomes and then analyzing the magnitude of these monetized outcomes from baseline through the 12-month follow-up. The average economic costs ranged from $90 to $313 per week and from $839 to $3,279 per episode. Relative to the quarter before intake, the average quarterly cost to society for the next 12 months (including treatment costs) significantly declined in 4 of the 12 site-by-treatment conditions, remained unchanged in 6 conditions, and increased in 2 treatment conditions (both in the same site). These results suggest that some types of substance-abuse intervention for adolescents can reduce social costs immediately after treatment.