Delinquency, Substance Use
Conditions
Keywords
Adolescents, Family-Based treatment, Multidimensional Family Therapy
Brief summary
This randomized controlled study tests an innovative juvenile diversion model that integrates evidence-based family therapy.Immediate and longer term effects of the family intervention will be compared to Services As Usual with 120 adolescents participating in Miami-Dade's Civil Citation Program.
Detailed description
This study proposes to rigorously test the innovative Civil Citation Program (CCP)with an integrated evidence-based family intervention, Multidimensional Family Therapy\[MDFT\](Liddle, 2002). The study sample includes youth referred to the CCP throughout Miami-Dade county and who according to CCP screening are rated as high risk for re-offending. Youth are 12-17 years old with a first or second misdemeanor charge (excluding any gang, violence, or sex crimes charge). Nearly all (97%) of these youth are ethnic minorities (Hispanic and African American). They are at risk for school failure, substance use, and chronic delinquency due to drug availability in their communities, poor family functioning, peer drug use/delinquency, and school failure / disengagement. 120 youth who enter the Civil Citation Program and are eligible for the study will be assigned to one of the two interventions: CCP+SAU or the experimental intervention, CCP+MDFT. The study asks a classical services research question(Compton et al, 2005) - does the addition of a family therapy intervention, multidimensional family therapy, into an existing diversion program significantly enhance the program outcomes in key outcome domains: recidivism, substance use, delinquency, school and family functioning.
Interventions
BEHAVIORALCCP+MDFT
Multidimensional Family Therapy (MDFT; Liddle, 2002) is one of a new generation of multi-systems oriented family-based intervention for adolescent substance abuse and delinquency. It has demonstrated considerable success with juvenile justice youth at various stages of their involvement in the justice system. The model has demonstrated efficacy in reducing substance use and delinquency, increasing the prosocial behaviors (e.g., family functioning, school outcomes) of substance abusing and court involved adolescents.
BEHAVIORALCCP+SAU
Services As Usual community partners will provide individualized mental health counseling and psychiatric services, psychoeducational groups and substance abuse counseling.
Sponsors
University of Miami
Study design
Allocation
RANDOMIZED
Intervention model
FACTORIAL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
12 Years to 17 Years
Healthy volunteers
Yes
Inclusion criteria
* Youth 12 to 17 years old * Parent or guardian willing to participate in assessments/treatment * Demonstrate risk for mental health, substance abuse, or anger/adjustment problems on the Juvenile Services Department screening warranting intervention but not requiring residential treatment
Exclusion criteria
* Youth under the age of 12 or over the age of 18 * Parent/guardian not willing to participate in assessments and treatment * Youth not demonstrating mental health, substance abuse or anger/adjustment problems * Youth requiring residential treatment * Youth with severe mental illness or retardation
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Delinquency | Intake through 9-month follow-up | Youth in CCP+MDFT will show less delinquency from intake to 9 months than youth in CCP+SAU. National Youth Survey Self-Report Delinquency Scale (SRD)will be used to assess delinquency. |
| Recidivism | 6 months prior to arrest that got youth in the CCP through 24 months after the baseline assessment | Juvenile justice arrest records recoding total arrests, total misdemeanor arrests, and total felony arrests for youth 6 months prior to baseline through 24 months after baseline. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Substance Use | Intake through the 9-month follow-up | Youth in CCP+MDFT will report less substance use from intake to 9 months than CCP+SAU. The Timeline Follow-Back Method, Personal Experiences Inventory and Urinalyses will be used to measure substance use. |
Countries
United States
Outcome results
None listed