Substance Use Clinical Trial
Official title:
Family-Based Versus Adolescent Residential Drug Treatment
The fundamental objective of this study is to compare the effectiveness of an intensive in-home family-based treatment, Multidimensional Family Therapy, with a multifaceted residential treatment, Adolescent Residential Treatment, over 4 years post-intake and to delineate the mechanisms of change for each treatment. The study targets dually- diagnosed adolescent drug abusers recommended for residential treatment.
Aim 1: To compare the effectiveness of residential treatment with outpatient, family-based
treatment multiple outcomes including substance use, mental health, school functioning,
family function and delinquency among dually diagnosed adolescents.
Hypothesis 1. From intake to 2 months, residential treatment will show better outcomes than
the family based treatment. Between 2 months and 18 months, family based treatment will show
better outcomes than residential. Between 18 months and four years post intake, outpatient
family based treatment will maintain its treatment gains, while the residential treatment
condition will show an increase in these same symptoms and behaviors.
Aim 2: To examine the relationship between predictors (family, peer, educational/vocational
functioning and involvement in post-treatment services), and outcomes (drug use, co-morbid
symptoms, and criminal behavior) during the four-year post intake period.
Hypothesis 2a. Family functioning, educational/vocational functioning, and peer
relationships measured at discharge will predict drug use, co-morbid symptoms, and criminal
behaviors though the four year longer term follow up period.
Hypothesis 2b. Family functioning, educational/vocational functioning, peer relationships,
and involvement in post-treatment services during the post treatment period will predict
drug use, co-morbid symptoms, and criminal behavior through the longer term follow up
period.
Research Question 1. Is the rate of change in family functioning, educational/vocational
functioning, peer relationships, and involvement in post-treatment services related to the
rate of change in drug use, co-morbid symptoms, and criminal behavior?
;
Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Factorial Assignment, Masking: Single Blind (Outcomes Assessor), Primary Purpose: Treatment
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