Adapting and implementing an evidence-based treatment with justice-involved adolescents: the example of multidimensional family therapy.
Adapting and implementing an evidence-based treatment with justice-involved adolescents: the example of multidimensional family therapy.
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对涉及正义的青少年采用和实施循证治疗：多维家庭治疗的例子。
DOI：
10.1111/famp.12094
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发表时间：
2014
期刊：
影响因子：
3.9
通讯作者：
Liddle,HowardA
中科院分区：
文献类型：
--
作者：
Liddle,HowardA
40多年来，家庭治疗研究和以家庭为中心的循证治疗对涉及司法的青少年在改变这些年轻人及其家庭的政策和服务方面发挥了重要作用。但研究总是揭示挑战和进步。可以肯定的是，证明循证治疗比通常的对照治疗或服务产生更好的结果是一项成就。但是，与我们现在正在了解的所谓循证治疗转移到现实世界实践环境中的情况相比，这一断言中蕴含的非凡复杂性感觉微不足道。今天的家庭治疗研究继续通过不同的样本和提出的问题来评估结果，但研究和资助的优先事项也包括在非研究环境中研究特定的治疗方法。循证干预在社区诊所和诊所工作人员中是否同样有效？社区诊所必须改变多少治疗方法才能被接受和实施？也许是环境和现有的程序必须改变？而且，在这些情况下，对环境的适应是否会影响结果？谢天谢地，技术转让让位于更系统、更有活力、坦率地说，更像家庭治疗的所需过程的概念。实施科学变得更加明智，以及理论和经验上更强大的总体框架，基于证据的家庭疗法现在在其中运作。本文以多维家庭治疗为例，讨论了在特定的临床背景下--少年司法系统的一个部门--少年拘留的治疗方法的发展、改进和实施。
For over four decades family therapy research and family centered evidence‐based therapies for justice‐involved youths have played influential roles in changing policies and services for these young people and their families. But research always reveals challenges as well as advances. To be sure, demonstration that an evidence‐based therapy yields better outcomes than comparison treatments or services as usual is an accomplishment. But the extraordinary complexity embedded in that assertion feels tiny relative to what we are now learning about the so‐called transfer of evidence‐based treatments to real world practice settings. Today's family therapy studies continue to assess outcome with diverse samples and presenting problems, but research and funding priorities also include studying particular treatments in nonresearch settings. Does an evidence‐based intervention work as well in a community clinic, with clinic personnel? How much of a treatment has to change to be accepted and implemented in a community clinic? Perhaps it is the setting and existing procedures that have to change? And, in those cases, do accommodations to the context compromise outcomes? Thankfully,technology transfernotions gave way to more systemic, dynamic, and frankly, more family therapy‐like conceptions of the needed process. Implementation science became the more sensible, as well as the theoretically and empirically stronger overarching framework within which the evidence‐based family based therapies now operate. Using the example of Multidimensional Family Therapy, this article discusses treatment development, refinement, and implementation of that adapted approach in a particular clinical context—a sector of the juvenile justice system—juvenile detention.