Involving Parents in Adolescent Drug Abuse Treatment

社会因素，包括家庭、父母-青少年和父母变量对青少年药物滥用的发展和持续有影响。此外，研究表明，父母在成功治疗青少年毒品问题方面发挥着关键作用。然而，让父母参与青少年的治疗是一个复杂而困难的过程，很少在研究中被探索。在研究者和团队之前的研究的基础上，本研究旨在检查治疗师如何参与并留住父母以家庭为基础的青少年药物治疗。利用现有的治疗过程理论，其中一些已被调查小组产生和测试，本研究旨在确定1)父母-治疗师联盟与治疗保留之间的联系，以及2)建立父母-治疗师联盟的具体治疗师干预措施。为了实现这些目标，本研究建议对现有的录像带和记录进行重新编码，并确定治疗师-父母关系的关键方面，这些方面被假设为预测家庭治疗中的保留。因此，本研究旨在确定具体的干预措施和在会议过程中预测治疗保留与种族多样化的青少年和他们的父母样本。能够阐明治疗的临床内部的研究是发展、改进和传播有效干预措施的基础。从三个实证支持的家庭治疗模型的档案中选择了退出（少于8次治疗）和完成（超过8次治疗）治疗的家庭。训练有素的研究生评分员将识别(1)治疗师支持干预和(2)治疗师家长联盟的质量以及来自对照临床试验的实际手册指导会议的录像带和文本的元素。HLM分析将能够比较中途退出者和完成者之间治疗过程轨迹的差异。

Social factors, including family, parent-adolescent, and parent variables are influential in the development and continuation of adolescent substance abuse. Furthermore, research indicates that parents play a critical role in the successful treatment of adolescent drug problems. However, getting parents involved in the adolescent's treatment is a complex and difficult process that has rarely been explored in research studies. Building upon the investigator's and team's previous research, this study is designed to examine how therapists engage and retain parents in family-based adolescent drug treatment. Using existing therapy process theory, some of which has been generated and tested by the investigative team, this study aims to identify 1) the link between the parent- therapist alliance and retention in treatment, and 2) specific therapist interventions that build the parent-therapist alliance. To accomplish these goals, this study proposes to re-code existing videotapes and transcripts and to identify key aspects of the therapist-parent relationship that are hypothesized to predict retention in family therapy. Thus this investigation seeks to identify specific interventions and in-session processes that predict treatment retention with an ethnically diverse sample of adolescents and their parents. Research that can illuminate the clinical interior of therapy is fundamental in developing, improving, and disseminating effective interventions. Families that Dropout (attended less than 8 sessions) and Complete (attended more than 8 sessions) therapy have been selected from the archives of three empirically, supported family therapy models. Trained graduate student raters will identify (1) therapist support interventions and (2) therapist parent alliance quality and elements from videotapes and transcripts of actual manual-guided sessions from controlled clinical trials. HLM analyses will enable a comparison of differences in the trajectories of therapeutic processes between Dropouts and Completers.