Involving Parents in Adolescent Drug Abuse Treatment

社会因素，包括家庭，父母-青少年和父母变量的发展和持续的青少年药物滥用的影响。 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，很少在研究中进行探讨。 基于研究者和团队先前的研究，本研究旨在研究治疗师如何参与和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，其中一些已经产生和测试的调查小组，本研究旨在确定1）父母治疗师联盟和保留治疗之间的联系，和2）具体的治疗师干预，建立父母治疗师联盟。为了实现这些目标，本研究建议重新编码现有的录像带和文字记录，并确定治疗师与父母关系的关键方面，这些方面被假设可以预测家庭治疗中的保留。 因此，这项调查旨在确定具体的干预措施和会话过程中预测治疗保留与种族不同的青少年和他们的父母的样本。 能够阐明治疗的临床内部的研究是开发、改进和传播有效干预措施的基础。从三个经验支持的家庭治疗模式的档案中选择了辍学（参加少于8次会议）和完成（参加超过8次会议）治疗的家庭。 经过培训的研究生评分员将确定（1）治疗师支持干预措施和（2）治疗师父母联盟的质量和要素，这些要素来自对照临床试验的实际手册指导会议的录像带和成绩单。HLM分析将能够比较脱落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.