Brief Strategic Family Therapy versus Treatment as Usual: Extended Follow-up for

描述(由申请者提供)：该项目的主要目标是检查非法药物使用青少年门诊治疗的长期影响。具体地说，本研究建议对最近完成的一项有效性试验的379名年轻人进行跟踪评估，以检验短暂策略性家庭治疗(BSFT)和照常治疗(TAU)在药物使用率、外化行为(包括逮捕和性危险行为)、受限环境中的时间(例如，住宅治疗、拘留)和家庭功能改善方面的不同有效性。这项拟议的研究旨在填补关于青少年吸毒者门诊治疗的长期影响的知识空白，并对进一步研究家庭治疗以及社区机构的常规治疗具有意义。此外，这项研究对以社区为基础的机构特别相关，因此对门诊青少年药物滥用治疗的实践具有广泛的影响。此外，拟议的样本还包括相当数量的非裔美国人和拉美裔美国人参与者。因此，研究结果将与西班牙裔和非裔美国青少年吸毒者相关，并将有助于评估干预措施(BSFT和TAU)对特定种族/民族群体：非裔美国人、西班牙裔和非拉美裔白人的长期影响。 公共卫生相关性：该项目的主要目标是检查非法药物使用青少年的不同门诊治疗(简短的战略性家庭治疗和照常治疗)的长期影响。鉴于药物使用随时间的稳定性和持久性，检查远端结果对于确定预防成人药物依赖职业的有效策略至关重要。此外，这项研究的结果将对门诊青少年药物滥用治疗的实践具有广泛的影响，并将对进一步研究家庭治疗以及社区机构的常规治疗至关重要。

DESCRIPTION (provided by applicant): The primary goal this project is to examine the long-term effects of outpatient treatments for illicit drug using adolescents. Specifically, this study proposes to complete a follow-up assessment with a sample of 379 young adults that participated in a recently completed effectiveness trial to examine the differential effectiveness of brief strategic family therapy (BSFT) and treatment as usual (TAU) in the rates of substance use, externalizing behaviors (including arrests and sexually risky behaviors), time in restricted settings (e.g., residential treatment, detention), and improvements in family functioning. The proposed study is designed to fill a knowledge gap regarding the long term effects of outpatient treatments for adolescent drug users and has implications for furthering research on both family therapy as well as treatment as usual in community agencies. Moreover, this study is particularly relevant for community-based agencies, and - as such - has broad implications for practice in outpatient adolescent substance abuse treatment. Also, the proposed sample includes a sizable population of African American and Hispanics participants. As such, the findings will be relevant for Hispanic and African American adolescent drug users, and will permit the evaluation of the long term impact of the interventions (BSFT and TAU) on specific racial/ethnic groups: African Americans, Hispanics and non-Hispanic Whites. PUBLIC HEALTH RELEVANCE: The primary goal this project is to examine the long-term effects of different outpatient treatments (brief strategic family therapy and treatment as usual) for illicit drug using adolescents. Given the stability and persistence of drug use over time, examining distal outcomes is critical for identifying effective strategies for preventing adult drug dependent careers. Moreover, the results of this study will have broad implications for practice in outpatient adolescent substance abuse treatment, and will be essential in furthering research on both family therapy as well as treatment as usual in community agencies.