ArticleJournal of clinical child and adolescent psychology : the official journal for the Society of Clinical Child and Adolescent Psychology, American Psychological Association, Division 53
Core Elements of Family Therapy for Adolescent Behavior Problems: Empirical Distillation of Three Manualized Treatments.
Article in Journal of clinical child and adolescent psychology : the official journal for the Society of Clinical Child and Adolescent Psychology, American Psychological Association, Division 53. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.
What it found
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The trial behind it
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Who cites it
25 citing papers in PubMed, 52 citations in OpenAlex.
- Trial
- The Content of Usual Clinical Care for Youth with Primary Anxiety Problems.Administration and policy in mental health · 2025Trial
- Therapist Self-Report of Fidelity to Core Elements of Family Therapy for Adolescent Behavior Problems: Psychometrics of a Pragmatic Quality Indicator Tool.Administration and policy in mental health · 2022Trial
- Training Community Therapists in Core Elements of CBT and Family Therapy for Adolescent Externalizing Problems.Journal of clinical child and adolescent psychology : the official journal for the Society of Clinical Child and Adolescent Psychology, American Psychological Association, Division 53Trial
- Anatomy of the Relational Reframe in Attachment-Based Family Therapy.Family process · 2026Article
- Therapist self-report reliability and accuracy in individual vs. conjoint systemic family therapy sessions: implications for clinical monitoring.Frontiers in psychology · 2026Article
- Using a Single Measure To Assess Adherence and Differentiation in Family Therapy for Adolescent Externalizing Problems.Administration and policy in mental health · 2025Article
- Core Competencies in Family Therapy for Adolescent Behavior Problems: Systemic Stance and Systemic Skills.Contemporary family therapy · 2025Article
- A Novel Approach to Research Synthesis with the Distillation and Matching Model: Application to the Prevention of Youth Social, Emotional, and Behavioral Problems.Prevention science : the official journal of the Society for Prevention Research · 2025Article
- Examining Caregiver Practices During Adolescent Outpatient Alcohol Use and Co-Occurring Mental Health Treatment: Protocol for a Dyadic Ecological Momentary Assessment Study.JMIR research protocols · 2024Article
- Family Support Protocol for Adolescent Internalizing Disorders: Protocol for a Pre-Post Quantitative Treatment Development Study.JMIR research protocols · 2024Article
- Competency Guidelines for Family Collaboration in Behavioral Health Services for Adolescents.Contemporary family therapy · 2024Article
- Pilot study of implementing Managing and Adapting Practice in a German psychotherapy master's program.Scientific reports · 2024Article
- Mechanisms of Behavior Change in Adolescent Substance Use Treatment: A Systematic Review of Treatment Mediators and Recommendations for Advancing Future Research.Clinical psychology : a publication of the Division of Clinical Psychology of the American Psychological Association · 2024Article
- Core Elements of Family Therapy for Adolescent Behavioral Health Problems: Validity Generalization in Community Settings.Journal of clinical child and adolescent psychology : the official journal for the Society of Clinical Child and Adolescent Psychology, American Psychological Association, Division 53 · 2023Article
- Caregiver Engagement in Outpatient Treatment for Adolescents in Community Settings: Construct and Predictive Validity of Family Therapy Techniques.Administration and policy in mental health · 2023Article
- Relationship-Oriented Recovery System for Youth (RORSY): Clinical Protocol for Transition-Age Youth with Opioid Use Disorders.HSOA journal of addiction & addictive disorders · 2023Article
- Common Elements Approaches to Implementation Research and Practice: Methods and Integration with Intervention Science.Global implementation research and applications · 2023Article
- Online Training of Community Therapists in Observational Coding of Family Therapy Techniques: Reliability and Accuracy.Administration and policy in mental health · 2022Observational
- How to Enhance the Motivation for Drug Detoxification: Consciousness Guidance and Behaviour Restriction of Family Intergenerational Ethics.International journal of environmental research and public health · 2021Article
Corrections and comments
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Authors and funding
6 authors at 2 institutions in 1 country.
Funding
Abstract
Family therapy has the strongest evidence base for treating adolescent conduct and substance use problems, yet there remain substantial barriers to widespread delivery of this approach in community settings. This study aimed to promote the feasibility of implementing family-based interventions in usual care by empirically distilling the core practice elements of three manualized treatments. The study sampled 302 high-fidelity treatment sessions from 196 cases enrolled in 1 of 3 manualized family therapy models: multidimensional family therapy (102 sessions/56 cases), brief strategic family therapy (100 sessions/94 cases), or functional family therapy (100 sessions/46 cases). Adolescents were 57% male; 41% were African American, 31% White non-Hispanic, 9% Hispanic American, 6% another race/ethnicity, and 13% unknown. The observational fidelity measures of all three models were used to code all 302 sessions. Fidelity ratings were analyzed to derive model-shared treatment techniques via exploratory factor analyses on half the sample; the derived factors were then validated via confirmatory factor analyses supplemented by Bayesian structural equation modeling on the remaining half. Factor analyses distilled 4 clinically coherent practice elements with strong internal consistency: Interactional Change (6 treatment techniques; Cronbach's α = .93), Relational Reframe (7 techniques; α = .79), Adolescent Engagement (4 techniques; α = .68), and Relational Emphasis (4 techniques; α = .67). The 4 empirically derived factors represent the core elements of 3 manualized family therapy models for adolescent behavior problems, setting the foundation of a more sustainable option for delivering evidence-based family interventions in routine practice settings. Public Health Significance: Increasing implementation of high-fidelity family-based interventions would improve the quality of treatment services for adolescent conduct and substance use problems.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.