Loretta Hartley-Bangs LCSWZucker Hillside Hospital Mineola Community

Treatment Center

Evidenced Based Practices: Implementing EBPs in Adolescent Treatment

The Family Component

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Hierarchy of Substance UseOpiates, Methamphetamine, Prescription drugs,

IV useCocaine, Hallucinogens, Inhalants

Marijuana

Alcohol

Tobacco

Families

Most FamiliesSomewhere in between

MatrixGoal: Improve the quality and availability of addiction treatment services.

Definition: a situation or set of circumstances that allows or encourages the origin, development, or growth of something.An arrangement of parts that shows how they are interconnected.

Information is provided to educate the client and family about addiction

Family takes an active role in treatment.

Goals and objectives are clear, allowing the client to know what is expected of them.

Exercises that promote self esteem, dignity and self worth.

Knowledge can lead to insight.

How Does it Work?

Matrix Components

Families seeking help

Collaborative HelpingWilliam Madsen

•Striving for cultural curiosity and honoring family wisdom. RESPECT & SELF WORTH•Believing in possibilities and building on family resourcefulness. GOALS/STRENGTHS•Working in partnership with families and fitting services to them. ACTIVE ROLE IN TX•Engaging in empowering processes and making our work more accountable to clients. GOALS

MFG OUTLINEWeeks 1-4 Group rules and expectations. Rationale for MFG Adolescent brain development Communication Common behaviors in Adolescent Chemical

abusers. Common behaviors in parents of kids who

are using drugs.

Parents

All parents go through full assessment.

If necessary set up with SA or MH treatment.

Intake includes toxicology.

Attend 2 MFG’s per week.

1.Ongoing Process oriented group.

2.6 week psycho-education group.

Scapegoat

Family working together

Outcomes• More consistent attendance.• More communication between parents and staff.• Increased understanding of each family system.• When referral is necessary more agreement and

follow through from parents.• Approximately 20-25% of parents are begun in their

own SA or MH treatment.• Increased rates of completion of treatment.

Armstrong, Harvey, MD, FRCPC, Wilks, Corinne, BA;McEvoy, Liam BSW; Russell, Marlene,Med; Melville, Catherine, BA 91994) Group Therapy for Parents of Youths with a conduct disorder. CMAJ 1.51 (7)

Hartley-Bangs, Loretta LCSW, & Egan, Colleen LCSW. Recovering Together:Multiple Family Group Therapy in work with Adolescent Chemical Abusers. IASWG Symposium Proceedings 2012

Laqueur, H. Peter, MD Structures of Disturbed Families. Multiple Family Group Therapy (www.multiplefamilygrouptherapy.com)

Madsen, William C. PH.D. Collaborative Helping: A Practice Framework for Family-Centered Services. Family Process, Vol. 48, No. 1, 2009 FPI, Inc. pp 103-116.

Molinari, Luisa, PH.D, Everri, Marina, PH.D, Fruggeri, Laura. Family Microtransitions: Observing the Process of Change in Families with Adolescent Children. Family Process, FVol. 49, No. 2, 2010 FPI, Inc. pp 236-250

Robbins, Michael S, Ph.D, Alonso, Elizabeth, Ph.D, Horigian, Viviana E. MD, Bachrach, Ken Ph.D, Burlew, Kathy Ph.D, Carrion, Ibis S. Psy. D, Miller, Michael, Ph.D, Schindler, Eric, Ph.D, VanDeMark, Nancy, Ph.D, Henderson, Craig, Ph.D, Szapocznik, Ph.D. Transporting Clinical Research to Community Settings: Designing and Conducting a Multisite Trial of Brief Strategic Family Therapy.Addiction Science & Clinical Practice December 2010 pp 54-61

Rowe, Cynthia L, Ph. D. Multidimensional Family Therapy: Addressing Co-Occurring Substance Abuse and Other Problems among Adolescents with Comprehensive Family-Based Treatment. Child Adolescnet Psychiatry Clin N Am. 2010 July; 19(3): 563-576Santisteben, Daniel A. PH.D & Mena, Maite P. Psy.D. Culturally Informed and Flexible Family-Based Treatment for Adolescents: A tailored and Integrative Treatment for Hispanic Youth. Family Process, Vol. 48, No. 2, 2009 FPI. Inc. pp 253-268

Sexton, Thomas, PH.D, Coop Gordon, Kristina, PH.D, Gurman, Alan, PH.D, Lebow,Jay, PH.D, Holtzworth-Munroe, Amy, PH.D, Johnson, Susan, ED.D.

Guidelines for Classifying Evidence-Based Treatments in Couple and Family Therapy. Family Process, Vol. 50, No. 3, 2011 FPI, Inc. pp 377-392

Sexton, Thomas & Turner, Charles. The Effectiveness of Functional Family Therapy for Youth