Family Services Research Center, Medical University of South Carolina, South Carolina 29425, USA.
J Marital Fam Ther. 2012 Jan;38(1):30-58. doi: 10.1111/j.1752-0606.2011.00244.x. Epub 2011 Sep 20.
Several family-based treatments of conduct disorder and delinquency in adolescents have emerged as evidence-based and, in recent years, have been transported to more than 800 community practice settings. These models include multisystemic therapy, functional family therapy, multidimensional treatment foster care, and, to a lesser extent, brief strategic family therapy. In addition to summarizing the theoretical and clinical bases of these treatments, their results in efficacy and effectiveness trials are examined with particular emphasis on any demonstrated capacity to achieve favorable outcomes when implemented by real-world practitioners in community practice settings. Special attention is also devoted to research on purported mechanisms of change as well as the long-term sustainability of outcomes achieved by these treatment models. Importantly, we note that the developers of each of the models have developed quality assurance systems to support treatment fidelity and youth and family outcomes; and the developers have formed purveyor organizations to facilitate the large-scale transport of their respective treatments to community settings nationally and internationally.
几种基于家庭的青少年品行障碍和犯罪行为的治疗方法已经被证明是有效的，近年来已经在 800 多个社区实践场所得到推广。这些模式包括多系统治疗、功能家庭治疗、多维治疗寄养以及在较小程度上的短期策略家庭治疗。除了总结这些治疗方法的理论和临床基础外，还特别强调了在社区实践环境中由实际从业者实施时，这些治疗方法在疗效和有效性试验中的结果，以及证明其实现有利结果的能力。特别关注的是关于改变的假定机制的研究，以及这些治疗模式所取得的结果的长期可持续性。重要的是，我们注意到，每个模型的开发者都开发了质量保证系统，以支持治疗的一致性和青少年及家庭的结果；并且开发者已经成立了供应商组织，以促进各自的治疗方法在全国和国际范围内向社区环境的大规模转移。
