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Cited by 441Substance Abuse Treatment and OutcomesCrime Patterns and InterventionsChild Welfare and Adoption

Four-Year Follow-up of Multisystemic Therapy With Substance-Abusing and Substance-Dependent Juvenile Offenders

HENGGELER, SCOTT W., CLINGEMPEEL, W. GLENN, BRONDINO, MICHAEL J., PICKREL, SUSAN G.·2002·Journal of the American Academy of Child & Adolescent Psychiatry
DOI 10.1097/00004583-200207000-00021
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Abstract

Objective Although several treatments for adolescent substance abuse have been identified as promising by reviewers and federal agencies, treatment effects extending beyond 12 months have not been demonstrated in randomized clinical trials. The primary purpose of this report was to examine the 4-year outcomes of an evidence-based treatment of substance-abusing juvenile offenders. Method Eighty of 118 substance-abusing juvenile offenders participated in a follow-up 4 years after taking part in a randomized clinical trial comparing multisystemic therapy (MST) with usual community services. A multimethod (self-report, biological, and archival measures) assessment battery was used to measure the criminal behavior, illicit drug use, and psychiatric symptoms of the participating young adults. Results Analyses demonstrated significant long-term treatment effects for aggressive criminal activity (0.15 versus 0.57 convictions per year) but not for property crimes. Findings for illicit drug use were mixed, with biological measures indicating significantly higher rates of marijuana abstinence for MST participants (55% versus 28% of young adults). Long-term treatment effects were not observed for psychiatric symptoms. Conclusions Findings provide some support for the long-term effectiveness of an evidenced-based family-oriented treatment of substance-abusing juvenile offenders. The clinical, research, and policy implications of these findings are noted.

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Crossref · 10.1097/00004583-200207000-00021

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  • The study did not standardize or monitor treatment-as-usual fidelity, in order to compare Family Behavior Therapy with real-world service configurations as routinely delivered.

    “no attempt was made to standardize or monitor fidelity of TAU to permit a valid comparison of the proposed experimental condition to “real world” service configurations that are routinely delivered (Rawson et al., 2004).”

    From A controlled evaluation of family behavior therapy in concurrent child neglect and drug abuse. (2014) · cites this paper as Henggeler et al., 2002

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Authors
HENGGELER, S. W., CLINGEMPEEL, W. G., BRONDINO, M. J., & PICKREL, S. G.
Affiliations
Medical University of South Carolina (US)
Corresponding author
HENGGELER, SCOTT W.
ORCID
BRONDINO, MICHAEL J.
Venue
Journal of the American Academy of Child & Adolescent Psychiatry
Publisher
Elsevier BV
Published
2002-07
Volume
41
Issue
7
Pages
868-874
ISSN
0890-8567 (ISSN-L)
DOI
10.1097/00004583-200207000-00021
OpenAlex
W2056697164
Cited by
441
References
1
Citations by year
2026: 4 · 2025: 6 · 2024: 10 · 2023: 6 · 2022: 23 · 2021: 11 · 2020: 21 · 2019: 16 · 2018: 11 · 2017: 15 · 2016: 14 · 2015: 20 · 2014: 18 · 2013: 16 · 2012: 29
FWCI
14.32
Type
journal article
Language
en
Open access
closed
Licence
www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations
  • Journal of the American Academy of Child & Adolescent Psychiatry (publishedVersion)
  • PubMed (publishedVersion)
Funders
NIDA (R01DA10079)
Topics
  • Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
  • Social Sciences › Sociology and Political Science › Crime Patterns and Interventions
  • Social Sciences › Safety Research › Child Welfare and Adoption
Keywords
multisystemic therapy, juvenile offenders, adolescent substance abuse, substance dependence, long-term treatment outcomes, criminal behavior, illicit drug use, psychiatric symptoms, family-oriented treatment, young adults
MeSH terms
Adolescent, Combined Modality Therapy, Female, Follow-Up Studies, Humans, Juvenile Delinquency, Male, Psychotherapy, Illicit Drugs, Evidence-Based Medicine, Substance-Related Disorders

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