Despite the serious and costly problems presented by juvenile sexual offenders, rigorous tests of promising interventions have rarely been conducted. This study presents a community-based effectiveness trial comparing multisystemic therapy (MST) adapted for offenders with services that are typical those provided to in United States. Youth were randomized MST (n = 67) or treatment as usual (TAU-JSO; n 60). Outcomes through 12 months postrecruitment assessed problem behavior, delinquency,...

The mediators of favorable multisystemic therapy (MST) outcomes achieved at 12 months postrecruitment were examined within the context a randomized effectiveness trial with 127 juvenile sexual offenders and their caregivers. Outcome measures assessed youth delinquency, substance use, externalizing symptoms, deviant interest/risk behaviors; hypothesized included parenting peer relations. Data collected pretreatment, 6 postrecruitment, postrecruitment. Consistent MST theory change small extant...

This study explored whether the response of urban adolescents to community violence exposure differs from their family and sexual assault. More specifically, authors desensitization was more common compared with other violence-related stressors. Participants included 1,245 drawn a national probability sample 4,023 youth (aged 12-17 years) who were interviewed about history interpersonal exposure, symptoms posttraumatic stress disorder (PTSD), delinquency. A negative curvilinear effect on...

The current study tested opposing predictions stemming from the failure and acting out theories of depression-delinquency covariation.Participants included a nationwide longitudinal sample adolescents (N = 3,604) ages 12 to 17. Competing models were with cohort-sequential latent growth curve modeling determine whether depressive symptoms at age (baseline) predicted concurrent age-related changes in delinquent behavior, opposite pattern was apparent (delinquency predicting depression),...

Background Recent studies have linked attention‐deficit/hyperactivity disorder ( ADHD ) to elevated rates of risky sexual behavior RSB in adult samples. The current study tested whether symptoms were associated with among adolescents, and examined comorbid conduct problems problematic substance use as joint mediators this association. Methods symptoms, (oppositional defiant disorder/conduct symptoms), alcohol (alcohol frequency), marijuana (marijuana assessed an ethnically diverse...

The primary purpose of this study was to test a relatively efficient strategy for enhancing the capacity juvenile drug courts (JDC) reduce youth substance use and criminal behavior by incorporating components evidence-based treatments into their existing services.Six JDCs were randomized condition in which therapists trained deliver contingency management combination with family engagement strategies (CM-FAM) or continue usual services (US). Participants included 104 offenders (average age =...

The current study reports results from a pilot randomized controlled trial evaluating the feasibility and efficacy of Risk Reduction through Family Therapy (RRFT) for reducing substance use risk trauma-related mental health problems among sexually assaulted adolescents.Thirty adolescents (aged 13-17 years; M=14.80;SD=1.51) who had experienced at least one sexual assault their caregivers were to RRFT or treatment as usual (TAU) conditions.Participants completed measures use, factors (e.g.,...

Objective-Building on prior efficacy trials (i.e., university based, graduate students as therapists), the primary purpose of this study was to determine whether favorable 12-month outcomes obtained in a randomized effectiveness trial implemented by practitioners community mental health center) multisystemic therapy (MST) with juveniles who had sexually offended (JSO) were sustained through second year follow-up.Method-JSO (n = 124 male youth) and their families randomly assigned MST, which...

This study evaluated the accuracy of youth, caregiver, therapist, and trained raters relative to treatment experts on ratings therapist adherence a substance abuse protocol for adolescents.Adherence were provided by youth caregivers in an ongoing trial evaluating Contingency Management (CM) intervention juvenile drug court. These compared those therapists raters, each rater type was CM experts. Data analyzed using item-response-theory-based Many-Facet Rasch Models.Relative experts,...

No empirically supported treatments have been evaluated to address co-occurring substance use problems (SUP) and posttraumatic stress disorder (PTSD) symptoms among adolescents in an integrative fashion. This lack is partially owing untested clinical lore suggesting that delivery of exposure-based PTSD youth with SUP might be iatrogenic.To determine whether exposure-based, intervention for symptoms-risk reduction through family therapy (RRFT)-resulted improved outcomes relative a...

We compared the prevalence and correlates of adolescent suicidal ideation attempts in two nationally representative probability samples adolescents interviewed 1995 (National Survey Adolescents; N = 4,023) 2005 Adolescents-Replication; 3,614). Participants both completed a telephone survey that assessed major depressive episode (MDE), post-traumatic stress disorder, attempts, violence exposure, substance use. Results demonstrated lifetime among was lower than 1995, whereas suicide remained...

Limited attention has been paid to the development and evaluation of interventions that reduce risk for substance use, while also targeting trauma-related psychopathology among maltreated adolescents. Risk Reduction through Family Therapy (RRFT) is a multicomponent treatment integrates principles from existing empirically supported treatments. The purpose current study was evaluate feasibility implementation initial efficacy RRFT an open pilot trial involving small sample (N = 10) female...

This study examined the prevalence of and associations between specific psychiatric disorders, substance use problems, trauma exposure in a sample delinquent nondelinquent adolescents. A nationally representative adolescents (n = 3,614; M age 14.5 years, SD 1.7; 51% male; 71% White, non-Hispanic, 13.3% African American, 10.7% Hispanic) was interviewed via telephone about engagement acts their experience posttraumatic stress disorder, major depressive episode, use, interpersonal violence,...

Epidemiological studies have identified recent declines in specific types of adolescent substance use. The current study examined whether these varied among youth with and without a history interpersonal victimization or posttraumatic stress disorder (PTSD). Data for this come from two distinct samples (12–17 years age) participating the 1995 National Survey Adolescents (N = 3,906) 2005 Adolescents–Replication 3,423). Results revealed significant adolescents' use cigarettes alcohol between...

The first randomized controlled trial of psychological aid (PFA) was conducted, using crime victims as participants. For study Aim 1, investigators tested whether paraprofessional victim advocates could be trained to deliver PFA victims. 2, the effect delivery on victims' psychiatric (i.e., symptoms PTSD, somatization, depression, anxiety, and substance use) adaptive functioning outcomes.Two law enforcement agencies served sites. A dynamic wait-listed design included a phase when at both...

This article summarizes and illustrates the collaboration strategies used by several family therapies. The within multisystemic therapy (MST) are emphasized because it has demonstrated high rates of treatment completion favorable outcomes in multiple clinical trials. Many work common to other forms evidence‐based psychotherapy (e.g., reflective listening, empathy, reframing, displays authenticity flexibility); however, some unique systems treatments, such as identification strengths across...