Evidence-Based Treatment for Youth and Families---Implementation and Ongoing Quality Improvement
Session offered by Division 53. With the emergence of these EBTs there were great expectations that community based services would greatly improve in effectiveness. Despite their great promise, EBT’s have yet to realize their potential in the community settings. When EBTs are moved from the controlled setting of a clinical trial to the community, the effectiveness of the EBTs fall up to 50%. This may occur because the treatment the complexity and diversity of community settings requires adaptations of the EBT, and/or that the approaches are not implemented with sufficient fidelity or adapted to the individual needs of clients. This symposium addresses two of the most important elements in transporting EBT into community settings in a US and Norwegian Context. The Norwegian Center for Child Behavioral Development has a national responsibility for developing, implementing, monitoring and evaluating evidence-based treatment methods for children and youth with serious behavioral problems. Since 1999 the Center has led a nation-wide implementation of Multisystemic Therapy (MST) and Parent Management Training (PMTO), and since 2007 Functional Family Therapy (FFT) and Multi-dimensional Treatment Foster Care (MTFC). Today the Center is supporting and overseeing 30 teams delivering MST, FFT and MTFC to the Norwegian population through state child welfare. As part of the implementation process a randomized controlled clinical trial is conducted, to evaluate effectiveness and identify important implementation factors. The second paper presents the outcomes of a pilot project designed to implement an Evidence-Based Treatment (Functional Family Therapy) and a Measurement Feedback System (Contextualized Feedback System) into a large community based mental health system. The FFT-CFS project brings a systematic evidence based intervention for youth behavioral problems together with a measurement feedback system in order to improve the outcomes of treatment programs in community settings.
Learning Objective 1
Explain the role of Measurement Information Systems in FFT.
Learning Objective 2
Discuss the keys to long term implementation success.
Learning Objective 3
Thomas L. Sexton, PhD; Dagfinn Mørkrid Thøgersen, PhD; Thomas L. Sexton, PhD
- Bickman-APA 2012
- Sexton-Div 53 fftcfs apa 2012