Family Behavior Therapy - Adult

Substance Use Prevention or Treatment Does Not Currently Meet Criteria

Family Behavior Therapy - Adult (Adult FBT) is a therapeutic treatment intended to accomplish goal performance within the family context. It is designed to treat adults with substance abuse and dependence, as well as associated problems such as conflict, depression, child maltreatment or unemployment. In Adult FBT, clients and their significant others complete assessment measures that allow therapists to understand the family and create an intervention plan. Following these assessments, clients are offered 12 to 16 sessions (typically lasting 60 to 90 minutes) over a four to six month period. When appropriate, clients’ significant others may also participate in these sessions. Adult FBT typically includes an orientation to introduce FBT, a contingency management system (i.e., creating contracts with goals that may be contingently rewarded by adult relatives/significant others), and treatment planning to determine the desired interventions. Based on identified needs, different interventions may be implemented. These interventions could include support for meeting basic needs, managing triggers associated with substance use, supporting skill development for coping, self-control, and communication skills, or support with employment. Adult FBT sessions are usually delivered in homes, community agencies, foster/kinship care settings, outpatient clinics, or residential care facilities. Therapists and supervisors must be state-licensed mental health professionals. Adult FBT therapists must participate in 3 sets of multi-day training sessions and on-going telephone training.


Adult FBT does not currently meet criteria to receive a rating because no studies met eligibility criteria for review.


Date Research Evidence Last Reviewed: Mar 2020


Sources

The program or service description, target population, and program or service delivery and implementation information was informed by the following sources: The California Evidence-based Clearinghouse for Child Welfare, the program or service developer’s website, the program or service manual, and the studies reviewed.

 

Program/Service Description Updated: Week of August 24, 2020


This information does not necessarily represent the views of the program or service developers. For more information on how this program or service was reviewed, visit the Review Process page or download the Handbook.

Target Population

Adult FBT targets adults who experience substance abuse and/or dependence. These adults may have associated problems related to depression, family dysfunction, trauma, child maltreatment, noncompliance, employment, and risky sexual behavior.

Dosage

Adult FBT is typically offered for between four to six months. Clients usually receive 12 to 16 sessions that are between 60 to 90 minutes in length.

Location/Delivery Setting
Recommended Locations/Delivery Settings

Adult FBT sessions are usually delivered in homes, community agencies, foster/kinship care settings, outpatient clinics, or residential care facilities.

Education, Certifications and Training

Therapists and supervisors must be state-licensed mental health professionals. Adult FBT Training includes four modules: (1) Substance Abuse/Problem Behavior Interventions, (2) Family Relationship Building Interventions, (3) Job-Getting and Financial Management, and (4) Child Management Skills Training. Training begins with a three-day workshop and is followed by two two-and-a-half-day booster trainings. These trainings occur 4 months and 8 months after the initial workshop. Agencies may participate in up to 33 on-going telephone training meetings. Supervisors must complete the full Adult FBT training and a half-day supervisor training. To become a certified FBT trainer for an agency, supervisors must additionally implement the second and third FBT Trainer Workshops with certified National Trainers as a secondary trainer with 80% or greater protocol adherence.

Program or Service Documentation
Book/Manual/Available documentation used for review

Donohue, B., & Allen, N. D. (2011). Treating adult substance abuse using Family Behavior Therapy: A step-by-step approach. John Wiley & Sons.

Available languages

Materials for Adult FBT are available in English and Spanish.

Other supporting materials

Overview of Intervention Components

Intervention Protocols

Training Information

Contact Information for Developers

Website: http://familybehaviorther.wixsite.com/familytherapy

Results of Search and Review Number of Studies Identified and Reviewed for Family Behavior Therapy - Adult
Identified in Search 3
Eligible for Review 0
Rated High 0
Rated Moderate 0
Rated Low 0
Reviewed Only for Risk of Harm 0
Sometimes study results are reported in more than one document, or a single document reports results from multiple studies. Studies are identified below by their Prevention Services Clearinghouse study identification numbers.




Studies Not Eligible for Review

Study 10565

Azrin, N. H., McMahon, P., Donohue, B., Besalel, V., Lapinski, K., Kogan, E., & Galloway, E. (1994). Behavior therapy of drug abuse: A controlled outcome study. Behaviour Research and Therapy, 32, 857-866.

Azrin, N., Acierno, R., Kogan, E. S., Donohue, B., Besalel, V., & McMahon, P. T. (1996). Follow-up results of Supportive versus Behavioral Therapy for illicit drug use. Behaviour Research and Therapy, 34, 41-46.

This study is ineligible for review because it is not a study of the program or service under review (Study Eligibility Criterion 4.1.6).

Study 10566

Ahluwalia, H., Anand, T., & Suman, L. N. (2018). Marital and family therapy. Indian Journal Of Psychiatry, 60(Suppl 4), S501-S505. doi:10.4103/psychiatry.IndianJPsychiatry_19_18

This study is ineligible for review because it does not use an eligible study design (Study Eligibility Criterion 4.1.4).

Study 10567

Wang, Y., Zhu, M., Huang, J., He, W., Yu, S., Yu, R., . . . Wang, W. (2008). Family behavior therapy for antisocial and narcissistic personality disorders in China: An open study. German Journal of Psychiatry, 11(3), 91-97.

This study is ineligible for review because it is not a study of the program or service under review (Study Eligibility Criterion 4.1.6).