پرکردن شکاف پژوهش - عمل در نوجوانان برای درمان مصرف مواد مخدر: مورد کوتاهی از خانواده درمانی استراتژیک

This article presents an empirically validated intervention, Brief Strategic Family Therapy (BSFT), for the treatment of adolescent drug abusers. The BSFT intervention steps and program format are presented. Challenges to implementation in community treatment settings are discussed to identify factors that may facilitate or block the integration of BSFT into community practice settings. In particular, this discussion explores how 3 critical aspects of community treatment programs —program philosophy, program structure, and cost/funding—influence the blending of BSFT into community treatment practice.

This article explores some of the practical issues in blending a research-proven family based intervention for adolescent substance abusers, Brief Strategic Family Therapy (BSFT; Szapocznik et al., 2001 and Szapocznik & Kurtines, 1989) into current community treatment practices. Efforts to blend research-proven interventions in community treatment settings may have a significant impact on the day-to-day activities of both practitioners and researchers. Yet, there is relatively little research or experience on the blending of empirically supported treatments for adolescent substance abusers with community treatment practice. The work presented in this article is based on collaborative relationships developed through the Clinical Trials Network of the National Institutes on Drug Abuse. This article brings together the experiences of community treatment providers and university-based researchers to discuss bridging the research-practice gap around BSFT for adolescent drug abusers. This collaboration reflects our guiding assumption that the best way to build an effective research-practice bridge is to involve both clinicians and researchers as full partners. Through this partnership, we have identified critical challenges and potential solutions for initiating efforts to blend BSFT with community practice. The information in this article is presented in two sections. In the first section, we present a brief description of BSFT intervention and relevant outcome results. This information provides an understanding of the clinical aspects of BSFT as well as selected outcome research findings. The second section presents issues involved in blending BSFT with community treatment practice. Specifically, this section includes key questions and challenges to be addressed in blending research with practice, and offers some potential recommendations for facilitating this process. Throughout this section, we highlight issues that are particularly salient for blending research-proven interventions for adolescent substance abusers with adolescent community treatment services.