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  • Publication
    Putting families first: An evaluation of Functional Family Therapy in an Irish context
    (Archways Families First, 2014-11) ; ; ;
    Current evidence suggests that up to 20% of Irish adolescents have significant behavioural problems, a figure consistent with results of epidemiological studies of youth mental health problems in other countries.Functional Family Therapy (FFT) has consistently been identified in authoritative international reviews as a family-therapy programme for treating adolescents at risk for juvenile delinquency with a particularly strong evidence-base including many controlled trials, and a well developed training and monitoring system for implementing FFT in new community-based sites.Between 2010 and 2014, a research programme to evaluate the effectiveness and implementation of FFT at Archways Families First was conducted by a research team at University College Dublin, in collaboration with Indiana University, and the team of FFT therapists at Archways Families First. The results of this programme, described in this summary report, provide strong support for the effectiveness of FFT as practiced at Archways Families First in reducing behaviour problems and the risk of juvenile delinquency.
  • Publication
    Evaluation of functional family therapy in an Irish context
    In an Irish context we conducted a retrospective archival study of functional family therapy (FFT) for adolescents with behavioural problems. Strengths and difficulties questionnaire data were collected from 118 families at the beginning and end of therapy (at baseline and follow up for dropouts) in a community-based clinic in a socially disadvantaged Dublin suburb. Analyses of the improvement in mean scores and clinical recovery rates showed that the outcome was associated with treatment completion and the extent to which therapists adhered to the FFT treatment manual. Therapy completers treated by high-adherent therapists had the most favourable outcome. In contrast, the worst outcome occurred for dropouts. The outcome of cases treated by low-adherent therapists fell between these two extremes. These results show that FFT may be effectively implemented in an Irish context, and that the effectiveness of treatment is associated with families remaining in treatment for an average of seventeen sessions, and receiving treatment from therapists who implement FFT with a high degree of fidelity.
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