Service Delivery

Family behavior therapy for substance abuse and other associated problems: a review of its intervention components and applicability.

Donohue et al. (2009) · Behavior modification 2009
★ The Verdict

Family Behavior Therapy packages ABA tools you can use right away for substance abuse in justice or child-welfare settings.

✓ Read this if BCBAs who treat teens or adults with drug or alcohol problems in courts, jails, or child-welfare cases.
✗ Skip if Clinicians who only serve very young kids with no family drug history.

01Research in Context

01

What this study did

Donohue et al. (2009) mapped out Family Behavior Therapy for people who misuse drugs or alcohol.

They looked at teens and adults in courts, jails, and child-welfare offices.

The paper lists each ABA part used, like homework contracts and drug refusal drills.

02

What they found

The review calls FBT an evidence-based package, but gives no new numbers.

It shows how the same model can move from clinic rooms to probation offices.

03

How this fits with other research

Donohue (2004) already said family skills help young moms who both use drugs and neglect kids. The 2009 paper widens that lens to every age and setting.

Nitkowski et al. (2009) tested a different ABA package called TAC inside child welfare and saw moderate gains. FBT offers another ready-made option for the same system.

O'Reilly et al. (2008) proved single-case functional assessment works for kids with prenatal drug exposure. FBT adds parent homework and drug refusal drills on top of that base.

04

Why it matters

If you work with families who use drugs, you now have a menu of ABA parts you can bill. You can pick drug refusal drills, homework contracts, or job-getting skills. You can run them in probation offices, clinics, or homes. Next time you write a treatment plan, drop in one FBT piece and measure its effect with your usual data sheets.

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Add one FBT homework contract to your current client’s plan and track completion with a simple daily check-off.

02At a glance

Intervention
other
Design
narrative review
Population
substance use disorder
Finding
not reported

03Original abstract

A comprehensive evidence-based treatment for substance abuse and other associated problems (Family Behavior Therapy) is described, including its application to both adolescents and adults across a wide range of clinical contexts (i.e., criminal justice, child welfare). Relevant to practitioners and applied clinical researchers, topic areas include its theoretical and empirical background, intervention protocols, methods of enhancing motivation for treatment, and future directions.

Behavior modification, 2009 · doi:10.1177/0145445509340019