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Presented at the 21st Annual Research Conference

Creating the Evidence Based Practice was the Easy Part...Who Knew?

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Session Number: 7 Room: Salon I

Presentation Type: symposium

Chair: James F. Alexander Discussant: Charles Frazier

Synopsis: Developing an evidenced based practice (EBP) that meets the requirements of scientific rigor and applicability to “real” clinical populations of course was far from easy. In the case of FFT the time span between the first technical report and publication of the first book on actual clinical model was eleven years. This span included published randomized trials, published change mechanism (including therapist characteristics) research, and numerous external reviews. In turn, the time span between the publication of the first book and FFT’s identification as an EBP by the “Blueprints” Program was another 16 years. These years included additional controlled effectiveness studies, applications of FFT with more diverse different treatment contexts and populations, additional focus on therapist characteristics, the beginning of extra mural research funding on change mechanisms, and a published supervision model. While evidence based models (EBPs such as Functional Family Therapy) achieve that designation through carefully controlled research designs, their dissemination and implementation requires multiple levels of anticipation and linking with (often) complex treatment systems. This becomes an even more challenging task when legal systems are also involved, as in the case of treating youth in the Juvenile Justice System context.This presentation will discuss and provide descriptive data reflecting the variety of implementing contexts into which FFT has been integrated. Specific guidelines, notable factors that have contributed to lack of success, and lessons learned regarding successful implementation will be presented.

Date:

Session Time: 10:15 AM - 11:45 AM

Integrating and SustainingFunctional Family Therapy Within Statewide and Larger Systems

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Presenting: Helen Midouhas ; Doug Kopp

All Authors for this paper: Helen Midouhas ; Doug Kopp

Presentation Type: element of symposium

Synopsis: Moving EBPs into communities requires integrating the clinical models with community systems. FFT, with 17 PA sites, maintains high sustainability rates and is one of only two Medical Assistance funded EBMs. Such benchmarks were achieved through a framework for maintaining sites beyond initial grant funding. The presentation will describe these and additional qualitative and quantitative sustainability data and guidelines regarding the necessary parameters of system preparation and integration for over 250 programs nationally and internationally.

Quality Assurance and Practice Improvement: The Washington State Functional Family Therapy Project

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Presenting: Jeffrey Patnode; Kim Mason

All Authors for this paper: Jeffrey Patnode; Kim Mason

Presentation Type: element of symposium

Synopsis: The Washington State Functional Family Therapy Project is dedicated to implementing Functional Family Therapy with high model fidelity. Recent evidence suggests that evidence-based intervention programs depend on high model fidelity for successful outcomes (Barnoski, 2002; Sexton, Hollimon, Mease, & Alexander, 2002). In Functional Family Therapy, model fidelity is based on the dimensions adherence to the principles of the model as well as the competent delivery of the model. This presentation will provide the background for the Washington State FFT project and impetus for the QA/QI process. We will also cover the principles and components that comprise the current process and discuss some preliminary data and associated conclusions.

International Replications of FFT: Transcending Issues of Culture, Language, Treatment Systems, Funding Criteria, and Distance

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Presenting: Kjell Hansson; Andrea Neeb; Kellie Armey

All Authors for this paper: Kjell Hansson; Andrea Neeb; Kellie Armey

Presentation Type: element of symposium

Synopsis: Maintaining quality in evidence based treatments requires integrating numerous complex system factors: human, information channels, bureaucratic structures and processes, treatment modalities, cultures, funding sources. In Sweden this has involved integrating with a very different (Child Welfare) system and adapting the training and treatment protocols to match language and cultural characteristics. This presentation will discuss the role, measurement issues, and clinical challenges involved in multisite dissemination of Functional Family Therapy, and provide multiple outcome data sets.