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Case P05 and the MDFT Approach

Multidimensional Family Therapy for Adolescent Drug Abuse: A Clinical Demonstration of Core Therapist Skills and Treatment Techniques Elda Veloso Center for Treatment Research on Adolescent Drug Abuse University of Miami School of Medicine

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Case P05 and the MDFT Approach

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  1. Multidimensional Family Therapy for Adolescent Drug Abuse: A Clinical Demonstration of Core Therapist Skills and Treatment Techniques Elda Veloso Center for Treatment Research on Adolescent Drug Abuse University of Miami School of Medicine Presented at the 2005 Joint Meeting on Adolescent Effectiveness Society for Substance Abuse Treatment Effectiveness (SASATE) Washington, DC, March 20-23, 2005

  2. Case P05 and the MDFT Approach • Objectives: • To review the main pieces of the MDFT approach through the lens of a specific case. • To highlight the process in which MDFT therapists conceptualize and build the intervention.

  3. Case PO5 Summary/Conceptualization • Having viewed the 9-minute DVD of Case PO5: • Mother’s use • Currently using alcohol • Substance abuse history – crack/cocaine • Adolescent’s use • Reported using marijuana, cocaine, Xanax and Ecstasy on a weekly basis • Adolescent was failing school; repeated 8th grade 2 times

  4. Case PO5 Summary/Conceptualization • Adolescent dealing with past hurt from Mother not being around  Adolescent having to parent himself • They did not communicate with each other

  5. Pieces of MDFT Approach/Intervention Targets Given any case, the MDFT therapist will conceptualize the case through the following four areas of work: Adolescent Parent Family Extrafamilial

  6. Rationale for MDFT Intervention Targets • Problems are multidimensional • Multidimensional problems require multidimensional conceptualizations Parent(s) MDFT Adolescent Family Extrafamilial • Multidimensional conceptualizations yield multi-systems interventions • MDFT assesses and intervenes into multiple systems of development and influence

  7. Parent(s) MDFT Therapist - Adolescent Family Adolescent Extrafamilial Pieces of MDFT Approach/Intervention Targets • Self • Family • Peers

  8. Pieces of MDFT Approach/Intervention Targets Therapist - Parent Parent(s) MDFT Family Adolescent Extrafamilial • Self • Overall functioning • Stress and burden • Who they are as individual • human beings • Parent • Love and commitment • Guidance and limit setting • Strong stance against drug • use and delinquency

  9. Pieces of MDFT Approach/Intervention Targets Therapist - Family Parent(s) MDFT Adolescent Extrafamilial • Healthy family relationship and • work on family functioning • Help family communicate in a • new and positive way Family GOAL: Help parents get to know the Adolescent so that they can influence him/her

  10. Pieces of MDFT Approach/Intervention Targets Parent(s) MDFT Family Adolescent Extrafamilial Therapist -Extrafamilial • School • Neighborhood • Legal (Juvenile Justice) • Social • Medical • Other – Anything outside of • the family that may impact • adolescent or parent • functioning

  11. Parent(s) MDFT Family Adolescent Extrafamilial Pieces of MDFT Approach/Intervention Targets Therapist - Parent Therapist must be thinking at all times about the four areas of work and how work in one area impacts progress in all other areas Therapist - Family Therapist Therapist - Adolescent Therapist -Extrafamilial

  12. MDFT: P05 Case Study • We have reviewed how the MDFT therapist approaches each case and why • We have discussed the main issues for Case P05 • This is how the MDFT principles would be applied to Case P05

  13. MDFT: P05 Case Study 1. Therapist - Adolescent 2. Therapist – Parent(s) • Listen to mom’s stress and burden • “You’re the medicine” • Self-care: See own drug use as a problem and work towards recovery • Help adol talk about past hurt regarding mom not being around • Help adol talk about his hopes and changes he wants to make – i.e. school • “There’s something in this for you.” 3. Therapist - Family • Help adol talk to mom about pain she caused him • Help mom listen to adol and apologize for the past • Help mom talk about where she is now and what she is willing to do to make the situation better • Facilitate negotiation about house rules 5. Therapist–Family-Extrafamilial • Guide mom in becoming more involved in school to help adol succeed • Help mom get assistance from court to keep adol off drugs

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