Zum aktuellen Stand der familienbasierten Prävention und Therapie bei substanzbezogenen Störungen im Kindes- und Jugendalter: Ein Überblick

TY - JOUR

T1 - Zum aktuellen Stand der familienbasierten Prävention und Therapie bei substanzbezogenen Störungen im Kindes- und Jugendalter: Ein Überblick

AU - Arnaud, Nicolas

AU - Sack, Peter-Michael

AU - Thomasius, Rainer

PY - 2019/6

Y1 - 2019/6

N2 - Current State of Family-Based Prevention and Therapy of Substance-Use Disorders in Children and Adolescents: A Review Adolescence is a vulnerable period for substance use disorders (SUD) as indicated by epidemiological studies. Research demonstrates the family's role for the etiology of SUD and provides a rationale for interventions based on family-associated risk and resilience factors. In this article, we summarize published results for family-based interventions from 2008-2018. Taken together, prevention programs can be effective when they focus on the promotion of broader developmental competencies and familial resources, rather than narrowly addressing substance use. Moreover, programs could benefit from targeting youth and parents as done in the "Strengthening Families Program 10-14"; most existing programs however target parents and do not include the adolescents. Family-based treatment programs with an evidence base are Multisystemic Therapy, Functional Family Therapy, Multidimensional Family Therapy and Brief Strategic Family Therapy. Overall, the effects of family-based interventions are small-to-middle sized but vary significantly across populations. Across the field of family-based interventions, there is a need for more knowledge on effective components and differential effects. The results could be improved by translational research such as on the emerging concept of mindfulness. Moreover, there is a need for implementation research and the effectiveness of service delivery programs on the community level in Germany.

AB - Current State of Family-Based Prevention and Therapy of Substance-Use Disorders in Children and Adolescents: A Review Adolescence is a vulnerable period for substance use disorders (SUD) as indicated by epidemiological studies. Research demonstrates the family's role for the etiology of SUD and provides a rationale for interventions based on family-associated risk and resilience factors. In this article, we summarize published results for family-based interventions from 2008-2018. Taken together, prevention programs can be effective when they focus on the promotion of broader developmental competencies and familial resources, rather than narrowly addressing substance use. Moreover, programs could benefit from targeting youth and parents as done in the "Strengthening Families Program 10-14"; most existing programs however target parents and do not include the adolescents. Family-based treatment programs with an evidence base are Multisystemic Therapy, Functional Family Therapy, Multidimensional Family Therapy and Brief Strategic Family Therapy. Overall, the effects of family-based interventions are small-to-middle sized but vary significantly across populations. Across the field of family-based interventions, there is a need for more knowledge on effective components and differential effects. The results could be improved by translational research such as on the emerging concept of mindfulness. Moreover, there is a need for implementation research and the effectiveness of service delivery programs on the community level in Germany.

KW - Adolescent

KW - Child

KW - Family Therapy

KW - Germany

KW - Humans

KW - Parents/psychology

KW - Psychotherapy

KW - Substance-Related Disorders/prevention & control

U2 - 10.13109/prkk.2019.68.5.376

DO - 10.13109/prkk.2019.68.5.376

M3 - SCORING: Review

C2 - 31250722

VL - 68

SP - 376

EP - 401

JO - PRAX KINDERPSYCHOL K

JF - PRAX KINDERPSYCHOL K

SN - 0032-7034

IS - 5

ER -