Prosocial family therapy: A manualized preventive intervention for juvenile offenders |
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| Affiliation: | 1. University of Colorado at Boulder Boulder, CO, USA;1. Department of Molecular Imaging and Neuropathology, New York State Psychiatric Institute, USA;2. Department of Psychiatry, Columbia University College of Physicians and Surgeons, USA;1. Department of Clinical Sciences, Umeå University, Umeå, Sweden;2. Department of Animal Environment and Health, Swedish University of Agriculture, Skara, Sweden;3. Department of Molecular Medicine and Surgery, Endocrine and Diabetes Unit, Karolinska Institutet, Stockholm, Sweden;4. Department of Clinical Neuroscience/Psychiatry, Karolinska Institutet, Stockholm, Sweden;5. Department of Clinical Sciences, Karolinska Institutet, Danderyd Hospital, Stockholm, Sweden;1. Division of Adolescent Medicine, Department of Pediatrics, University of Washington/Seattle Children''s Hospital, Seattle, Washington;2. Division of Pediatric and Adolescent Gynecology, Cincinnati Children''s Hospital Medical Center, Cincinatti, Ohio;3. Department of Obstetrics and Gynecology, Case Western Reserve University School of Medicine, Cleveland, Ohio;4. Center for Community Health and Education, New York, New York;5. Department of Pediatrics, Obstetrics and Gynecology, The Craig Dalsimer Division of Adolescent Medicine, Philadelphia, Pennsylvania |
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| Abstract: | This manual for Prosocial Family Therapy (PFT) describes a practical method of multisystemic care for juvenile offenders based on our theories about risk and protection factors and therapy process. The PFT team integrates specific parent training techniques and nonspecific family therapy strategies in meetings scheduled with decreasing frequency over a 3-month intervention and 2-year follow-up period. The PFT manual blends scientific and clinical concerns via checks on manual adherence, treatment integrity, and internal validity. PFT can be used by MA-level therapists in community or residential settings run by courts, schools, or mental-health agencies. Our short-term intervention goal is rapid, lasting reduction of youths' community, home, and coping problems (e.g., police arrest, curfew violation, substance abuse, and suicide attempts). Our long-term prevention goal includes fewer crimes and bad life outcomes (e.g., school dropout, teen parenthood, welfare dependence) and more family-wide prosocial coping—helping self without harming others. We discuss why family preservation is not our ultimate goal and why acceptance of reality is a prerequisite for behavior change. |
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