Defense Date
2024
Document Type
Dissertation
Degree Name
Doctor of Philosophy
Department
Psychology
First Advisor
Michael Southam-Gerow, PhD
Abstract
Functional Family Therapy (FFT) is a family-based treatment program for youth with externalizing behavior problems, often involved in juvenile justice and child welfare systems. FFT is an evidence-based program and has been implemented across many states, including the state of Virginia. Objective. The present study performed a program evaluation and observational study of the implementation and sustainment of FFT in Virginia, during the first five years of implementation. Method. Participants included all youth who participated in FFT in Virginia between October 2017 and June 2022. Secondary data analysis was conducted using data entered by therapists and supervisors into the FFT data tracking system. Data related to the quality of implementation, including team size, average caseload, treatment duration, fidelity, treatment completion, and youth placement status at termination, were compiled to assess trends over time. The composition of participants in the FFT program is described and differences in outcomes based on race/ethnicity, gender, referral source, primary referral reason, age, and participation pre- or post- the start of the COVID-19 pandemic were examined. Modifications to FFT were identified and characterized. Results. At the end of the study time period, all teams were still providing FFT. Trends in implementation and sustainment, participant differences in completion rate and outcomes, and modifications to FFT that occurred during the study period are discussed.
Rights
© The Author
Is Part Of
VCU University Archives
Is Part Of
VCU Theses and Dissertations
Date of Submission
10-2-2024