Comparison of Outcomes of Behavioral Family Therapy Given Families with Children and Families with Adolescents
In a modified replication of an earlier study, 92 parents from 55 families with behaviorally disordered offspring were telephoned 6 to 12 months after termination of therapy to inquire about the presenting problem and family functioning. In the Child Program, 28 families were taught to decide on clear rules, reward acceptable behavior, and give time-out for unacceptable behavior. In the Adolescent Program, 27 families were taught communication, negotiating, and contracting skills. A significant difference was found in reported improvement between families who completed treatment and those who dropped out for the presenting problem but not for family functioning. Significantly more parents in the Child Program reported an improvement than those in the Adolescent Program. Children may respond more favorably to a behavioral intervention by their parents than adolescents because parents of children have greater control and there is less chronicity of misbehavior.