COST EFFECTIVENESS
The BSFT™ Program is a cost-effective intervention that can, when appropriately implemented, reduce treatment costs well below that of traditional services and other family-based interventions. A typical BSFT™ Program-trained therapist effectively treats 28 to 36 families to completion in one year.
The BSFT™ Program can achieve favorable outcomes at cost saving in comparison with the usual mental health and juvenile justice services, such as detention, incarceration and residential treatment. At an average cost of $3,500 per youth**, the BSFT™ Program is a more cost-effective than most intervention programs aimed at serious juvenile offenders.
Source: Residential and Detention costs using typical intervention times are from Sexton, TL. Source: Current annual cost of $52,256 for placement of one juvenile in a state-run group home, per The Department of Juvenile Services (DJS), State of Maryland, 2007 (source: The EB-Advocate, Fall 2008) The above data do not include the indirect costs to society of non-treatment, which include increased crime, decreased High School graduation rates and increased K-12 grade repetition. ** Average combined agency costs and BSFT™ Program Training Institute costs over three years. Costs can vary based on numerous factors including but not limited to agency salaries, distance to families in treatment, use of certain digital recording equipment, etc.
WHO WE AREThe Brief Strategic Family Therapy® Institute
The Premier Center for Development and Testing of Minority Family TherapyInterventionsThe Dr. Szapocznik is an internationally known expert on families and family-based interventions. A professor of Psychiatry and Behavioral Sciences, Psychology, and Educational Research and Counseling Psychology, he is also director of the Spanish Family Guidance Center and the Center for Family Studies, all at the University of Miami. Dr. Szapocznik received the 2000 Presidential Award for "Contributions to the Development of Family-Based Interventions" from the Society for Prevention Research, and, in 1999, received the first ever Research Award from the Center for Substance Abuse Prevention.
The Brief Strategic Family Therapy® Institute is home to some of the brightest minds in family therapy. The BSFT™ Program Trainers have taught therapists around the globe while designing and implementing culturally sensitive interventions with strategic clinical goals. Our associated University of Miami researchers are conducting rigorous research to test the impact of interventions and using our Clinical and Research findings to improve and refine our interventions.
General Contact and Inquiries: Brief Strategic Family Therapy® Institute, 1425 N.W. 10th Avenue, Miami, Florida 33136 | Office: (305) 253-7585, Fax: (305) 243-2320 | Email: .(JavaScript must be enabled to view this email address).
EVIDENCE-BASED DEFINITION
Evidence-based programs or practices ("EBP") are typically defined as follows:
Successful, evidence-based programs deliver quantifiable, sustainable results and are cost-effective to implement. Evidence-based practices differ from approaches that are based on tradition, belief, convention or anecdotal evidence.
STRENGTHEN FAMILIES • LOWER COSTS • REDUCE CRIME: To start a conversation about how the BSFT™ Program can benefit your community contact the Brief Strategic Family Therapy® Institute at .(JavaScript must be enabled to view this email address) or 305-243-7585.
PROGRAM SUMMARY“BSFT™ Program Training is not about symptom reduction; it’s about restructuring and mobilizing the family. To achieve that, our training engages the agency and the family.” - Joan Muir, Ph.D., Brief Strategic Family Therapy® Institute Associate Director Brief Strategic Family Therapy® Program SummaryThe The BSFT™ Program has been developed by a team of researchers led by Jose Szapocznik, Ph.D. at the Center for Family Studies, University of Miami since 1972. The Center for Family Studies is the nation’s oldest and most prominent center for development and testing of minority family therapy interventions for prevention and treatment of adolescent substance abuse and related behavior problems.
Introductory Workshop in Brief Strategic Family Therapy®The BSFT™ Program Introductory workshops are offered to administrative, supervisory staff, case managers, stakeholders and other interested parties whose presence will support the implementation of the model. Because the BSFT™ Program requires rehearsal and coaching under the supervision of a BSFT™ Program trainer, it is recognized that educational presentations on the BSFT™ Program would not be sufficient to ensure effective delivery of the BSFT™ Program. To use this research tested model and achieve desired outcomes, training and supervision under the direction of a BSFT™ Program trainer is necessary.
Interactive Workshops for Training in the BSFT™ Program
Weekly Group Supervision Sessions
Please contact the Brief Strategic Family Therapy® Institute at 305-243-7585 (.(JavaScript must be enabled to view this email address)) to learn more about supervision to competency, consultations, assessments, outcome evaluations, booster workshops and site licensing.
TRAINING OVERVIEW"Reductions in behavior problems are related to the agency’s fidelity to the BSFT™ Program. A strong training commitment leads to great outcomes." - Joan Muir, Ph.D., Brief Strategic Family Therapy® Institute Associate Director The BSFT™ Program wo If conditions are met, the Preparatory Consultation is followed by three three-day workshops (nine days total) including interactive lectures, videotape demonstrations and clinical case consultations, plus weekly group review/ audio-visual supervision/ feedback of the BSFT™ Program family therapy sessions submitted by trainees. NOTE: Workshops consist of:
BSFT™ Program training curriculum is comprehensively manualized. The proprietary manual is available to organizations who agree and commit to training, supervision and licensure.
BSFT™ PROGRAM EVIDENCEBSFT™ Program SupportThe BSFT™ Program is cited or supported by respected scholars, governmental agencies, advocacy and research organizations. Click on links to learn more:
Note: Current BSFT™ Program scope of work, deliverables and pricing may vary from the above reviews. Please contact the Brief Strategic Family Therapy® Institute at .(JavaScript must be enabled to view this email address) or 305-243-7585.
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BSFT™ Program has been developed by a team of researchers led by Jose Szapocznik, Ph.D. at the Center for Family Studies, University of Miami since 1972. The Center for Family Studies is the nation’s oldest and most prominent center for development and testing of minority family therapy interventions for prevention and treatment of adolescent substance abuse and related behavior problems. As the BSFT™ Program has evolved, it has been applied to and tested with the general population as well.
The Brief Strategic Family Therapy® Institute certified trainers offer an unparalleled depth and range of experiences with regard to their higher education, certification, licensure, professional experience, publications, funded research performed, honors and awards, editorial responsibilities, professional and honorary organizations, professional associations, teaching, invited and key note presentations, and community services. Our trainers have provided training programs to therapists all over the world including but not limited to the United States (coast – to – coast), Sweden, Australia and Chile. Our mobile, multi-ethnic trainers hail from The United States, the Caribbean and South America.
Brief Strategic Family Therapy® (BSFT™) Program is a short-term, structured, problem-focused, and practical approach to the treatment of adolescent conduct problems, associations with antisocial peers, drug use and their accompanying maladaptive family interactions. Brief Strategic Family Therapy® is conducted in 12 to 16 weekly sessions, depending on the severity of the problems. The BSFT™ Program does not rely on the family’s abilities to come into the session. Rather, the BSFT™ Program provides specialized outreach strategies for bringing families into therapy.
rkshops are only part of the ongoing training commitment that Brief Strategic Family Therapy® Institute makes to the agencies, clinics and therapists that it trains. In | The BSFT™ Program is one of the “most effective among the family-based interventions” |
Austin, Macgowan, and Wagner (2005) conducted a rigorous evaluation of family-based interventions for adolescent substance abuse populations. The purpose of the systematic review was to examine the level of efficacy and effectiveness of the most current family-based treatment approaches. Austin and his colleagues found that Brief Strategic Family Therapy® (BSFT™) and Multidimensional FamilyTherapy are the most effective among the family-based interventions, meeting the criteria for probably efficacious according to the criteria developed by Chambless and Hollon (1998).
BSFT™ Program Effectiveness
Finally, the following charts illustrate the effectiveness of the BSFT™ Program regarding different outcomes:
BSFT™ Program Engagement versus Engagement as Usual
(Szapocznik et al., 1988)
Engaging Difficult Youth & Family Members: Usual vs. Participation Enhanced Strategies
(Santisteban et al., 1993)
BSFT™ Program versus Group Counseling
(Santisteban et al., 2001)
BSFT™ Program vs. Group for Adolescent Drug Users
(Santisteban et al., 2003)
FREQUENTLY ASKED QUESTIONS (FAQs)
What is Brief Strategic Family Therapy® (BSFT™)?
The BSFT™ Program is a short-term, structured, problem-focused, and practical approach to the treatment of conduct problems, associations with antisocial peers, early drug use and the accompanying maladaptive family interactions (relations), all of which are recognized risk factors for substance abuse.
How Does the BSFT™ Program Work?
The BSFT™ Program is designed to engage and keep the family interested in the program by focusing on the problem behaviors of the at risk youth. The BSFT™ Program is delivered in 12 to 16 weekly sessions. The BSFT™ Program involves all family members and seeks to change the way they act toward each other. The BSFT™ Program provides families with the tools to overcome individual and family risk factors through: 1) focused sessions to improve maladaptive patterns of family interaction, and 2) skills building strategies to strengthen families.
The BSFT™ Program was developed and has been conducted at the Center for Family Studies (Miami, FL) since 1972. The Center for Family Studies is the nation’s oldest and most prominent center for development and testing of minority family therapy interventions for prevention and treatment of adolescent substance abuse and related behavior problems. It is also the nation’s leading trainer of research-proven family therapy for Hispanic and African American families.
Who can Benefit from the BSFT™ Program?
The BSFT™ Program helps children and adolescents, 6 to 17 years old, who exhibit rebelliousness, truancy, delinquency, early substance use, and association with problem peers. The BSFT™ Program also benefits families that are affected by poor behavior management, parental discord, anger, blaming interactions, and other problematic relations.
What are Suitable Settings for the BSFT™ Program?
The BSFT™ Program was developed for use in rural, urban, and suburban settings. It can be implemented in community social services agencies, mental health clinics, substance abuse prevention and treatment clinics, health agencies, and family clinics. The BSFT™ Program can also be implemented as a home-based intervention. Because the BSFT™ Program works with the whole family, the program usually operates during the afternoons, evenings, and weekends.
How is Adherence to the BSFT™ Program monitored?
- Weekly supervision using DVDs of family sessions
- Rating of competence by a panel of BSFT™ Program experts
- Training of onsite BSFT™ Program supervisors
- Licensing of providers who follow the BSFT™ Program quality assurance procedures for sustainability and fidelity
What is the BSFT™ Program emerging program of dissemination?
- Collaboration with the Hispanic, African American and other communities
- Designing and implementing culturally sensitive interventions with strategic clinical goals
- Conducting rigorous research to test the impact of interventions
- Using our Clinical and Research findings to improve and refine our interventions
Does the BSFT™ Program offer introductory workshops?
The BSFT™ Program Model Presentation is an overview of the model offered in a 1-day workshop for up to 30 attendees. The Brief Strategic Family Therapy® Institute can deliver this intro workshop worldwide. It is highly interactive in nature. Please contact us at .(JavaScript must be enabled to view this email address) or 305-243-7585 for additional information and to tailor the workshop to your specific situation.
What steps are involved regarding training to competency, program sustainability and licensure?
Training To Competence - Workshops PLUS Supervision: Three 3-day workshops including interactive lectures, DVD demonstrations, clinical case consultation plus weekly group review / phone supervision / feedback of DVDs of BSFT™ Program family therapy sessions submitted by trainees. A team of 4 trainees will participate in the supervision process working towards achievement of competency. Group supervision sessions begin after workshop II, last for 2 hours per week and occur for up to 24 weeks over a period of 6 months.
BSFT™ Program Competence:
- Occurs when a therapist has successfully demonstrated a level of competence in the principles of the BSFT™ Program as determined by an evaluation of his/her work by the BSFT™ Program Competency Panel.
- Is NOT guaranteed as part of the training curriculum.
- Can only occur as a result of supervision (of a therapist) by an approved BSFT™ Program Trainer.
Training an On-Site Supervisor: A BSFT™ Program On-Site Supervisor will be selected and trained to ensure quality and adherence to the model on-site.
Continuing Supervision: Once therapists achieve competence, weekly supervision will be provided by the BSFT™ Program On-Site Supervisor and monthly consultation by a BSFT™ Program Trainer.
Adherence Ratings: Therapists and/or agencies submit DVDs of their work for Adherence Ratings to the Brief Strategic Family Therapy® Institute.
Site Licensing: If it meets all licensing criteria, an agency may be licensed by the University as a BSFT™ Program Provider.
To learn more about BSFT™ Program workshops, supervision, achieving competency, adherence and licensing, please contact us at 305-243-7585 or .(JavaScript must be enabled to view this email address).
MAKE A GIFT
The BSFT™ Program helps children and adolescents who exhibit rebelliousness, truancy, delinquency, early substance use, and association with problem peers. The BSFT™ program also benefits families that are affected by poor behavior management, parental discord, anger, blaming interactions, and other problematic relations. The BSFT™ Program was developed for use in rural, urban, and suburban settings. It can be implemented in community social services agencies, mental health clinics, substance abuse prevention and treatment clinics, health agencies, and family clinics. The BSFT™ Program can also be implemented as a home-based intervention. The BSFT™ Program provides families with the tools to overcome individual and family risk factors through: 1) focused sessions to improve maladaptive patterns of family interaction, and 2) skills building strategies to strengthen families.
How Your Support Makes a Difference
Financial gifts to the Brief Strategic Family Therapy® Institute at University of Miami help support our on-going research, training and dissemination activities and allow us to explore new avenues of research, recruit exceptional talent to our Institute, and ultimately provide families with the tools to overcome individual and family risk factors through: 1) focused sessions to improve maladaptive patterns of family interaction, and 2) skills building strategies to strengthen families. Your gift will be put to immediate good use and spent exclusively in the Brief Strategic Family Therapy® Institute. Ways to Give your gift to the Brief Strategic Family Therapy® Institute can take many forms:
- Cash
- Stocks/securities transfer
- Credit card gifts
- Property
- Memorial/tribute gifts
- Establishing a named endowed fund
- Planned gifts/estate gifts
- Gift annuities
- Matching gifts
A pledge form is attached for your convenience (Click to Download). Should you have any questions, please contact Michael Foden, Executive Director of Annual Giving, at (305) 243-2294, or e-mail him at .(JavaScript must be enabled to view this email address). We appreciate your thoughtful consideration.
DIRECTIONS
Location
Brief Strategic Family Therapy® Institute
Center for Family Studies (aka Sieron Building).
1425 NW 10th Avenue Miami, FL 33136
Click here for a PDF version of the campus map or here for an interactive map.
Directions
From I-95, points north:
- Exit I-95 at SR 836 West, exit number 3-A.
- Exit SR 836 at NW 14th Street NW .
- 14th St. East to 10th Avenue.
- 10th Ave North towards NW 14th Terrace
From I-95, points south and east:
- Exit I-95 at SR 836 West.
- Exit SR 836 at NW 12th Ave. and turn right onto NW 12th Avenue.
- Be sure to change into the right-hand lane.
- NW 14th St. East to 10th Ave. 10th Ave North towards NW 14th Terrace
From SR 836, the Airport, and points west:
- Take SR 836 East and exit at NW 17th Ave., North.
- Take the Hospitals and Civic Center Exit, which is at the toll booth.
- Turn right at the stop sign.
- Continue 3 blocks and turn left on NW 7th Street.
- Follow NW 7th Street to NW 12th Avenue (major intersection) and turn left.
- Go over the 12th Avenue bridge and under the 836 expresswa.
- At the next light, you will be at the corner of 12th Avenue and NW 14th Sreet. NW.
- 14th St. East to 10th Avenue.
- 10th Ave North towards NW 14th Terrace Parking.
Street parking
- On street metered parking is available in the vicinity. Public Transportation Public transportation is available via the Metrobus routes 12, 22, 32, 95 and M; and the
Metrorail Civic Center Station
- Adjacent to the medical campus. Click here for a campus map.
REFERENCES
Szapocznik, J., Hervis, O. (2003). Therapy manuals for drug addiction. Manual 5, Brief Strategic Family Therapy® for adolescent drug abuse. National Institute on Drug Abuse therapy manuals for drug addiction, Manual 5. Rockville, Md: U.S. Dept. of Health and Human Services, National Institutes of Health, National Institute on Drug Abuse.
Szapocznik, J., Hervis, O.E., & Schwartz, S. 2003. Brief Strategic Family Therapy® for adolescent drug abuse (NIH Publication No. 03-4751). NIDA Therapy Manuals for Drug Addiction. Rockville, MD: National Institute on Drug Abuse. View Manual.
Szapocznik, J., Rio, A., Murray, E., Cohen, R., Scopetta, M.A., Rivas-Vasquez, A., Hervis, O.E. & Posada, V. (1989). Structural family versus psychodynamic child therapy for problematic Hispanic boys. Journal of Consulting and Clinical Psychology, 57 (5), 571-578. ** Winner of the 1990 Outstanding Research Publication Award of the American Association for Marriage and Family Therapy.
Szapocznik, José, W.M. Kurtines, F. Foote, A. Perez–Vidal, and Olga E. Hervis. 1986. “Conjoint Versus One-Person Family Therapy: Further Evidence for the Effectiveness of Conducting Family Therapy Through One Person.” Journal of Consulting and Clinical Psychology 54(3):395–97.
Szapocznik, José, A. Perez–Vidal, Olga E. Hervis, A.L. Brickman, and W.M. Kurtines. 1989. “Innovations in Family Therapy: Strategies for Overcoming Resistance to Treatment.” In R.A. Wells and V.J. Giannetti (eds.). Handbook of the Brief Psychotherapies. New York, N.Y.: Plenum Press, 93–114.
Szapocznik, José, A. Rio, E. Murray, R. Cohen, M.A. Scopetta, A. Rivas–Vasquez, Olga E. Hervis, and V. Posada. 1989. “Structural Family Versus Psychodynamic Child Therapy for Problematic Hispanic Boys.” Journal of Consulting and Clinical Psychology 57(5):571-78.
Szapocznik, J.; Rio, A.T.; Hervis, O.E.; Mitrani, V.B.; Kurtines, W.M.; & Faraci, A.M. (1991). Assessing change in family functioning as a result of treatment: the Structural Family Systems Rating Scale (SFSR). Journal of Marital and Family Therapy 17(3): 295-310.
Szapocznik, J., Perez Vidal, A., Brickman, A., Foote, F.H., Santisteban, D., Hervis, O.E. & Kurtines, W.M. (1988). Engaging adolescent drug abusers and their families into treatment: A strategic structural systems approach. Journal of Consulting and Clinical Psychology, 56 (4), 552-557. [Reprinted in Annual Review of Addictions Research and Treatment, 1991, 331-336.]
Szapocznik, J, Hervis, O. E, Rio, A, Kurtines, WM & Foote, F. (1989). How to understand families as structural systems. In J. Szapocznik & W. Kurtines, Breakthroughs in family therapy with drug abusing & problem youth. N.Y.: Springer Publishing.
Szapocznik, J., Rio, A., Hervis, O. E., Foote, F. & Kurtines, W.M. (1989). Assessment and diagnosis: The family tasks and the structural family system ratings. In J. Szapocznik & W.M. Kurtines, Breakthroughs in family therapy with drug abusing and problem youth. New York: Springer Publishing Company.
Santisteban, D. A., et al, (2003), “The Efficacy of Brief Strategic Family Therapy® in Modifying Hispanic Adolescent Behavior Problems and Substance Use” Journal of Family Psychology Mar;17(1):121-33.
Kaminsky, S., Kurtines, W., Hervis, O.E., Millon, C., Blaney, N. & Szapocznik, J. (1989). A family systems perspective in counseling HIV infected persons and their families. In P. Van Steijn (Ed.) AIDS: A combined environmental and systems approach. Amsterdam, The Netherlands: Swets and Zeitlinger.
Hervis, O.E., Szapocznik, J., Mitrani, V.B., Rio, A.T. & Kurtines, W.M. (1991). Structural family systems ratings: A revised manual. Miami, FL: Spanish Family Guidance Center, Department of Psychiatry, University of Miami School of Medicine.
Sexton, Thomas L., Weeks, Gerald R., Robbins , Michael S. (2003). Handbook of Family Therapy: The Science and Practice of Working with Families and Couples, Published by Psychology Press.
Robbins, M., Hervis, O.E., Mitrani, V., and Szapocznik, J., (2000) Assessing Changes in Family Interactions: The Structural Family Systems Ratings. In P.K.Kerig and K.M. Lindahl, Family Observational Coding Systems, New Jersey: Lawrence Erlbaum Associates.
Kaminsky, S., Kurtines, W., Hervis, O.E., Blaney, N., Millon, C. & Szapocznik, J. (1990). Life enhancement counseling with HIV infected Hispanic gay males. Hispanic Journal of Behavioral Sciences, 12 (2), 177-195.
Hervis, O.E., Szapocznik, J., Mitrani, V., Rio, A. and Kurtines, W., (1998) Structural Family Systems Ratings Scale. In J. Touliatos (Ed.) Handbook of Family Measurement Techniques (2nd edition), New York: Microfiche Publications.
Kurtines, W.M., Hervis, O.E. & Szapocznik, J. (1989). Brief strategic family therapy™ (BSFT™). In J. Szapocznik & W.M. Kurtines, Breakthroughs in family therapy with drug abusing and problem youth. New York: Springer Publishing Company.
Hervis, O.E. & Szapocznik, J. (1987). Un enfoque estrategico y estructural de terapia familiar [A strategic structural approach to family therapy]. Washington, D.C.: Pan American Health Organization.
The National Institute on Drug Abuse (NIDA) selected Brief Strategic Family Therapy® (BSFT™) as the adolescent treatment to be featured in their Treatment Manual Series. NIDA's fifth treatment manual in a series describes (BSFT™), a short-term intervention strategy for treating adolescent drug use, conduct problems at home and at school, oppositional behavior, delinquency, associating with antisocial peers, aggressive and violent behavior, and risky sexual behavior. View Manual.
The Office of Juvenile Justice and Delinquency Prevention (OJJDP) program description and abbreviated treatment manual: http://www.ncjrs.gov/pdffiles1/ojjdp/179285.pdf and http://www.ncjrs.gov/html/ojjdp/jjbul2000_04_3/contents.html and http://www.drugabuse.gov/TXManuals/bsft/bsftindex.html.
Substance Abuse and Mental Health Services Administration / National Registry of Evidence-based Programs (NREPP) states the BSFT™ Program is a “Model Program.” See: http://nrepp.samhsa.gov/programfulldetails.asp?PROGRAM_ID=157.
Blueprints for Violence Prevention / Center for the Studyand Prevention of Violence selected the BSFT™ Program as a Promising Program. Blueprints Promising Programs were selected from a review of over 600 violence prevention programs. The selection criteria for the Blueprints programs establishes a very high standard criteria. See: www.colorado.edu/cspv/blueprints/index.html.
The BSFT™ Program description on the SAMHSA Model Programs: http://modelprograms.samhsa.gov/pdfs/model/Bsft.pdf.
BSFT™, the intervention model developed by Dr. Jose Szapocznik and colleagues at the University of Miami was recognized as a "2006 Best Practice" by the State of Florida Department of Children and Families and the Florida Alcohol and Drug Abuse Association. See: http://www.dcf.state.fl.us/admin/strategicplan/strategicplan.pdf.
Clinical Trials Network Dissemination Library: http://ctndisseminationlibrary.org/protocols/ctn0014.htm.
University of North Carolina Center for Youth, Family, and Community Partnerships - North Carolina Dept. of Health & Human Services. See: http://www.uncg.edu/csr/asatp/pdf_pages/EBP%20pdf/BSFT.pdf.
National Alliance on Mental Illness: Choosing the Right Treatment: What Families Need to Know About Evidence-Based Practices: http://www.nami.org/Content/Microsites186/NAMI_Maine/Home174/FAMILY_Newsletter-_Winter_2006/ChoosingRightTreatment1.pdf.
Dept. of Health and Human Services, National Drug Control Strategy-FY2009 Budget Summary (BSFT™ on page 47): http://www.whitehousedrugpolicy.gov/publications/policy/09budget/dhhs.pdf.
The BSFT™ Program indicated in The Question of Adapting Motivational Interviewing with American Indian and Alaska Native Populations, from the Center on Alcoholism, Substance Abuse, and Addictions. See: http://www.mentalhealthamerica.net/action/disparities_meeting/Venner.pdf.
TERAPIA FAMILIAR BREVE Y ESTRATÉGICA®
TERAPIA FAMILIAR BREVE Y ESTRATÉGICA®
La Terapia Familiar Breve y Estratégica (BSFT™) es una intervención breve para el tratamiento de adolescentes que usan drogas y además presentan otros problemas de conducta, tanto en la casa como en la escuela, los cuales incluyen el comportamiento desafiante, la delincuencia, la asociación con amistades antisociales, los comportamientos agresivos y violentos y el comportamiento sexual de alto riesgo.
Hay tres principios teóricos básicos en BSFT™ Programa. El primero es que BSFT™ Programa es un enfoque sistémico, es decir, que toma en cuenta a la familia como un sistema organizado. Esto significa que los miembros de la familia son interdependientes entre sí. Por lo tanto, lo que ocurre a cualquier miembro de la familia afecta los demás. De acuerdo con la teoría de sistemas, el adolescente que usa drogas es el miembro de la familia que manifiesta el síntoma. Por lo tanto, el uso de drogas y los problemas de conducta del adolescente es un reflejo de lo que está ocurriendo en el sistema familiar. (Szapocznik & Kurtines, 1989).
Es de suma importancia analizar cómo el comportamiento del adolescente está relacionado con lo que ocurre en la familia. Existen investigaciones que demuestran que la familia es determinante en el desarrollo de los niños y adolescentes (cf. Szapocznik & Coatsworth, 1999). Por esta razón, las terapias de familia han sido objeto de investigación como tratamiento para adolescentes que abusan de drogas y que presentan otros problemas de conducta, demostrándose su eficacia (Ver Liddle & Dakof, 1995; Robbins, Szapocznik, Alexander & Miller, 1998; Ozechowski & Liddle, 2000).
El segundo principio teórico de BSFT™ Progrma es el enfoque estructural. BSFT™ Programa propone que los miembros de la familia se comportan de acuerdo a una serie de patrones que se repiten constantemente (Minuchin, Montalvo, Guerney, Rosman, & Schumer, 1967). Un ejemplo sería un adolescente que atrae la atención hacia sí mismo cuando sus dos cuidadoras (e.g. madre y abuela) están discutiendo, como una manera de interrumpir la discusión. En ocasiones extremas, el adolescente podría sufrir una sobredosis de droga o ser arrestado para atraer atención hacia sí mismo cuando la madre y la abuela han tenido una discusión muy seria. El papel del terapeuta de BSFT™ Programa es identificar los patrones de interacción de la familia que están asociados con los comportamientos problemáticos del adolescente. Por ejemplo, una madre y una abuela nunca se ponen de acuerdo en las reglas y las consecuencias para el adolescente con problemas porque el adolescente interrumpe sus discusiones para llamar la atención.
El tercer principio teórico de BSFT™ Programa es el estratégico, que involucra planear las intervenciones, las cuales serán cuidadosamente enfocadas a cambiar esos patrones de interacción que no son sanos (por ejemplo, la forma en la cual la madre y la abuela establecen las reglas y las consecuencias) y que están directamente relacionados con el uso de drogas del adolescente, o con otros problemas de conducta.
¿Por qué BSFT™ Programa?
- BSFT™ Programa es una intervención eficiente que tiene como objetivo crear unos cambios que se auto-mantengan en el ambiente familiar del adolescente a largo plazo.
- BSFT™ Programa puede ser implementado aproximadamente entre 12 y 16 sesiones. El número de sesiones depende de la gravedad del problema.
- BSFT™ Programa ha sido extensivamente evaluado en los últimos 35 años y se ha encontrado que es eficaz en el tratamiento del abuso de drogas en los adolescentes, en los problemas de conducta, en la asociación con amistades antisociales, y el funcionamiento de la familia.
- BSFT™ Programa ha creado un manual y un programa de entrenamiento que están disponibles para certificar a los terapeutas de BSFT™.
- BSFT™ Programa es un método flexible que puede ser adaptado a una amplia variedad de situaciones familiares en los distintos lugares que ofrecen servicios de ayuda (ej. clínica de salud mental, programas de tratamiento del abuso de drogas, y otros servicios sociales).
¿Cuáles son las Metas de Terapia Familiar Breve y Estratégica?
- Eliminar o reducir el uso de drogas y los problemas de comportamiento asociados con el uso.
- Cambiar las interacciones entre los miembros de la familia, que se relacionan de alguna manera con el síntoma, es decir, con el uso de droga o los problemas de conducta del adolescente.
Hay dos metas que son absolutamente requeridas: La primera es eliminar o reducir el uso de drogas y los problemas de comportamiento asociados con el uso (enfoque en el síntoma) y la segunda, cambiar las interacciones entre los miembros de la familia (enfoque en el sistema).
Un ejemplo de lo último mencionado se encuentra en el caso de las familias que vuelcan sus afectos negativos en el/la joven que abusa de drogas. La negatividad de los padres hacia el/la joven afecta directamente el síntoma del abuso de drogas del adolescente, y el abuso de drogas del adolescente aumenta la negatividad de los padres. Al nivel del sistema familiar, el terapeuta interviene para cambiar la manera que los miembros de la familia interactúan entre ellos (patrones de interacción) de tal manera que los miembros de la familia puedan hablar y actuar de una manera que promueva una comunicación más efectiva. Esto es requerido para promover el resultado deseado de la interacción familiar (el padre describe sus preocupaciones y miedos sobre el comportamiento del joven) que a cambio promoverá una mejor comunicación (el adolescente escucha los miedos del padre) requerida para negociar el abuso de drogas del adolescente y los problemas de comportamiento relacionados con el uso.
Contacte al Instituto de Entrenamiento de BSFT™ para una información más detallada acerca de cuán rentable puede ser el modelo BSFT™. Estaremos encantados de preparar una propuesta hecha a la medida de su agencia, clínica, cuerpo legislativo, sistema judicial, etc.
Contacto:
Brief Strategic Family Therapy® Institute
1425 N.W. 10th Avenue
Miami, Florida 33136
Office: (305) 243-7585 | Fax: (305) 243-2320
Email: .(JavaScript must be enabled to view this email address).
WHERE WE HAVE TRAINED
The Brief Strategic Family Therapy® Institute has trained and consulted sites in over 40 states as well as sites outside the United States.
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Recognition for Brief Strategic Family Therapy®
The following table summarizes the leading recognition for the BSFT™ Program.
| ORGANIZATION | MODE OF RECOGNITION | COMMENTS (From Web Sites) | ||
SAMHSA / NREPP |
The BSFT™ Program is reviewed by NREPP (April, 2008) as a SAMHSA Model Program | NREPP (National Registry of Evidence-based Programs and Practices) is an online registry of mental health and substance abuse interventions that have been reviewed and rated by independent reviewers. (Substance Abuse and Mental Health Services Administration) | ||
NIDA |
The BSFT™ Program is published in NIDA’s Treatment Manual Series. View Manual.
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NIDA's (National Institute on Drug Abuse) fifth treatment manual in a series describes Brief Strategic Family Therapy® (BSFT™), a short-term intervention strategy for treating adolescent drug abusers. | ||
SAMHSA / CSAP |
The BSFT™ Program is reviewed as a Model Program and an indicated intervention (1999 research award) | SAMHSA's (Substance Abuse and Mental Health Services Administration) CSAP (Center for Substance Abuse Prevention) works with States and communities to develop comprehensive prevention systems that create healthy communities in which people enjoy a quality life. | ||
Society for Prevention Research |
2000 Presidential Award | The Presidential Award is given to José Szapocznik, Ph.D., Developer of the BSFT™ Program for his major specific contribution to prevention science research. This award is intended to be a "lifetime achievement" award for a significant body of research or theory in any area related to prevention that has had a major impact on the field. | ||
State of Florida Department of Children and Families |
2006 Best Practice | the BSFT™ Program, the intervention model developed by Dr. Jose Szapocznik and colleagues at the University of Miami, was recognized as a "2006 Best Practice" by the State of Florida Department of Children and Families and the Florida Alcohol and Drug Abuse Association. | ||
U.S. Office of Juvenile Delinquency Prevention |
Endorsed as Model Program | The BSFT™ Program was endorsed as an OJJDP Model Program, with an Effective Rating. | ||
Blueprints for Violence Prevention/Center for the Study and Prevention of Violence |
The BSFT™ Program is recognized as a Promising Program | Blueprints Promising Programs were selected from a review of over 600 violence prevention programs. The criteria for selecting the Blueprints programs establish a very high standard. |
THE BSFT™ PROGRAM BULLETIN ARCHIVE
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BSFT™ PROGRAM EFFECTIVENESS
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The BSFT™ Program has evolved from more than 30 years of research and practice at the University of Miami. Evidence and recognition of the BSFT™ Program's effectiveness continues to grow.
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EVIDENCE |
EVIDENCE |
BSFT™ PROGRAM TRAINING AND SERVICES
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A team of trainees will participate in the Brief Strategic Family Therapy® workshops and supervision process, working toward an achievement of competency.
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PROGRAM |
TRAINING |
WHERE WE |
ABOUT THE BSFT™ PROGRAM
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The BSFT™ Program helps troubled youth and their families grow through strengthening relationships, building connections, and creating long-lasting change.
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WHAT IS |
WHAT |
WHO |
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WHAT IS THE BSFT™ PROGRAM?
“The BSFT™ Program is a cost-effective, evidence-based, family-focused intervention which improves family interaction, treats conduct problems and reduces delinquency and drug use.” - José Szapocznik, Ph.D., BSFT™ Program Developer and Director, Center for Family Studies
Brief Strategic Family Therapy® (BSFT™) is designed to:
- Prevent, reduce, and/or treat youth behavior problems.
- Improve family functioning, including effective parental leadership and involvement with the youth. (Improve youth's behavior by improving family relationships.)
The 
BSFT™ Program targets children and adolescents between the ages of 6 and 17 who are displaying or are at risk for developing behavior problems, including substance abuse, conduct problems and delinquency. The BSFT™ Program has been implemented as a prevention, early intervention and intervention strategy for delinquent and substance-abusing adolescents.
The BSFT™ Program is typically delivered in 12 to 16 family sessions, depending on the severity of the communication and management problems within the family. Sessions are conducted at locations that are convenient to the family, including the family's home in some cases. The BSFT™ Program has been implemented with Hispanic, African-American and white families.
The BSFT™ Program considers adolescent symptomatology to be rooted in maladaptive family interactions, inappropriate family alliances, overly rigid or permeable family boundaries, and parents' tendency to believe that a single individual (usually the adolescent) is responsible for the family's troubles. The BSFT™ Program operates according to the assumption that transforming how the family functions will help improve the youth's presenting problem. The focus of the work is on how interactions occur. The emphasis is on identifying the nature of the interactions in the family and changing those interactions that are maladaptive.
Engagement begins from the first contact with the family. The BSFT™ Program has developed specialized procedures to successfully engage families into treatment.
There are three intervention components in the BSFT™ Program: joining, diagnosing, and restructuring. Joining occurs at two levels. At the individual level, the therapist establishes a relationship with each family member. At the family level, the therapist joins with the family system to create a new therapeutic system.
In the BSFT™ Program, diagnosis refers to observing how family members behave with one another, in order to identify interactional patterns that allow or encourage problematic youth behavior.
The ultimate goal of the BSFT™ Program is to change family interactions that maintain the problems to more effective and adaptive ones. The BSFT™ Program accomplishes this restructuring task working in the present, using reframes, assigning tasks and coaching family members to try new ways of relating to one another.
The BSFT™ Program therapist receives ongoing supervision and accountability to the fidelity of the model. All therapy sessions are video recorded for the purpose of providing the best possible supervision and consultation to meet the specific and individual needs of each family being served.
| The BSFT™ Program’s unique video feedback allows the trainer and the therapist to observe and communicate during case supervision and consultation, while reviewing actual video recordings of the therapist’s work with individual families. | the BSFT™ Program helps families grow through strengthening relationships, building connections and creating long-lasting change. |
Please contact the Brief Strategic Family Therapy® Institute at 305-243-7585 (.(JavaScript must be enabled to view this email address)) to learn more about supervision to competency, consultations, assessments, outcome evaluations, booster workshops and site licensing.
WHAT WE DO
"The BSFT™ Program addresses critical needs of our society and provides a positive return on investment". - José Szapocznik, Ph.D., BSFT™ Program Developer and Director, Center for Family Studies.
Brief Strategic Family Therapy® (BSFT™) is an effective, problem focused, and practical approach to the elimination of substance abuse risk factors. It successfully reduces problem behaviors in children and adolescents 6 to 17 years old and strengthens their families. The BSFT™ Program provides families with tools to decrease individual and family risk factors through focused interventions that improve problematic family relations and skill-building strategies that strengthen families. It targets:
- Conduct problems
- Associations with antisocial peers
- Early substance use
- Problematic family relations
The program fosters parental leadership, appropriate parental involvement, mutual support among parenting figures, family communication, problem solving, clear rules and consequences, nurturing, and shared responsibility for family problems. In addition, the program provides specialized outreach strategies to bring families into therapy.
Target Population:
The BSFT™ Program helps children and adolescents 6 to 17 years old who exhibit rebelliousness, truancy, delinquency, early substance use, and association with problem peers. The BSFT™ Program also benefits families that are affected by poor behavior management, parental discord, anger, blaming interactions, and other problematic relations. This program was tested and proven in Hispanic families and adapted and tested with African-American and white families.
Benefits:
- Reduces youth behavior problems, substance use, and association with antisocial peers
- Successfully engages and retains youth and families in treatment
- Increases parental involvement and develops more positive and effective parenting
- Makes parental management of children’s behavior more effective
- Improves family cohesiveness and collaboration
- Improves family communication, conflict resolution, and problem-solving skills
How It Works
The BSFT™ Program can be implemented in a variety of settings, including community social services agencies, mental health clinics, health agencies, and family clinics. The BSFT™ Program is delivered in 12 to 16 weekly sessions. The family and the BSFT™ Program therapist meet either in the program office or the family’s home. There are four important BSFT™ Program steps:
- Step 1: Development of a therapeutic alliance with each family member and with the family as a whole is essential for the BSFT™ Program. This requires therapists to accept and demonstrate respect for each individual family member and the family as a whole.
- Step 2: Diagnose family strengths and problem relations. Emphasis is on family relations that are supportive and problem relations that affect youths’ behaviors or interfere with parental figures’ ability to correct those behaviors.
- Step 3: Develop a change strategy to capitalize on strengths and correct problematic family relations, thereby increasing family competence. In the BSFT™ Program, the therapist is plan- and problem-focused, direction-oriented (i.e., moving from problematic to competent interactions), and practical.
- Step 4: Implement change strategies and reinforce family behaviors that sustain new levels of family competence. Important change strategies include reframing to change the meaning of interactions; changing alliances and shifting interpersonal boundaries; building conflict resolution skills; and providing parenting guidance and coaching.
Implementation Essentials
- Trained Therapists who can implement the program as tested are required for successful replication. The ideal therapist has a master’s degree in social work, marriage and family therapy, psychology, or a related field. One full-time therapist can provide the BSFT™ Program to 15 to 20 families for in-office sessions and 10 to 12 families for in-home sessions. The typical youth and his/her family are treated to completion in four months.
- Administrative Support is key to successful BSFT™ Program replication. The BSFT™ Program requires an agency that is open at times that are convenient for participating families, provides transportation and, if needed, provides childcare when sessions are conducted in the office.
- Training and Technical Assistance is available through the Brief Strategic Family Therapy® Institute. The Institute provides a broad range of training programs in Miami or will train onsite at agencies around the country and world. Training is tailored to agency needs and populations and offered in English and Spanish.
