Module 3: Treatment Strategies

1B. Multisystemic Approach

The risk factors of early and continued substance use and mental illness in conjunction with any of the risk factors listed on the previos page have been seen as significant in propelling a youth into a life course of offending behavior (Loeber & Farrington, 1998). Since treatment interventions have begun to rely on a multisystemic and multifaceted approach, the pessimism of the 1980s has been replaced by optimism. Results of studies comparing intervention approaches have found that multisystemic approaches are more effective in treating youth involved in juvenile justice who have substance abuse and mental health problems (Loeber & Farrington, 1998; Mash & Barkley, 1998).

Scientifically based evidence is confirming that the most promising interventions for adolescents with co-occurring disorders are those that:

• Integrate cognitive-behavioral intervention approaches in both individual and group formats
• Provide psychopharmacologic management where necessary
• Create active partnerships with families and other systems (e.g., schools, child welfare, juvenile justice, community)