Brief strategic family therapy versus community control: Engagement, retention, and an exploration of the moderating role of adolescent symptom severity

J. Douglas Coatsworth, Daniel A. Santisteban, Cami K. Mcbride, José Szapocznik

Research output: Contribution to journalArticle

154 Scopus citations


This study extends a program of research investigating the effectiveness of Brief Strategic Family Therapy to engage and retain families and/or youth in treatment. The study contrasted Brief Strategic Family Therapy (BSFT) with a Community Comparison (CC) condition selected to represent the common engagement and treatment practices of the community; 104 families were randomly assigned to BSFT or CC. Results indicate that families assigned to BSFT had significantly higher rates of engagement (81% vs. 61%), and retention (71% vs. 42%). BSFT was also more effective than CC in retaining more severe cases. Post hoc analyses of treatment effectiveness suggest that BSFT was able to achieve comparable treatment effects despite retaining more difficult cases. We discuss these results from a public health perspective, and highlight the study's contribution to a small but growing body of literature that suggests the benefits of a family-systems paradigm for engagement and retention in treatment.

Original languageEnglish (US)
Pages (from-to)313-332
Number of pages20
JournalFamily Process
Issue number3
StatePublished - Sep 1 2001


ASJC Scopus subject areas

  • Social Psychology
  • Clinical Psychology
  • Social Sciences (miscellaneous)

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