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There are several Family Behavior Therapy (FBT) intervention components that are implemented with all adolescents and adults at the start of therapy. These include:

  • Orientation to assist understanding of FBT 

  • Consequence Review to raise motivation to achieve goal-oriented behavior

  • Treatment Planning to determine desired interventions according to client, family, and provider.

Other interventions are implemented with adolescents and adults based on desire and perceived need of the client & family. These include:

  • Contingency management

    • Level System for adolescents

    • Behavioral Goals & Rewards for adults

  • Reciprocity Awareness to encourage statements of affection and gratitude 

  • Positive Request to assist communication 

  • Environmental Control 

  • Self Control 

  • Job-Getting Skills training to assist satisfactory gainful employment

  • Last Session Conclusion to review progress throughout treatment & establish a generalization plan

For parents who are in the child-welfare system interventions are additionally available to assist in raising their children. These include:

  • Goals & Rewards contingency management addendum to assist motivation in raising children

  • Emergency Management to assist management of emergent conditions

  • Catching My Child Being Good to assist them in reinforcing, empathizing, & engaging their children

  • Home Safety & Beautification to assist their homes in being aesthetically pleasing, stimulating, & safe for their children

  • Financial Management to assist in decreasing expenses & increasing income


Adolescent & adult interventions are typically implemented in 60-minute outpatient sessions, whereas adults who receive child-welfare interventions typically require 90-minute home-based sessions. Some programs have implemented FBT in groups to be more economically feasible. However, this latter application has yet to be examined in controlled trials. 

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