Family-Based Therapy for Opioid Addiction

This trial explores a new approach to support women with a history of opioid addiction and sex trade involvement who participate in specialty court treatment programs. It aims to determine if an adapted version of Multi-Dimensional Family Therapy (MDFT), a type of family-based therapy, is practical and beneficial for this group. Participants will be randomly assigned to receive either the adapted MDFT alongside their usual treatment or just their usual treatment. Women who have experienced opioid addiction, have been involved in the sex trade, and are currently part of a specialty treatment court program might be suitable candidates, especially if they can identify a family member to join them. As an unphased trial, this study provides a unique opportunity to contribute to innovative treatment approaches that could benefit others in similar situations.

The trial information does not specify whether you need to stop taking your current medications. It's best to discuss this with the trial coordinators or your doctor.

Previous studies have shown that Multidimensional Family Therapy (MDFT) is well-tolerated. Research indicates that participants generally express high satisfaction with this therapy. For instance, one study found that 95% of participants completed their MDFT treatment, suggesting that most people find it acceptable and manageable.

Researchers are excited about Adapted Multi-Dimensional Family Therapy (MDFT) for opioid addiction because it takes a holistic approach, addressing not just the individual struggling with addiction but involving the entire family in the recovery process. Unlike standard treatments that focus primarily on the individual through methods like individual and group therapy, MDFT aims to improve family dynamics and support systems, which are crucial for long-term recovery. This therapy is unique because it combines therapy sessions with family members, enhancing communication and problem-solving skills, which can lead to more sustainable recovery outcomes.

Studies have shown that Multi-Dimensional Family Therapy (MDFT) can be more effective than other treatments for reducing the frequency and severity of substance use in the short term. Research indicates that MDFT lowers the severity of drug abuse problems and improves behavior, particularly in individuals with higher substance use. Participants in past MDFT studies experienced significant reductions in substance use from the start of the study to six months later. MDFT is also considered a promising method for reducing substance use and problem behaviors in young people. In this trial, participants in the "Adapted MDFT + TAU" arm will receive up to 20 sessions of the adapted MDFT intervention alongside their usual treatment services. These findings suggest MDFT might benefit individuals with substance use disorders, including those addicted to opioids.³⁶⁷⁸⁹