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SUMMARY
This review highlights three aspects of adolescent alcohol use and misuse that have ramifications for families: (a) adolescent disinhibition, (b) substance-specific parenting factors, and (c) non-substance-specific parenting factors. Although there are a great number of adolescent treatment models currently utilized across the country, this review focuses on three integrated family-based treatment models with proven efficacy: (a) Multisystemic Therapy (MST; Henggeler, Schoenwald, Borduin, Rawland, & Cunningham, 1998), (b) Brief Strategic Family Therapy (BSFT; Szapocznik, Hervis, & Schwartz, 2003), and (c) Multidimensional Family Therapy (MDFT; Liddle, 2004; Center for Substance Abuse Treatment [CSAT], 2004). These family-based therapies focus on accurately assessing multiple influences and targeting effective intervention strategies designed to support changes throughout a number of systems that affect and serve to reinforce or support the adolescent's problem behaviors.