Multidimensional Family Therapy (MDFT)

Scientific Rating:
Well-Supported by Research Evidence
See scale of 1-5

Additional Implementation Resources

Since this program Multidimensional Family Therapy (MDFT) was highly rated on the Scientific Rating Scale, program representatives were asked to provide additional implementation information.

Pre-Implementation Materials

There are pre-implementation materials to measure organizational or provider readiness for Multidimensional Family Therapy (MDFT) as listed below:

Several tools are available: 1. How to select candidates and interviewing tools, 2. How to prevent burnout and turnover, 3. How to ramp up a caseload for new therapists. The tools on hiring and how to prevent burnout are available on the website.

Formal Support for Implementation

There is formal support available for implementation of Multidimensional Family Therapy (MDFT) as listed below:

MDFT offers a training and coaching program, in addition to the MDFT fidelity and competence system.

Fidelity Measures

There are fidelity measures for Multidimensional Family Therapy (MDFT) as listed below:

MDFT assesses fidelity by examining (a) the parameters of treatment (e.g. the frequency and duration of treatment sessions and domains targeted; frequency of supervision provided, etc.), (b) the techniques measured by independent ratings of video recorded therapy sessions on a standardized measure, and (c) clinician rating of outcome from intake to discharge. Available tools include the Multidimensional Family Therapy Intervention Inventory and the MDFT Clinical Portal, a web-based database management system. For more information, contact Gayle Dakof at

Implementation Guides or Manuals

There are implementation guides or manuals for Multidimensional Family Therapy (MDFT) as listed below:

The MDFT supervisor manual details implementation guidelines and provides a detailed manual of the MDFT supervision system, including therapist evaluation scales, and tools designed to enhance therapist professional development. This is unpublished and currently only available to programs that contract with the nonprofit organization MDFT International for MDFT training and implementation services.

Research on How to Implement the Program

Research has been conducted on how to implement Multidimensional Family Therapy (MDFT) as listed below:

The following articles are on implementation of MDFT:

  • Liddle, H. A., Rowe, C. L., Quille, T. J., Dakof, G. A., Mills, D. S., Sakran, E., & Biaggi, H. (2002). Transporting a research-based adolescent drug treatment into practice. Journal of Substance Abuse Treatment, 22(4), 231-243.
  • Rowe, C., Rigter, H., Henderson, C., Gantner, A., Mos, K., Nielsen, P., & Phan, O. (2013). Implementation fidelity of Multidimensional Family Therapy in an international trial. Journal of Substance Abuse Treatment, 44(4), 391-399.