Functional Family Therapy (FFT)

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

Additional Implementation Resources

Since this program Functional Family Therapy (FFT) 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 Functional Family Therapy (FFT) as listed below:

There is an application process that is meant to help sites understand and review all of the readiness issues involved with implementation. For more information, please see or contact the program representative listed at the end of this entry.

Formal Support for Implementation

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

Some states (California and Washington) that have formal FFT Statewide Coordinators who help sites with implementation and other issues.

Fidelity Measures

There are fidelity measures for Functional Family Therapy (FFT) as listed below:

FFT, Inc. includes intensive procedures for monitoring quality of implementation on a continuous basis. Information is captured from multiple perspectives (family members, therapists, and clinical supervisors). The two measures that are utilized to represent therapist fidelity to the model are the Weekly Supervision Checklist and the Global Therapist Ratings.

Weekly Supervision Checklist: Following every clinical staffing, the clinical supervisor completes a fidelity rating for the case that was reviewed for each therapist. This fidelity rating reflects the degree of adherence and competence for that therapist's work in that case in a specific session. Thus, the weekly supervision ratings are not global, but specific to a single case presentation. Over the course of the year, a therapist may receive up to 50 ratings, which provides the supervisor with critical information about the therapist’s progress in implementing FFT.

Global Therapist Ratings: Three times a year the clinical supervisor rates each therapist's overall adherence and competence in FFT. The Global Therapist Rating (GTR) allows for the supervisor to provide feedback to the therapist on their overall knowledge and performance of each phase and general FFT counseling skills. The GTR specifically targets time period measures with the hope of displaying therapist growth. With respect to the GTR, we encourage supervisors to utilize the comments box under each phase to target specific strengths and specific phase areas of growth.

Implementation Guides or Manuals

There are implementation guides or manuals for Functional Family Therapy (FFT) as listed below:

Training manuals are handed out to sites implementing FFT during their clinical training.

Research on How to Implement the Program

Research has not been conducted on how to implement Functional Family Therapy (FFT).