Abstract

This report presents a multiple assessment exploration of cost effectiveness in behavioral family therapy. Thirty-six families with problem children between the ages of 4 and 12 were randomly assigned within stratified blocks to individual treatment, group treatment, or minimal contact bibliotherapy. All conditions received similar information about the behavioral management of children; only the format for therapy and the amount of therapist contact were different. Dependent variables consisted of parent attitude measures, parent-collected data on defined problems, and observational data from audio recordings made in the homes of the families. Analysis of both the parent-collected data and the home-observation data indicated the superiority of group and individual treatment conditions over the minimal contact bibliotherapy condition. Although it required less than half the amount of professional time, the group condition performed as well as the individual therapy condition. Parents in all three conditions rated the focus child as significantly improved with no differences between conditions.

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