These results indicate that, within a sample of therapists from community agencies, therapists’ clinical interventions follow a pattern that is consistent with the theory behind the BSFT model. Indeed, the specific therapist behaviors prescribed by the BSFT approach are needed to engage families into treatment, retain them, improve family functioning, and reduce adolescent drug use. However, when therapists did not engage sufficiently in these behaviors, adolescent outcomes tended to suffer. The authors concluded that adherence ratings were affected by a number of systemic factors, including overburdened therapists and therapists’ lack of embeddedness within dedicated BSFT units.