The Circuit Court for Baltimore County is proposing to enhance treatment services for youth in its Juvenile Drug Court by implementing an evidence based program, Multidimensional Family Therapy (MDFT.) MDFT is a comprehensive family-centered treatment for adolescent drug abuse and related behavioral and emotional problems. MDFT effectively engages and retains teens and families in treatment, improves family functioning, decreases substance use, improves school performance, reduces delinquency and affiliation with delinquent peers, reduces mental health symptoms, and helps keep teens in the home and out of placement Baltimore County Juvenile Drug Court data clearly shows the need for an enhanced treatment model. Sixty-five percent (65%) of youth participating in drug court over the past 2.5 years required inpatient substance abuse treatment. While continued substance use was one factor in youths' non- compliance in the community, other factors significantly influenced the need for out-of-home placement, including untreated dual diagnoses, continued associations with substance-using peers, familial conflict, poor school adjustment, and continued negative behaviors. Fulfilling the drug court's mission to reduce substance abuse and related delinquent behaviors by providing youth with the necessary recovery tools and support in the community has been impeded by the program's lack of capacity to meet the needs of high risk youth and their families. It is clear that there is an unmet need for services that are home and evidence based and have proven positive outcomes. Therefore, to better address these needs and this service gap for high need youth, the Baltimore County JDC proposes to enhance services by implementing an evidence based treatment program, Multidimensional Family Therapy. It is anticipated that approximately 96 youth and families will be served by MDFT over the three years of the grant.