Multi-family therapy is a significant backdrop for YA TBT-S, and the format that has been studied to date. The data collected in trials suggests that TBT-S delivered in a multi-family context may play an important role in positive outcomes. Conducting TBT-S in multi-family groups is an effective way to facilitate peer-to-peer consultation, to enrich the learning process and potentially improve outcomes.The multi-family milieu improves participants’ understanding of the illness when they hear from multiple perspectives. It broaden viewpoints on effective ways to manage recovery and to generate new ideas. This method of treatment can assist in identifying and practicing productive actions in a safe environment.

TBT-S utilizes multiple intervention strategies to apply TBT-S principles. These strategies have been developed and adapted over a 10-year period through iteratively integrating client and Support feedback with research findings in the treatment development process to increase accuracy and acceptability. The interventions are (1) neurobiological psychoeducation, (2)experiential learning addressing AN neurobiology and traits for problem-solving activities for clients and Supports, (4) client and Support skills training, (5) meal coaching, and (6) The TBT-S Behavioral Agreement.