Article

Multisystemic treatment: a meta-analysis of outcome studies.

School of Psychology, Massey University, Palmerston North, New Zealand.
Journal of Family Psychology (Impact Factor: 1.89). 10/2004; 18(3):411-9. DOI: 10.1037/0893-3200.18.3.411
Source: PubMed

ABSTRACT Multisystemic treatment (MST) is a family- and home-based therapeutic approach that has been found to be effective in treating antisocial youths and that has recently been applied to youths with serious emotional disturbances. In light of the increasing dissemination of MST, this review examines the effectiveness of MST by quantifying and summarizing the magnitude of effects (treatment outcomes) across all eligible MST outcome studies. Included in a meta-analysis were 7 primary outcome studies and 4 secondary studies involving a total of 708 participants. Results indicated that across different presenting problems and samples, the average effect of MST was d = .55; following treatment, youths and their families treated with MST were functioning better than 70% of youths and families treated alternatively. Results also showed that the average effect of MST was larger in studies involving graduate student therapists (i.e., efficacy studies; d = .81) than in studies with therapists from the community (i.e., effectiveness studies; d = .26). In addition, MST demonstrated larger effects on measures of family relations than on measures of individual adjustment or peer relations.

0 Followers
 · 
97 Views
  • Source
    [Show abstract] [Hide abstract]
    ABSTRACT: This report relies on official crime data, law enforcement intelligence, census data, and ethnographic interviews to assess the nature and extent of the gang problem in Niagara Falls, NY. It finds that street gangs are firmly entrenched on the streets of Niagara Falls, and that they are fueled by high poverty rates, a vibrant underground illicit economy, and the dissemination of gang culture across geographical locations. We also identify that the city of Niagara Falls has experienced escalating rates of violence that contrast national trends. We examine the extent to which street gangs may be involved in localized violence and note that interpersonal violence appears to be a growing problem in the city, but gangs are not yet involved in patterns of contagious murder. They are, however, heavily involved in drug dealing and may increasingly be demonstrating a willingness to use excessive forms of violence (guns) to resolve interpersonal disputes. Moreover, gangs and gang members appear to evolve and become more sophisticated as they remain active in street life. This report concludes with a discussion of viable solutions for dealing with street gangs in Niagara Falls.
  • [Show abstract] [Hide abstract]
    ABSTRACT: The present study focused on the sustainability of the effects of Multisystemic Therapy (MST) on delinquency and recidivism. A sample of 256 juveniles with severe and persistent antisocial behavior were randomly assigned to MST (147) and Treatment As Usual (TAU) (109) condition. Pre-test assessment took place before the start of MST/control group treatment. Post-test assessment took place at 6 months after termination of the program. Delinquency (parent and adolescent reported) was assessed 6 months after termination of the treatment. Official judicial data were collected to assess recidivism, with a mean length of follow-up of 3.06 years. ANCOVAs and survival analyses were used to test the effectiveness of MST. The multi-informant data showed that MST is effective in diminishing delinquent behavior as reported by adolescents and parents, with d's larger than at post-test assessment immediately after ending of the intervention. The official judicial data, however, suggest that there are no differences between MST and TAU in recidivism. Few and inconsistent moderator effects were found. According to parent and adolescent reports, the beneficial effects of MST were sustained at the follow-up. This was not supported by official data. These results stress the importance of using multi-informant data on delinquency, as each source of information has its own advantages and disadvantages.
    Journal of Experimental Criminology 06/2014; 10(2). DOI:10.1007/s11292-013-9198-8 · 1.17 Impact Factor
  • [Show abstract] [Hide abstract]
    ABSTRACT: One of the major dilemmas in intervention and implementation research is adaptation versus adherence. High fidelity to an intervention protocol is essential for internal validity. At the same time, it has been argued that adaptation is necessary for improving the adoption and use of interventions by, for example, improving the match between an intervention and its cultural context, thus improving external validity. This study explores the origins of intervention programs (i.e., novel programs, programs adopted from other contexts with or without adaptation) in two meta-analytic intervention data sets from two European countries and compares the effect sizes of the outcomes of the interventions evaluated. Results are based on two samples of studies evaluating German child and youth preventative interventions (k = 158), and Swedish evaluations of a variety of psychological and social interventions (k = 139). The studies were categorized as novel programs, international adoption and contextual adaptation, with a total of six subcategories. In the German sample, after statistically controlling for some crucial methodological aspects, novel programs were significantly more effective than adopted programs. In the Swedish sample, a trend was found suggesting that adopted programs were less effective than adapted and novel programs. If these results are generalizable and unbiased, they favor novel and adapted programs over adopted programs with no adaptation and indicate that adoption of transported programs should not be done without considering adaptation.
    Journal of Clinical Child & Adolescent Psychology 04/2015; DOI:10.1080/15374416.2015.1020540 · 1.92 Impact Factor

Full-text (2 Sources)

Download
1,013 Downloads
Available from
May 17, 2014