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Gepubliceerd in: Journal of Child and Family Studies 6/2008

01-12-2008 | Original Paper

Outcomes from Multisystemic Therapy in a Statewide System of Care

Auteurs: Ryan T. Tolman, Charles W. Mueller, Eric L. Daleiden, Roxanna E. Stumpf, Sarah L. Pestle

Gepubliceerd in: Journal of Child and Family Studies | Uitgave 6/2008

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Abstract

We examined client outcomes from the implementation of Multisystemic Therapy (MST) in a statewide child and adolescent mental health system. Specifically, we examined (1) the validity of therapist-rated MST outcome measures by comparing them to ratings of functional impairment and level of service needs by CAMHD care coordinators, who provide case management and care coordination services, (2) potential client and service predictors of therapist-rated outcomes, and (3) improvement in youth functioning around the time of entry to and exit from MST compared with rates of improvement reported in randomized controlled trials (RCTs) by the developers of MST. Results suggested that therapist-rated MST outcomes were valid indicators of treatment success. Similar to other findings in the MST literature, few client or service characteristics predicted these outcomes. Finally, although MST entry–exit effect sizes were lower than the mean derived from RCTs published by the developers, they were within the 95% confidence interval. Together, these findings support the implementation of MST in complex systems of care with continued attention to quality assurance and ongoing use of data for evaluation.
Literatuur
go back to reference American Academy of Child and Adolescent Psychiatry Work Group on Systems of Care & American Association of Community Psychiatrists. (1999). Child and Adolescent Level of Care Utilization System (CALOCUS) user’s manual, version 1.1. Washington, DC: American Academy of Child and Adolescent Psychiatry & American Association of Community Psychiatrists. American Academy of Child and Adolescent Psychiatry Work Group on Systems of Care & American Association of Community Psychiatrists. (1999). Child and Adolescent Level of Care Utilization System (CALOCUS) user’s manual, version 1.1. Washington, DC: American Academy of Child and Adolescent Psychiatry & American Association of Community Psychiatrists.
go back to reference Borduin, C. M., Mann, B. J., Cone, L. T., Henggeler, S. W., Fucci, B. R., Blaske, D. M., et al. (1995). Multisystemic therapy of serious juvenile defenders: Long-term prevention of criminality and violence. Journal of Consulting and Clinical Psychology, 63, 569–578.PubMedCrossRef Borduin, C. M., Mann, B. J., Cone, L. T., Henggeler, S. W., Fucci, B. R., Blaske, D. M., et al. (1995). Multisystemic therapy of serious juvenile defenders: Long-term prevention of criminality and violence. Journal of Consulting and Clinical Psychology, 63, 569–578.PubMedCrossRef
go back to reference Broffenbrenner, U. (1979). The ecology of human development: Experiments by nature and design. Cambridge, MA: Harvard University Press. Broffenbrenner, U. (1979). The ecology of human development: Experiments by nature and design. Cambridge, MA: Harvard University Press.
go back to reference Chambless, D. L., & Hollon, S. D. (1998). Defining empirically supported therapies. Journal of Consulting and Clinical Psychology, 66, 7–18.PubMedCrossRef Chambless, D. L., & Hollon, S. D. (1998). Defining empirically supported therapies. Journal of Consulting and Clinical Psychology, 66, 7–18.PubMedCrossRef
go back to reference Chambless, D. L., & Ollendick, T. H. (2001). Empirically supported psychological interventions: Controversies and evidence. Annual Review of Psychology, 52, 685–716.PubMedCrossRef Chambless, D. L., & Ollendick, T. H. (2001). Empirically supported psychological interventions: Controversies and evidence. Annual Review of Psychology, 52, 685–716.PubMedCrossRef
go back to reference Curtis, N. M., Ronan, K. R., & Borduin, C. M. (2004). Multisystemic treatment: A meta-analysis of outcome studies. Journal of Family Psychology, 18, 411–419.PubMedCrossRef Curtis, N. M., Ronan, K. R., & Borduin, C. M. (2004). Multisystemic treatment: A meta-analysis of outcome studies. Journal of Family Psychology, 18, 411–419.PubMedCrossRef
go back to reference Fallon, T., Pumariega, A., Sowers, W., Klaehn, R., Huffine, C., et al. (2006). A level of care instrument for children’s systems of care: Construction, reliability, and validity. Journal of Child and Family Studies, 15, 143–145.CrossRef Fallon, T., Pumariega, A., Sowers, W., Klaehn, R., Huffine, C., et al. (2006). A level of care instrument for children’s systems of care: Construction, reliability, and validity. Journal of Child and Family Studies, 15, 143–145.CrossRef
go back to reference Henggeler, S. W. (2004). Decreasing effect sizes for effectiveness studies—Implications for the transport of evidence-based treatments: Comment on Curtis, Ronan, and Borduin (2004). Journal of Family Psychology, 18, 420–423.PubMedCrossRef Henggeler, S. W. (2004). Decreasing effect sizes for effectiveness studies—Implications for the transport of evidence-based treatments: Comment on Curtis, Ronan, and Borduin (2004). Journal of Family Psychology, 18, 420–423.PubMedCrossRef
go back to reference Henggeler, S. W., Melton, G. B., Brondino, M. J., Scherer, D. G., & Hanley J. H. (1997). Multisystemic therapy with violent and chronic juvenile offenders and their families: The role of treatment fidelity in successful dissemination. Journal of Consulting and Clinical Psychology, 65, 821–833.PubMedCrossRef Henggeler, S. W., Melton, G. B., Brondino, M. J., Scherer, D. G., & Hanley J. H. (1997). Multisystemic therapy with violent and chronic juvenile offenders and their families: The role of treatment fidelity in successful dissemination. Journal of Consulting and Clinical Psychology, 65, 821–833.PubMedCrossRef
go back to reference Henggeler, S. W., Melton, G. B., & Smith, L. A. (1992). Family preservation using multisystemic therapy: An effective alternative to incarcerating serious juvenile offenders. Journal of Consulting and Clinical Psychology, 60, 953–961.PubMedCrossRef Henggeler, S. W., Melton, G. B., & Smith, L. A. (1992). Family preservation using multisystemic therapy: An effective alternative to incarcerating serious juvenile offenders. Journal of Consulting and Clinical Psychology, 60, 953–961.PubMedCrossRef
go back to reference Henggeler, S. W., Rowland, M. D., Randall, J., Ward, D. M., Pickrel, S. G., Cunningham, P. B., Meller, S. L., et al. (1999). Home-based multisystemic therapy as an alternative to the hospitalization of youths in psychiatric crisis: Clinical outcomes. Journal of the American Academy of Child Adolescent Psychiatry, 38, 1331–1339.CrossRef Henggeler, S. W., Rowland, M. D., Randall, J., Ward, D. M., Pickrel, S. G., Cunningham, P. B., Meller, S. L., et al. (1999). Home-based multisystemic therapy as an alternative to the hospitalization of youths in psychiatric crisis: Clinical outcomes. Journal of the American Academy of Child Adolescent Psychiatry, 38, 1331–1339.CrossRef
go back to reference Henggeler, S. W., Schoenwald, S. K., Borduin, C. M., Rowland, M. D., & Cunningham, P. B. (1998). Multisystemic treatment for antisocial behavior in children and adolescents. New York: Guilford Press. Henggeler, S. W., Schoenwald, S. K., Borduin, C. M., Rowland, M. D., & Cunningham, P. B. (1998). Multisystemic treatment for antisocial behavior in children and adolescents. New York: Guilford Press.
go back to reference Hodges, K. (1998). Child and Adolescent Functional Assessment Scale (CAFAS). Ann Arbor, MI: Functional Assessment Systems. Hodges, K. (1998). Child and Adolescent Functional Assessment Scale (CAFAS). Ann Arbor, MI: Functional Assessment Systems.
go back to reference Hodges, K., & Wong, M. M. (1996). Psychometric characteristics of a multidimensional measure to assess impairment: The Child and Adolescent Functional Assessment Scale (CAFAS). Journal of Child and Family Studies, 5, 445–467.CrossRef Hodges, K., & Wong, M. M. (1996). Psychometric characteristics of a multidimensional measure to assess impairment: The Child and Adolescent Functional Assessment Scale (CAFAS). Journal of Child and Family Studies, 5, 445–467.CrossRef
go back to reference Littell, J. H., Popa, M., & Forsythe, B. (2005). Multisystemic therapy for social, emotional, and behavior problems in youth age 10–17. Cochrane database of systematic reviews, (3). doi:10.1002/14651858.CD004797.pub3. Littell, J. H., Popa, M., & Forsythe, B. (2005). Multisystemic therapy for social, emotional, and behavior problems in youth age 10–17. Cochrane database of systematic reviews, (3). doi:10.​1002/​14651858.​CD004797.​pub3.
go back to reference Nakamura, B. J., Daleiden, E. L., & Mueller, C. W. (2007). Validity of treatment target progress ratings as indicators of youth improvement. Journal of Child and Family Studies, 16, 729–741.CrossRef Nakamura, B. J., Daleiden, E. L., & Mueller, C. W. (2007). Validity of treatment target progress ratings as indicators of youth improvement. Journal of Child and Family Studies, 16, 729–741.CrossRef
go back to reference Schoenwald, S. K., & Hoagwood, K. (2001). Effectiveness, transportability, and dissemination of interventions: What matters when? Psychiatric Services, 52, 1190–1197.PubMedCrossRef Schoenwald, S. K., & Hoagwood, K. (2001). Effectiveness, transportability, and dissemination of interventions: What matters when? Psychiatric Services, 52, 1190–1197.PubMedCrossRef
go back to reference Timmons-Mitchell, J., Bender, M. B., Kishna, M. A., & Mitchell, C. C. (2006). An independent effectiveness trial of multisystemic therapy with juvenile justice youth. Journal of Clinical Child and Adolescent Psychology, 35, 227–236.PubMedCrossRef Timmons-Mitchell, J., Bender, M. B., Kishna, M. A., & Mitchell, C. C. (2006). An independent effectiveness trial of multisystemic therapy with juvenile justice youth. Journal of Clinical Child and Adolescent Psychology, 35, 227–236.PubMedCrossRef
Metagegevens
Titel
Outcomes from Multisystemic Therapy in a Statewide System of Care
Auteurs
Ryan T. Tolman
Charles W. Mueller
Eric L. Daleiden
Roxanna E. Stumpf
Sarah L. Pestle
Publicatiedatum
01-12-2008
Uitgeverij
Springer US
Gepubliceerd in
Journal of Child and Family Studies / Uitgave 6/2008
Print ISSN: 1062-1024
Elektronisch ISSN: 1573-2843
DOI
https://doi.org/10.1007/s10826-008-9197-y

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