Multisystemic Therapy: An Overview of Clinical Procedures, Outcomes, and Policy Implications

1999 ◽  
Vol 4 (1) ◽  
pp. 2-10 ◽  
Author(s):  
Scott W. Henggeler
Keyword(s):  
Multisystemic Therapy ◽  
Policy Implications ◽  
Clinical Procedures

Multisystemic Therapy: An Overview of Clinical Procedures, Outcomes, and Policy Implications

1999 ◽  
Vol 4 (1) ◽  
pp. 2-10 ◽  
Author(s):  
Scott W. Henggeler
Keyword(s):  
Ecological Validity ◽  
Cost Effective ◽  
Multisystemic Therapy ◽  
Policy Implications ◽  
Service Access ◽  
Community Settings ◽  
Clinical Procedures ◽  
Provision Of Services ◽  
Cost Effective Alternative ◽  
Clinical Problems

Multisystemic therapy (MST) is a family- and community-based treatment that has successfully served as a clinical and cost-effective alternative to out-of-home placements (e.g. incarceration, psychiatric hospitalisation) for youths presenting serious clinical problems. MST clinical procedures and findings from MST outcome studies are reviewed. Several key features differentiate MST from prevailing mental health and juvenile justice practices and probably account for its relative success. These features include interventions that comprehensively address the known determinants of clinical problems, the provision of services in home and community settings to promote service access and ecological validity, and a philosophy that emphasises provider accountability for family engagement and outcomes.

Adapting Multisystemic Therapy to Serve Youth Presenting Psychiatric Emergencies: Two Case Studies

2000 ◽  
Vol 5 (1) ◽  
pp. 30-43 ◽  
Author(s):  
Melisa D. Rowland ◽  
Scott W. Henggeler ◽  
Anita M. Gordon ◽  
Susan G. Pickrel ◽  
Phillippe B. Cunningham ◽  
...  
Keyword(s):  
Case Studies ◽  
Antisocial Behaviour ◽  
Cost Effective ◽  
Multisystemic Therapy ◽  
Psychiatric Emergencies ◽  
Clinical Procedures ◽  
Intervention Process ◽  
Home Based ◽  
Cost Effective Alternative ◽  
Clinical Problems

Multisystemic therapy (MST) is a highly individualised family- and home-based treatment that has successfully served as a clinically effective and cost-effective alternative to out-of-home placements (e.g., incarceration, psychiatric hospitalisation) for youth presenting serious clinical problems. MST clinical procedures are reviewed and two extensive case summaries are used to explicate the MST intervention process for treating serious antisocial behaviour and modifications in that process needed to safely and effectively serve youth presenting psychiatric emergencies.

Multidisciplinary Evidence to Treat Bilingual Individuals with Aphasia

2008 ◽  
Vol 15 (3) ◽  
pp. 66-72 ◽  
Author(s):  
José G. Centeno
Keyword(s):  
Stroke Rehabilitation ◽  
Culturally Diverse ◽  
Treatment Strategies ◽  
The United States ◽  
Intervention Strategies ◽  
Steady Increase ◽  
Clinical Procedures ◽  
Bilingual Speakers ◽  
Aphasic Clients

Abstract The steady increase in linguistic and cultural diversity in the country, including the number of bilingual speakers, has been predicted to continue. Minorities are expected to be the majority by 2042. Strokes, the third leading cause of death and the leading cause of long-term disability in the U.S., are quite prevalent in racial and ethnic minorities, so population estimates underscore the imperative need to develop valid clinical procedures to serve the predicted increase in linguistically and culturally diverse bilingual adults with aphasia in post-stroke rehabilitation. Bilingualism is a complex phenomenon that interconnects culture, cognition, and language; thus, as aphasia is a social phenomenon, treatment of bilingual aphasic persons would benefit from conceptual frameworks that exploit the culture-cognition-language interaction in ways that maximize both linguistic and communicative improvement leading to social re-adaptation. This paper discusses a multidisciplinary evidence-based approach to develop ecologically-valid treatment strategies for bilingual aphasic individuals. Content aims to spark practitioners' interest to explore conceptually broad intervention strategies beyond strictly linguistic domains that would facilitate linguistic gains, communicative interactions, and social functioning. This paper largely emphasizes Spanish-English individuals in the United States. Practitioners, however, are advised to adapt the proposed principles to the unique backgrounds of other bilingual aphasic clients.

Evidenzbasierte psychotherapeutische Interventionen für Kinder und Jugendliche mit aggressivem Verhalten

2010 ◽  
Vol 19 (4) ◽  
pp. 245-254 ◽  
Author(s):  
Christian J. Bachmann ◽  
Gerd Lehmkuhl ◽  
Franz Petermann ◽  
Stephen Scott
Keyword(s):  
Family Therapy ◽  
Kinder Und Jugendliche ◽  
Multisystemic Therapy ◽  
Incredible Years ◽  
Functional Family Therapy ◽  
Functional Family ◽  
The Incredible Years

Bei der Behandlung von Kindern und Jugendlichen mit aggressivem Verhalten ist in den vergangenen Jahren vor allem im englischsprachigen Ausland ein Trend zum Einsatz evidenzbasierter psychotherapeutischer Interventionen zu verzeichnen. In diesem Beitrag werden–getrennt für Kindes- und Jugendalter–die am besten evaluierten Therapieprogramme (u. a. Multisystemic Therapy, Functional Family Therapy, The Incredible Years) für diese Indikation dargestellt. Es werden aktuelle Fragen der Implementation und Disseminierung evidenzbasierter Interventionen für aggressive Kinder und Jugendliche diskutiert (z. B. Qualitätssicherung, Therapietreue). Abschließend werden Perspektiven für eine Implementation evidenzbasierter Interventionen in Deutschland aufgezeigt.

Factorial Structure of the Therapist Adherence Measure-Revised (TAM-R) Within Multisystemic Therapy

2020 ◽  
Vol 36 (2) ◽  
pp. 427-431
Author(s):  
Aurelie M. C. Lange ◽  
Marc J. M. H. Delsing ◽  
Ron H. J. Scholte ◽  
Rachel E. A. van der Rijken
Keyword(s):  
Factor Analysis ◽  
Factor Structure ◽  
Factor Model ◽  
Multisystemic Therapy ◽  
Model Fit ◽  
Validity And Reliability ◽  
Adherence Measure ◽  
Therapist Adherence ◽  
Confirmatory Factor ◽  
The Us

Abstract. The Therapist Adherence Measure (TAM-R) is a central assessment within the quality-assurance system of Multisystemic Therapy (MST). Studies into the validity and reliability of the TAM in the US have found varying numbers of latent factors. The current study aimed to reexamine its factor structure using two independent samples of families participating in MST in the Netherlands. The factor structure was explored using an Exploratory Factor Analysis (EFA) in Sample 1 ( N = 580). This resulted in a two-factor solution. The factors were labeled “therapist adherence” and “client–therapist alliance.” Four cross-loading items were dropped. Reliability of the resulting factors was good. This two-factor model showed good model fit in a subsequent Confirmatory Factor Analysis (CFA) in Sample 2 ( N = 723). The current finding of an alliance component corroborates previous studies and fits with the focus of the MST treatment model on creating engagement.

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