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Multisystemic Therapy for Conduct Problems in Youth

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Clinical Handbook of Assessing and Treating Conduct Problems in Youth

Abstract

Multisystemic Therapy (MST; Henggeler, Schoenwald, Borduin, Rowland, & Cunningham, 1998, 2009) is a comprehensive family- and community-based treatment for youth with serious conduct problems who are at imminent risk of out-of-home placement (e.g., detention, incarceration, residential treatment). The effectiveness of MST has been established with chronic and violent juvenile delinquents and substance abusing youth. Adapted versions of the MST model have also been successfully applied to youth with other clinical problems, such as problem sexual behavior, psychiatric disturbance, and pediatric chronic illness. This chapter outlines the theoretical and empirical foundations of MST and provides a brief overview of the MST treatment model. A case example is used to illustrate the clinical aspects of the MST approach. The remainder of the chapter summarizes the growing evidence base for MST established through efficacy, effectiveness, and transportability trials.

Portions of this chapter were published previously in Evidence-Based Psychotheropies for Children and Adolescents, Second Edition, edited by J.R. Weisz and A.E. Kazdin (2010), New york: Guilford Press. We greatly appreciate the permission from Guilford Press to reprint this material.

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References

  • Borduin, C. M., & Schaeffer, C. M. (2001). Multisystemic treatment of juvenile sexual offenders: A progress report. Journal of Psychology & Human Sexuality, 13, 25–42.

    Article  Google Scholar 

  • Borduin, C. M., Henggeler, S. W., Blaske, D. M., & Stein, R. (1990). Multisystemic treatment of adolescent sexual offenders. International Journal of Offender Therapy and Comparative Criminology, 35, 105–114.

    Article  Google Scholar 

  • Borduin, C. M., Mann, B. J., Cone, L. T., Henggeler, S. W., Fucci, B. R., Blaske, D. M., et al. (1995). Multisystemic treatment of serious juvenile offenders: Long-term prevention of criminality and violence. Journal of Consulting and Clinical Psychology, 63, 569–578.

    Article  PubMed  Google Scholar 

  • Borduin, C. M., Schaeffer, C. M., & Heiblum, N. (2009). A randomized clinical trial of multisystemic therapy with juvenile sexual offenders: Effects on youth social ecology and criminal activity. Journal of Consulting and Clinical Psychology, 77, 26–37.

    Article  PubMed  Google Scholar 

  • Bronfenbrenner, U. (1979). The ecology of human development: Experiments by design and nature. Cambridge, MA: Harvard University Press.

    Google Scholar 

  • Brown, T. L., Henggeler, S. W., Schoenwald, S. K., Brondino, M. J., & Pickrel, S. G. (1999). Multisystemic treatment of substance abusing and dependent juvenile delinquents: Effects on school attendance at posttreatment and 6-month follow-up. Children’s Services: Social Policy, Research, and Practice, 2, 81–93.

    Google Scholar 

  • Brunk, M., Henggeler, S. W., & Whelan, J. P. (1987). A comparison of multisystemic therapy and parent training in the brief treatment of child abuse and neglect. Journal of Consulting and Clinical Psychology, 55, 311–318.

    Article  Google Scholar 

  • Cunningham, P. B., Naar-King, S., Ellis, D. A., Pejuan, S., & Secord, E. (2006). Achieving adherence to antiretroviral medications for pediatric HIV disease using an empirically supported treatment: A case report. Journal of Developmental and Behavioral Pediatric, 27, 44–50.

    Article  Google Scholar 

  • Deater-Deckard, K., Dodge, K. A., Bates, J. E., & Pettit, G. S. (1998). Multiple risk factors in the development of externalizing behavior problems: Group and individual differences. Development and Psychopathology, 10, 469–493.

    Article  PubMed  Google Scholar 

  • Elliott, D. S. (1994). Serious violent offenders: Onset, developmental course, and termination. The American Society of Criminology 1993, presidential address. Criminology, 32, 1–21.

    Article  Google Scholar 

  • Ellis, D. A., Frey, M. A., Naar-King, S., Templin, T., Cunningham, P. B., & Cakan, N. (2005a). Use of multisystemic therapy to improve regimen adherence among adolescents with type 1 diabetes in chronic poor metabolic control: A randomized controlled trial. Diabetes Care, 28, 1604–1610.

    Article  PubMed  Google Scholar 

  • Ellis, D. A., Frey, M. A., Naar-King, S., Templin, T., Cunningham, P. B., & Cakan, N. (2005b). The effects of multisystemic therapy on diabetes stress in adolescents with chronically poorly controlled type 1 diabetes: Findings from a randomized controlled trial. Pediatrics, 116, e826–e832.

    Article  PubMed  Google Scholar 

  • Ellis, D. A., Naar-King, S., Frey, M. A., Templin, T., Rowland, M., & Cakan, N. (2005c). Multisystemic treatment of poorly controlled type 1 diabetes: Effects on medical resource utilization. Journal of Pediatric Psychology, 30, 656–666.

    Article  PubMed  Google Scholar 

  • Ellis, D. A., Naar-King, S., Cunningham, P. B., & Secord, E. (2006). Use of multisystemic therapy to improve antiretroviral adherence and health outcomes in HIV-infected pediatric patients: Evaluation of a pilot program. AIDS, Patient Care, and STD’s, 20, 112–121.

    Article  Google Scholar 

  • Ellis, D. A., Templin, T., Naar-King, S., Frey, M. A., Cunningham, P. B., Podolski, C., et al. (2007). Multisystemic therapy for adolescents with poorly controlled type I diabetes: Stability of treatment effects in a randomized controlled trial. Journal of Consulting and Clinical Psychology, 75, 168–174.

    Article  PubMed  Google Scholar 

  • Eyberg, S. M., Nelson, M. M., & Boggs, S. R. (2008). Evidence-based psychosocial treatments for children and adolescents with disruptive behavior. Journal of Clinical Child & Adolescent Psychology, 37, 215–237.

    Google Scholar 

  • Henggeler, S. W., Rodick, J. D., Borduin, C. M., Hanson, C. L., Watson, S. M., & Urey, J. R. (1986). Multisystemic treatment of juvenile offenders: Effects on adolescent behavior and family interactions. Developmental Psychology, 22, 132–141.

    Article  Google Scholar 

  • Henggeler, S. W., Borduin, C. M., Melton, G. B., Mann, B. J., Smith, L., Hall, J. A., et al. (1991). Effects of multisystemic therapy on drug use and abuse in serious juvenile offenders: A progress report from two outcome studies. Family Dynamics of Addiction Quarterly, 1, 40–51.

    Google Scholar 

  • 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.

    Article  PubMed  Google Scholar 

  • Henggeler, S. W., Melton, G. B., Smith, L. A., Schoenwald, S. K., & Hanley, J. H. (1993). Family preservation using multisystemic treatment: Long-term follow-up to a clinical trial with serious juvenile offenders. Journal of Child and Family Studies, 2, 283–293.

    Article  Google Scholar 

  • Henggeler, S. W., Pickrel, S. G., Brondino, M. J., & Crouch, J. L. (1996). Eliminating (almost) treatment dropout of substance abusing or dependent delinquents through home-based multisystemic therapy. American Journal of Psychiatry, 153, 427–428.

    PubMed  Google Scholar 

  • 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.

    Article  PubMed  Google Scholar 

  • Henggeler, S. W., Schoenwald, S. K., Borduin, C. M., Rowland, M. D., & Cunningham, P. B. (1998). Multisystemic treatment of antisocial behavior in children and adolescents. New York: Guilford.

    Google Scholar 

  • Henggeler, S. W., Pickrel, S. G., & Brondino, M. J. (1999). Multisystemic treatment of substance abusing and dependent delinquents: Outcomes, treatment fidelity, and transportability. Mental Health Services Research, 1, 171–184.

    Article  PubMed  Google Scholar 

  • Henggeler, S. W., Rowland, M. R., Randall, J., Ward, D., Pickrel, S. G., Cunningham, P. B., et al. (1999). Home-based multisystemic therapy as an alternative to the hospitalization of youth in psychiatric crisis: Clinical outcomes. Journal of the American Academy of Child & Adolescent Psychiatry, 38, 1331–1339.

    Article  Google Scholar 

  • Henggeler, S. W., Clingempeel, W. G., Brondino, M. J., & Pickrel, S. G. (2002). Four-year follow-up of multisystemic therapy with substance abusing and dependent juvenile offenders. Journal of the American Academy of Child & Adolescent Psychiatry, 41, 868–874.

    Article  Google Scholar 

  • Henggeler, S. W., Rowland, M. D., Halliday-Boykins, C., Sheidow, A. J., Ward, D. M., Randall, J., et al. (2003). One-year follow-up of multisystemic therapy as an alternative to the hospitalization of youths in psychiatric crisis. Journal of the American Academy of Child & Adolescent Psychiatry, 42, 543–551.

    Article  Google Scholar 

  • Henggeler, S. W., Halliday-Boykins, C. A., Cunningham, P. B., Randall, J., Shapiro, S. B., & Chapman, J. E. (2006). Juvenile drug court: Enhancing outcomes by integrating vidence-based treatments. Journal of Consulting and Clinical Psychology, 74, 42–54.

    Article  PubMed  Google Scholar 

  • Henggeler, S. W., Letourneau, E. J., Chapman, J. E., Borduin, C. M., Schewe, P. A., & McCart, M. R. (2009). Mediators of change for multisystemic therapy with juvenile offenders. Journal of Consulting and Clinical Psychology, 77, 451–462. doi: 10.1037/a0013971.

    Article  PubMed  Google Scholar 

  • Henggeler, S. W., Schoenwald, S. K., Borduin, C. M., Rowland, M. D., & Cunningham, P. B. (2009). Multisystemic therapy for antisocial behavior in children and adolescents (2nd ed.). New York: Guilford.

    Google Scholar 

  • Huey, S. J., Henggeler, S. W., Brondino, M. J., & Pickrel, S. G. (2000). Mechanisms of change in multisystemic therapy: Reducing delinquent behavior through therapist adherence and improved family and peer functioning. Journal of Consulting and Clinical Psychology, 68, 451–467.

    Article  PubMed  Google Scholar 

  • Huey, S. J., Jr., Henggeler, S. W., Rowland, M. D., Halliday-Boykins, C. A., Cunningham, P. B., Pickrel, S. G., et al. (2004). Multisystemic therapy effects on attempted suicide by youth presenting psychiatric emergencies. Journal of the American Academy of Child & Adolescent Psychiatry, 43, 183–190.

    Article  Google Scholar 

  • Letourneau, E. J., Henggeler, S. W., Borduin, C. M., Schewe, P. A., McCart, M. R., Chapman, J. E., et al. (2009). Multisystemic therapy for juvenile sexual offenders: 1-year results from a randomized effectiveness trial. Journal of Family Psychology, 23, 89–102.

    Article  PubMed  Google Scholar 

  • Loeber, R., Farrington, D. P., Stouthamer-Loeber, M., & Van Kammen, W. B. (1998). Antisocial behavior and mental health problems: Explanatory factors in childhood and adolescence. Mahwah, NJ: Lawrence Erlbaum Associates.

    Google Scholar 

  • Margo, J. (2008). Make me a criminal: Preventing youth crime. London: Institute for Public Policy Research.

    Google Scholar 

  • National Alliance on Mental Illness. (Winter, 2008). Medicaid coverage of multisystemic therapy. NAMI Beginnings. Arlington, VA: National Alliance on Mental Illness.

    Google Scholar 

  • National Institute on Drug Abuse. (1999). Principles of drug addiction treatment: A research-based guide. NIH Publication No. 99-4180.

    Google Scholar 

  • Ogden, T., & Hagen, K. A. (2006). Multisystemic therapy of serious behaviour problems in youth: Sustainability of therapy effectiveness two years after intake. Journal of Child and Adolescent Mental Health, 11, 142–149.

    Article  Google Scholar 

  • Ogden, T., & Halliday-Boykins, C. A. (2004). Multisystemic treatment of antisocial adolescents in Norway: Replication of clinical outcomes outside of the US. Child & Adolescent Mental Health, 9, 77–83.

    Article  Google Scholar 

  • Rowland, M. R., Halliday-Boykins, C. A., Henggeler, S. W., Cunningham, P. B., Lee, T. G., Kruesi, M. J. P., et al. (2005). A randomized trial of multisystemic therapy with Hawaii’s Felix Class youths. Journal of Emotional and Behavioral Disorders, 13, 13–23.

    Article  Google Scholar 

  • Rowland, M. R., Chapman, J. E., & Henggeler, S. W. (2008). Sibling outcomes from a randomized trial of evidence-based treatments with substance abusing juvenile offenders. Journal of Child & Adolescent Substance Abuse, 17, 11–26.

    Article  Google Scholar 

  • Schaeffer, C. M., & Borduin, C. M. (2005). Long-term follow-up to a randomized clinical trial of multisystemic therapy with serious and violent juvenile offenders. Journal of Consulting and Clinical Psychology, 73, 445–453.

    Article  PubMed  Google Scholar 

  • Schoenwald, S. K., Ward, D. M., Henggeler, S. W., Pickrel, S. G., & Patel, H. (1996). MST treatment of substance abusing or dependent adolescent offenders: Costs of reducing incarceration, inpatient, and residential placement. Journal of Child and Family Studies, 5, 431–444.

    Article  Google Scholar 

  • Schoenwald, S. K., Henggeler, S. W., Brondino, M. J., & Rowland, M. D. (2000). Multisystemic therapy: Monitoring treatment fidelity. Family Process, 39, 83–103.

    Article  PubMed  Google Scholar 

  • Schoenwald, S. K., Ward, D. M., Henggeler, S. W., & Rowland, M. D. (2000). MST vs. hospitalization for crisis stabilization of youth: Placement outcomes 4 months post-referral. Mental Health Services Research, 2, 3–12.

    Article  PubMed  Google Scholar 

  • Schoenwald, S. K., Carter, R. E., Chapman, J. E., & Sheidow, A. J. (2008). Therapist adherence and organizational effects on change in youth behavior problems one year after multisystemic therapy. Administration and Policy in Mental Health and Mental Health Services Research, 35, 379–394.

    Article  PubMed  Google Scholar 

  • Sheidow, A. J., & Henggeler, S. W. (2008). Multisystemic therapy with substance using adolescents: A synthesis of research. In A. Stevens (Ed.), Crossing frontiers: International developments in the treatment of drug dependence (pp. 11–33). Brighton, England: Pavilion Publishing.

    Google Scholar 

  • Sheidow, A. J., Bradford, W. D., Henggeler, S. W., Rowland, M. D., Halliday-Boykins, C., Schoenwald, S. K., et al. (2004). Treatment costs for youths in psychiatric crisis: Multisystemic therapy versus hospitalization. Psychiatric Services, 55, 548–554.

    Article  PubMed  Google Scholar 

  • Stambaugh, L. F., Mustillo, S. A., Burns, B. J., Stephens, R. L., Baxter, B., Edwards, D., et al. (2007). Outcomes from wraparound and multisystemic therapy in a center for mental health services system-of-care demonstration site. Journal of Emotional and Behavioral Disorders, 15, 143–155.

    Article  Google Scholar 

  • Sundell, K., Hansson, K., Lofholm, C. A., Olsson, T., Gustle, L. H., & Kadesjo, C. (2008). The transportability of MST to Sweden: Short-term results from a randomized trial of conduct disordered youth. Journal of Family Psychology, 22, 550–560.

    Article  PubMed  Google Scholar 

  • Swenson, C. C., Saldana, L., Joyner, C. D., Caldwell, E., Henggeler, S. W., & Rowland, M. D. (2005). Multisystemic therapy for child abuse and neglect. Charleston, SC: Family Services Research Center, Medical University of South Carolina.

    Google Scholar 

  • Swenson, C. C., Schaeffer, C. M., Henggeler, S. W., Faldowski, R., & Mayhew, A. M. (in press). Multisystemic therapy for child abuse and neglect: A randomized effectiveness trial. Journal of Family Psychology

    Google Scholar 

  • Thornberry, T. P., & Krohn, M. D. (Eds.). (2003). Taking stock of delinquency: An overview of findings from contemporary longitudinal studies. New York: Kluwer/Plenum.

    Google Scholar 

  • 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.

    PubMed  Google Scholar 

  • U.S. Public Health Service. (2001). Youth violence: A report of the Surgeon General. Washington, DC: U.S. Public Health Service.

    Google Scholar 

  • Waldron, H. B., & Turner, C. W. (2008). Evidence-based psychosocial treatments for adolescent substance abuse. Journal of Clinical Child and Adolescent Psychology, 37, 238–261.

    PubMed  Google Scholar 

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Schaeffer, C.M., McCart, M.R., Henggeler, S.W., Cunningham, P.B. (2011). Multisystemic Therapy for Conduct Problems in Youth. In: Murrihy, R., Kidman, A., Ollendick, T. (eds) Clinical Handbook of Assessing and Treating Conduct Problems in Youth. Springer, New York, NY. https://doi.org/10.1007/978-1-4419-6297-3_11

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