Multisystemic Treatment: A Meta-Analysis of Outcome Studies.
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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.
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Some studies have suggested that adapting treatments to fit service needs in the community may reduce its effectiveness.
“Some studies have suggested that adapting treatments to fit service needs in the community may reduce its effectiveness [46, 64].”
Effectiveness studies of psychological interventions typically show some decreases in intervention potency when treatments move from research to community settings.
“In line with this, effectiveness studies of psychological interventions do typically show some decreases in intervention potency when a treatment is translated from research settings into the community (Curtis et al. 2004; Henggeler 2004; Miller 2005).”
From The Effectiveness of Mindfulness-Based Cognitive Therapy (MBCT) in Real-World Healthcare Services (2020) · cites this paper as Curtis et al. 2004
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Multisystemic Therapy for social, emotional, and behavioral problems in youth aged 10-17
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Mental Health Care for Children and Adolescents in Foster Care: Review of Research Literature
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Combination Social Protection for Reducing HIV-Risk Behavior Among Adolescents in South Africa
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The Effect of Waiting Time on Youth Engagement to Evidence Based Treatments
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Longitudinal and Experimental Research in Criminology
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Family-based treatments for serious juvenile offenders: A multilevel meta-analysis.
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Self-citationNeural Changes Associated with Treatment Outcome in Children with Externalizing Problems
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The Cambridge Handbook of International Prevention Science
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Comparison of Multisystemic Therapy and Functional Family Therapy Effectiveness
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Psychotherapy with Refugees: Emerging Paradigm
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Self-citationSubstance use treatment outcomes in a sample of male serious juvenile offenders
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Justice Policy Reform for High-Risk Juveniles: Using Science to Achieve Large-Scale Crime Reduction
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Multisystemic Therapy for Social, Emotional, and Behavioral Problems in Youth Aged 10–17
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- Authors
- Curtis, N. M., Ronan, K. R., & Borduin, C. M.
- Affiliations
- Massey University (NZ)
- University of Missouri (US)
- Venue
- Journal of Family Psychology
- Published
- 2004
- Volume
- 18
- Issue
- 3
- Pages
- 411-419
- ISSN
- 0893-3200 (ISSN-L)
- 1939-1293
- OpenAlex
- W2131533248
- Cited by
- 407
- References
- 71
- Citations by year
- 2026: 6 · 2025: 8 · 2024: 8 · 2023: 3 · 2022: 9 · 2021: 15 · 2020: 17 · 2019: 12 · 2018: 20 · 2017: 17 · 2016: 24 · 2015: 21 · 2014: 26 · 2013: 34 · 2012: 32
- FWCI
- 3.00
- Type
- journal article
- Language
- en
- Open access
- green
- figshare.com
- Licence
- cc-by
- Locations
- Journal of Family Psychology (publishedVersion)
- PubMed (publishedVersion)
- Acquire (CQUniversity) (submittedVersion)
- Figshare (submittedVersion, cc-by)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
- Social Sciences › Psychology › Clinical Psychology › Counseling, Therapy, and Family Dynamics
- Social Sciences › Safety Research › Child Welfare and Adoption
- Keywords
- family therapy, home-based therapy, antisocial youth, serious emotional disturbance, treatment effectiveness, family relationships, peer relationships, individual adjustment, efficacy versus effectiveness
- MeSH terms
- Adolescent, Antisocial Personality Disorder, Mental Disorders, Child, Child Abuse, Combined Modality Therapy, Community Mental Health Centers, Family Therapy, Hospitalization, Hospitals, Psychiatric, Humans, Juvenile Delinquency, Substance Abuse Treatment Centers, Outcome Assessment, Health Care, Substance-Related Disorders
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