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Multisystemic Treatment: A Meta-Analysis of Outcome Studies.

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Curtis, Nicola M., Ronan, Kevin R., Borduin, Charles M.·2004·Journal of Family Psychology

DOI 10.1037/0893-3200.18.3.411

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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.

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Authors: Curtis, N. M., Ronan, K. R., & Borduin, C. M.
Affiliations: Massey University (NZ)
University of Missouri (US)
ORCID: Ronan, Kevin R.
Borduin, Charles M.
Venue: Journal of Family Psychology
Publisher: American Psychological Association (APA)
Published: 2004
Volume: 18
Issue: 3
Pages: 411-419
ISSN: 0893-3200 (ISSN-L)
1939-1293
DOI: 10.1037/0893-3200.18.3.411
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 › Sociology and Political Science › 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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