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Multisystemic Treatment: A Meta-Analysis of Outcome Studies.
Open accessAbstract
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 [46, 64].”
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“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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Metadata
- 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 › 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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