Multisystemic Treatment of Serious Behaviour Problems in Youth: Sustainability of Effectiveness Two Years after Intake

Terje Ogden · Kristine Amlund Hagen

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Child Welfare and Adoption Child and Adolescent Psychosocial and Emotional Development Crime Patterns and Interventions

Abstract

BACKGROUND: Multisystemic Treatment (MST) is an intensive home- and community based intervention for youths with serious behaviour problems. The aim of this study was to examine the effectiveness of MST compared to 'regular services' (RS) two years after intake to treatment. In particular, our goals were to investigate whether MST was successful at preventing placement out of home, and to examine reductions in behaviour problems in multi-informant assessments. METHOD: Participants were 75 adolescents who were randomly assigned to MST or Regular Child Welfare Services (RS) at 3 sites across Norway. Data were gathered from youths, caregivers and teachers. RESULTS: MST was more effective than RS in reducing out of home placement and behavioural problems. DISCUSSION: The sustainability of treatment effects was evident, supporting the MST approach to the treatment of serious behavioural problems in youth. Site differences and the moderating effects of age and gender are discussed.

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References

1991Manual for the Youth Self-Report and 1991 profile 1991Manual for the Teacher's Report Form and 1991 Profile 1999Serious and Violent Juvenile Offenders: Risk Factors and Successful Interventions 2003Evidence-based psychotherapies for children and adolescents 1992Family preservation using multisystemic therapy: An effective alternative to incarcerating serious juvenile offenders.1997Multisystemic therapy with violent and chronic juvenile offenders and their families: The role of treatment fidelity in successful dissemination.1995Multisystemic treatment of serious juvenile offenders: Long-term prevention of criminality and violence.2004Multisystemic Treatment: A Meta-Analysis of Outcome Studies.

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