Multisystemic Therapy for Externalizing Youth

Zajac, Kristyn; Randall, Jeff; Swenson, Cynthia Cupit

doi:10.1016/j.chc.2015.02.007

Cited by 25 publications

(12 citation statements)

References 53 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…MST is a family- and community-based intervention originally developed for juvenile offenders. More recently, it has been adapted for a range of serious externalizing problems, including violent offending and juvenile substance abuse (Zajac et al 2015). Because of the multidetermined nature of youth antisocial behaviors, MST targets concurrent risk factors at the level of the individual, family, school, and community.…”

Section: Treatment Of Aggressionmentioning

confidence: 99%

See 1 more Smart Citation

Maladaptive Aggression: With a Focus on Impulsive Aggression in Children and Adolescents

Connor

Newcorn

Saylor³

et al. 2019

Journal of Child and Adolescent Psychopharmacology

View full text Add to dashboard Cite

Objective: Aggressive behavior is among the most common reasons for referral to psychiatric clinics and confers significant burden on individuals. Aggression remains poorly defined; there is currently no consensus on the best ways to recognize, diagnose, and treat aggression in clinical settings. In this review, we synthesize the available literature on aggression in children and adolescents and propose the concept of impulsive aggression (IA) as an important construct associated with diverse and enduring psychopathology. Methods: Articles were identified and screened from online repositories, including PubMed, PsychInfo, the Cochrane Database, EMBase, and relevant book chapters, using combinations of search terms such as ''aggression,'' ''aggressive behavio(u)r,'' ''maladaptive aggression,'' ''juvenile,'' and ''developmental trajectory.'' These were evaluated for quality of research before being incorporated into the article. The final report references 142 sources, published from 1987 to 2019. Results: Aggression can be either adaptive or maladaptive in nature, and the latter may require psychosocial and biomedical interventions when it occurs in the context of central nervous system psychopathology. Aggression can be categorized into various subtypes, including reactive/proactive, overt/covert, relational, and IA. IA in psychiatric or neurological disorders is reviewed along with current treatments, and an algorithm for systematic evaluation of aggression in the clinical setting is proposed. Conclusions: IA is a treatable form of maladaptive aggression that is distinct from other aggression subtypes. It occurs across diverse psychiatric and neurological diagnoses and affects a substantial subpopulation. IA can serve as an important construct in clinical practice and has considerable potential to advance research.

show abstract

Section: Treatment Of Aggressionmentioning

confidence: 99%

“…Outcomes on externalizing behavior are reported, but not IA specifically. Currently, 11 randomized trials and eight studies in youths with CD support the efficacy of MST (Zajac et al 2015).…”

Section: Treatment Of Aggressionmentioning

confidence: 99%

Maladaptive Aggression: With a Focus on Impulsive Aggression in Children and Adolescents

Connor

Newcorn

Saylor³

et al. 2019

Journal of Child and Adolescent Psychopharmacology

View full text Add to dashboard Cite

show abstract

“…As it stands, MST-SA is the version of MST that appears to best treat adolescent substance use problems. 38 A primary difference from other evidence-based treatments in that it is delivered in a time intensive manner leading to an average of 60 direct service hours per family over a 4 to 6 month period. 38…”

Section: Multi-systemic Therapymentioning

confidence: 99%

Family-Based Treatments for Adolescent Substance Use

Horigian

Anderson

Szapocznik

2016

Child and Adolescent Psychiatric Clinics of North America

View full text Add to dashboard Cite

Adolescent substance use is a major risk factor for negative outcomes, including substance dependence later in life, criminal behavior, school problems, mental health disorders, injury, and death. This article provides a user-friendly, clinically focused, and pragmatic review of current and evidence-based family treatments, including multisystemic therapy, multidimensional family therapy, functional family therapy, brief strategic family therapy, ecologically based family therapy, family behavior therapy, culturally informed flexible family treatment for adolescents, and strengths-oriented family therapy. Outcomes, treatment parameters, adolescent characteristics, and implementation factors are reviewed.

show abstract

“…The program Multisystemic Therapy-Building Stronger Families (MST-BSF) is an adaptation of MST specifically for parents with substance use disorders (Schaeffer, Swenson, Tuerk, & Henggeler, 2013). The testing of this intervention is similarly ongoing (Zajac, Randall, & Swenson, 2015), however pilot results suggested that after mothers received this intervention, their youth had fewer anxiety symptoms, the mothers' drug use decreased, mothers had fewer depressive symptoms, and mothers were less likely to have additional substantiated cases of child maltreatment compared to parents who received comprehensive community treatment (Schaeffer et al, 2013). As testing continues for MST-BSF, ensuring that an adequate number of parents with OUD is included in trials will provide opportunities for comparison between parents with OUD and parents with other substance use disorders to understand whether the program effects are moderated by the type of drug use disorder a parent has.…”

Section: Oversampling Parents With Oud In Efficacy and Effectiveness mentioning

confidence: 99%

Accelerating the Pace of Science: Improving Parenting Practices in Parents with Opioid Use Disorder

Cioffi

Leve²,

Seeley

2019

Parenting

View full text Add to dashboard Cite

A public health emergency exists in the United States as a result of rising overdose deaths related to Opioid Use Disorder (OUD). With the rise of OUD has also come an increase in the number of children exposed to parents who suffer from an OUD. There is a pressing need for parenting interventions for individuals with OUD to provide safe environments for the children being reared in the face of this epidemic. Research on parenting with an OUD is sparse, but it is impractical to move linearly from basic research to program development and implementation given the urgent need for intervention-a trajectory that prior research has established takes approximately 17 years. We have created an outline of strategies that can be used to accelerate the pace of science so that parenting practices are more immediately improved for this population. First, we summarize what is already known about OUD and parenting to characterize mechanisms that existing interventions have targeted and optimal settings for the wide dissemination of implementable interventions. Next, we identify existing interventions that either specifically target parents with OUD or mechanisms specific to parents with OUD. We describe four different approaches for accelerating the pace of science to improve the lives of parents with OUD and their children. By doing so, we hope to provide a roadmap for future researchers and practitioners to deliver more timely evidence-based interventions to address the additional burden placed on families and communities due to the rise in OUD in the United States.

show abstract

Multisystemic Therapy for Externalizing Youth

Cited by 25 publications

References 53 publications

Maladaptive Aggression: With a Focus on Impulsive Aggression in Children and Adolescents

Maladaptive Aggression: With a Focus on Impulsive Aggression in Children and Adolescents

Family-Based Treatments for Adolescent Substance Use

Accelerating the Pace of Science: Improving Parenting Practices in Parents with Opioid Use Disorder

Contact Info

Product

Resources

About