Transporting Efficacious Treatments to Field Settings: The Link Between Supervisory Practices and Therapist Fidelity in MST Programs

Henggeler, Scott W.; Schoenwald, Sonja K.; Liao, Jason; Letourneau, Elizabeth J.; Edwards, Daniel

doi:10.1207/153744202753604449

Cited by 86 publications

(113 citation statements)

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“…However, we also note that future research needs to explore the mechanisms that underlie successful large-scale program implementation and contribute to program effectiveness. Although we were not able to examine the mechanisms that may contribute to effectiveness of statewide implementation of MST, research suggests that fidelity to treatment is a critical factor in fostering successful program implementation and positive program effects (Brunk et al 2014; Lofholm et al 2014; Schoenwald et al 2008; Henggeler et al 2002). In Rhode Island, preliminary caregiver reports of clinicians’ treatment fidelity suggest high (above the national MST target) adherence to treatment for the five Rhode Island MST providers (Rhode Island 2013).…”

Section: Discussionmentioning

confidence: 99%

“…These characteristics include specific reasons for MST referral, parent-related data (e.g., parenting practices and skills), dosage or intensity of treatment, and fidelity to treatment measures. For example, studies have shown that factors such as parenting practices (Asscher et al 2013; Tighe et al 2012) and fidelity to treatment (Brunk et al 2014; Henggeler et al 2002) are important mechanisms of change in MST. In addition, we did not have information on whether supplementary or other types of treatment were received by our treatment group and whether our comparison group received some type of treatment (e.g., usual services) during the observation period.…”

Section: Discussionmentioning

confidence: 99%

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Placement and Delinquency Outcomes Among System-Involved Youth Referred to Multisystemic Therapy: A Propensity Score Matching Analysis

Vidal

Steeger

Caron

et al. 2017

Adm Policy Ment Health

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Multisystemic therapy (MST) was developed to help youth with serious social, emotional, and behavioral problems. Research on the efficacy and effectiveness of MST has shown positive outcomes in different domains of development and functioning among various populations of youth. Nonetheless, even with a large body of literature investigating the treatment effects of MST, few studies have focused on the effectiveness of MST through large-scale dissemination efforts. Utilizing a large sample of youth involved in a statewide dissemination of MST (n = 740; 43% females; 14% Black; 29% Hispanic; 49% White; Mage = 14.9 years), propensity score matching was employed to account for baseline differences between the treatment (n = 577) and comparison (n = 163) groups. Treatment effects were examined based on three outcomes: out-of-home placement, adjudication, and placement in a juvenile training school over a 6-year period. Significant group differences remained after adjusting for baseline differences, with youth who received MST experiencing better outcomes in offending rates than youth who did not have an opportunity to complete MST due to non-clinical or administrative reasons. Survival analyses revealed rates of all three outcomes were approximately 40% lower among the treatment group. Overall, this study adds to the body of literature supporting the long-term effectiveness of MST in reducing offending among high-risk youth. The findings underscore the potential benefits of taking evidence-based programs such as MST to scale to improve the well-being and functioning of high-risk youth. However, strategies to effectively deliver the program in mental health service settings, and to address the specific needs of high-risk youth are necessary.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Placement and Delinquency Outcomes Among System-Involved Youth Referred to Multisystemic Therapy: A Propensity Score Matching Analysis

Vidal

Steeger

Caron

et al. 2017

Adm Policy Ment Health

View full text Add to dashboard Cite

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“…methods of environmental control, differences between use of rescue and controller medications, using asthma action plans for symptom management, etc). Quality assurance protocols also included use of a manual on use of MST with youth with high-risk asthma developed during a feasibility trial 27 feedback on therapist and supervisor fidelity to MST procedures 28,29 and audiotaping of all treatment sessions for supervisory review and fidelity coding.…”

Section: Methodsmentioning

confidence: 99%

Effects of Family Treatment on Parenting Beliefs Among Caregivers of Youth With Poorly Controlled Asthma

Ellis

King

Naar‐King

et al. 2014

Journal of Developmental &Amp; Behavioral Pediatrics

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Objective Caregiver involvement is critical to ensuring optimal adolescent asthma management. The study investigated whether Multisystemic Therapy (MST), an intensive, home-based family therapy, was superior to family support for changing beliefs regarding asthma-related positive parenting among caregivers of African-American youth with poorly controlled asthma. The relationship between parenting beliefs and asthma management at the conclusion of the intervention was also assessed. Methods A randomized controlled trial was conducted with 167 adolescents with moderate to severe persistent, poorly controlled asthma and their primary caregivers. Families were randomly assigned to MST or FS, a home-based family support condition. Data were collected at baseline and seven month post-test. Changes in caregiver ratings of importance and confidence for engaging in asthma-related positive parenting were assessed via questionnaire. Illness management was assessed by the Family Asthma Management System Scale (FAMSS). Results Participation in MST was associated with more change in caregiver beliefs as compared to FS for both importance (t =2.39, p=.02) and confidence (t =2.04, p=.04). Caregiver beliefs were also significantly related to youth controller medication adherence at the conclusion of treatment (importance: r=.21, p=.01; confidence: r=.23, p=.004). Conclusion Results support the effectiveness of MST for increasing parental beliefs in the value of asthma-related positive parenting behaviors and parental self-efficacy for these behaviors among families of minority adolescents with poorly controlled asthma.

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“…Evaluations from parents and children did not reveal any occurrences of negative drift, but could have done so if asking specifically about intervention components and conduct, such as in the evaluation routines of MST (Henggeler, Schoenwald, Liao, Letourneau, & Edwards, 2002). …”

Section: Case Narrativementioning

confidence: 99%

The Ecology of Sustainable Implementation

Rimehaug

2014

Zeitschrift für Psychologie

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The primary aim of this paper is to illustrate the strategic and ecological nature of implementation. The ultimate aim of implementation is not dissemination but sustainability beyond the implementation effort. A case study is utilized to illustrate these broad and long-term perspectives of sustainable implementation based on qualitative analyses of a 10-year implementation effort. The purveyors aimed to develop selective community prevention services for children in families burdened by parental psychiatric or addictive problems. Services were gradually disseminated to 23 sites serving 40 municipalities by 2013. Up to 2013, only one site terminated services after initial implementation. Although many sites suspended services for shorter periods, services are still offered at 22 sites. This case analysis is based on project reports, user evaluations, practitioner interviews, and service statistics. The paper focuses on the analyses and strategies utilized to cope with quality decay and setbacks as well as progress and success in disseminating and sustaining the services and their quality. Low-cost multilevel strategies to implement services at the community level were organized by a prevention unit in child psychiatry, supervised by a university department (purveyors). The purveyors were also involved in national and international collaboration and development. Multilevel strategies included manualized intervention, in-practice training methods, organizational responsibility, media strategies, service evaluation, staff motivation maintenance, quality assurance, and proposals for new law regulations. These case history aspects will be discussed in relation to the implementation literature, focusing on possible applicability across settings.

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Transporting Efficacious Treatments to Field Settings: The Link Between Supervisory Practices and Therapist Fidelity in MST Programs

Cited by 86 publications

References 0 publications

Placement and Delinquency Outcomes Among System-Involved Youth Referred to Multisystemic Therapy: A Propensity Score Matching Analysis

Placement and Delinquency Outcomes Among System-Involved Youth Referred to Multisystemic Therapy: A Propensity Score Matching Analysis

Effects of Family Treatment on Parenting Beliefs Among Caregivers of Youth With Poorly Controlled Asthma

The Ecology of Sustainable Implementation

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