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Multisystemic Therapy: An Overview of Clinical Procedures, Outcomes, and Policy Implications

Published online by Cambridge University Press:  01 February 1999

Scott W. Henggeler
Scott W. Henggeler
Affiliation:
Family Services Research Center, Department of Psychiatry and Behavioral Sciences, Medical University of South Carolina, 67 President Street, Suite CPP, PO Box 250861, Charleston, SC 29425, U.S.A.
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Abstract

Multisystemic therapy (MST) is a family- and community-based treatment that has successfully served as a clinical and cost-effective alternative to out-of-home placements (e.g. incarceration, psychiatric hospitalisation) for youths presenting serious clinical problems. MST clinical procedures and findings from MST outcome studies are reviewed. Several key features differentiate MST from prevailing mental health and juvenile justice practices and probably account for its relative success. These features include interventions that comprehensively address the known determinants of clinical problems, the provision of services in home and community settings to promote service access and ecological validity, and a philosophy that emphasises provider accountability for family engagement and outcomes.

Keywords

Multisystemic therapyoutcomesmental healthjuvenile justice
Type
Therapy Matters
Information
Child Psychology and Psychiatry Review , Volume 4 , Issue 1 , February 1999 , pp. 2 - 10
Copyright
© 1999 Association for Child Psychology and Psychiatry

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