Multisystemic therapy with violent and chronic juvenile offenders and their families: the role of treatment fidelity in successful dissemination.
Multisystemic therapy with violent and chronic juvenile offenders and their families: the role of treatment fidelity in successful dissemination.
复制标题
对暴力和慢性青少年罪犯及其家人的多系统治疗：治疗保真度在成功传播中的作用。
DOI：
10.1037//0022-006x.65.5.821
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发表时间：
1997
影响因子：
5.9
通讯作者：
Hanley,JH
中科院分区：
文献类型：
--
作者：
Henggeler,SW;Melton,GB;Brondino,MJ;Scherer,DG;Hanley,JH
多系统治疗（MST）在治疗暴力和慢性青少年罪犯及其家人在没有正在进行的治疗忠诚度检查的影响进行了研究。在2个公共部门的精神卫生站点，155名青少年及其家人被随机分配到MST与常规的少年司法服务。虽然MST在治疗后改善了青少年行为学，并在1.7年的随访中减少了47%的监禁，但犯罪活动减少的结果并不像最近其他MST试验中观察到的那样有利。然而，对MST治疗依从性的父母、青少年和治疗师报告的分析表明，在治疗依从性评分高的情况下，结果要好得多。这些结果强调了在向社区环境传播复杂的以家庭为基础的服务时，保持治疗保真度的重要性。（PsycINFO数据库记录（c）2016阿帕，保留所有权利）
The effects of multisystemic therapy (MST) in treating violent and chronic juvenile offenders and their families in the absence of ongoing treatment fidelity checks were examined. Across 2 public sector mental health sites, 155 youths and their families were randomly assigned to MST versus usual juvenile justice services. Although MST improved adolescent symptomology at posttreatment and decreased incarceration by 47% at a 1.7-year follow-up, findings for decreased criminal activity were not as favorable as observed on other recent trials of MST. Analyses of parent, adolescent, and therapist reports of MST treatment adherence, however, indicated that outcomes were substantially better in cases where treatment adherence ratings were high. These results highlight the importance of maintaining treatment fidelity when disseminating complex family-based services to community settings.(PsycINFO Database Record (c) 2016 APA, all rights reserved)