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
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DOI：
10.1037/0022-006x.65.5.821
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发表时间：
1997-10-01
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;Hanley, JH
本研究探讨了多系统治疗（MST）对暴力和慢性少年犯及其家庭的治疗效果。在两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而不是通常的少年司法服务。尽管MST在治疗后改善了青少年的症状，并在1.7年的随访中减少了47%的监禁，但减少犯罪活动的结果并不像最近其他MST试验所观察到的那样有利。然而，对家长、青少年和治疗师关于MST治疗依从性的报告的分析表明，在治疗依从性评分高的情况下，结果明显更好。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忠诚的重要性。
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.