Efficacy Studies to Large-Scale Transport: The Development and Validation of Multisystemic Therapy Programs
Efficacy Studies to Large-Scale Transport: The Development and Validation of Multisystemic Therapy Programs
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DOI：
10.1146/annurev-clinpsy-032210-104615
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发表时间：
2011-01-01
影响因子：
18.4
通讯作者：
Henggeler, Scott W.
中科院分区：
文献类型：
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作者：
Henggeler, Scott W.
本文综述了多系统治疗（MST）从适度的大学疗效研究到大规模运输到社区实践环境的35年进展。早期有效性研究的成功导致了有效性试验，他们在降低青年再逮捕和监禁率方面的成功导致了多地点可运输性试验和MST模型的适应性，用于治疗出现其他类型挑战性临床问题的青年。为了支持MST项目向社区环境的转移，在过去的15年里，以社区为基础的MST项目实施了一个以临床试验中使用的质量改进系统为模型的密集质量改进系统。随着治疗师治疗忠诚度和青年成果之间的关联已经建立，可移植性研究已经证明了临床主管，专家顾问和供应商组织在支持治疗师依从性和青年成果方面所发挥的重要作用。联邦和各州支持循证服务的举措促进了这一工作。
The 35-year progression of multisystemie therapy (MST) from modest university-based efficacy studies to large-scale transport to community practice settings is described in this review. The success of early efficacy research led to effectiveness trials, and their success in decreasing rates of youth rearrest and incarceration led to multisite transportability trials and adaptations of the MST model for treating youth presenting other types of challenging clinical problems. To support the transport of MST programs to community settings, an intensive quality improvement system modeled after that used in clinical trials has been implemented in community-based MST programs for the past 15 years. With the association between therapist treatment fidelity and youth outcomes well established, transportability research has demonstrated the significant roles played by clinical supervisors, expert consultants, and provider organizations in supporting therapist adherence and youth outcomes. This body of work has been facilitated by federal and state initiatives to support evidence-based services.