DIFFUSION OF MULTISYSTEMIC FAMILY PRESERVATION SERVICES

在其目前的CASSP赠款集中在服务的发展， 南卡罗来纳州的少年犯证明了家庭的有效性 利用多系统治疗（MST）预防 严重少年犯的家庭外安置。 CASSP项目 使用了一个真实的实验设计， 他们自己，他们的家庭，以及他们所参与的系统。 由于多系统治疗中涉及的干预高度 灵活（以及集约化和集成化），并且因为它不同 特别是来自办公室的干预措施， 专业人员的培训，有一个遗留的问题，是否 干预措施可以成功地传播。 本项目 通过重复CASSP实验回答了这个问题 （在格林维尔县进行）在南卡罗来纳州的其他三个地点： 黑人占多数的农村地区（班贝格、卡尔霍恩和奥兰治堡县）; 一个白人占多数的农村地区（切罗基和联合县以及南部 斯帕坦堡县）;一个白人占多数的城市地区（斯帕坦堡北方 县）。 因此，将检验干预措施的有效性 在不同的地点，不同的资源可用性。 该项目将评估三个广泛的、相互关联的层面： MST对反社会行为和心理社会的长期影响 （二）严重少年犯的有效性; 在连续实施步骤中的传播：（三）系统效应， 包括成本效益。

In its current CASSP grant focused on development of services for juvenile offenders South Carolina has demonstrated the efficacy of family preservation services utilizing multisystemic therapy (MST) in preventing out-of-home placement of serious juvenile offenders. The CASSP project has used a true experimental design with collection of data on youth themselves, their families, and the systems with which they are involved. Because the intervention involved in multisystemic therapy is highly flexible (as well as intensive and integrated) and because it differs markedly from office-based interventions for which most mental health professionals are trained, there is a remaining question about whether the intervention can be successfully disseminated. The present project answers that question through replication of the CASSP experiment (conducted in Greenville County) in three other sites in South Carolina: a rural, majority-Black area (Bamberg, Calhoun, and Orangeburg Counties); a rural, majority-White area (Cherokee and Union Counties and southern Spartanburg County); an urban, majority-White area (northern Spartanburg County). Accordingly, the efficacy of the intervention will be tested in diverse sites with variable availability of resources. The project will assess three broad, interrelated levels: (I) short- and long-term effects of MST on the antisocial behavior and psychosocial functioning of serious juvenile offenders; (II) effectiveness of diffusion at successive steps of implementation: (III) systemic effects, including cost-effectiveness.