Multisystemic therapy

Multisystemic Therapy (MST) is a type of intensive family- and community-based treatment that addresses multiple aspects of a young person's life. It is designed to target serious antisocial behavior in juvenile offenders and reduce the rate of recidivism.

Overview

MST is based on the principle that an individual's behavior is influenced by a network of interconnected systems, including the individual's family, school, and wider community. The therapy aims to promote positive behavior change in the young person's natural environment, using the strengths of each system to facilitate change.

Methodology

MST interventions typically involve a combination of strategic family therapy, structural family therapy, behavioral parent training, and cognitive behavioral therapy. The therapy is delivered by a single therapist who works closely with the young person and their family, as well as other key figures in the young person's life, such as teachers and probation officers.

Efficacy

Numerous studies have demonstrated the effectiveness of MST in reducing antisocial behavior and improving family functioning. A meta-analysis of 22 studies found that MST was more effective than usual services in reducing arrest rates and out-of-home placements for young people.

Criticisms

Despite its demonstrated effectiveness, MST has been criticized for its high cost and intensive nature. Some critics argue that the therapy may not be suitable for all young people, particularly those with severe mental health issues.

See also

• Family therapy
• Cognitive behavioral therapy
• Juvenile delinquency

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