Multisystemic Treatment of Antisocial Behavior in Children and Adolescents

by Henggeler, Scott W.; Schoenwald, Sonja K.; Borduin, Charles M.; Rowland, Melisa D.; Cunningham, Phillippe B.

• ISBN13: 9781572301061
• ISBN10: 1572301066
• Edition: 1st
• Format: Hardcover
• Copyright: 1998-04-24
• Publisher: The Guilford Press

Summary

This comprehensive guide provides extensive clinical description of the Multisystemic Treatment (MST) approach for treating youths with serious antisocial behavior. A proven alternative to expensive and often ineffective out-of-home placement, MST is a family- and community-based treatment. It focuses on ameliorating the known determinants of antisocial behavior within the young person's family, peer, and school networks. Nine core principles comprise the parameters for the book's flexible, team-based intervention framework, which targets such areas as promoting family strengths and resiliencies, removing youths from antisocial peer groups, enhancing school performance, and developing indigenous social support systems. The book features a wealth of illustrative case material and is extensively documented with findings from controlled outcome studies.

Author Biography

Scott W. Henggeler, PhD

Sonja K. Schoenwald, PhD

Charles M. Borduin, PhD, Department of Psychology, University of Missouri, Columbia

Melisa D. Rowland, MD

Phillippe B. Cunningham, PhD, Family Services Research Center, Department of Psychiatry and Behavioral Sciences, Medical University of South Carolina, Charleston, SC

Table of Contents

I. INTRODUCTION	3	(58)
1. Empirical, Conceptual, and Philosophical Bases of MST	3	(18)
Antisocial Behavior in Youth: Correlates and Costs	3	(8)
Theoretical Basis of MST	11	(6)
The "Fit" of MST with Values Guiding Policy and Service System Change	17	(2)
Consumer Advocacy: The Federation of Families for Children's Mental Health as an Example	19	(2)
2. Clinical Foundations of MST: Nine Treatment Principles, Home-Based Model of Service Delivery, and Guidelines for Clinical Supervision	21	(40)
MST Treatment Principles	21	(22)
Providing MST via the Home-Based Model of Service Delivery	43	(2)
MST Clinical Supervision	45	(11)
Conclusion	56	(5)
II. CLINICAL PROCEDURES	61	(176)
3. Assessment of Family Functioning	61	(26)
Effective Family Functioning	62	(8)
Assessing Family Functioning	70	(17)
4. Family Interventions	87	(38)
Changing Parenting Practices	89	(20)
Marital Interventions	109	(8)
Enhancing Effective Functioning during and after Family Transitions	117	(8)
5. Changing Relations with Peers	125	(19)
Peer Relations and Development	125	(2)
Linkages between Family Processes and Peer Relations	127	(1)
Assessment	128	(3)
Interventions	131	(13)
6. Promoting Academic and Social Competence in School Settings	144	(28)
The Developmental Significance of the School Setting	145	(1)
Factors Linked with Children's Competence in School	146	(2)
Assessment	148	(7)
Implementing School-Related Interventions	155	(12)
Barriers: High Family-School Conflict	167	(2)
Case Illustration	169	(3)
7. When and How to Conduct Individually Oriented Interventions	172	(36)
Cognitive-Behavioral Therapies	174	(1)
Individual Interventions with Parental Figures	175	(19)
Individual Interventions with Youth	194	(14)
8. Family Linkages with Community Supports	208	(29)
Role of Social Supports in a Healthy Family Environment	209	(4)
Assessment of Informal and Formal Family-Community Linkages and the Factors Influencing Those Linkages	213	(4)
Linking Families with Social Supports	217	(4)
Addressing Barriers to the Development of Social Supports	221	(12)
Conclusion	233	(4)
III. OUTCOMES AND POLICY	237	(21)
9. Outcomes of MST: Findings from Controlled Evaluations	237	(21)
Completed and Near-Completed Outcome Studies	238	(9)
Outcome Studies That Are in Progress	247	(5)
Cost Savings and Cost-Effectiveness	252	(2)
Future Directions for MST Outcome Research	254	(4)
Epilogue: Policy Implications of the Effectiveness of MST	258	(7)
Increase Family- and Community-Based Services, Decrease Residential and Institutional Services	259	(1)
Accountability of Service Providers	260	(2)
The Training of Mental Health Professionals	262	(1)
A Proposed Solution to the Funding-, Accountability-, and Training-Related Barriers	263	(2)
References	265	(16)
Index	281