Schoenwald Sonja K, Chapman Jason E, Sheidow Ashli J, Carter Rickey E
Family Services Research Center, Department of Psychiatry and Behavioral Sciences, Medical University of South Carolina, Charleston, SC 29425, USA.
J Clin Child Adolesc Psychol. 2009 Jan;38(1):91-105. doi: 10.1080/15374410802575388.
This study investigated relations among therapist adherence to an evidence-based treatment for youth with serious antisocial behavior (i.e., Multisystemic Therapy), organizational climate and structure, and youth criminal charges on average 4 years posttreatment. Participants were 1,979 youth and families treated by 429 therapists across 45 provider organizations. Results showed therapist adherence predicted significantly lower rates of youth criminal charges independently and in the presence of organizational variables. Therapist perceptions of job satisfaction and opportunities for growth and advancement relative to the organizational average predicted youth criminal charges, as did organizational average levels of participation in decision making. These associations washed out in the presence of adherence, despite the fact that job satisfaction and growth and advancement were associated with adherence.
本研究调查了治疗师对严重反社会行为青少年循证治疗（即多系统治疗）的依从性、组织氛围和结构，以及治疗后平均4年的青少年刑事指控之间的关系。参与者是来自45个服务提供机构的429名治疗师所治疗的1979名青少年及其家庭。结果显示，治疗师的依从性在独立情况下以及存在组织变量时，均能显著预测青少年刑事指控率较低。治疗师对工作满意度以及相对于组织平均水平的成长和晋升机会的感知可预测青少年刑事指控，组织平均决策参与水平也有此作用。尽管工作满意度以及成长和晋升与依从性相关，但在存在依从性的情况下，这些关联就消失了。
