Borduin Charles M, Schaeffer Cindy M, Heiblum Naamith
Department of Psychological Sciences, University of Missouri, Columbia, MO 65211-2500, USA.
J Consult Clin Psychol. 2009 Feb;77(1):26-37. doi: 10.1037/a0013035.
A randomized clinical trial evaluated the efficacy of multisystemic therapy (MST) versus usual community services (UCS) for 48 juvenile sexual offenders at high risk of committing additional serious crimes. Results from multiagent assessment batteries conducted before and after treatment showed that MST was more effective than UCS in improving key family, peer, and academic correlates of juvenile sexual offending and in ameliorating adjustment problems in individual family members. Moreover, results from an 8.9-year follow-up of rearrest and incarceration data (obtained when participants were on average 22.9 years of age) showed that MST participants had lower recidivism rates than did UCS participants for sexual (8% vs. 46%, respectively) and nonsexual (29% vs. 58%, respectively) crimes. In addition, MST participants had 70% fewer arrests for all crimes and spent 80% fewer days confined in detention facilities than did their counterparts who received UCS. The clinical and policy implications of these findings are discussed.
一项随机临床试验评估了多系统疗法（MST）与常规社区服务（UCS）对48名有再次实施严重犯罪高风险的青少年性犯罪者的疗效。治疗前后进行的多因素评估结果显示，在改善青少年性犯罪的关键家庭、同伴和学业相关因素以及缓解个体家庭成员的适应问题方面，MST比UCS更有效。此外，对重新逮捕和监禁数据进行的8.9年随访结果（参与者平均年龄为22.9岁时获得）显示，MST参与者在性犯罪（分别为8%和46%）和非性犯罪（分别为29%和58%）方面的再犯率低于UCS参与者。此外，MST参与者的所有犯罪逮捕次数比接受UCS的同行少70%，在拘留设施中的关押天数少80%。文中讨论了这些发现的临床和政策意义。
