Henggeler S W, Melton G B, Brondino M J, Scherer D G, Hanley J H
Department of Psychiatry and Behavioral Sciences, Medical University of South Carolina, Charleston 29425, USA.
J Consult Clin Psychol. 1997 Oct;65(5):821-33. doi: 10.1037//0022-006x.65.5.821.
The effects of multisystemic therapy (MST) in treating violent and chronic juvenile offenders and their families in the absence of ongoing treatment fidelity checks were examined. Across 2 public sector mental health sites, 155 youths and their families were randomly assigned to MST versus usual juvenile justice services. Although MST improved adolescent symptomology at posttreatment and decreased incarceration by 47% at a 1.7-year follow-up, findings for decreased criminal activity were not as favorable as observed on other recent trials of MST. Analyses of parent, adolescent, and therapist reports of MST treatment adherence, however, indicated that outcomes were substantially better in cases where treatment adherence ratings were high. These results highlight the importance of maintaining treatment fidelity when disseminating complex family-based services to community settings.
研究了在缺乏持续治疗保真度检查的情况下，多系统治疗（MST）对暴力和慢性少年罪犯及其家庭的治疗效果。在2个公共部门心理健康场所，155名青少年及其家庭被随机分配接受MST治疗或常规少年司法服务。尽管MST在治疗后改善了青少年症状，并在1.7年的随访中使监禁率降低了47%，但在减少犯罪活动方面的结果不如最近其他MST试验中观察到的那样理想。然而，对父母、青少年和治疗师关于MST治疗依从性的报告进行分析表明，在治疗依从性评分较高的情况下，结果要好得多。这些结果凸显了在向社区环境推广基于家庭的复杂服务时，维持治疗保真度的重要性。
