Assessing the Effectiveness of Multisystemic Therapy: A Meta-Analysis
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| Language: | English |
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University of Cincinnati / OhioLINK
2016
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| Online Access: | http://rave.ohiolink.edu/etdc/view?acc_num=ucin1460729952 |
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ndltd-OhioLink-oai-etd.ohiolink.edu-ucin1460729952 |
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oai_dc |
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NDLTD |
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English |
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NDLTD |
| topic |
Criminology Corrections Juvenile Justice Rehabilitation Juvenile Intervention Strategies Multisystemic Therapy |
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Criminology Corrections Juvenile Justice Rehabilitation Juvenile Intervention Strategies Multisystemic Therapy Lux, Jennifer L. Assessing the Effectiveness of Multisystemic Therapy: A Meta-Analysis |
| author |
Lux, Jennifer L. |
| author_facet |
Lux, Jennifer L. |
| author_sort |
Lux, Jennifer L. |
| title |
Assessing the Effectiveness of Multisystemic Therapy: A Meta-Analysis |
| title_short |
Assessing the Effectiveness of Multisystemic Therapy: A Meta-Analysis |
| title_full |
Assessing the Effectiveness of Multisystemic Therapy: A Meta-Analysis |
| title_fullStr |
Assessing the Effectiveness of Multisystemic Therapy: A Meta-Analysis |
| title_full_unstemmed |
Assessing the Effectiveness of Multisystemic Therapy: A Meta-Analysis |
| title_sort |
assessing the effectiveness of multisystemic therapy: a meta-analysis |
| publisher |
University of Cincinnati / OhioLINK |
| publishDate |
2016 |
| url |
http://rave.ohiolink.edu/etdc/view?acc_num=ucin1460729952 |
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AT luxjenniferl assessingtheeffectivenessofmultisystemictherapyametaanalysis |
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1719439834527825920 |
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ndltd-OhioLink-oai-etd.ohiolink.edu-ucin14607299522021-08-03T06:35:45Z Assessing the Effectiveness of Multisystemic Therapy: A Meta-Analysis Lux, Jennifer L. Criminology Corrections Juvenile Justice Rehabilitation Juvenile Intervention Strategies Multisystemic Therapy There can be little doubt that Scott Henggeler’s intervention program—multisystemic therapy (MST)—counts as a major criminological invention. Rooted in the science of risk factors and theory based in community psychology, MST seeks to target for reform antisocial youths at high-risk of out-of-home placement. Due to the quality of the intervention and to Henggeler’s work over three decades to implement and market the program, MST has been adopted across many contexts.Several independent studies and large-scale reviews of the program have been conducted over MST’s more than 30-year lifespan. These studies, however, have found mixed results and one has even called into question the efficacy of MST altogether. Even further, a recent meta-analysis of MST called attention to the importance of moderating factors or characteristics that may help to explain why mixed results are being seen. In this context, the overall goal of the current dissertation was to advance the literature on the effectiveness of MST and determine more in depth, what factors or circumstances lead to the strongest treatment effects for the program. The objectives of this dissertation were threefold. First, this dissertation involved the analysis of 44 unpublished and published studies, providing the most comprehensive review of studies on the effectiveness of MST to-date. Second, the effectiveness of MST for youths and their families on nine dependent variables was examined, including: (1) delinquency, (2) problem behavior, (3) psychopathology and mental health, (4) family functioning and relationships, (5) peer relationships, (6) school performance, (7) parent functioning and relationships, (8) substance abuse, and (9) service utilization. Third, to determine the effectiveness of MST on the nine outcome variables, a meta-analysis was conducted. From this quantitative synthesis process, the overall mean effect size, weighted mean effect size, and corresponding confidence intervals were calculated for the independent variable (i.e., MST) and each dependent variable under review. In addition, the impact of several moderating variables was explored. Moderators were examined across five general categories, including: (1) publication characteristics, (2) study context characteristics, (3) sample characteristics, (4) treatment characteristics, and (5) study characteristics. The results indicated that, on average, MST treatment significantly reduced delinquency by 11 percent and problem behavior by 15 percent, as well as improved juvenile psychopathology and mental health by 15 percent, family functioning and relationships by 14 percent, parent functioning and relationships by 15 percent, and service utilization by 21 percent. Although treatment effects were in favor of MST for peer relationships, school performance, and substance abuse, the results failed to reach statistical significance. The findings also suggested that MST effectiveness may be moderated by a number of publication, study context, sample, treatment, and study characteristics. MST is a carefully designed program that is used widely and, according to the current dissertation and other systematic reviews, reduces delinquency and problem behavior, while at the same time, improving a variety of other juvenile behaviors. It is modestly successful overall, and in some instances, more than modest effects have been demonstrated. The challenge for MST is how to proceed in the future. One promising avenue is for MST to embrace the risk-need-responsivity model and create a new version that is a hybrid of the two. 2016-06-03 English text University of Cincinnati / OhioLINK http://rave.ohiolink.edu/etdc/view?acc_num=ucin1460729952 http://rave.ohiolink.edu/etdc/view?acc_num=ucin1460729952 unrestricted This thesis or dissertation is protected by copyright: all rights reserved. It may not be copied or redistributed beyond the terms of applicable copyright laws. |