How to Sustain an Evidence-Based Practice like MST

Posted by Mara Osher

Tips on keeping an EBP funded and running from the New York Foundling

You can have a truly great program, one that brings families back together, put kids on the straight and narrow so they achieve their dreams and lead a productive life instead of landing in jail. But how good is the program if it doesn’t get beyond the implementation phase because seed money runs out?

Sustainability is crucial to an evidence-based practice (EBP). If it doesn’t last, how much good can it do? An examination by the Justice Research and Statistics Association (JRSA) found successful sustainability starts with a solid and complete implementation stage. “A program’s likelihood of sustainment can be significantly enhanced through several aspects of implementation: maintaining fidelity to core program components, articulating clear goals and developing a plan to achieve them, and demonstrating program success with measureable results and program evaluation.” Multisystemic Therapy (MST), for one, is super-diligent about maintaining fidelity to its Nine Principles to ensure program success and viability. And that’s one reason it has been around for two decades.  

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Topics: MST Community

Out-of-Control Teen Gains Control with Multisystemic Therapy

Posted by Paula Magana

How an MST therapist helped an angry youth turn his life around

After physically assaulting his mother, Kyle was put on probation. A community deputy probation officer referred him and his mother to the MST program. Kyle lived with her and his stepfather in an upper-middle-class neighborhood. At the beginning of the program, he was adversarial and defiant at home. He disregarded rules, flouted his parents’ directives, challenged their requests, had angry outbursts, was verbally aggressive toward both of them, and sometimes physically aggressive toward his mother. Kyle had a history of stealing from his parents and blaming others for his choices. 

Kyle not only behaved like this at home, but he also broke rules at school. He had a pattern of being disruptive in class, stealing from students and teachers, physically threatening teachers, leaving school and classrooms without permission, and defying teachers’ directives. In fact, prior to his participation in MST, Kyle had 45 disciplinary entries at school. He struggled for a long time with hyperactivity, impulsivity, and inattentiveness. 

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Topics: Troubled Youth

MST Advanced Supervisor's Workshop: An Important Event

Posted by Lanée Goddard

An MST-FIT supervisor opens up on the benefits of attending a supervisor training

Being an MST supervisor can be very isolating. Often, we work in silos with our own team(s) in agencies that only have one MST program, and we feel like we are the only one going through these unique challenges. Attending the autumn 2015 Advanced Supervisors Workshop in New York reminded me that there is a whole community of supervisors out there ready to encourage and support me in my growth.

This workshop will be offered again this spring, March 17 and 18, in Charleston, S.C. I encourage any supervisor who is thinking about going to go. You won’t regret it. I sure didn’t.ASW_blog_pic.jpg

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Topics: MST Community

Nell Bernstein to Speak at the MST Pre-conference

Posted by Dr. Gregorio Melendez

Author Nell Bernstein opens up on closing down juvenile prisons

Nell Bernstein, activist, journalist and author, is scheduled to speak at the MST’s pre-conference, which will kick off this April’s Blueprints for Healthy Youth Development Conference in Denver. We initially spoke with her back in October 2014, a few months after the publication of her second book, Burning Down the House: The End of Juvenile Prison. It is a compelling argument for the wholesale takedown of the juvenile-prison system. As part of the run-up to the conference, we wanted to sit down with her again, look back on the last year or so and talk about what the future may bring. 

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Topics: MST Community

Referring to MST: An Easy Choice for UK Social Worker

Posted by Tracey D., Social Worker

A difficult case with few good options

He and his family were on my caseload. He was on my mind. He had previously been a “looked-after child” [in foster care] and was now at risk for becoming one again. The boy was displaying several behavioral problems—increasingly becoming involved in gangs and drugs. He had been stabbed, and his whole family was concerned about his safety and well-being. His stepfather was isolating him from other family members, and the parents were constantly arguing.

As a qualified social worker in the U.K., I was looking for a program that would help this young person remain in his home and be safe in his community. Something that would give him and his family the tools and resources they needed to independently address any further difficulties that arose. I knew it had to be something intensive. This I found was achievable through the support and the model of MST. I referred this case to the MST program with the hopes that the clinician would support the family, enabling them to develop skills to challenge and support their son, breaking the cycle of anti-social behaviors.

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Topics: Multisystemic Therapy

Following MST's Nine Principles Leads to Successful Outcomes

Posted by Duffy and Swenson

An MST case study looks closely at principles 3 and 9  

Kids are pulled every which way, even those from stable, supportive families. They don’t know who they are, what they want to be, how they should act. If you throw into that mix parents who are struggling to parent, friends who are negative influences, schools not able or too overwhelmed to cope with “problem” students, you have a child who might need help getting out or staying out of the juvenile-justice system.

Sixteen-year-old James is a case in point. Here was a kid on probation for numerous arrests ranging from theft, substance abuse and being aggressive. He came home whenever he chose. What’s more, the boy hung out with other teens who got in trouble with the law.

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Topics: MST Community

Obama Bans Solitary Confinement for Juveniles

Posted by Lori Cohen

President speaks out about devastating effects of solitary confinement

The movement to end kids being shut up in solitary confinement continues to pick up steam. As well it should.

This practice puts young people under 18 in tiny cells for 22 hours, even more, a day. They have little or no interaction with others. They often are given nothing to read or do. Too little food. They are at the mercy of guards who have no mercy. They sit there, by themselves, taking a heavy toll on their emotional well-being. Many contemplate suicide. Few come out unscathed.

And now POTUS is on board with putting an end to this practice.

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Topics: Juvenile Justice Reform

Prison Kids: A Crime Against America's Children Review

Posted by Jamie Bunch-Sanfilippo

A look into the experience of juvenile offenders

If you’re looking for a call to action, here it is. “Prison Kids” will inspire you to work within your community to reduce the number of kids placed in juvenile detention centers. The documentary “Prison Kids: A Crime Against America’s Children” follows several young people who have been involved in the juvenile justice system and explores how this has impacted them and their families.

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Topics: Juvenile Justice Reform

What Would the Judge Do with this Troubled Teen?

Posted by Nicole Saunders

Would "K" be better off in placement, or could MST help keep her with her family?

It was a case of “what would it take?” What would be the tipping point that would make a judge decide to send an incorrigible young girl to placement or leave her at home?

Before the judge stood a 14-year-old K who had exhibited many of the behaviors of an out-of-control youth. She couldn’t control her anger. She went missing for long periods of time and had substance-abuse problems. She was aggressive toward her family and disrespected her mother—to the point her mom had had enough and was throwing in the towel. She wanted the judge to remove her daughter from her home.

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Topics: Troubled Youth

Blueprints for Healthy Youth Development

Posted by Lori Cohen

A conference on evidence-based programs

"The more elaborate our means of communication, the less we communicate." —Joseph Priestley

Emails are great. Phone calls good. Face-to-face communication, best.

The back-and-forth, give-and take exchanges of ideas and experiences lead to new insights, expanded knowledge, immediate clarifications and solidification of personal connections.  

This makes the Blueprints for Healthy Youth Development Conference in April 2016 such an important event for those working to improve the well-being of children. 

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Topics: Multisystemic Therapy