See How MST helps Essex County Teens

Young people in the U.K. who enter social care typically have poor outcomes. They are more likely to re-offend, be suspended from school, and be unemployed by the time they turn 19. Out-of-home placement is also expensive for local authorities. They are responsible for children’s social care, but investing in prevention in times of austerity is challenging.

In 2012, there were 1,600 children in care in Essex County, and the number had risen by 28 percent over the previous five years. Essex County Council wanted to commission service with an evidence base for working with this group but was not in a position to take on the financial risk of failure. They decided to try Multisystemic Therapy (MST) to work with adolescent children on the verge of out-of-home placement. Two teams would handle 380 young people over five years. MST itself was not new to the U.K. What was new was a form of social investment called a Social Impact Bond (SIB). 

A Parent's Opinion of Police Presence in Schools 

My oldest child just turned 12. There are so many new experiences coming our way, rites of passage as she stands on the threshold of adolescence. She is bright, creative (read: dramatic), and loves school. We are lucky that her friends are polite, sweet, “good kids” with like-minded parents.

The age of 12 represents a lot for me as a parent. Not only are the teen years less than a year away, but my daughter has started middle school—a setting where I can only worry more and protect her less from the trials of growing up. Elementary school was a little bubble, a protective cocoon where all the kids felt like part of our big family. As parents, we had the goal of protecting them all.

Middle school is different. My daughter told me that sometimes there are police in the school cafeteria to stop occasional fights. This revelation made me catch my breath. Gone is the protective bubble of those elementary-school years. I was horrified and completely torn.

Georgia Has Over 50% Decline in Juvenile Out of Home Placement

The state of Georgia saw impressive declines in out-of-home placements of juvenile offenders during the first nine months of a statewide initiative that implemented evidence-based practices led by Gov. Nathan Deal. According to the “Report of the Georgia Council on Criminal Justice Reform 2015” released early this year, “Among the counties participating . . . felony commitments and placements . . . dropped more than 62% statewide over a nine-month period ending in October 2014, dramatically exceeding the 15% goal set when the grants were awarded.”

5^th time’s the charm with support from both sides of the aisle

You might think that after introducing a bill four times over the course of eight years, its sponsor would give up. Not so for Rep. Bobby Scott. The Democrat from Virginia has reintroduced the Youth Promise Act for the fifth time. After previously not reaching the House floor for a vote, the prospects for it being passed look good.

MST therapist works with all systems surrounding child to keep him at home, in school and out of trouble.

Andrew was living with his grandmother and had lost touch with his absent parents. He fought verbally and physically with his older sister, and his grandmother did not know how to intervene. She was seeking placement for him outside the home in order to get him help for his behaviors. At school, Andrew was disruptive in classes, fought with peers, and threatened teachers, resulting in the school taking steps toward a long-term suspension from school. He was on a diversion contact with the Department of Juvenile Justice (DJJ), and the Court Counselor (CC) was planning to take Andrew to court to increase the level of supervision because of his aggressive behaviors. In other words, Andrew was on the brink of being placed outside the home, and things needed to change quickly. 

This is a true story. The name has been changed.

Little T had minor scrapes with authorities throughout his adolescence—some alcohol and drug-related, others more aggressive in nature. Toward the end of his junior year, Little T and two of his classmates broke into their high school in the middle of the night. The damage they racked was so extensive that school administrators were forced to broadcast a 5 am emergency cancellation of school to all students and personnel. The school was closed for 2 days for cleanup, costing taxpayers thousands of dollars, disrupting the education of hundreds of students, and inconveniencing hundreds of families.

Tell us your story

We Are Running Another Contest.

Celebrate the achievements of your agency, therapists, and families. Send in their stories. Win a $100 Travel Visa Money Card (which works internationally). Get read on the MST blog, Facebook, Twitter, and LinkedIn. Even if you don’t win, you get an MST T-shirt.

Send your entries by June 30 to Lori.Cohen@mstservices.com. Make sure to put, success story contest in the subject line. 

Let your teams and colleagues know about the contest. Recognition is a good thing.  

Why implementing evidence-based practices is a good choice

Let’s start by being honest—it’s hard to implement Evidence-based Practices (EBPs). However, keep in mind, it’s even harder to start an unscripted practice even with the most well-intentioned service providers, rely on the limited scope of implementation expertise in many jurisdictions or shoot in the dark hoping for outcomes that may not even target the needs in your local community.

Just for argument’s sake, consider several alternatives. Without implementing an evidence-based practice, most jurisdictions or agencies will be doing business as usual. In other words, doing the same thing over and over and expecting different results. This is a common definition of insanity. Agencies and jurisdictions might have great ideas about helping youth that never get to implementation because there is no real plan. (Most evidence-based practices come with a plan.) They may have a few stellar “go-to” clinicians, but what happens when they go? Individual clinician’s practices often can’t be replicated. (EBPs give you options for sustaining good practices with many different practitioners over time.)

Jurisdictions probably won’t know the longer-term outcomes of the youth in their care at the individual case level and certainly not at the aggregate system-impact level. (Most evidence-based practices come with data-collection tools and useful ways to monitor outcomes for practitioners and systems.)

Should I home drug test my teenager?

Teenagers. Even ones who don’t get into trouble can raise their parents’ blood pressure to the level of an ER visit. But what about the ones who are skirting the line, maybe taking illegal drugs, in danger of getting in trouble with the law? What's a parent to do?

For those who think their children are abusing drugs, there is the option of readily available in-home drug screens. They have become much less expensive in recent years. A marijuana screen may cost as little as $1. There is a lot of controversy over resorting to drug screening. But having worked for nearly 11 years in Multisystemic Therapy (MST), I see drug tests as a huge parenting “win.” Knowledge is power. If you believe there is a problem, you can act.

Michigan can reduce its $2-billion state prison budget partly by diverting juvenile offenders to treatment.

When Michigan Gov. Rick Snyder decided to present his ambitious plan for justice reform, he chose Goodwill Industries of Greater Detroit, which makes it a practice to hire former convicts, as his setting. He also chose to have representatives from the Livingston County juvenile court and a Multisystemic Therapy (MST) supervisor from Highfields, Inc. in attendance. Snyder’s staff learned of the court’s success in implementing programs that help kids, programs that save money.