Multisystemic Therapy MST. EBP Conference April PRESENTED BY Helen McKee Garry Blackburn

Transcription

1 Multisystemic Therapy MST EBP Conference April 2015 PRESENTED BY Helen McKee Garry Blackburn

2 Growth of MST in England 2001 Brandon Centre Cambridgeshire 2007/2008 Barnsley Greenwich Hackney Leeds Merton & Kingston (Peterborough) Reading Sheffield Trafford 2010/11 Wirral Birmingham MST Adaptations Brandon Centre PSB & CM Cambridgeshire CAN & CM Cambridgeshire, Peterborough & Bedfordshire PSB Greenwich CAN Leeds CAN Sheffield PSB Cheshire Coventry Derby Derbyshire South Essex 1&2 Haringey & Waltham Forest Knowsley Leeds South & West Leicester Manchester Merton, Sutton & Kingston 2 Newcastle Northamptonshire Northamptonshire 2 Nottingham Oldham & Tameside Portsmouth Tri-borough Under development 2014 North Yorkshire Sandwell Wigan Newcastle MST CAN MST FIT Leeds MST FIT Northamptonshire

3 MULTISYSTEMIC THERAPY Program Overview Multisystemic Therapy (MST) is an intensive familyand community-based treatment that addresses the multiple determinants of serious antisocial behavior that place young people at risk of care or custody. The MST approach views young people as being a part of and influenced by a complex network of inter-connected systems - these include individual, family, peer, school and community and these interconnected systems is viewed as the client

4 A typical MST youth.. is years old (criteria between 11 17) lives in a single-parent home characterized by multiple needs and problems has multiple arrests/is a chronic offender is deeply involved with delinquent peers is experiencing problems at school or doesn t attend at all abuses substances (cannabis, legal highs, alcohol, cocaine)

5 Program Characteristics: therapist's carry a small case load to allow intensive working (3+ visits per week) therapist's supported through weekly supervision and telephone consultation with an MST expert. 3-5 Month intervention conduct comprehensive systemic functional assessments of youth therapists seek to understand the fit between the youth s problems and the factors which contribute to them empower parents to address the needs of youth (i.e., structure, support) more effectively focus on helping parents build supportive social networks in their community emphasize long-term change that families can maintain after their involvement in MST ends

6 .. Referral Behavior Desired Outcomes of Family and Other Key Participants MST Analytical Process Overarching Goals Environment of Alignment and Engagement of Family and Key Participants MST Conceptualization of Fit Re-evaluate Assessment of Advances & Barriers to Intervention Effectiveness Prioritize Intermediary Goals Measure Intervention Implementation Do Intervention Development Environment of Alignment and Engagement of Family and Key Participants

7 Continuous Quality Assurance / Quality Improvement

8 Principle #1 Find the Fit Individual Community Family Referral behaviour Peers School

9 Program Outcomes: over $10 million of rigorous, scientific evaluations of MST have shown: reductions in long-term rates of criminal offending in serious youth offenders; reductions in rates of out-of-home placements for serious youth offenders; significant improvements in family functioning; decreased mental health problems for serious youth offenders; cost-savings in comparison with usual mental health and youth justice services.

10 UK wide outcomes Completion rates 91.2% At case closure:- young person remains at home 93.34% young person in education 79.31% No new arrests since MST started 87.63%

11 Scotland outcomes Completion rates 86.7% At case closure:- young person remains at home 87.5% young person in education 73.8% No new arrests since MST started 64.16%

12 Action for Children Outcomes Manchester:- Completion rates 91% At case closure:- young person remains at home 95% young person in education 87.5% No new arrests since MST started 91%

13 Action for Children Outcomes Essex:- Completion rates 90% At case closure:- young person remains at home 92.5% young person in education 77.5% No new arrests since MST started 90% Derby:- Completion rates 93.33% At case closure:- young person remains at home 93.33% young person in education 86.67% No new arrests since MST started 80%

14 Why Action for Children and MST This builds on our commitment to evidence based programmes, e.g. MTFC, FFT, Triple P, Roots of Empathy Investing in interventions proven to deliver positive outcomes Supports LA transformation of service delivery and reducing budgets Alternative funding SIB s, Essex experience

15 MST Adaptations MST Problem Sexual Behaviour (PSB) MST Child Abuse and Neglect (CAN) MST Family Integrated Transitions (FIT) MST Substance Abuse (SA) Further information is available on the website

16 Any Questions?

17 Useful contacts Helen McKee Operational Director Garry Blackburn MST Supervisor MST websites: