Multisystemic Therapy: Monitoring Treatment Fidelity*
- 1 March 2000
- journal article
- Published by Wiley in Family Process
- Vol. 39 (1) , 83-103
- https://doi.org/10.1111/j.1545-5300.2000.39109.x
Abstract
The challenges of specifying a complex and individualized treatment model and measuring fidelity thereto are described, using multisystemic therapy (MST) as an example. Relations between therapist adherence to MST principles and instrumental and ultimate outcome variables are examined, as are relations between clinical supervision and therapist adherence. The findings provide modest support for the associations between MST adherence measures and instrumental and ultimate outcomes. Results also show that adherence can be altered when clinical supervision and adherence monitoring procedures are fortified. The modest associations between adherence measures and youth outcomes argue for further refinement and validation of the MST adherence measure, especially in light of the well‐established effectiveness of MST with challenging clinical populations and the increasing dissemination of MST programs.Keywords
This publication has 44 references indexed in Scilit:
- Current progress and future plans for developing effective treatments: Comments and perspectivesJournal of Clinical Child Psychology, 1998
- Investigating Family-Based Alternatives to Institution-Based Mental Health Services for South: Lessons Learned from the Pilot Study of a Randomized Field TrialJournal of Clinical Child Psychology, 1997
- A Model for Developing Effective Treatments: Progression and Interplay of Theory, Research, and practiceJournal of Clinical Child Psychology, 1997
- More of What? Issues raised by the Fort Bragg study.American Psychologist, 1997
- A continuum of care: More is not always better.American Psychologist, 1996
- Multisystemic therapy: Bridging the gap between university- and community-based treatment.Journal of Consulting and Clinical Psychology, 1995
- Family preservation using multisystemic treatment: Long-term follow-up to a clinical trial with serious juvenile offendersJournal of Child and Family Studies, 1993
- Family preservation using multisystemic therapy: An effective alternative to incarcerating serious juvenile offenders.Journal of Consulting and Clinical Psychology, 1992
- Treatment fidelity in outcome studiesClinical Psychology Review, 1991
- Individual, family, and peer characteristics of adolescent sex offenders and assaultive offenders.Developmental Psychology, 1989