Multisystemic therapy: therapist experience of programme delivery, processes and outcomes

Markham, Anna Catherine Claire (2016). Multisystemic therapy: therapist experience of programme delivery, processes and outcomes. University of Birmingham. Foren.Psy.D.

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Abstract

Antisocial behaviour by adolescents continues to present a considerable challenge to society. One intervention which has shown promise in reducing serious antisocial behaviour is Multisystemic Therapy (Henggeler & Borduin, 1990). A systemic review of the most recent research exploring the effectiveness of MST was undertaken. Consistent with the rapid global spread; this review found several randomised control trials conducted in and outside of America. The findings indicate the need for a clear understanding of usual services within local systems prior to adopting new approaches and highlight a number of methodological limitations of the eleven included studies. Chapter 3 explores the personal lived experience of delivering MST in a sample of seven therapists in London teams using the principles of Interpretive Phenomenological Analysis. Four themes were identified 1) Persisting despite challenges 2) MST and us 3) Relationships matter and 4) How do we know we are getting anywhere? The results have implications for clinical practice and are discussed in the context of directions for future investigations. Chapter 4 presents a critique of one of the few widely used risk assessment tools for adolescent general recidivism; the Youth Level of Service / Case Management Inventory 2.0 (Hoge & Andrews, 2011).

Type of Work:

Thesis (Doctorates > Foren.Psy.D.)

Award Type:

Doctorates > Foren.Psy.D.

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