MST

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MST

• Multisystemic therapy

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MST






Multisystemic Therapy

• Multisystemic therapy (MST) is an
• intensive family and community based
• treatment model.
• MST provides treatment to juvenile offenders
• and their families in their home.
• MST treatment is short and intense,
• duration 3 -5 months.

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MST






Multisystemic Therapy

• How are referrals made?
• Only the Department of Juvenile Justice (DJJ) or
  the Department of Mental Health (DMH) can make
  referrals.
• Clients must have an open case with DJJ and DMH
  to be considered for MST services.

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MST






Multisystemic Therapy

• Identified Client
• Juvenile offenders who exhibits antisocial
• behavior, physical aggression, or using
• substances.
• Juvenile offenders who are at risk of disrupting
  
• school placement or their home placement.
• Juvenile offenders who have open cases with DJJ
• and with the DMH.
• Age range is between 12 17 years old.

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MST






Multisystemic Therapy

• Exclusionary criterias for MST services.
• Primary caregiver cannot be identified.
• Suicide, homicide or psychotic behaviors
• are the primary symptoms.
• Sexual offenses - primary concern.
• Individual suffers from Pervasive
• Developmental Delays.

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MST






Multisystemic Therapy

• MST focuses on families as the solution.
• MST strives to promote behavioral changes
• in the childs natural environment.
• MST Assumptions are
• Children behaviors are influenced by multiple
• systems.
• Change can occur quickly.
• Caregivers want the best for their children.
• Families can thrive without formal systems.

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MST






Multisystemic Therapy

• MST History
• MST was formed in 1996 in response to the
  community request for assistance with juvenile
  delinquent behavior.
• MST is currently in 31 states and 12 countries.
• GMHC added their MST team on August 18, 2008.
• Team Greenville serves 13 families in Greenville
  County and make up the 437th MST team operating
  world wide.

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Ecological Model
Community/Culture
Neighborhood
School
Peers
Family
Child
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MST






Multisystemic Therapy

• How do we fit in C A
• MST is a separate department that is part of the
  Child and Adolescent Program.
• All MST therapist must possess a Masters Degree
  in the related field.
• Team members are
• Alesia Lowe, Greg Wright, Vacant Position

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MST






Multisystemic Therapy

• MST Therapist
• Low caseloads 4 to 6.
• Therapist are available 24 hours a day and 7
  days
• a week.
• MST therapist operate in teams of 2 or 3.
• MST therapist engage families using non-blaming,
  
• strength focus language.
• MST therapist will take the clinical lead with
  delivering all services i.e., family counseling,
  individual counseling, marriage counseling,
  substance abuse, anger management, etc.

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MST






Multisystemic Therapy

• Treatment Modality
• Behavior Therapy
• Cognitive Behavior Therapy
• Parent Management Training
• Structural Family Therapy
• Strategic Family Therapy
• Pharmacological interventions

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MST






Multisystemic Therapy

• Benefits
• Reduced rates of out of home placement.
• Reduced long term rates of crime.
• Reduced adolescents alcohol and drug use.
• Improvement in family functioning.
• Decreased behavior and mental health problems.
• Cost savings compared to usual MH services.
• Favorable Outcomes.

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MST






Multisystemic Therapy

• 9 Principles to treatment
• Finding the Fit What is driving the referral
  behavior.
• Positive and Strength Focus
• Increasing Responsibility promote responsible
  behavior
• Present Focused, Action Oriented interventions
  well defined
• Targeting Sequences - between multiple systems
• Developmentally Appropriate meeting needs of
  the clt.
• Continuous Effort daily and weekly goals
• Evaluation and Accountability removing barriers
• Generalization empowering parents

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MST






Multisystemic Therapy

• Supervision
• Weekly team supervision with MST supervisor.
• Weekly team supervision with MST consultant.
• Weekly team supervision with DMH MD.
• Quarterly MST booster trainings.
• Semi annual Advanced Supervisors Trainings.

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MST






Multisystemic Therapy

• Collaborative Relationships
• Family and Juvenile Court Systems.
• Juvenile Justice and Probation Systems.
• Education and School Systems.
• Mental Health Systems.
• Social Service Systems.
• Faith Based and Community Rec. Groups.

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MST






Multisystemic Therapy

• MST is Evidenced Based
• 11 Clinical Trails.
• 16 Published Outcome Studies.
• 14 Randomized Experimental Studies.
• Results MST reduce long term rates of
  re-arrest.
• Results. MST reduce days in out of home
  placement.

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MST






Multisystemic Therapy

• Standards being addressed
• Assess treatment goals and objectives on a
  weekly basis.
• Provide 24 hour, 7 day a week on call support to
  families
• and staff.
• Master level therapist.
• Provide weekly case supervision and therapist
  supervision.
• Conduct annual outcome data.

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MST






Multisystemic Therapy

• Parent Centered
• Outcome Centered
• Professional Oversight
• MST believes all parents want to succeed. It is
  the MST therapist responsibility to identify the
  barriers and develop treatment interventions to
  remove the barriers. Empowering parents by
  teaching them how to better manage their teens
  behavior is the heart of MST services.