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MST

MST. Multisystemic therapy. 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,

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MST

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  1. MST Multisystemic therapy

  2. MSTMultisystemic 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.

  3. MST Multisystemic Therapy How are referrals made? Department of Juvenile Justice (DJJ), Department of Mental Health (DMH), Department of Social Services (DSS), Phoenix Center or the School District can make referrals. Client’s must have an open case with the DMH in order to receive MST services.

  4. 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.

  5. MST Multisystemic Therapy Exclusionary criteria’s 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.

  6. MST Multisystemic Therapy MST focuses on families as the solution. MST strives to promote behavioral changes in the child’s 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.

  7. 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 34 states and 14 countries. GMHC added their MST team on August 18, 2008. Team Greenville serves 13 families in the county. There are over 500 MST teams operating world wide.

  8. Ecological Model Community/Culture Neighborhood School Peers Family Child

  9. 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 Master’s Degree in the related field.

  10. 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.

  11. MST Multisystemic Therapy Treatment Modality: Behavior Therapy Cognitive Behavior Therapy Parent Management Training Structural Family Therapy Strategic Family Therapy Pharmacological interventions

  12. 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 with behavior and mental health problems. Cost savings compared to usual MH services. Favorable Outcomes.

  13. 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

  14. 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 Supervisor’s Trainings.

  15. 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.

  16. 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.

  17. 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.

  18. 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 teen’s behavior is the heart of MST services.

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