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Perm 15 - 16 June 2011 Wim van Geffen director MST-Nederland

Breaking the cycle of criminal behaviour by the focus on family and not on youth. Perm 15 - 16 June 2011 Wim van Geffen director MST-Nederland. Breaking the cycle of criminal behaviour by the focus on family and not on the youth. Content:. The Netherlands Why focus on family, what works?

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Perm 15 - 16 June 2011 Wim van Geffen director MST-Nederland

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  1. Breaking the cycle of criminal behaviour by the focus on family and not on youth. Perm 15 - 16 June 2011 Wim van Geffendirector MST-Nederland

  2. Breaking the cycle of criminal behaviour by the focus on family and not on the youth. Content: • The Netherlands • Why focus on family, what works? • For example MST? • What are the results?

  3. Where on earth is the Netherlands? Perm

  4. The Netherlands famous?

  5. The Netherlands (2009) 16,5 million inhabitants (2009) Youth in prison in Europe 3.5 million youth (0 -17 years old) 250.000 in care (7,3%) 35.000 youthinterviewedby the policeeachyear 3.819in closed institutions (0.1%) Reports WODC en NJI

  6. Dutch legal system youth Self reported crimes 2005 • Manypossibilities: • frompre-trialalternatives to placement in a closedtreatmentinstitutefor 6 years, butalways • tailor-made: • (focusedon the individualyouth) WODC

  7. Dutch legal system youth

  8. Why focus on family? Recidive follow-up after secure institution Growth of secure institutions youth Reports WODC Behaviour change by placement in secure institutions is ineffective and expensive

  9. What does not work: Greenwood, Howell, Drake, Sedlak, Eyberg, Lipsey Petrosino, … • Boot camps, • Scared straight, (youth in adult prison) • Non-directive, client centered approaches • Freudian approaches • Drug prevention classes focused on fear • Drug education programs • “Talk” thepary • Self-Help programs • Vague unstructured rehabilitation programs Behaviour change by focus on the youth is ineffective

  10. What works: Lipton vs Priestley… 5 Principles of Effective Interventions: Risk Principle: Target higher risk offenders Need Principle: Target criminogenic risk/need factors Treatment Principle: Use behavioral treatment approaches and family therapy Responsivity Principle: Address barriers to treatment such as lack of motivation, anxiety and take into account individual differences Fidelity Principle: Implement interventions as designed For example: Multisystemic therapy (MST)

  11. What is MST? For youth 12 – 17 years with severe behavioural problems Teams: 4 therapists 1/2 supervisor and 1/6 expert Intensive: caselaod 4 per therapist , 24 hours a day Maximum 150 days (3 - 5 months) Methode: Whatever it takes, 9 principles and a do - loop Interventions: System- en (cognitive) behavioral therapy Continues Quality system: manuals, (ROM) measuers

  12. Why MST (2004) • (Cost) effective 19 RCT’s trial • Alternative for detention and closed treatment • Family preservation • Changes can happen fast • High accountability for results, motivation etc. • Quality system

  13. MST (2011) 480+ teams worldwide 83 teams Europa 28 teams in the Netherlands MST-Nederland MST-Nederland

  14. What is MST? The social ecological model (Bronfenbrenner, 1979)

  15. What is MST? Peers Reduced Antisocial Behavior and Improved Functioning Improved Family Functioning School Community

  16. What is MST?

  17. Ninth principes: “Whatever it takes”. • Finding the “Fit” • Positive & Strength Focused • Increasing Responsibility • Present-Focused, Action-Oriented, Well Defined • Targeting Sequences • Developmentally Appropriate • Continuous Effort • Evaluation and Accountability • Generalization

  18. Principle 1 Drug using Peers Access to marijuana Low monitoring by mother Caregivers give Kim cash Modeling of use in community(peers and adults) Kim’s Substance Abuse Boredom, doesn’t have other things to do Uses after conflicts with mother Lack of consequences for use

  19. Principle 5 Mom asks youth to do homework and clean room Step father shouts: “you live in my house, do it now” Mom gets in the middle to stop verbal argument and gets pushed Youth says he’ll do it in a minute Youth states “get out of my face, you’re not my dad Mom hits her head, step-father is furious Youth arrested for assault charge Mom makes a second request; youth ignores Step-father intervenes: “listen to your mom” Youth runs to room, and locks door Step-father calls police

  20. What results? Number clients and treatment days

  21. What results? Results end of treatment

  22. Bedankt www.mstservices.com www.mst-nederland.nl wim.van.geffen@mst-nederland.nl

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