User:Patricia Kristine

I am editing "Multisystemic therapy;" the words in bold are ones already on the Wikipedia page that I have added to.

** Medical Uses Section Edits**

Family-based interventions such as MST may have farther reaching impacts as well when compared to other interventions. Specifically, Wagner et al. (2013) and Dopp et al (2017) conducted follow-up studies with clients and their families who had participated in either MST or IT (Individual Therapy) 20-25 years earlier; they found that caregivers and siblings of clients who participated in MST were themselves less likely to have been convicted of a felony.

** Methods Section Edits**

Multisystemic therapy (MST) is a home and community-based intervention for juvenile offenders and their families and is used predominately to address violent offending, sex offending, deliquency, and substance abuse. In this intensive intervention, at least one team of two to four therapists and a therapist supervisor provides around 60 to 100 hours of direct services, typically over the course of three to five months.

It is based in part on ecological systems theory; therapists address individual, family, peer, school, and neighborhood risk factors that lead to antisocial behavior. MST also is informed by the theory that the family is the key to affecting change. MST works to improve parenting practices and family relationships and functioning in order to reduce antisocial behavior.

Therapists follow a process called the MST Analytic Process (or “Do Loop”) in which they work with the client and family to identify and address “drivers,” or factors which could contribute to antisocial behaviors. “Drivers” could include many factors that affect the client, such as caregiver unemployment, substance use, or lack of supervision, and client association with deviant peers and lack of involvement in school. Treatment depends on the “drivers” and often may involve establishing a behavior plan at home, increasing caregiver monitoring of behavior, addressing disputes with parents and teachers, reducing the client’s interactions with deviant peers, and helping the client establish prosocial behaviors and peer groups.

In addition, adaptations to MST have been created that provide intensive family and community-based treatment for a variety of challenges that face youth. These include MST-CAN (Child Abuse and Neglect), MST-Psychiatric, for youth with psychotic behavior or who are at risk of suicide or homicide, and MST-HC (Health Care), for youth with chronic health conditions and challenges with treatment adherence.