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      Multisystemic Treatment of Antisocial Adolescents in Norway: Replication of Clinical Outcomes Outside of the US

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      Child and Adolescent Mental Health
      Wiley-Blackwell

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          Multisystemic treatment of serious juvenile offenders: long-term prevention of criminality and violence.

          This article examined the long-term effects of multisystemic therapy (MST) vs. individual therapy (IT) on the prevention of criminal behavior and violent offending among 176 juvenile offenders at high risk for committing additional serious crimes. Results from multiagent, multimethod assessment batteries conducted before and after treatment showed that MST was more effective than IT in improving key family correlates of antisocial behavior and in ameliorating adjustment problems in individual family members. Moreover, results from a 4-year follow-up of rearrest data showed that MST was more effective than IT in preventing future criminal behavior, including violent offending. The implications of such findings for the design of violence prevention programs are discussed.
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            Home-based multisystemic therapy as an alternative to the hospitalization of youths in psychiatric crisis: clinical outcomes.

            The primary purpose of this study was to determine whether multisystemic therapy (MST), modified for use with youths presenting psychiatric emergencies, can serve as a clinically viable alternative to inpatient psychiatric hospitalization. One hundred sixteen children and adolescents approved for emergency psychiatric hospitalization were randomly assigned to home-based MST or inpatient hospitalization. Assessments examining symptomatology, antisocial behavior, self-esteem, family relations, peer relations, school attendance, and consumer satisfaction were conducted at 3 times: within 24 hours of recruitment into the project, shortly after the hospitalized youth was released from the hospital (1-2 weeks after recruitment), and at the completion of MST home-based services (average of 4 months postrecruitment). MST was more effective than emergency hospitalization at decreasing youths' externalizing symptoms and improving their family functioning and school attendance. Hospitalization was more effective than MST at improving youths' self-esteem. Consumer satisfaction scores were higher in the MST condition. The findings support the view that an intensive, well-specified, and empirically supported treatment model, with judicious access to placement, can effectively serve as a family- and community-based alternative to the emergency psychiatric hospitalization of children and adolescents.
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              Violent juvenile delinquents. Treatment effectiveness and implications for future action.

              Traditionally, the juvenile justice system has emphasized the goals of treatment and rehabilitation of young offenders, while protecting them from punishment, retribution, and stigmatization. Violent juvenile offenders have posed a challenge to this rehabilitative ideal because of mounting public pressure to ensure societal protection. Juveniles who are perceived as dangerous or persistent in their criminal activity are increasingly transferred to the adult criminal justice system, where they may receive much harsher consequences. Whether violent delinquents can be successfully treated is a key point in the debate regarding the wisdom of this trend in juvenile justice. This article considers the available research to address the policy question of how society should reasonably invest in the treatment of violent juvenile offenders.
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                Author and article information

                Journal
                Child and Adolescent Mental Health
                Child Adolesc Ment Health
                Wiley-Blackwell
                1475-357X
                1475-3588
                May 2004
                May 2004
                : 9
                : 2
                : 77-83
                Article
                10.1111/j.1475-3588.2004.00085.x
                f3d060ab-8fb6-4aa9-89b4-9706990ef6d2
                © 2004

                http://doi.wiley.com/10.1002/tdm_license_1.1

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