MST-JSO24-MonthFollowUp9-10-13.pdf (80.27 kB)
Download fileTwo-Year Follow-up of a Randomized Effectiveness Trial Evaluating MST for Juveniles Who Sexually Offend
journal contribution
posted on 2015-01-19, 00:00 authored by Elizabeth J. Letourneau, Scott W. Henggeler, Michael R. McCart, Charles M. Borduin, Paul A. Schewe, Kevin S. ArmstrongObjective: Building on prior efficacy trials (i.e., university based, graduate students as
therapists), the primary purpose of this study was to determine whether favorable 12-month
outcomes obtained in a randomized effectiveness trial (i.e., implemented by practitioners in a
community mental health center) of multisystemic therapy (MST) with juveniles who had
sexually offended (JSO) were sustained through a second year of follow-up. Method: JSO (n =
124 male youth) and their families were randomly assigned to MST, which was family based and
delivered by community-based practitioners, or to treatment as usual (TAU), which was
primarily group-based cognitive-behavioral interventions delivered by professionals within the
juvenile justice system. Youth averaged 14.7 (SD = 1.7) years of age at referral, were primarily
African American (54%), and 30% were Hispanic. All youth had been diverted or adjudicated
for a sexual offense. Analyses examined whether MST effects reported previously at 1-year
follow-up for problem sexual behaviors, delinquency, substance use, and out-of-home placement
were sustained through a second year of follow-up. In addition, arrest records were examined
from baseline through 2-year follow-up. Results: During the second year of follow-up, MST
treatment effects were sustained for three of four measures of youth problem sexual behavior,
self-reported delinquency, and out-of-home placements. The base rate for sexual offense
rearrests was too low to conduct statistical analyses, and a between-groups difference did not
emerge for other criminal arrests. Conclusions: For the most part, the 2-year follow-up findings
from this effectiveness study are consistent with favorable MST long-term results with JSO in
efficacy research. In contrast with many MST trials, however, decreases in rearrests were not
observed.