Multisystemic Therapy as a Promising Alternative
Robert E. Pushak - Child and Youth Mental Health Services
The author would like to thank Scott Henggeler, Dan Edwards, Don Gordon, and Leonard Bickman for their input and feedback on this article.
Correspondence concerning this article should be addressed to Robert E. Pushak, B.A., M.T.S., Child and Youth Mental Health Services, 740 Carmi Ave., Penticton, BC V2A 8P9, Canada; E-mail: email@example.com.
The recent surgeon general's report on mental health raises fundamental concerns about the effectiveness of child mental health services. There is a significant gap between research-based treatment programs and current community practice, and there is substantial evidence that most current mental health programs for children and youth are ineffective and in some cases even harmful. There are several barriers to the dissemination of empirically supported treatments. Multisystemic therapy (MST) is an example of a model program with strong empirical support for effectiveness. The treatment protocols and quality-assurance mechanisms used by MST are an essential factor for achieving positive clinical outcomes.