Taking Effective Treatments to Scale: Organizational Effects on Outcomes of Multisystemic Therapy for Youths with Co-Occurring Substance Use

• NCJ Number: 238219
• Journal: Journal of Child & Adolescent Substance Abuse Volume: 21 Issue: 1 Dated: January - March 2012 Pages: 1-31
• Author(s): Sonja K. Schoenwald; Jason E. Chapman; David B. Henry; Ashli J. Sheidow
• Date Published: January 2012
• Length: 31 pages
• Grant Number(s): DA018107; R01-MH084855
• Sponsoring Agency: National Institute on Drug Abuse; National Institute of Mental Health
• Publication Format: Article
• Publication Type: Report (Study/Research)
• Language: English
• Country: United States of America

Annotation

This study examined organizational climate and structure effects on the behavior and functioning of delinquent youths with and without co-occurring substance use.

Abstract

A prospective multisite study examined organizational climate and structure effects on the behavior and functioning of delinquent youths with and without co-occurring substance use treated with an evidence-based treatment (EBT) for serious antisocial behavior (i.e., Multisystemic Therapy). Participants were 1,979 youths treated by 429 therapists across 45 provider organizations in North America. Results of Mixed Effects Regression Models showed some aspects of climate and structure had no effects, some had similar effects, and some had slightly differential and sometimes counterintuitive effects on the outcomes of these youths. Implications are considered for research to increase the array and availability of effective treatments for youths with co-occurring substance use across service sectors. (Published Abstract)