Multisystemic Therapy for Child Abuse and Neglect (MST-CAN)

Scientific Rating:
2
Supported by Research Evidence
See scale of 1-5

Additional Implementation Resources

Since this program Multisystemic Therapy for Child Abuse and Neglect (MST-CAN) was highly rated on the Scientific Rating Scale, program representatives were asked to provide additional implementation information.

Pre-Implementation Materials

There are pre-implementation materials to measure organizational or provider readiness for Multisystemic Therapy for Child Abuse and Neglect (MST-CAN) as listed below:

MST Services, the company that disseminates MST and MST-CAN has developed site assessment tools that have been used for the last 15 years with standard MST and for the last 5 years with MST-CAN. The tools include a review of the feasibility of the program, goals, and guidelines for implementation and implementation and program practice requirements that must be met. Furthermore, each site must pass a formal Site Readiness Review conducted on site. These tools are not available to the general public and are only used when a site is moving forward with implementation of an MST-CAN program.

Formal Support for Implementation

The program representative did not provide information about formal support for implementation of Multisystemic Therapy for Child Abuse and Neglect (MST-CAN).

Fidelity Measures

There are fidelity measures for Multisystemic Therapy for Child Abuse and Neglect (MST-CAN) as listed below:

Therapist Adherence Measure-Revised (TAM-R): This is an objective, standardized instrument that evaluates a therapist’s adherence to the MST-CAN model as reported by the primary caregiver of the family. It has been shown to have significant value in measuring Therapist adherence to MST principles and predicting treatment outcomes. The TAM-R has been validated in clinical trials with serious, chronic, juvenile offenders, and is now implemented by all licensed MST programs. The TAM-R is available through MST Services but is used only for MST programs (www.mstservices.com).

MST-CAN Therapist Adherence Measure-Revised (MST-CAN TAM-R): This measure is the TAM-R plus additional items that measure adherence to the MST-CAN model. The MST-CAN TAM-R takes 10 to 15 minutes to complete. It is administered during the second week of treatment and every four weeks thereafter. A MST-CAN interviewer with the Family Services Research Center of the Medical University of South Carolina will contact the family in person or by phone to complete the measure. Data are entered onto an on-line database managed by the MST Institute, and results are reviewed by the MST-CAN Supervisor and Therapist. The full MST-CAN TAM-R is entered into a database housed at the Family Services Research Center of the Medical University of South Carolina. The MST-CAN TAM-R is not available to the general public at this time as it is considered a research instrument.

Supervisor Adherence Measure (SAM): This measure evaluates the MST-CAN Clinical Supervisor’s adherence to the MST model of supervision. This 10 to 15 minute measure is completed by MST-CAN Therapists, who are prompted to complete the SAM every two months and enter their responses directly onto the on-line database. Results are shared with the MST-CAN Consultant, who then shares a summary of the feedback with the MST-CAN Clinical Supervisor during a consultation meeting. The SAM is available through MST Services but is used only for MST programs (www.mstservices.com).

Consultant Adherence Measure (CAM)
: The MST-CAN Therapists and MST-CAN Supervisors are responsible for completing this questionnaire. Times will be scheduled one month after completion of the first SAM, and every two months thereafter. It is estimated that the time commitment required will be 10 to 15 minutes per respondent for each administration. The CAM consists of 23 items that measure consultation behavior in three domains. The CAM is available through MST Services but is used only for MST programs (www.mstservices.com).

Implementation Guides or Manuals

There are implementation guides or manuals for Multisystemic Therapy for Child Abuse and Neglect (MST-CAN) as listed below:

MST Services has developed manuals for training supervisors and consultants and for teams to follow to prepare weekly treatment plans. These tools are not available to the general public.

Research on How to Implement the Program

The program representative did not provide information about research conducted on how to implement Multisystemic Therapy for Child Abuse and Neglect (MST-CAN).