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A Randomized Trial of Multisystemic Therapy With Hawaii's Felix Class Youths

Medical University of South Carolina, rowlandm{at}musc.edu

Colleen A. Halliday-Boykins

Department of Psychiatry and Behavioral Sciences and the Family Services Research Center at the Medical University of South Carolina

Scott W. Henggeler

Family Services Research Center in the Department of Psychiatry and Behavioral Sciences, Medical University of South Carolina

Phillippe B. Cunningham

Department of Psychiatry and Behavioral Sciences and the Family Services Research Center at the Medical University of South Carolina

Terry G. Lee

Department of Child and Adolescent Psychiatry at the John A. Burns School of Medicine, University of Hawaii

Markus J.P. Kruesi

Department of Psychiatry and Behavioral Sciences at the Medical University of South Carolina

Steven B. Shapiro

Department of Psychiatry and Behavorial Sciences, Medical University of South Carolina

Examined 6-month post-recruitment clinical and placement outcomes for 31 youths with serious emotional disturbance (SED) at imminent risk of out-of-home placement in the Hawaii Continuum of Care (COC). Youths were randomly assigned to multisystemic therapy (MST) adapted for SED populations or to Hawaii's existing COC services.Assessments were conducted at intake and 6 months after referral. In comparison with counterparts in the comparison condition, youths in the MST condition reported significant reductions in externalizing symptoms, internalizing symptoms,and minor criminal activity; their caregivers reported near significant increases in social support; and archival records showed that MST youths experienced significantly fewer days in out-of-home placement. The findings generally replicate the favorable short-term outcomes observed previously for MST with youths experiencing SED.

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