Multisystemic therapy

 This is an integrative and comprehensive approach to treating youth conduct problems and antisocial behaviour. Unlike traditional, comprehensive treatments that remove the adolescent from his or her social environment through placement in residential treatment settings,

MST aims at restructuring multiple levels of the youth’s environment in order to promote pro-social functioning. Based on Bronfenbrenner’s (1979) ecological model of development, individual behaviour is viewed within the context of multiple, nested contexts.

Relevant context is not limited to the family, as in functional family therapy, but extended to the school, neighborhood, peer group, and broader community, as well as to linkages among these systems.  MST draws upon methods from a number of empirically-based treatments. For example, interventions at the family level might include communication training as well as methods from strategic or structural family therapy.

Integration of specific interventions is guided by a core set of principles. MST begins with the assumption that the purpose of assessment is to understand the fit between identified problems and the functioning of multiple systems

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