Therapist adherence and organizational effects on change in youth behavior problems one year after multisystemic therapy

Sonja K. Schoenwald, Rickey E. Carter, Jason E. Chapman, Ashli J. Sheidow

Research output: Contribution to journalArticlepeer-review

78 Scopus citations

Abstract

The current study investigated the relations among therapist adherence to an evidence-based treatment for youth with serious antisocial behavior (i.e., Multisystemic Therapy), organizational climate and structure, and improvement in youth behavior problems one-year post treatment. Participants were 1979 youth and families treated by 429 therapists across 45 provider organizations in North America. Hierarchical Linear Modeling (HLM) results showed therapist adherence predicted improvement in youth behavior. Two structure variables and one climate variable predicted changes in youth behavior, and the climate variable also predicted therapist adherence. No statistical support for formal mediation of organizational effects through adherence was found, though examination of changes in parameter estimates suggest a possible interplay of organizational climate with adherence and youth behavior change.

Original languageEnglish (US)
Pages (from-to)379-394
Number of pages16
JournalAdministration and Policy in Mental Health and Mental Health Services Research
Volume35
Issue number5
DOIs
StatePublished - Sep 1 2008

Keywords

  • Evidence-based practice
  • Organizational structure and climate
  • Therapist adherence

ASJC Scopus subject areas

  • Phychiatric Mental Health
  • Health Policy
  • Public Health, Environmental and Occupational Health
  • Psychiatry and Mental health

Fingerprint Dive into the research topics of 'Therapist adherence and organizational effects on change in youth behavior problems one year after multisystemic therapy'. Together they form a unique fingerprint.

Cite this