MST 101
What does MST stand for?
Multisystemic Therapy
What age range does MST serve?
ages 12-17
How many MST teams are there at Lifepath?
2!
How long are MST families in treatment?
3-5 months!
What is the process called for guiding treatment of referral behaviors through MST?
MST Do-Loop
What is the MST motto?
Whatever it takes!
Where do services take place?
in the home, in the community, in schools
TAMs is short for...
Therapist adherence measure
What other providers/natural supports may a MST therapist collaborate with?
Probation, CPS, School personnel, Other family members, case managers at lifepath
Name two referral behaviors for MST
Physical aggression, verbal aggression, stealing, leaving home without permission, substance use, truancy/school behaviors, non-compliance, and high-risk sexual behavior
What model is MST based off of?
Bronfenbrener's Ecological Systems model
True or False: There is always an MST therapist available to families 24/7
True!
Number of MST principles
9
How do you decide on which behavior to start with in treatment?
Start with the most urgent behavior(s) that can lead to placement outside of the home, safety risks, or can lead to getting a charge/going to juvenile
What is included in the intake process?
Referral behaviors (frequency, intensity and duration), desired outcomes of all main stakeholders, strengths and needs in all ecologies, a genogram of the family, overarching goals for each referral behavior and fit circles for each referral behavior (identifies drivers from all ecologies)
What are the five systems/ecologies MST focuses on?
Individual, family, peers, school, and community
True or False: MST can treat teens with substance use concerns
True!
What is the purpose of the TAMs?
The TAM (therapist adherence measure) is completed by the family/caregivers every month to assess the therapist’s fidelity to the MST model.
True or false: At the end of MST, youth will no longer need any services following treatment?
False- some behaviors may have been eliminated but each case varies and may need continued services following MST and will be assessed during the sustainability period towards the end of treatment
What documentation is completed for MST?
An intake, ROI for providers/natural supports, weekly case summaries, service and contact notes, JPO reports (if on probation), and a sustainability report at the end
How many states and countries is MST provided in currently?
34 states and 15 countries
What makes a family NOT eligible for MST?
active SI or HI, psychosis, youth living independently, youth with moderate to severe autism or where intellectual disability is only influence for behaviors, youth whose psychiatric behaviors are primary reason leading to referral behaviors, youth is sex-offending in absence of other anti-social behaviors
Who do MST therapists meet with every week for additional supervision?
an MST consultant
How are treatment outcomes tracked?
At the time of discharge, MST measures three main outcomes for each youth receiving treatment: 1) is the youth at home? 2) is the youth in school or working? and 3) was the youth arrested during MST treatment?
These are all MST principles EXCEPT for... 1. Finding the fit 2. Developmentally appropriate 3. Specific 4. Increasing responsibility
Specific is NOT one of the 9 MST principles