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Treatment for Juvenile Offenders Shows = Shows=20 Positive Results 22 Years Later

ScienceDaily (Nov. 17, 2011) =97 = More than 20=20 years ago, Charles Borduin, a University of Missouri researcher, = developed a=20 treatment for juvenile offenders that has become one of the most widely = used=20 evidence-based treatments in the world. Now, he has found that the = treatment=20 continues to have positive effects on former participants more than 20 = years=20 after treatment.

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Throughout the course of his career, Borduin, professor of = psychological=20 sciences in the College of Arts & Science, has pioneered the = treatment=20 called Multisystemic Therapy (MST) as a way to prevent serious mental = health=20 problems in children and adolescents. MST interventions involve the = offender's=20 entire family and community, as opposed to the more common individual = therapy,=20 where the offender visits a therapist who offers feedback, support and=20 encouragement for behavior change.

Borduin followed up with clinical trial participants that completed = treatment=20 nearly 22 years earlier, on average. He found the following differences = between=20 participants who received MST and those who received individualized = therapy:

Violent felonies: Since completing treatment, 4.3 = percent=20 of juveniles treated with MST were arrested for a violent felony, = compared to=20 15.5 percent of individual therapy participants.
All felonies: Overall, 34.8 percent of MST = participants=20 committed a felony, compared to 54.8 percent of individual therapy=20 participants.
Misdemeanors: MST participants committed five = times fewer=20 misdemeanors than individual therapy participants.
Family problems: Individual therapy participants = were=20 involved in family-related civil suits two times more often than MST=20 participants.

"This research shows that Multisystemic Therapy has long-lasting = effects,"=20 said Borduin. "Nearly 22 years after treatment, juvenile offenders = treated with=20 MST still see positive effects. This treatment has protected many = potential=20 victims, and I hope this research helps to encourage further use of the=20 method."

MST is used in 12 countries around the world, as well as in 34 = states. In=20 Norway, it is the national model for juvenile offender treatment. = Borduin said=20 MST is the most widely used evidence-based treatment for juvenile = offenders in=20 the U.S.; however, only 1 to 2 percent of juvenile offenders receive the = treatment.

The study follows an original clinical trial that took place between = 1983 and=20 1986. In the original trial, the 176 children who participated in the = study were=20 randomly selected for treatment with MST or individual therapy. For this = study,=20 Borduin located records for more than 80 percent of participants. On = average,=20 the follow-up occurred 21.9 years following the conclusion of treatment. = Borduin=20 said this is one of the longest post-treatment period follow-ups ever = done for a=20 psychological evidence-based treatment of any disorder.

In a previous study, Borduin found that the net cumulative benefit of = providing MST to a single juvenile offender resulted in a savings to = taxpayers=20 and crime victims of $75,110 to $199,374 over nearly 14 years. Borduin = now plans=20 to study savings over the course of almost 22 years following = treatment.

Borduin's findings were recently published in the Journal of = Consulting=20 and Clinical Psychology. He collaborated with Aaron Sawyer, a = graduate=20 student in the Department of Psychological Sciences.

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The above story is reprinted from materials provided by University of Missouri-Columbia.

Note: Materials may be edited for content and length. For = further=20 information, please contact the source cited = above.

Journal Reference:

Aaron M. Sawyer, Charles M. Borduin. Effects of = multisystemic=20 therapy through midlife: A 21.9-year follow-up to a randomized = clinical trial=20 with serious and violent juvenile offenders.. Journal of=20 Consulting and Clinical Psychology, 2011; 79 (5): 643 DOI: 10.1037/a0024862

Note: If no author is given, the source is cited = instead.

Disclaimer: This article is not intended to = provide=20 medical advice, diagnosis or treatment. Views expressed here do not = necessarily=20 reflect those of ScienceDaily or its staff.

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