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
Original Paper

DOI: 10.1007/s10488-008-0181-z

Cite this article as:
Schoenwald, S.K., Carter, R.E., Chapman, J.E. et al. Adm Policy Ment Health (2008) 35: 379. doi:10.1007/s10488-008-0181-z

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.

Keywords

Evidence-based practice Therapist adherence Organizational structure and climate 

Copyright information

© Springer Science+Business Media, LLC 2008

Authors and Affiliations

  • Sonja K. Schoenwald
    • 1
  • Rickey E. Carter
    • 2
  • Jason E. Chapman
    • 1
  • Ashli J. Sheidow
    • 1
  1. 1.Department of Psychiatry and Behavioral SciencesMedical University of South CarolinaCharlestonUSA
  2. 2.Department of BiometryMedical University of South CarolinaCharlestonUSA

Personalised recommendations