Skip to main content

MST-CAN: An Ecological Treatment for Families Experiencing Physical Abuse and Neglect

  • Chapter
  • First Online:
Evidence-Based Approaches for the Treatment of Maltreated Children

Part of the book series: Child Maltreatment ((MALT,volume 3))

Abstract

Multisystemic Therapy for Child Abuse and Neglect (MST-CAN) is an evidence-based treatment model for children ages 6–17 and their families who come under the guidance of Child Protective Services due to physical abuse and/or neglect. The major goals of MST-CAN are to keep families together, assure that children are safe, prevent a recurrence of abuse and neglect, reduce mental health difficulties experienced by adults and children, and increase natural social supports. This chapter includes a discussion of the theoretical foundation of the MST-CAN model, a description of the clinical, administrative, and quality assurance aspects of the model that relate to guidelines for implementation, and an overview of research studies supporting the efficacy and effectiveness of the MST-CAN model. Through case presentation, the chapter examines the clinical application of MST-CAN for a family experiencing neglect of the children and mental health difficulties related to trauma from past partner violence.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Subscribe and save

Springer+ Basic
$34.99 /Month
  • Get 10 units per month
  • Download Article/Chapter or eBook
  • 1 Unit = 1 Article or 1 Chapter
  • Cancel anytime
Subscribe now

Buy Now

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 149.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 199.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 199.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Similar content being viewed by others

References

  • Black, D. A., Heyman, R. E., & Slep, A. M. S. (2001). Risk factors for child physical abuse. Aggression and Violent Behavior, 6, 121–188. doi:10.1016/S1359-1789(00)00021-5.

    Article  Google Scholar 

  • Bronfenbrenner, U. (1979). The ecology of human development: Experiments by design and nature. Cambridge, MA: Harvard University Press.

    Google Scholar 

  • Brunk, M., Henggeler, S. W., & Whelan, J. P. (1987). Comparison of multisystemic therapy and parent training in the brief treatment of child abuse and neglect. Journal of Consulting and Clinical Psychology, 55, 171–178. doi:10.1037/0022-006X.55.2.171.

    Article  PubMed  Google Scholar 

  • Chaffin, M., Silovsky, J., Hecht, D., & Bonner, B. (2001). Evaluation of Oklahoma Children’s Services, 2001 annual report. Unpublished manuscript, Oklahoma Department of Human Services.

    Google Scholar 

  • Chaffin, M., Wherry, J. N., & Dykman, R. (1997). School age children’s coping with sexual abuse: Stresses and symptoms associated with four coping strategies. Child Abuse & Neglect, 21(2), 227–240.

    Article  Google Scholar 

  • Cohen, J. A., Mannarino, A. P., & Deblinger, E. (2006). Treating trauma and traumatic grief in children and adolescents. New York: Guilford Press.

    Google Scholar 

  • Cohen, J. A., Mannarino, A. P., & Deblinger, E. (2012). Trauma focused CBT for children and adolescents: Treatment applications. New York: Guilford Press.

    Google Scholar 

  • Cohen, S., Mermelstein, R. J., Kamarck, T., & Hoberman, H. M. (1985). Measuring the functional components of social support. In I. G. Sarason & B. Sarason (Eds.), Social support: Theory, research, and applications. The Hague/Holland, the Netherlands: Martins Nexjhoff.

    Google Scholar 

  • Crouch, J. L., Milner, J. S., & Thomsen, C. (2001). Childhood physical abuse, early social support, and risk for maltreatment: Current social support as a mediator of risk for child physical abuse. Child Abuse & Neglect, 25, 93–107. doi:10.1016/S0145-134(00)00230-1.

    Article  Google Scholar 

  • Cyr, C., Euser, E. M., Bakermans-Kranenburg, M. J., & Van Ijzendoorn, M. H. (2010). Attachment security and disorganization in maltreating and high-risk families: A series of meta-analyses. Development and Psychopathology, 22, 87–108.

    Article  PubMed  Google Scholar 

  • Dinkmeyer, S., McKay, G. D., McKay, J. L., & Dinkmeyer, D. (1998). Systematic training for effective parenting of teens. Circle Pines, MN: American Guidance Services, Inc.

    Google Scholar 

  • Egeland, B. (1988). Breaking the cycle of abuse: Implications for prediction and intervention. In K. D. Browne, C. Davies, & P. Stratton (Eds.), Early prediction and prevention of child abuse (pp. 87–99). New York: Wiley.

    Google Scholar 

  • Feindler, E. L. (2006). Anger-related disorders: A practitioner’s guide to comparative treatments. New York: Springer.

    Google Scholar 

  • Feindler, E. L., Ecton, R. B., Kingsley, D., & Dubey, D. R. (1986). Group anger-control training for institutionalized psychiatric male adolescents. Behavior Therapy, 17, 109–123. doi:10.1016/S0005-7894(86)80079-X.

    Article  Google Scholar 

  • Felitti, V. J., & Anda, R. F. (2009). The relationship of adverse childhood experiences to adult medical disease, psychiatric disorders, and sexual behavior: Implications for healthcare. In R. Lanius & E. Vermetten (Eds.), The hidden epidemic: The impact of early life trauma on health and disease. New York: Cambridge University Press.

    Google Scholar 

  • Felitti, V. J., Anda, R. F., Nordenberg, D., Williamson, D. F., Spitz, A. M., Edwards, V., et al. (1998). Relationship of childhood abuse and household dysfunction to many of the leading causes of death in adults: The adverse childhood experiences (ACE) study. American Journal of Preventive Medicine, 14(4), 245–258.

    Article  PubMed  Google Scholar 

  • Foa, E. B., Hembree, E. A., & Rothbaum, B. O. (2007). Prolonged exposure therapy for PTSD: Emotional processing of traumatic experience. New York: Oxford University Press.

    Google Scholar 

  • Foa, E. B., & Rothbaum, B. O. (1998). Treating the trauma of rape: Cognitive behavioral therapy for PTSD. New York: Guilford Press.

    Google Scholar 

  • Gibson, D. G. (1999). A monograph: Summary of the research related to the use and efficacy of the Systematic Training for Effective Parenting (STEP) program 1976–1999. Circle Pines, MN: American Guidance Services, Inc.

    Google Scholar 

  • Henggeler, S. W., Schoenwald, S. K., Borduin, C. M., Rowland, M. D., & Cunningham, P. B. (2009). Multisystemic therapy for antisocial behavior in children and adolescents (2nd ed.). New York: Guilford Press.

    Google Scholar 

  • Hyman, S. M., Gold, S. N., & Cott, M. A. (2003). Forms of social support that moderate PTSD in childhood sexual abuse survivors. Journal of Family Violence, 18(5), 295–300.

    Article  Google Scholar 

  • Kilpatrick, D. G., Veronen, L. J., & Resick, P. A. (1982). Psychological sequelae to rape: Assessment and treatment strategies. In D. M. Dolays, R. L. Meredith, & A. R. Ciminero (Eds.), Behavioral medicine: Assessment and treatment strategies (pp. 473–497). New York: Plenum Press.

    Chapter  Google Scholar 

  • Kim, J., Cicchetti, D., Rogosch, F. A., & Manly, J. T. (2009). Child maltreatment and trajectories of personality and behavioral functioning: Implications for the development of personality disorder. Development and Psychopathology, 21, 889–912.

    Article  PubMed Central  PubMed  Google Scholar 

  • Kolko, D. J., & Swenson, C. C. (2002). Assessing and treating physically abused children and their families: A cognitive-behavioral approach. Thousand Oaks, CA: Sage.

    Google Scholar 

  • Lipovsky, J. A., Swenson, C. C., Ralston, M. E., & Saunders, B. E. (1998). The abuse clarification process in the treatment of intrafamilial child abuse. Child Abuse & Neglect, 22, 729–741. doi:10.1016/S0145-2134(98)00051-9.

    Article  Google Scholar 

  • Robin, A. L., Bedway, M., & Gilroy, M. (1994). Problem solving communication training. In C. W. LeCroy (Ed.), Handbook of child and adolescent treatment manuals (pp. 92–125). New York: Lexington Books.

    Google Scholar 

  • Schaeffer, C. M., Swenson, C. C., Tuerk, E. H., & Henggeler, S. W. (2013). Comprehensive treatment for co-occurring child maltreatment and parental substance abuse: Outcomes from a 24-month pilot study of the MST-Building Stronger Families program. Child Abuse and Neglect, 37, 596–607. doi:10.1016/j.chiabu.2013.04.004.

    Article  PubMed  Google Scholar 

  • Schoenwald, S. K., Sheidow, A. J., Letourneau, E. J., & Liao, J. G. (2003). Transportability of multisystemic therapy: Evidence for multilevel influences. Mental Health Services Research, 5, 223–239.

    Article  PubMed  Google Scholar 

  • Sidebotham, P., & Heron, J. (2006). Child maltreatment in the children of the nineties: A cohort study of risk factors. Child Abuse & Neglect, 30, 497–522. doi:10.1016/j.chiabu.2005.1.

    Article  Google Scholar 

  • Slep, A. M. S., & O’Leary, S. G. (2007). Multivariate models of mothers’ and fathers’ aggression toward their children. Journal of Consulting and Clinical Psychology, 75(5), 739–751.

    Article  Google Scholar 

  • Springer, K. W., Sheridan, J., Kuo, D., & Carnes, M. (2007). Long-term physical and mental health consequences of childhood physical abuse: Results from a large population-based sample of men and women. Child Abuse & Neglect, 31, 517–530. doi:10.1016/j.chiabu.2007.01.003.

    Article  Google Scholar 

  • Swenson, C. C., Schaeffer, C. M., Henggeler, S. W., Faldowski, R., & Mayhew, A. (2010). Multisystemic therapy for child abuse and neglect: A randomized effectiveness trial. Journal of Family Psychology, 24, 497–507.

    Article  PubMed Central  PubMed  Google Scholar 

  • Tuten, M., Jones, H. E., Schaeffer, C. M., Wong, C. J., & Stitzer, M. L. (2012). Reinforcement-based treatment (RBT): A practical guide for the behavioral treatment of drug addiction. Washington, DC: American Psychological Association.

    Google Scholar 

  • Webster-Stratton, C., Mihalic, S., Fagan, A., Arnold, D., Taylor, T., & Tingley, C. (2001). Blueprints for violence prevention, Book Eleven: The incredible years: Parent, teacher, and children training series. Boulder, CO: Center for the Study and Prevention of Violence.

    Google Scholar 

Download references

Acknowledgments

This chapter was supported by National Institute of Mental Health grant R01MH60663 to Cynthia Cupit Swenson.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Cynthia Cupit Swenson Ph.D. .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2014 Springer Science+Business Media Dordrecht

About this chapter

Cite this chapter

Swenson, C.C., Schaeffer, C.M. (2014). MST-CAN: An Ecological Treatment for Families Experiencing Physical Abuse and Neglect. In: Timmer, S., Urquiza, A. (eds) Evidence-Based Approaches for the Treatment of Maltreated Children. Child Maltreatment, vol 3. Springer, Dordrecht. https://doi.org/10.1007/978-94-007-7404-9_13

Download citation

Publish with us

Policies and ethics