title: Long-term youth criminal outcomes in MST transport: the impact of therapist adherence and organizational climate and structure.
abstract: This study investigated relations among therapist adherence to an evidence-based treatment for youth with serious antisocial behavior (i.e., Multisystemic Therapy), organizational climate and structure, and youth criminal charges on average 4 years posttreatment. Participants were 1,979 youth and families treated by 429 therapists across 45 provider organizations. Results showed therapist adherence predicted significantly lower rates of youth criminal charges independently and in the presence of organizational variables. Therapist perceptions of job satisfaction and opportunities for growth and advancement relative to the organizational average predicted youth criminal charges, as did organizational average levels of participation in decision making. These associations washed out in the presence of adherence, despite the fact that job satisfaction and growth and advancement were associated with adherence.
authors.affiliation: Family Services Research Center, Department of Psychiatry and Behavioral Sciences, Medical University of South Carolina, Charleston, SC 29425, USA. schoensk@musc.edu
authors.forename: Sonja K
authors.initials: SK
authors.lastname: Schoenwald
authors.forename: Jason E
authors.initials: JE
authors.lastname: Chapman
authors.forename: Ashli J
authors.initials: AJ
authors.lastname: Sheidow
authors.forename: Rickey E
authors.initials: RE
authors.lastname: Carter
mesh_terms: D000293:Adolescent; D000987:Antisocial Personality Disorder / Q000523:psychology / Q000534:rehabilitation*; D002322:Career Mobility; D003131:Combined Modality Therapy; D003419:Crisis Intervention; D004493:Education; D019317:Evidence-Based Medicine; D005196:Family Therapy; D005260:Female; D005500:Follow-Up Studies; D019983:Guideline Adherence; D006801:Humans; D007588:Job Satisfaction; D007604:Juvenile Delinquency / Q000331:legislation & jurisprudence / Q000523:psychology / Q000534:rehabilitation*; D008297:Male; D015279:Organizational Culture; D010043:Outcome and Process Assessment, Health Care; D010348:Patient Care Team; D010349:Patient Compliance / Q000523:psychology*; D011785:Quality Assurance, Health Care; D012017:Referral and Consultation; D055502:Secondary Prevention; D012944:Social Support