title: [Multisystemic therapy for child abuse and neglect (MST-CAN): description of the treatment, psychiatric morbidity, and the psychiatrist's role].
abstract: BACKGROUND
  Many untreated psychiatric problems occur in families where there is child abuse. It is very important to find ways of ensuring that the hard-to-reach families receive adequate psychiatric assessment and appropriate treatment.
  
  
  OBJECTIVE
  To describe the treatment method and first results of multisystemic therapy for child abuse and neglect (mst-can).
  
  
  METHODS
  We report the psychiatric problems of the first 18 families that were treated and we report the follow-up during the first 18 months. In addition, the mst-can treatment and the psychiatrist's role are illustrated by taking two cases as an example.
  
  
  RESULTS
  Most of the families agreed to a psychiatric assessment and subsequent treatment. In most families safety improved considerably and out-of-house placements were avoided.
  
  
  CONCLUSIONS
  The first results suggest that mst-can is a promising treatment for families where there is child abuse. Essential elements of mst-can are targeted psychiatric diagnostic assessment and subsequent treatment.
authors.forename: F N
authors.initials: FN
authors.lastname: Kamphuis
authors.forename: O M
authors.initials: OM
authors.lastname: Brand-De Wilde
authors.forename: R E A
authors.initials: RE
authors.lastname: van der Rijken
mesh_terms: D000293:Adolescent; D000328:Adult; D002648:Child; D002649:Child Abuse / Q000175:diagnosis / Q000523:psychology / Q000628:therapy; D015928:Cognitive Behavioral Therapy / Q000379:methods*; D003131:Combined Modality Therapy; D005196:Family Therapy / Q000379:methods*; D005260:Female; D006801:Humans; D007389:Internal-External Control; D008297:Male; D001523:Mental Disorders / Q000628:therapy*; D009426:Netherlands; D017063:Outcome Assessment, Health Care; D010290:Parents / Q000523:psychology; D016896:Treatment Outcome