Multisystemic Treatment of Juvenile Sexual Offenders

Abstract

Multisystemic therapy (MST)is an ecologically-based treatment model that has proven effective with violent and chronic juvenile offenders and that holds promise with juvenile sexual offenders. This article describes the empirical underpinnings, theoretical foundation, and clinical features of MST and provides a brief review of MST outcome studies with juvenile sexual offenders. The theoretical foundation and clinical features of MST draw upon empirical findings regarding the multidetermined nature of serious antisocial behavior as well as upon social-ecological models of behavior in which the youth and family's school, work, peers, and neighborhood are viewed as interconnected systems with dynamic and reciprocal influences on the behavior of family members. In two randomized trials with juvenile sexual offenders, MST has had positive effects on key social-ecological factors (e.g., family affective relations, peer relations, school performance) associated with sexual offending and has demonstrated long-term reductions in criminal activity and incarceration. The success of MST can be attributed primarily to (a) the match between MST intervention foci and empirically identified correlates/causes of sexual offending in youths and (b) the flexible use of well-validated intervention strategies in the natural environment.     

Multisystemic Therapy for Disruptive Behavior Problems in Youths With Autism Spectrum Disorders: A Progress Report

Youths with autism spectrum disorders (ASD) often engage in serious disruptive behaviors that interfere with their ability to successfully manage day‐to‐day responsibilities and contribute to relationship problems with caregivers, peers, and teachers. Effective treatments are needed to address the factors linked with disruptive behavior problems in this population of youths. Multisystemic therapy (MST) is a comprehensive family‐ and community‐based treatment approach that has been effective with other difficult‐to‐treat populations of youths and holds promise for youths with ASD. In this article, we review the broad range of factors associated with disruptive behaviors among youths with ASD and discuss how MST interventions can be adapted to address those factors. We also present a framework for our adaptation of the MST model for youths with ASD. This framework includes a recently completed pilot study as well as an ongoing efficacy trial that together have served to identify key interventions for our adaptation of the MST model.     

Top–Down Eco-Systems of Social Bonding on Juvenile Violent Behavior: Gender Sensitive Analysis

The aim of this study is to test a multifaceted model across gender, consisting of bonding systems in relation to violent behaviors of youth and explaining the relationships among them. The National Survey on Drug Use and Health in 2006 was the source of data. This paper reports findings of a study examining gender-sensitive models with adolescent violent behavior, by testing multiple bonding systems in the adolescents’ environment simultaneously with use of (1) bi-variate statistical test, (2) t test, and (3) estimation of the structural equation modeling among all the concepts of violent behavior and bonding systems for the whole juvenile sample and separated sample of male and female juveniles. Both peer bonding and school bonding have an effect in decreasing violent behavior of both male and female youth. However, some different bonding systems were found to be effective only for a certain gender, community bonding for male youths and parental bonding for female youths. The satisfactory model fit was confirmed with whole, male-only, and female-only samples, along with new findings of several male-only and one female-only significant causal linkage among bonding systems.     

Youth service caseworkers: Social and legal factors affecting their recommendation to place youths in secure care facilities

This study examines the effects of social and legal variables on youth service caseworkers' recommendation to place youths in a secure care setting. While the findings of this study indicate that caseworkers' recommendation to place youths in such a facility is primarily influenced by their juvenile delinquency or legal background characteristics, the social variable “family composition” has a significant impact on the recommendation. This suggests that caseworkers view single-parent families as less capable than two-parent families of managing youths' serious delinquency problems and, therefore, are more likely to recommend youths from single-parent families for secure care placement consideration. The fact that legal variables are the strongest predictors of secure care decision outcomes indicates that objective criteria are being used to determine which youths to consider for secure care placement. Also, it is found that the more offenses that are committed the more likely that one will be a violent offense. This finding implies that the issue of serious juvenile delinquency should be examined and dealt with from a broad juvenile justice perspective directed at prevention as opposed to a limited focus on only the secure care process.     

Nativity as a Moderator of Familial and Nonfamilial Correlates of Latino/a Youth Prosocial Behaviors

Familial and nonfamilial relations play prominent roles in fostering youths’ prosocial tendencies. The present study examined the direct and indirect relations among family conflict, parental and peer acceptance, deviant peer affiliation, and prosocial tendencies. Participants included 306 (53.8% female, M_age = 15.50, SD = .42; range = 14–18) U.S. Latino/a adolescents and their parents (87.9% mothers). The majority of adolescents were born in the United States (N = 206, 68.0%; average time in United States = 10 years) and identified as a Mexican heritage group member (N = 248, 81.0%). Findings differed by nativity as parental acceptance predicted prosocial tendencies for U.S. Latinos/as born outside the United States and peers were significant predictors of prosocial tendencies for U.S.‐born Latino/as.     

Treating Serious Emotional and Behavioural Problems Using Multisystemic Therapy

Multisystemic therapy (MST) is a family‐ and community‐based treatment of serious emotional and behavioural problems presented by adolescents. The development of this model began in the late 1970s, and today MST is a leading evidence‐based treatment of serious antisocial behaviour in youths, with programs transported to more than 30 states in the United States and 12 nations, including Australia and New Zealand. This article rerviews the theoretical rationale that underlies MST and presents the central clinical features of the intervention model. In addition, the training and quality assurance protocols used to promote MST program fidelity and treatment adherence are described. Finally, findings from approximately 15 published randomised and two quasi‐experimental clinical trials with youths presenting serious clinical problems (e.g., violence, substance abuse, serious emotional disturbance, sexual offending, and chronic illness) are summarised.     

A Latent Growth Curve Analysis of Prosocial Behavior Among Rural Adolescents

The present study was designed to investigate stability and changes in prosocial behavior and the parent and peer correlates of prosocial behavior in rural adolescents. Participants were from a rural, low SES community in the Eastern United States. The participants were in 7th, 8th, and 9th grades at Time 1 and 10th, 11th, and 12th grades at Time 4, and completed measures of prosocial behavior and quality of parent and peer relationships. Latent growth curve modeling revealed that despite moderate stability in individual differences in prosocial behavior and slight increases in quality of peer and parent relationships, level of prosocial behavior declined until late high school with a slight rebound in grade 12. Furthermore, increases in the quality of peer relationships predicted decreases in prosocial behavior for girls but not boys. Discussion focuses on continuity and change in prosocial behavior and the gender‐based relations between quality of parent and peer relationships and prosocial behaviors in adolescence.     

Mothering and Peer Associations Mediate Cumulative Risk Effects for Latino Youth

The present study examined whether positive parenting and deviant peer associations mediated the relations between a cumulative risk composite comprising financial strain, neighborhood problems, and maternal psychological distress and subsequent youth adjustment problems. Drawn from the Welfare, Children, and Families: A Three City Study, the sample consisted of 449 economically disadvantaged Latino families. Structural equation modeling showed that after controlling for baseline levels of youth adjustment problems, cumulative risk, assessed when adolescents were 10 to 14 years old, was directly and indirectly predictive of youths’ deviant peer associations 16 months later, through mother’s positive parenting. Deviant peer associations, in turn, were proximally associated with youth externalizing and internalizing problems. Findings underscore the role of mothers and peers in Latino youth adjustment problems.     

Mothers, Fathers, Peers, and Mexican-Origin Adolescents' Sexual Intentions

Drawing on a symbolic-interaction perspective and a compensation model, the processes linking mother-and father-adolescent relationship qualities, deviant peer affiliations, and adolescents' sexual intentions were investigated for 246 Mexican-origin youths born in the United States and in Mexico using multiple-group structural equation models. Deviant peer affiliations significantly mediated the relations between paternal acceptance and sexual intentions and between disclosure to mothers and sexual intentions for U.S.-born youths but not for Mexico-born youths. Findings highlight the importance of examining variability as a function of youth nativity.     

Parents and Peers in Relation to Early Adolescent Problem Behavior

Concurrent and prospective associations between parent‐youth dyadic hostility and adolescent externalizing and internalizing problem behavior were examined in a sample of 416 families. Parenting control, parents’ well‐being, and youths’ affiliation with deviant peers were included as integral covariates. Information from multiple sources was analyzed using structural equation modeling. Concurrently, youth externalizing problems were associated with dyadic hostility, deviant peers, inadequate parenting control, and fathers’ well‐being (inversely). Internalizing problems were associated with inadequate parenting control and lower levels of fathers’ well‐being. Prospectively, some of these relations continued over 2 years, with a few new associations emerging. A process model is proposed in which parent‐youth dyadic hostility during early adolescence influences parenting, peer relations, and parents’ well‐being over time.     

Effective components of interventions in juvenile justice facilities: How to take care of delinquent youths?

Therapeutic interventions support change in delinquent youths rather than rely on surveillance and deterrence. This article describes successful and concrete components for therapeutic interventions in juvenile justice facilities. The effectiveness of remedial measures to best address the sources of youths' delinquent behaviors and the performance of juvenile justice system are discussed first, and then two theoretical frameworks of rehabilitative models are described that are commonly used with delinquent youths. Finally, specific recommendations for enhancing treatment in juvenile justice facilities with regard to the content of interventions, social climate, and youth motivation to engage in treatment are described and explained in a way intended to help caregivers and practitioners, supervisors of juvenile justice facilities, and policy makers improve the daily life of youths placed in this kind of environment.     

The Role of Peer Social Capital in Educational Assimilation of Immigrant Youths*

The academic achievement of immigrant children has been a focus of social research for decades. Yet little attention has been paid to peer social capital and its importance as a school context factor for the academic success of immigrant youths. Using multilevel data from the National Longitudinal Study of Adolescent Health (Waves 1 and 3), this article draws upon social capital theory and assimilation theory to examine the effects of peer social capital on the academic achievement and attainment of immigrant and native youths. The effects of three measures of peer social capital are studied, controlled for many important variables, for example, sociodemographic background variables, school characteristics, and family social capital. Results indicate that only the average GPA (grade point average) of peers had a consistent and significant effect on children's achievement and attainment, whereas the density and the homogeneity of the peer network did not. Furthermore, all three measures of peer social capital have stronger effects for immigrant youths than for native youths.     

Is Self‐Compassion Selfish? The Development of Self‐Compassion,Empathy, and Prosocial Behavior in Adolescence

Both self‐compassion and empathy have been theorized to promote prosociality in youth, but there is little longitudinal data examining this possibility. We assessed self‐compassion, empathy, and peer‐rated prosociality yearly, in a cohort of 2,078 youth across 17 schools (M age at T1 = 14.65 years; 49.2% female), as they progressed from Grade 9–12. We utilized multi‐level modeling to predict prosocial behavior, nested within students, classes, and schools. We found that self‐compassion and empathy uniquely predicted peer‐rated prosocial behavior. However, only empathy predicted increases in prosocial behavior across time. While self‐compassion is not selfish, it does not appear to facilitate the development of kindness toward adolescent peers. Self‐compassion may help to buffer against possible negative effects of empathic distress.     

Recurrent issues in efforts to prevent homicidal youth violence in schools: expert opinions

Developmental research on social influences on adolescents can guide practices aimed to prevent homicidal youth violence. School shootings have repeatedly raised questions about the contributory role of bullying and entertainment violence, how news media publicity might produce copycat crimes, and whether stiffer criminal sanctions might have a deterrent effect. This article presents the thoughts and recommendations of a group of experts on these topics summarizing the current knowledge base. In brief, bullying reduction programs may be a useful early prevention effort. Television and video games with violent themes can encourage aggressive behavior, but these media can be used to teach more prosocial behavior as well. The potential copycat effects of highly publicized crimes might be diminished with more restrained reporting, although more research is needed. Finally, there is substantial evidence that increased criminal sanctions for youthful offenders have not had a deterrent effect.     

Support,Discrimination, and Alcohol Use Among Racially/Ethnically Diverse Sexual Minority Youths

Rates of alcohol use for sexual minority youths are nearly twice that of their heterosexual peers, yet specific risk and protective factors associated with alcohol use among sexual minority youths remain unclear. Structural equation modeling is used to examine relations among alcohol use, peer and family support, and discrimination among 207 diverse sexual minority youths. Discrimination had no relationship to alcohol use; however, it was negatively associated with peer and family support. Peer support was associated with greater alcohol use among bisexual youths. This study adds to our understanding of the roles of discrimination, social support, and alcohol use among diverse sexual minority youths.     

Adolescent Violent Behavior

SUMMARY

The focus of this study was on the association between family characteristics (e.g., family structure, family cohesion), race/ethnicity and their relationship to violent behaviors in adolescents. Family characteristics represent one piece of a larger ecological model that includes individual, peer, school, and neighborhood/community factors. The current study uses data from the National Study of Adolescent Health (Wave 1). Add Health was a longitudinal study of adolescents in grades 7 through 12. The survey gathered information about the respondent's health and health-related behaviors, emotional well being, and family and school environment. The variables of interest in this study are all self-reported measures of violent behavior: (1) being in a serious physical fight, (2) seriously injuring someone, (3) pulling a knife or gun on someone, and (4) shooting or stabbing someone. Differences between those who reported being involved in violent behaviors are related, at least in part, to family cohesion, family structure, gender, and race/ethnicity. Family cohesion served as a protective factor in all four models of violent behavior regardless of racial/ethnic group. Attention needs to be focused not only on the other domains involved in this ecological model (e.g., individual, family, peer, school, and neighborhood/community) but also on the possible interactive effects of variables both within and across these domains. Future interventions need to focus their efforts on the multiple dimensions of youth violence as well as give consideration to a multi-pronged approach in addressing the needs of youth at risk for violent behaviors.     

The role of interagency collaboration in facilitating receipt of behavioral health services for youth involved with child welfare and juvenile justice

Unmet need for behavioral health care is a serious problem for crossover youth, or those simultaneously involved with the child welfare and juvenile justice systems. Although a large percentage of crossover youth are serious emotionally disturbed, relatively few receive necessary behavioral health services. Few studies have examined the role of interagency collaboration in facilitating behavioral health service access for crossover youth. This study examined associations for three dimensions of collaboration between local child welfare and juvenile justice agencies - jurisdiction, shared information systems, and overall connectivity - and youths' odds of receiving behavioral health services. Data were drawn from the National Survey of Child and Adolescent Well-Being, a national survey of families engaged with the child welfare system. Having a single agency accountable for youth care increased youth odds of receiving outpatient and inpatient behavioral health services. Inter-agency sharing of administrative data increased youth odds of inpatient behavioral health service receipt. Clarifying agency accountability and linking databases across sectors may improve service access for youth involved with both the child welfare and juvenile justice systems.     

Temporal Relation Between Youths’ Perceived Spirituality and Indicators of Positive Development

Using data from the 4‐H Study of Positive Youth Development (PYD), we employed a cross‐lagged model to examine the temporal order of the relationship between PYD and youths’ spirituality. Our sample consisted of 1,842 youth from 32 states in the continental United States. Mean age across the two waves of data used in this study was 15.5 and 16.6, respectively. The cross‐lagged model allowed us to test the model suggesting that youth must develop certain abilities (e.g., Cs of PYD) prior to constructing and internalizing abstract notions of spirituality. Findings supported this argument, with relations varying across conceptions of spirituality. This study provides a more comprehensive understanding of mechanisms and processes linking youths’ spirituality and PYD, highlighting several important implications for research and practice.     

Gifted delinquents: What do we know about them?

Gifted and talented youths—defined as youths who show achievement or potential ability in regard to general intelligence, a specific academic area, creative or productive thinking, leadership, visual or performing arts, or psychomotor activities—constitute one of the nation's most vital resources. Some portion of these youths come in contact with the juvenile court. This article reviews the research on gifted delinquents with particular attention to four longitudinal studies, three British and one American. The research is examined in order to ascertain whether it lends support to the thesis that bright youths are more vulnerable to delinquency because they are more sensitive to an unfavorable environment, or to the thesis that they are protected against delinquency because of their greater ability to understand and cope with environmental conditions. The findings indicate that bright youths are less likely to appear in delinquent populations than others and more likely to come from disrupted and unstable homes. To some extent they support the thesis that bright children are protected from delinquency by their intelligence except in extreme family circumstances. School performance for most bright delinquents is far below capacity, although there is evidence that some youths become disruptive outside of school before their school performance deteriorates.