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Multisystemic Therapy (MST) for child abuse and neglect

Child Welfare
  Literature review updated August 2017.

Multisystemic Therapy (MST) for child abuse and neglect is an intensive in-home program, which promotes the parent’s ability to monitor and discipline their children and replace deviant peer relationships with pro-social friendships. In the child welfare setting, MST has been rigorously evaluated against enhanced outpatient treatment in one small study, for families referred to CPS for physical abuse.
 
ALL
META-ANALYSIS
CITATIONS

Meta-analysis is a statistical method to combine the results from separate studies on a program, policy, or topic to estimate its effect on an outcome. WSIPP systematically evaluates all credible evaluations we can locate on each topic. The outcomes measured are the program impacts measured in the research literature (for example, impacts on crime or educational attainment). Treatment N represents the total number of individuals or units in the treatment group across the included studies.

An effect size (ES) is a standard metric that summarizes the degree to which a program or policy affects a measured outcome. If the effect size is positive, the outcome increases. If the effect size is negative, the outcome decreases. See Estimating Program Effects Using Effect Sizes for additional information on how we estimate effect sizes.

The effect size may be adjusted from the unadjusted effect size estimated in the meta-analysis. Historically, WSIPP adjusted effect sizes to some programs based on the methodological characteristics of the study. For programs reviewed in 2024 or later, we do not make additional adjustments, and we use the unadjusted effect size whenever we run a benefit-cost analysis.

Research shows the magnitude of effects may change over time. For those effect sizes, we estimate outcome-based adjustments, which we apply between the first time ES is estimated and the second time ES is estimated. More details about these adjustments can be found in our Technical Documentation.

Meta-Analysis of Program Effects
Outcomes measured No. of effect sizes Treatment N Effect sizes (ES) and standard errors (SE) Unadjusted effect size (random effects model)
ES SE Age ES p-value
Child abuse and neglect
Substantiated or founded reports to child protective services.
 14 1 44 -0.228 0.437 15 -0.633 0.230
Out-of-home placement
The removal of a child from parental care, most often to foster care.
 14 1 44 -0.226 0.295 15 -0.627 0.061

Citations Used in the Meta-Analysis

Swenson, C.C., Schaeffer, C., Henggeler, S.W., Faldowski, R., Saldana, L., & Mayhew, A.M. (2010). Multisystemic Therapy for child abuse and neglect: A randomized effectiveness trial.  Journal of Family Psychology 24(4): 497-507.