Hostname: page-component-8448b6f56d-c4f8m Total loading time: 0 Render date: 2024-04-18T17:24:05.677Z Has data issue: false hasContentIssue false
  • English
  • Français

Clinical supervision in a quality assurance/quality improvement system: Multisystemic Therapy† as an example

Published online by Cambridge University Press:  14 October 2016

Sonja K. Schoenwald
Sonja K. Schoenwald*
Affiliation:
Family Services Research Center, Charleston, SC, USA
*
*Author for correspondence: Dr S. K. Schoenwald, Family Services Research Center, 176 Croghan Spur Road, Suite 104, Charleston, SC 29407, USA (email: schoensk@musc.edu).
Get access Rights & Permissions [Opens in a new window]

Abstract

This article describes the clinical supervision of Multisystemic Therapy (MST), which takes place in the context of a quality assurance and quality improvement system that is used to support the transport and implementation of MST nationally and internationally. Information is provided about the assumptions, objectives, structure, process, and content of MST supervision; training and support provided to supervisors; methods used to measure adherence to the supervision model; and, findings supporting linkages between supervision, therapist adherence, and youth outcomes. MST supervision is considered in the context of recent efforts to identify empirically supported approaches to supervision and of recent developments in implementation research.

Keywords

Clinical supervisioncontinuous quality improvementimplementation
Type
Special Issue: International Developments in Supporting and Developing CBT Supervisors
Information
the Cognitive Behaviour Therapist , Volume 9 , 2016 , e21
Copyright
Copyright © British Association for Behavioural and Cognitive Psychotherapies 2016 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Footnotes

†

Multisystemic Therapy® is a registered trademark of MST Group, LLC.

References

Recommended follow-up reading

McLeod, BD, Southam-Gerow, MA, Tully, CB, Rodriguez, A, Smith, MM (2013). Making a case for treatment integrity as a psychosocial treatment quality indicator for youth mental health care. Clinical Psychology, Science and Practice 20, 14–32.CrossRefGoogle ScholarPubMed

References

Aarons, GA, Hurlburt, M, Horwitz, SM (2011). Advancing a conceptual model of evidence-based practice implementation in public service sectors. Administration and Policy in Mental Health and Mental Health Services Research 38, 4–23.CrossRefGoogle ScholarPubMed
Aos, S, Miller, M, Drake, E (2006). Evidence-based public policy options to reduce future prison construction, criminal justice costs, and crime rates. Olympia, WA: Washington State Institute for Public Policy.Google Scholar
Bearman, SK, Weisz, JR, Chorpita, BF, Hoagwood, K, Ward, A, Ugueto, AM, Bernstein, A (2013). The Research Network on Youth Mental Health. More practice, less preach? The role of supervision processes and therapist characteristics in EBP implementation. Administration and Policy in Mental Health and Mental Health Services Research 40, 518–529.CrossRefGoogle Scholar
Bickman, L (1999). Practice makes perfect and other myths. American Psychologist 54, 965–978.CrossRefGoogle Scholar
Bickman, L (2002). Our quality assurance methods aren't so sure. Behavioral Health Tomorrow 9, 41–42.Google Scholar
Brunk, MA, Chapman, JE, Schoenwald, SK (2014). Defining and evaluating fidelity at the program level in psychosocial treatments: a preliminary investigation. Zeitschrift fur Psychologie 222, 22–29 CrossRefGoogle Scholar
Curtis, NM, Ronan, KR, Borduin, CM (2004). Multisystemic treatment: a meta-analysis of outcome studies. Journal of Family Psychology 18, 411–419.CrossRefGoogle ScholarPubMed
Dekovic, M, Asscher, JJ, Manders, WA, Prins, P, van der Laan, P (2012). Within-intervention change: mediators of intervention effects during Multisystemic Therapy. Journal of Consulting and Clinical Psychology 80, 574–587.CrossRefGoogle ScholarPubMed
Dorsey, S, Pullman, MD, Deblinger, E, Berliner, L, Kerns, SE, Thompson, K, Garland, A (2013). Improving practice in community-based settings: a randomized trial of supervision – study protocol. Implementation Science 8, 89.CrossRefGoogle ScholarPubMed
Ellis, MV, Ladany, N (1997). Inferences concerning supervisees and clients in clinical supervision: an integrative review. In: Handbook of Psychotherapy Supervision (ed. Watkins, C. E.), pp. 447–507. New York: Wiley.Google Scholar
Eyberg, SM, Nelson, MM, Boggs, SR (2008). Evidence-based treatments for child and adolescent disruptive behavior disorders. Journal of Clinical Child and Adolescent Psychology 36, 418–429.Google Scholar
Ferlie, EB, Shortell, SM (2001). Improving the quality of care in the United Kingdom and the United States: a framework for change. Milbank Quarterly 79, 281–315.CrossRefGoogle ScholarPubMed
Fixsen, DL, Naoom, SF, Blase, KA, Friedman, RM, Wallace, F (2005). Implementation research: A synthesis of the literature. Tampa, FL: University of South Florida, Louis de la Parte Florida Mental Health Institute, The National Implementation Research Network (FMHI Publication no. 231).Google Scholar
Henggeler, SW, Borduin, CM, Schoenwald, SK, Huey, SJ, Chapman, JE (2006). Multisystemic Therapy Adherence Scale -Revised (TAM-R). Unpublished instrument . Charleston, SC: Department of Psychiatry & Behavioral Sciences, Medical University of South Carolina.Google Scholar
Henggeler, SW, Letourneau, EJ, Chapman, JE, Borduin, CM, Schewe, PA, McCart, MR (2009 a). Mediators of change for multisystemic therapy with juvenile sexual offenders. Journal of Consulting and Clinical Psychology 77, 451–462.CrossRefGoogle ScholarPubMed
Henggeler, SW, Schoenwald, SK (1998). The MST Supervisory Manual: Promoting Quality Assurance at the Clinical Level. Charleston, SC: MST Services.Google Scholar
Henggeler, SW, Schoenwald, SK (1999). The role of quality assurance in achieving outcomes in MST programs. Journal of Juvenile Justice and Detention Services 14, 1–17.Google Scholar
Henggeler, SW, Schoenwald, SK, Borduin, CM, Rowland, MD, Cunningham, PB (2009 b). Multisystemic Therapy for Antisocial Behavior in Children and Adolescents, 2nd edn. New York: Guilford Press.Google Scholar
Henggeler, SW, Schoenwald, SK, Liao, JG, Letourneau, EJ, Edwards, DL (2002). Transporting efficacious treatments to field settings: the link between supervisory practices and therapist fidelity in MST programs. Journal of Clinical Child and Adolescent Psychology 31, 155–167.CrossRefGoogle ScholarPubMed
Huey, SJ, Henggeler, SW, Brondino, MJ, Pickrel, SG (2000). Mechanisms of change in Multisystemic Therapy: reducing delinquent behavior through therapist adherence and improved family and peer functioning. Journal of Consulting and Clinical Psychology 68, 451–467.CrossRefGoogle ScholarPubMed
Jamtvedt, G, Young, JM, Kristoffersen, DT, O’Brien, MA, Oxman, AD (2006). Audit and feedback: effects on professional practice and health care outcomes. Cochrane Database of Systematic Reviews, Issue 2, 2006. doi:10.1002/14651858.CD000259.pub2.CrossRefGoogle ScholarPubMed
Kolb, DA (1984). Experiential Learning: Experience as the Source of Learning and Development. Englewood Cliffs, NJ: Prentice-Hall.Google Scholar
Leshied, A, Cunningham, A (2002). Seeking effective interventions for serious young offenders: Interim results of a four-year randomized study of multisystemic therapy in Ontario, Canada. Centre for Children & Families in the Justice System, London.Google Scholar
Littell, JH, Popa, M, Forsythe, B (2005). Multisystemic therapy for social, emotional, and behavioral problems in youth aged 10–17. Campbell Collaborative Library.Google Scholar
Lofholm, CA, Eichas, K, Sundell, K (2014). The Swedish implementation of Multisystemic Therapy for adolescents: does treatment experience predict treatment adherence? Journal of Clinical Child and Adolescent Psychology 43, 643–655.CrossRefGoogle ScholarPubMed
McLeod, BD, Southam-Gerow, MA, Tully, CB, Rodriguez, A, Smith, MM (2013). Making a case for treatment integrity as a psychosocial treatment quality indicator for youth mental health care. Clinical Psychology, Science and Practice 20, 14–32.CrossRefGoogle ScholarPubMed
Milne, DL, Reiser, RP (2014). SAGE. In: The Wiley International Handbook of Clinical Supervision (ed. Watkins, C. E. & Milne, D. L.), pp. 402–415. Chichester: Wiley-Blackwell.CrossRefGoogle Scholar
National Institutes of Health (2006). National Institutes of Health State-of-the-Science Conference Statement: Preventing violence and related health-risking, social behaviors in adolescents, 13–15 October 2004. Journal of Abnormal Child Psychology 34, 457–470.CrossRefGoogle Scholar
Ogden, T, Hagen, KA (2006). Multisystemic therapy of serious behavior problems in youth: Sustainability of therapy effectiveness two years after intake. Journal of Child and Adolescent Mental Health 11, 142–149.CrossRefGoogle Scholar
Schoenwald, SK (1998). Multisystemic Therapy Consultation Manual. Charleston, SC: The MST Institute.Google Scholar
Schoenwald, SK (2001). The MST Consultant Adherence Measure. Charleston, SC: Family Services Research Center, Medical University of South Carolina.Google Scholar
Schoenwald, SK, Carter, RE, Chapman, JE, Sheidow, AJ (2008). Therapist adherence and organizational effects on change in youth behavior problems one year after Multisystemic Therapy. Administration and Policy in Mental Health and Mental Health Services Research 35, 379–394.CrossRefGoogle ScholarPubMed
Schoenwald, SK, Chapman, JE, Sheidow, AJ (2006). Implementation fidelity in MST. In: Community based model programs panel: implementing with fidelity (Schoenwald, S. K. & Reid, J., Co-Chairs), Blueprints Conference, 2006. Evidence-based programs, research-to-practice Conference, Denver, CO.Google Scholar
Schoenwald, SK, Chapman, JE, Sheidow, AJ, Carter, RE (2009 a). Long-term youth criminal outcomes in MST transport: the impact of therapist adherence and organizational climate and structure. Journal of Clinical Child and Adolescent Psychology 38, 91–105.CrossRefGoogle ScholarPubMed
Schoenwald, SK, Henggeler, SW, Edwards, D (1998). MST Supervisor Adherence Measure. Charleston, SC: MST Institute.Google Scholar
Schoenwald, SK, Hoagwood, K (2001). Effectiveness, transportability, and dissemination of interventions: What matters when? Psychiatric Services 52, 1179–1189.CrossRefGoogle Scholar
Schoenwald, SK, Mehta, TG, Frazier, SL, Shernoff, ES (2013). Clinical supervision in effectiveness and implementation research. Clinical Psychology: Science and Practice, 20, 44–59.Google Scholar
Schoenwald, SK, Sheidow, AJ, Chapman, JE (2009 b). Clinical supervision in treatment transport: effects on adherence and outcomes. Journal of Consulting and Clinical Psychology 77, 410–421.CrossRefGoogle Scholar
Schoenwald, SK, Sheidow, AJ, Letourneau, EJ (2004). Toward effective quality assurance in evidence-based practice: links between expert consultation, therapist fidelity, and child outcomes. Journal of Child and Adolescent Clinical Psychology 33, 94–104.CrossRefGoogle ScholarPubMed
Schoenwald, SK, Sheidow, AJ, Letourneau, EJ, Liao, JG (2003). Transportability of Multisystemic Therapy: evidence for multi-level influences. Mental Health Services Research 5, 223–239.CrossRefGoogle Scholar
Shortell, SM, Bennet, CL, Byck, GR (1998). Assessing the impact of continuous quality improvement on clinical practice: what will it take to accelerate progress? Milbank Quarterly 76, 593–624.CrossRefGoogle ScholarPubMed
Sundell, K, Hansson, K, Lofholm, CA, Olsson, T, Gustle, LH, Kadesjo, C (2008). The transportability of MST to Sweden: short-term results from a randomized trial of conduct-disordered youth. Journal of Family Psychology 22, 550–560.CrossRefGoogle Scholar
Waldron, HB, Turner, CW (2008). Evidence-based psychosocial treatments for adolescent substance abuse. Journal of Clinical Child and Adolescent Psychology 37, 238–261.CrossRefGoogle ScholarPubMed
Wandersman, A, Chien, VH, Katz, J (2012). Toward an evidence-based system for innovation support for implementing innovations with quality: tools, training, technical assistance, and quality assurance/quality improvement. American Journal of Community Psychology 50, 445–459.CrossRefGoogle ScholarPubMed
Submit a response

Comments

No Comments have been published for this article.