• Article

Outcomes from an integrated model of wraparound and Multisystemic Therapy in a CMHS System of Care demonstration site

This study examined outcomes for 320 youth in a Center for Mental
Health Services system-of-care demonstration site.Youth received
wraparound-only (n = 213),MST-only (n = 54),or wraparound + MST
(n = 53). Participants were 12 years old on average and mostly White (90%),
and 75% were Medicaid-eligible. Service use and functional and clinical outcomes
were examined at 6-month intervals out to 18 months. All three groups
improved over the study period. The MST-only group demonstrated more
clinical improvement than the other groups. Functional outcomes did not differ
significantly across groups.Youth in wrap + MST had higher baseline severity
and experienced less clinical and functional change than the other two
groups, despite more mental health service use. Targeted, evidence-based
treatment may be more effective than system-level intervention alone for improving
clinical symptoms among youth with serious emotional disorders
served in community-based settings. New or amended approaches may be
needed for youth with the most severe disorders.

Citation

Stambaugh, L., Mustillo, S. A., Burns, B. J., Stephens, R. L., Edwards, D., Baxter, B., & DeKraai, M. (2007). Outcomes from an integrated model of wraparound and Multisystemic Therapy in a CMHS System of Care demonstration site. Journal of Emotional and Behavioral Disorders, 15(3), 143 - 155.