Outcomes from wraparound and multisystemic therapy in a center for mental health services system-of-care demonstration site

Leyla Faw Stambaugh, Sarah A. Mustillo, Barbara J. Burns, Robert L. Stephens, Beth Baxter, Dan Edwards, Mark B Dekraai

Research output: Contribution to journalArticle

48 Citations (Scopus)

Abstract

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.

Original languageEnglish (US)
Pages (from-to)143-155
Number of pages13
JournalJournal of Emotional and Behavioral Disorders
Volume15
Issue number3
DOIs
StatePublished - Sep 1 2007

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Mental Health Services
health service
mental health
Group
functional change
Therapeutics
Medicaid
Outcome Assessment (Health Care)
community
evidence

ASJC Scopus subject areas

  • Education
  • Developmental and Educational Psychology
  • Clinical Psychology
  • Psychiatry and Mental health

Cite this

Outcomes from wraparound and multisystemic therapy in a center for mental health services system-of-care demonstration site. / Stambaugh, Leyla Faw; Mustillo, Sarah A.; Burns, Barbara J.; Stephens, Robert L.; Baxter, Beth; Edwards, Dan; Dekraai, Mark B.

In: Journal of Emotional and Behavioral Disorders, Vol. 15, No. 3, 01.09.2007, p. 143-155.

Research output: Contribution to journalArticle

Stambaugh, Leyla Faw ; Mustillo, Sarah A. ; Burns, Barbara J. ; Stephens, Robert L. ; Baxter, Beth ; Edwards, Dan ; Dekraai, Mark B. / Outcomes from wraparound and multisystemic therapy in a center for mental health services system-of-care demonstration site. In: Journal of Emotional and Behavioral Disorders. 2007 ; Vol. 15, No. 3. pp. 143-155.
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