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Protocol for Repetitive Transcranial Magnetic Stimulation with Symptom Provocation to Treat Obsessive-compulsive Disorder

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The international implementation of multisystemic therapy.

Sonja K Schoenwald¹, Naamith Heiblum, Lisa Saldana

¹Department of Psychiatry & Behavioral Sciences, Family Services Research Center, Medical University of South Carolina, Charleston, SC 29425, USA. schoensk@musc.edu

Evaluation & the Health Professions

|March 28, 2008

Summary

International transport of evidence-based psychosocial treatments like Multisystemic Therapy (MST) faces global challenges. This study examines adaptations needed for successful worldwide implementation of MST for serious juvenile offenders.

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Area of Science:

Psychology
Social Work
International Health

Background:

Multisystemic Therapy (MST) is a proven family and community-based intervention for serious juvenile offenders.
Technology transfer and innovation adoption theories provide frameworks for understanding international treatment implementation.
Evidence-based psychosocial treatments require careful adaptation for diverse global contexts.

Purpose of the Study:

To examine the international transport of evidence-based psychosocial treatments for youth.
To use Multisystemic Therapy (MST) as a case study for global implementation challenges.
To identify modifications facilitating the international adoption of MST.

Main Methods:

Analysis of technology transfer and innovation adoption theories.
Examination of Multisystemic Therapy (MST) implementation in various international political, legal, economic, and cultural contexts.
Description of adaptations in pre-implementation, staff training, and service delivery for international MST.

Main Results:

International transport of MST is hindered by diverse national contexts.
Adaptations are necessary in pre-implementation, clinical staff training, and service delivery models.
Modifications can facilitate the successful international adoption of evidence-based psychosocial interventions.

Conclusions:

Successful international implementation of psychosocial treatments like MST requires context-specific adaptations.
Understanding and addressing political, legal, economic, and cultural barriers is crucial.
Adapting training and delivery models enhances the global reach of evidence-based youth interventions.