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A Systematic Review of Multisystemic Therapy in Adolescent Sex Offenders
Ritvij Satodiya1, Adam Bied2, Kaushal Shah2
1Dr. Satodiya is a Clinical Instructor with Departments of Psychiatry and Child and Adolescent Psychiatry, New York University, New York, NY. Dr. Bied is a Medical Director at ABC Medical, Reading, MA. Dr. Shah is a PGY-3 Resident in the Department of Psychiatry, Wake Forest University, Winston-Salem, NC. Dr. Parikh is Assistant Professor of Psychiatry with the Department of Psychiatry, Northwestern University Feinberg School of Medicine, Chicago, IL. Dr. Ash is Professor and Director of the Psychiatry and Law Service, Emory University, Atlanta, GA. dr.ritvijsatodiya@gmail.com.
Abstract:
Multisystemic therapy (MST) is an intense, family-focused, community-based treatment designed for youth with criminal behaviors. Literature on its usefulness among juvenile sexual offenders (JSOs) remains limited. We conducted a systematic review of published studies assessing effectiveness of MST among JSOs. A comprehensive search of published studies, using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, was undertaken using multiple databases. Search terms included "multisystemic therapy" or "multisystemic family therapy." A total of 542 articles were obtained on initial search. After excluding duplicates, 297 articles were included in further analysis that yielded 48 articles for full-text analysis. Six randomized controlled trials of MST, comprising 231 juvenile sex-offenders, were assessed for final review. MST performed favorably relative to alternative treatments among juvenile sex offenders while also demonstrating lasting treatment effect on sustained follow-up.
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