A Systematic Review of Multisystemic Therapy in Adolescent Sex Offenders

J Am Acad Psychiatry Law. 2024 Mar 11;52(1):51-60. doi: 10.29158/JAAPL.230117-23.

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.

Keywords: juvenile; juvenile sex offenders; multisystemic family therapy; multisystemic therapy; sex offenders.

Publication types

  • Systematic Review

MeSH terms

  • Adolescent
  • Criminals*
  • Family Therapy
  • Humans
  • Juvenile Delinquency*
  • Psychotherapy
  • Sex Offenses* / prevention & control
  • Sexual Behavior