- MST Involves the Whole Family in Treatment Stella and Paul were losing control of their adopted son, Charlie. He was becoming violent and affecting the whole family. Luckily, they...
- Implementation Science article of the month “Scaling-out” evidence-based interventions to new populations or new health care delivery systems Abstract Background...
- Changing Behavior Takes Time and That's True for MST Staying the course with Multisystemic Therapy Recently, I decided it was time to get healthy. You know when you reach that point in life...
What families say
A letter from a Mother - My Journey through MST
"When MST came into our lives I was deeply concerned for my son's education, welfare and his future as things seemed to be going from bad to worse and I felt like I was actually losing my son. He was not attending school, mixing with negative peers, staying out late at night and sometimes all night, smoking illegal substances, being verbally and physically aggressive and destructive and he was actually living with my parents after being bailed. It was so upsetting and distressing to see and experience and I was convinced it was too late to turn this around.
He had just been moved to alternative provision off site and his attendance was below 20%. His levels way below average as during year 9 his attendance was appalling and when he did attend he completed very little work. His attendance is now nearer to 80% and his levels have improved - going from a U to a D in maths and a subject he was convinced he would fail at. I now feel I have the confidence to implement consequences and give praise and rewards where deserved. He has recently made the decision of his own accord to give up smoking and has joined the gym and regularly goes trampolining which has helped with his GCSE PE at school which he was adamant he was not going to do when he went into year 10.
The relationship I now have with my son is so much more positive and he is thriving. MST offered support and guidance where needed and helped me put things in place like a morning and evening routine, behaviour management plan and gave me lots of advice. My therapist came to visit me during my working day and evenings and there was someone always on the end of a phone to give advice if needed. I too have started to do more joining a running club, dog walking club and going out and I feel much better myself for this.
My son loves the predictability and structure that has now been implemented both at home and school. Our house rules are clear and visible to my son and I and I complete his behaviour sheet daily and his 4W sheets which I have found most useful - this helps me monitor where he is, who he is with, what he is doing and when he will be back.
It is really difficult to remain calm when you have an angry, verbal, hormonal, upset and know it all argumentative teenager hurling abuse at you but what you need to remember is that if you react to that it will only make the situation worse and things will escalate. You have to remember you are the parent so you need to remain calm and lead by example - your child learns everything from you and when their world seems like it is falling apart they will look to you for support as you are their whole world. MST has been a god send to our family.
Posted by Kieran Lord, MST Supervisor Leeds City Council, UK and Sarah Gilbert, MST Therapist, Trafford MST Team
A child talks about his experience with Multisystemic Therapy
Capturing the voice of the young person is often difficult in MST, but it is a critical part of the story that begs to be told. Community stakeholders and families alike often ask, “What about the young person? How does this program impact his or her life?” During a recent event, the Trafford MST team in the UK found a unique way to bring the voice of the young person to life.
This powerful video helps all of us understand – “what is it MST like?” from the perspective of the the child.
The following quotes are taken from a study about families’ experiences of MST by the Brandon Centre in London (April 2012):
“It was all working together. Everybody had their part to play. You know, you owned something, which was quite good, especially for young people, they need to feel part of something. ”
"[MST] opened me up more, like made me think about ambitions. So now I’ve thought about everything, I’ve got things to look forward to . . . I want to get to go college and then go to uni and then get a job.”
“Just the way I see things has changed . . . like my friends, I started to realize they’re not clever . . . like before I’d do what they’d say. I hang round with more sensible people than before . . . sometimes I’m silly, but not enough to get myself involved with the police. ”
“It was really bad . . . every minute it’s like, you know, phone calls and at police stations . . . that’s all gone . . . he hasn’t been in trouble since.”
“The most important thing was the communication with my mum, because that’s all I really wanted to do, communicate with my mum more. So that instead of sneaking behind her back, I could actually tell her I’m going to this place, I’ll be back at this time . . . And plus me not telling her, she was worried. So that changed a lot. ”
“He’s started showing more respect than he did before . . . coming in on time, doing what he was meant to be doing . . . no attitude. It seems to have settled down at school. . . . [Before] it was just him against me. And that seems to have all settled down. ”
“I think it was the change in me that brought about changes in him and he hasn’t offended since . . . So instead of having this angry mum, who pushed him out of the house . . . because I’ve changed that has given him the space to think about what he wants. ”