NICE guidance and Multisystemic Therapy for Young People Dr. Jenny Taylor Consultant Clinical Psychologist & MST Team Manager Hackney Vina Bramble Parent, Hackney Cathy James Children, Young people & Families lead Personality Disorder Team, Department of Health
People with ASPD have often grown up in fractured families in which parental conflict is typical and parenting is harsh and inconsistent. As a result of parental inadequacies and/or the child’s difficult behaviour, the child’s care is often interrupted and transferred to agencies outside the family. This in turn often leads to truancy, having delinquent associates and substance misuse, which frequently result in increased rates of unemployment, poor and unstable housing situations, and inconsistency in relationships in adulthood. Many people with ASPD have a criminal conviction and are imprisoned or die prematurely as a result of reckless behaviour.
2008 Ten pilot sites of MST were established as part of a national research programme into effectiveness of the model in England: Barnsley, Greenwich, Hackney , Leeds, Merton & Kingston, Peterborough, Plymouth, Reading, Sheffield & Trafford
Building on the experience of the two existing licensed MST sites in England (Cambridgeshire & Brandon Centre in North London) and of programmes in Northern European
Sites are funded over four years by Department of Health, Department for Children Schools and Families and Youth Justice Board
‘ I loved MST, it’s a really great service and it helped my family loads. It taught me the techniques of doing the fit circles and things to do in different situations and this has really helped, I’m missing MST’
‘ You are the only thing (Service) we’ve ever stuck with’
‘ MST – Support when no one else did, made a difference when nothing else did.’