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The purpose of this article is to consider, through the lenses of theory and research on technology transfer and the adoption and implementation of innovation, the international transport of evidence-based psychosocial treatments for youth, using Multisystemic Therapy (MST) as an example. MST is a well-validated family and community-based approach originally developed in the United States to treat serious juvenile offenders. This article describes challenges to MST transport internationally by virtue of the political, legal, economic, and cultural contexts in different nations. Modifications used to address these challenges and facilitate the international implementation of MST are described and pertain to pre-implementation processes, clinical staff, training materials and procedures, and clinical service delivery.

This practical manual is based on extensive research and the collaboration of hundreds of community-based therapists. It provides step-by-step guidelines for implementing contingency management (CM) and one of the most effective treatments for substance abuse with adolescents and their caregivers. Strategies are detailed for assessing substance use disorders, developing individualized cognitive and behavioral interventions, using behavioral contracts and contingencies to reinforce abstinence, and overcoming frequently encountered treatment roadblocks. Extensive sample dialogues illustrate what.

This study evaluated the emotional and marital adjustment of hearing parents of hearing-impaired youths. Participants included mothers and fathers of hearing-impaired youths and mothers and fathers of hearing youths. In contrast with expectations based on clinical impressions reported in the literature, parents of hearing-impaired youths reported less symptomatology than did parents of hearing youths, and there were no differences in the marital satisfaction of parents in intact families. Moreover, parental adjustment was not associated with the duration of time since the child was diagnosed as hearing impaired. In addition, hierarchical multiple regression analyses revealed that family cohesion was associated with low maternal symptomatology and high marital satisfaction for both spouses. For mothers, low symptomatology was associated with low stress and female gender of child; high marital satisfaction also was linked with a less severe degree of hearing loss in the youth.

Current treatment models for adolescent sexual offenders are individually oriented and have limited empirical support. These models may not be effective in reducing recidivism because they do not address the multiple factors (i.e., individual, family, peer, school) related to sexual offending. Multisystemic therapy (MST), an ecologically based treatment model that addresses multiple determinants of behavior, has proven effective with chronic, violent nonsexual offenders in several randomized trials. Preliminary research also indicates promise for MST with sexual offenders. This article: (a) presents empirical support for use of an ecological approach with adolescent sexual offenders based on a multidetermined etiology, (b) provides a theoretical and clinical description of MST, and (c) describes a recent adaptation of MST that maintains the ecological emphasis of MST and integrates important conceptualizations from the literature on adolescent sexual offending.