Multidimensional treatment foster care (MTFC): Results from an independent replication

Journal of Family Therapy

Volumn 33, Issue 1, 2011, Pages 20-41

  Westermark, Pia Kyhle ^a,b   Hansson, Kjell ^b   Olsson, Martin ^b,c  

^a NATIONAL BOARD OF HEALTH AND WELFARE   (Sweden)

^b LUND UNIVERSITY   (Sweden)

^c VIVE THE DANISH CENTER FOR SOCIAL SCIENCE RESEARCH   (Denmark)

Author keywords

Behaviour problems; CBCL; Foster care treatment; Intervention; MTFC; SCL 90; TAU; YSR

Indexed keywords

EID: 78650388421     PISSN: 01634445     EISSN: 14676427     Source Type: Journal    
DOI: 10.1111/j.1467-6427.2010.00515.x     Document Type: Article

References (79)

1. Achenbach, T. M. (1991) Manual for the Child Behaviour Checklist and 1991 Profile. Burlington, VT: Department of Psychiatry, University of Vermont.
2. Achenbach, T. M. and Rescorla, L. A. (2001) Manual for the ASEBA School-age Form and Profiles. Burlington, VT: Research Center for Children, Youth and Families, University of Vermont.
3. Andershed, H. and Andershed, A-K. (2005) Normbrytande beteende i barndomen: Vad säger forskningen? [Behavioural problems in childhood: what does the research say?]. Stockholm: Gothia Förlag.
4. Andreassen, T. (2003) Institutionsbehandling av ungdomar; vad säger forskningen? [Treatment of youth in residential care: what does the research say?] Centre for Social Work Evaluation, National Board of Institutional Care. Stockholm: Gothia Förlag.
5. Aos, S., Lieb, R., Mayfield, J., Miller, M. and Tennucci, A. (2004) Benefits and Costs of Prevention and Early Intervention Programs for Youth. Washington: Washington State Institute for Public Policy.
6. Axberg, U., Hansson, K., Broberg, A. G. and Wirtberg, I. (2007) The development of a systemic school-based intervention: Marte Meo and coordination meetings. Family Process, 45: 375-389.
7. Barber, J. G. and Delfabbro, P. H. (2002) The plight of disruptive children in out-of-home care. Children's Services: Social Policy, Research and Practice, 3: 201-212.
8. Berridge, D. and Cleaver, H. (1987) Foster Home Breakdown. Oxford: Blackwell.
9. Berry, M. and Barth, R. (1990) A study of adoptive placements of adolescents. Child Welfare, 69: 209-225.
10. Broberg, A. G., Ekeroth, K., Gustafsson, P. A., Hansson, K., Hägglöf, B., Ivarsson, T. and Larsson, B. (2001) Self-reported competencies and problems among Swedish adolescents: a normative study of the YSR. European Child and Adolescent Psychiatry, 10: 186-193.
11. Centre for Study and Prevention of Violence (n.d.) Blueprints for violence prevention available online at (accessed 15 June 2010).
12. Chamberlain, P. (1990) Comparative evaluation of special foster care for seriously delinquent youth: a first step. community alternatives. International Journal of Family Care, 2: 21-36.
13. Chamberlain, P. (1994) Family Connections: Treatment Foster Care for Adolescents with Delinquency. Eugene, OR: Castalia Publishing.
14. Chamberlain, P. (2003) Treating Chronic Juvenile Offenders. Advances Made Through the Oregon Multidimensional Treatment Foster Care Model. American Psychological Association, Washington, DC.
15. Chamberlain, P. and Mihalic, S. F. (1998) Multidimensional treatment foster care. In D. S. Elliott (ed.) Blueprints for Violence Prevention. Boulder, CO: Institute of Behavioural Science, University of Colorado.
16. Chamberlain, P. and Moore, K. (1998) A clinical model for parenting juvenile offenders: a comparison of group care versus family care. Clinical Psychology and Psychiatry, 3: 375-386.
17. Chamberlain, P. and Reid, J. (1991) Using a specialized foster care treatment model for children and adolescents leaving the state mental hospital. Journal of Community Psychology, 19: 266-276.
18. Chamberlain, P. and Reid, J. B. (1998) Comparison of two community alternatives to incarceration for chronic juvenile offenders. Journal of Consulting and Clinical Psychology, 4: 624-633.
19. Chamberlain, P., Moreland, S. and Reid, K. (1992) Enhanced services and stipends for foster parents: effects on retention rates and outcomes for children. Child Welfare, 71: 387-401.
20. Chamberlain, P., Leve, L. D. and De Garmo, D. S. (2007) Multidimensional treatment foster care for girls in the juvenile justice system: 2-year follow-up of a randomized clinical trial. Journal of Consulting and Clinical Psychology, 1: 187-193.
21. Chamberlain, P., Price, J., Leve, L. D., Laurent, H., Landsverk, J. A. and Reid, J. B. (2008) Prevention of behaviour problems for children in foster care: outcomes and mediation effects. Prevention Science, 1: 17-27.
22. Cohen, J. (1992) A power primer. Psychological Bulletin, 112: 155-159.
23. Dalteg, A. and Levander, S. (1998) Twelve thousand crimes by 75 boys: a 20-year follow-up study of childhood hyperactivity. Journal of Forensic Psychiatry, 9: 39-57.
24. Delfabbro, P. H., Barber, J. G. and Cooper, L. L. (2001) Children entering out-of-home care in South Australia: baseline analyses for a 3-year longitudinal study. Children and Youth Services Review, 23: 865-891.
25. Derogatis, L. R. and Cleary, P. (1997) Confirmation of the dimensional structure of the SCL-90: a study in construct validation. Journal of Clinical Psychology, 33: 981-989.
26. Dishion, T. J., McCord, J. and Poulin, F. (1999) When interventions harm: peer group and problem behavior. American Psychologist, 54: 755-764.
27. Dodge, K. A., Dishion, T. J. and Lansford, J. E. (2006) Deviant Peer Influences in Programs for Youth: Problems and Solutions. New York: Guilford Press.
28. Eddy, J. M. and Chamberlain, P. (2000) Family management and deviant peer association as mediators of the impact of treatment condition on youth antisocial behavior. Journal of Consulting and Clinical Psychology, 5: 857-863.
29. Eddy, M. J., Whaley, R. B. and Chamberlain, P. (2004) The prevention of violent behavior by chronic and serious male juvenile offenders: a two-year follow-up of a randomized trial. Journal of Emotional and Behavioral Disorders, 12: 2-8.
30. Farmer, E., Lipscombe, J. and Moyers, S. (2005) Foster carer strain and its impact on parenting and placement outcomes for adolescents. British Journal of Social Work, 35: 237-253.
31. Farrington, D. P. (1992) Criminal career research: implication for crime prevention. Studies on Crime and Crime Prevention, 1: 7-29.
32. Farrington, D. P. (2003) Advancing knowledge about the early prevention of adult antisocial behaviour. In D. Farrington and J. Coid (eds.) Early Prevention of Adult Antisocial Behaviour (pp. 1-31 Cambridge University Press, Cambridge.
33. Farrington, D. P. and Welsh, C. (2007) Saving Children from a Life of Crime. Early Risk Factors and Effective Interventions. New York: Oxford University Press.
34. Fenyo, A., Knapp, M. and Baines, B. (1989) Foster Care Breakdown: a Study of a Special Teenager Foster Scheme. Discussion Paper 616. Personal Social Services Research Unit, Canterbury: University of Kent.
35. Fisher, P. A. and Chamberlain, P. (2000) Multidimensional treatment foster care: a program for intensive parent training, family support and skill building. Journal of Emotional and Behaviour Disorder, 8: 155-164.
36. Fisher, P. A., Burraston, B. and Pears, K. (2005) The early intervention foster care program: permanent placement outcomes from a randomized trial. Child Maltreatment, 1: 61-71.
37. Foster, E. M. and Jones, D. (2007) Can a costly intervention be cost-effective? An analysis for violence prevention. Archives of Gen Psychiatry, 63: 1284-1291.
38. Fratter, J., Rowe, J., Sapsford, D. and Thoburn, J. (1991) Permanent Family Placement: a Decade of Experience. London: British Association for Adoption and Fostering.
39. Fridell, M., Cesarec, Z., Johansson, M. and Malling Andersen, S. (2002) SCL-90. Svensk Normering, Standardisering och Validering av Symptomskattningsskalan. [SCL-90. Swedish normalization, standardization and validation of the symptoms scale] Department of Psychology, Lund and Stockholm: Lund University and National Board of Institutional Care (SiS), 4.
40. Crijnen, A. A. M., Achenbach, T. M. and Verhulst, F. C. (1999) Problems reported by parents of children in multiple cultures: the child behavior checklist syndrome constructs. American Journal of Psychiatry, 156: 569-574.
41. Gustle, L-H. (2007) Implementering och korttidsuppföljning av multisystemisk terapi. En svensk randomiserad multicenterstudie angående Multisystemisk terapi. [Implementation and short-term follow-up of multisystemic therapy. A Swedish, randomized, multicentre study of multisystemic therapy] PhD thesis, Lund: Department of Psychology, Lund University.
42. Hamer, R. M. and Simpson, P. M. (2009) Last observation carried forward versus mixed models in the analysis of psychiatric clinical trials. American Journal of Psychiatry, 6: 639-641.
43. Hansson, K. (2001) Familjebehandling på goda grunder. En forskningsbaserad översikt. [A solid basis for family treatment. A research-based overview] Stockholm: Gothia Förlag.
44. Hansson, K., Cederblad, M. and Höök, B. (2000) Funktionell Familjeterapi, [Functional family therapy]. Socialvetenskaplig Tidskrift, 3: 231-243.
45. Harrington, R. C., Kroll, L., Rothwell, J., McCarthy, K., Bradley, D. and Baileys, S. (2005) Psychosocial needs of boys in secure care for serious and persistent offending. Journal of Child Psychology and Psychiatry, 46: 859-866.
46. Hessle, S. and Vinnerljung, B. (1999) Child Welfare in Sweden - an Overview. Department of Social Work, Stockholm University, Edsbruk: Akademitryck AB.
47. Höjman, L. and Dovik, N. (2008) MTFC, Ett evidensbaserat manualstyrt behandlingsprogram. Statens Institutionsstyrelse, SiS följer upp och utvärderar, Rapport 2. [MTFC: an evidence-based, manualized treatment programme. National Board of Institutional Care (SiS) Follows-up and Evaluates, Report 2]) Stockholm: Statens Institutions Styrelse.
48. Kazdin, A. E. (1993) Treatment of conduct disorder: progress and directions in psychotherapy research. Development and Psychopathology, 5: 277-310.
49. Kazdin, A. E. (1999) The meanings and measurement of clinical significance. Journal of Consulting and Clinical Psychology, 33: 332-339.
50. Kadzin, A. E. (2004) Psychotherapy for children and adolescents. In A. Bergin and S. Garfield (eds) Handbook of Psychotherapy and Behaviour Change (pp. xxx-xxx). New York: Wilson and Sons.
51. Kazdin, A. E., Mazurick, J. and Siegel, T. (1994) Treatment outcome among children with externalizing disorder who terminate prematurely versus those who complete psychotherapy. Journal of the American Academy of Child and Adolescents Psychiatry, 33: 549-557.
52. Kyhle Westermark, P., Hansson, K. and Vinnerljung, B. (2007) Foster parents in multidimensional treatment foster care: how do they deal with implementing standardized treatment components? Children and Youth Service Review, 29: 442-459.
53. Larsson, B. and Frisk, M. (1999) Social competence and emotional/behaviour problems in 6-16 year-old Swedish school children. European Child and Adolescents Psychiatry, 8: 24-33.
54. Leve, L. D. and Chamberlain, P. (2005) Association with delinquent peers: intervention effects for youth in the juvenile justice system. Journal of Abnormal Child Psychology, 3: 339-347.
55. Leve, L. D. and Chamberlain, P. (2007) A randomized evaluation of multidimensional treatment foster care: effects on school attendance and homework completion in juvenile justice girls. Research on Social Work Practice, 7: 657-663.
56. Leve, L. D., Chamberlain, P. and Reid, J. B. (2005) Intervention outcomes for girls referred from juvenile justice: effects and delinquency. Journal of Consulting and Clinical Psychology, 6: 1181-1185.
57. Lipsey, M. W. (1995) What do we learn from 400 research studies on the effectiveness of treatment with juvenile delinquents? In J. Mcguire (ed.) What Works? Reducing Reoffendings (pp. 63-78). New York: John Wiley.
58. Lipsey, M. W. and Wilson, D. B. (1998) Effective interventions for serious juvenile offenders: a synthesis of research. In R. Loeber and D. P. Farrington (eds) Serious and Violent Juvenile Offenders: Risk Factors and Successful Interventions (pp. 313-345). Thousand Oaks, CA: Sage.
59. Macdonald, G. M. and Turner, W. (2008) Treatment Foster Care for Improving Outcomes in Children and Young People. 1: Cochrane Database of Systematic Reviews. Issue 1. Art. No. CD005649.
60. Millham, S., Bullock, R., Hosie, K. and Haak, M. (1986) Lost in the Care: the Problems of Maintaining Links between Children in Care and Their Families. Aldershot: Gower.
61. Moffitt, T. E. (1993) Adolescence-limited and life-course persistent antisocial behaviour: a developmental taxonomy. Psychological Review., 8: 399-424.
62. Moffitt, T. E., Caspi, A., Rutter, M. and Silva, P. (2001) Sex Differences in Antisocial Behaviour. Conduct Disorder, Delinquency and Violence in the Dunedin Longitudinal Study. Cambridge: Cambridge University Press.
63. Multidimensional Treatment Foster Care (MTFC) (2009) About MTFC. Retrieved 28 August 2009 from
64. MTFC (2005) Implementation of Evidence-Based Programs. Eugene, OR: TFC Consultants.
65. National Swedish Board of Health and Welfare (2009) Barn och unga - insatser år 2008 [Children and young people - initiatives 2008]. Stockholm: Social Services Statistics.
66. Newton, R. R., Litrownik, A. J. and Landsverk, J. A. (2000) Children and youth in foster care: disentangling the relationship between problem behaviour and number of placements. Child Abuse and Neglect, 10: 1363-1374.
67. Olsson, T. (2009) Crossing the Quality Chasm? The Short-term Effectiveness and Efficiency of MST in Sweden: an Example of Evidence-based Practice Applied to Social Work. PhD Dissertation. Lund: Lund University.
68. Olson, M., Hansson, K. and Cederblad, M. (2006) A long-term follow-up of conduct disorder adolescents into adulthood. Nordic Journal of Psychiatry, 60: 469-479.
69. Rutter, M., Kim-Cohen, J. and Maugham, B. (2006) Continuities and discontinuities in psychopathology between childhood and adult life. Journal of Child Psychology and Psychiatry, 60: 276-295.
70. Sallnäs, M., Vinnerljung, B. and Kyhle Westermark, P. (2004) Breakdown of teenage placements in Swedish foster and residential care. Child and Family Social Work, 2: 141-152.
71. Shadish, W. R., Cook, T. D. and Campbell, D. T. (2002) Experimental and Quasi-experimental Designs for Generalized Causal Inference. Boston, MA: Houghton Mifflin.
72. Stattin, H. and Magnusson, D. (1991) Stability and change in criminal behaviour up to age 30: findings from a prospective, longitudinal study in Sweden. British Journal of Criminology., 31: 327-346.
73. Sundell, K. and Egelund, T. (2000) Barnavårdsutredningar - En kunskapsöversikt. [Child protection investigation - a review]. Stockholm: Gothia and Centre for Evaluation of Social Services.
74. Sundell, K., Hansson, K., Löfholm, C.A, Olsson, M., Gustle, L-H. and Kadesjö, C. (2008) The transportability of MST to Sweden: short-term results from a randomized trial with conduct disordered youth. Journal of Family Psychology, 3: 550-560.
75. Sundelin, J. (1991) Intensive Family Therapy. PhD. Department of Child and Adolescent Psychiatry. Lund: Lund University.
76. Vinnerljung, B. and Sallnäs, M. (2008) Into adulthood: a follow-up study of 718 youths who were placed in out-of-home care during their teens. Journal of Child and Family Social Work, 13: 144-155.
77. Vinnerljung, B., Sallnäs, M. and Kyhle Westermark, P. (2001) Sammanbrott vid tonårsplaceringar - om ungdomar i fosterhem och på institution [Teenage breakdowns during placement in out-of-home care]. Stockholm:: National Board of Health and Welfare and Centre for Evaluation of Social Services.
78. Webster-Stratton, C., Hollinsworth, T. and Kolpacoff, M. (1989) The long-term effectiveness and clinical significance of three cost-effective training programmes for families with conduct-problem children. Journal of Consulting and Clinical Psychology, 57: 550-553.
79. Woolfenden, S. R., Williams, K. and Peat, J. (2001) Family parenting interventions in children and adolescents with conduct disorder and delinquency aged 1-17 Cochrane Database of Systematic Reviews 2001, Issue 2. Art. No.: CD003015. DOI: 10.1002/14651858.CD003015.