1 / 13

MTFC: Maintenance and Fidelity

MTFC: Maintenance and Fidelity. Overview. Fidelity generally Fidelity and MTFC – early data Measurement Special issues from UK/Europe. MST Delinquency Clinical Trials Effect Sizes*. LARGE. Efficacy Trials. Effectiveness Trials. Transportability Trials. MEDIUM. SMALL. Aos, 2004

mead
Download Presentation

MTFC: Maintenance and Fidelity

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. MTFC: Maintenance and Fidelity

  2. Overview • Fidelity generally • Fidelity and MTFC – early data • Measurement • Special issues from UK/Europe

  3. MST Delinquency Clinical Trials Effect Sizes* LARGE Efficacy Trials Effectiveness Trials Transportability Trials MEDIUM SMALL Aos, 2004 (1.5 yr. follow-up) Borduin et al., 1990 (3 yr. follow-up) Cunningham, 2006 (3 yr. follow-up) Henggeler et al., 1997 (1.7 yr. follow-up) Henggeler et al., 1993 (2.4 yr. follow-up) Henggeler et al., 2006 (1 yr. follow-up) Henggeler et al., 2002 (4 yr. follow-up) Schaeffer & Borduin, 2005 (14 yr. follow-up) Timmons-Mitchell et al., 2006 (1.5 yr. follow-up) Borduin & Schaeffer, 2003 (8 yr. follow-up) Ogden & Halliday-Boykins, 2004 (1.5 yr. follow-up)

  4. MST Transportability Study (N = 1,979 Families) 0 .28 .55 .83 1 MST Therapist Adherence Measure

  5. Bronx – NIJ study • Included qualitative and quantitative data collection • Looking at relationships among beliefs about empirically validated treatment, model adherence, and youth outcomes • State juvenile justice referrals

  6. Time one initerviews • Program started March 2004 • Through 21 July 2005 • 45 youth placed in MTFC • 17 currently in placement • 28 left the program • 9 Graduated to a lower level of care • 17 Return to OCFS facility • 2 currently AWOL

  7. Not evenly distributed • Team “A” – 28.5% successful • Team “B” – 42% successful • Team “C” – 18% successful • Benchmark is 70% ‘successful’ • Successful is youth placed at discharge to a lower level of care

  8. Contributing factors Program changed agencies Working out relationship with juvenile justice (all of the ‘return to facility recommendations’ were contested) New foster parents, staff, program Getting particularly difficult initial referrals Developing matching protocols Working with schools Figuring out the solutions to urban situations (e.g., public transportation, distant schools)

  9. CR2P Fidelity ratings by PS

  10. Correlational Data r = .94 Fidelity of the Implementation Foster Parent Stress (PDR) Percentage of placements to lower levels of care r = .99

  11. The program matures by Time Two Interviews • Through 01 April 2007 • 107 youth placed in MTFC • 25 in placement • 62 graduated to lower level of care • Graduating youth at 76% • All three teams certified • Includes point sheets, school cards, tape reviews, graduation rates…

  12. Qualitative Analyses • Many entered this implementation with the expectation that practices would have to be modified • NYC is seen as fundamentally different • Interesting themes around race/ethnicity • Fidelity seems to manifest all of the way through the intervention

  13. Accreditation Independent evaluation Youth outcomes Program has been in place for a year and Graduated at least 7 youth 70% to lower levels of care Youth are expected to receive at least 3 therapy contacts/month Behavioral components Staff are collecting PDR, P&L, and school cards daily Ratings of Foster carer and Clinical team meetings Program has adequate staff Staff training and staff replacement plans in place

More Related