Juvenile Justice

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Evidence-Based Intervention for Youth Involved in the Juvenile Justice System

Multisystemic Therapy (MST) is an intensive, family- and community-based treatment for youth involved in the juvenile justice system. By addressing the family, peer, school, and community factors that drive delinquent behavior, MST helps reduce recidivism, prevent out-of-home placement, and support long-term public safety outcomes.

54 %
Fewer Re-arrests
75 %
Fewer Violent Felony Arrests
54 %
Fewer Out-of-Home Placements

MST offers a suite of evidence-based solutions that support juvenile justice systems:

Multisystemic Therapy (MST®)

Multisystemic Therapy (MST®) is the core evidence-based model on which all MST treatment types are built. It supports child-serving systems by addressing serious behavioral challenges through intensive, family- and community-based intervention that reduces placements and strengthens caregiver capacity.

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MST–Family Integrated Transitions (MST-FIT®)

MST-FIT® extends treatment from residential care into the home during the critical transition period following discharge. Providing after-care for settings implementing the ITM, MST-FIT is delivered for approximately four months post-release. The approach reinforces skills learned in care, works intensively with families, and provides 24/7 support to reduce reoffending and promote long-term stability at home and in the community.

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The Integrated Treatment Model (ITM®)

The ITM® transforms residential settings into therapeutic environments using evidence-based interventions such as Dialectical Behavior Therapy (DBT). Youth build emotional regulation, distress tolerance, and interpersonal skills while families engage early, creating a strong foundation for successful transition back to home and community life, via MST-FIT.

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Cost-Effective Outcomes for Juvenile Justice Populations

Reduced Recidivism and Rearrest Rates

MST lowers rearrest and reoffense rates by targeting the family, peer, and community drivers of delinquent behavior, improving long-term public safety.

Decreased Use of Detention and Secure Placement

By stabilizing youth in their homes, MST reduces reliance on detention centers, residential facilities, and other high-cost placements.

Lower System Costs per Youth Served

MST provides intensive intervention at a fraction of the cost of incarceration or residential care, generating significant savings for justice systems.

Improved Probation Compliance and Case Closure

Youth receiving MST demonstrate higher compliance with probation requirements, supporting faster case resolution and reduced supervision costs.

Reduced Law Enforcement and Court Utilization

Fewer arrests and violations translate into decreased demand on law enforcement, courts, and detention resources.

Stronger Caregiver Accountability and Supervision

Caregivers develop effective monitoring and behavior management skills, reducing violations and repeat system involvement.

Proven Results. Lasting Impact.

With over 90 studies and more than 140 peer-reviewed journal articles, Multisystemic Therapy features the largest body of evidence of successful interventions for high-risk youth.

Featured Case Study

North Carolina Juvenile Justice System

Problem

High Youth Incarceration Rates and Financial Pressure

Rising youth incarceration in North Carolina strained budgets and failed to deliver meaningful outcomes. As group homes closed and resources tightened, traditional approaches proved unsustainable. State leaders began searching for a solution that reduced confinement while preserving accountability and results.

Solution

A strategic investment in accountable, evidence-based treatment

North Carolina identified Multisystemic Therapy (MST) as a fiscally responsible, evidence-based alternative to youth incarceration. The state revised Medicaid standards to strengthen provider accountability and partnered with MST Services to oversee quality and expansion. This strategic approach supported sustainable growth while maintaining high standards of care.

Outcome

Sustainable growth with strong youth and family outcomes

North Carolina expanded from just eight MST teams to more than thirty statewide. With a clear vision and careful oversight, the program improved utilization, strengthened referral partnerships, and delivered consistent results. Youth remained at home, remained engaged in school, and avoided further involvement with the justice system.

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90 %
Youth living at home after MST treatment
88 %
Youth in school or working after MST treatment
88 %
Youth with no new arrests after MST treatment

Juvenile Justice Resources

How to Become an MST Provider: A Comprehensive Guide

This guide will provide you with information on how to implement a successful program in your community.

Cost Savings Report

Guide to Maintaining Fidelity in Evidence-Based Programs

Ready to bring MST to your community?