Better Off: % of youth/young adults demonstrating a clear reduction in behavioral health symptoms at discharge (Annual)
Current Value
44%
Definition
Story Behind the Curve
“Clear Reduction in Behavioral Health Symptoms” at discharge is measured by MST-EA therapist evaluation, client self-report, psychiatric evaluation (when available), other provider reports, and placement due to behavioral health concerns.
Partners
- MD Department of Juvenile Services
- Baltimore County Detention Center
- Baltimore County Court System
- Baltimore County Office of the Public Defender
- Baltimore County Department of Social Services
- Community Solutions, Inc.
What Works
MST-EA is a manualized treatment that is an adaptation of the evidence-based treatment, Multi-Systemic Therapy (MST). MST-EA treatment targets are achieved by changing how clients function in their natural settings (home, school, community), leveraging the client’s strengths, pulling in positive supports, and developing the client’s skills and resources to overcome barriers to success. Evidence-based interventions (e.g., cognitive behavioral therapy, behavioral interventions, motivational interviewing, affective education) are used to address treatment needs.
Action Plan
Data Discussion
(Annual FY): The target percentage for youth demonstrating a clear reduction in behavioral health symptoms at program discharge is 70%. A total of 50%, or 5 of 10 youth/young adults demonstrated a clear reduction in behavioral health symptoms during FY21. A total of 75%, or 3 of 4 youth/young adults, demonstrated a clear reduction in behavioral health symptoms at discharge during the first reporting period of FY21. This included 3 youth/young adults that completed the full course of treatment and 1 who was discharged due to lack of engagement* prior to full program completion. A total of 33%, or 2 of 6 youth/young adults, demonstrated a clear reduction in behavioral health symptoms at discharge during the second reporting period. This included 2 youth/young adults that completed the full course of treatment and 4 who were discharged due to lack of engagement* prior to full program completion.
*MST EA Reasons for Non-Completion of Treatment
Definitions:
Reduction in Behavioral Health Symptoms: EA demonstrates a clear reduction in behavioral health symptoms at discharge as measured by MST EA therapist evaluation, client self-report, psychiatric evaluation (when available), other provider reports, and placement due to behavioral health concerns. Client Discharge:Discharge CriteriaThe determination to discharge an EA from MST-EA is based upon evidence of intervention effectiveness as evaluated from multiple perspectives (e.g. EA, social network members, school, probation officer) indicating that:
Discharge from MST-EA may also occur when few of the Overarching Goals have been met, but despite consistent and repeated efforts by the therapist and supervisor to overcome the barriers to further success, the treatment has reached a point of diminishing returns for the additional time invested.
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