Clear Impact logo

Multi-Systemic Therapy for Emerging Adults (Baltimore County FY18 and beyond) (Annual)

How Well: % of youth/young adults living in the community in stable housing at discharge (Annual)

Current Value

89%

FY 2023

Definition

Line Bar

Story Behind the Curve

“Stable Housing” is defined as residing in a safe and sustainable community-based location.  Examples include a parent’s home, home of a friend or relative, home of a significant other, the client’s own house/apartment, university dormitory, or community group home.  The client’s demonstration of successfully living in the community and stability in housing at discharge is measured by MST-EA therapist evaluation and client self-report.

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 annual target percentage for youth/young adults in stable housing at program discharge is 95%.  A total of 100% or 8 of 8 youth/young adults were in stable housing at program discharge during FY22. 

 

 

*MST EA Reasons for Non-Completion of Treatment

 

  1. Moved from Baltimore County
  2. Lack of Engagement
  3. Placed in detention for event prior to MST EA involvement
  4. Placed in detention for event occurring at the very beginning of MST EA involvement

Definitions:

 

Stable Housing:  EA demonstration of successfully living in the community and stability in housing at client discharge as measured by MST EA therapist evaluation and client self-report. Housing is defined as residing in a safe and sustainable community-based location. Examples include a parent’s home, home of a relative or friend, home of a significant other, the EA’s own house/apartment, university dormitory, and community group home (that allows community access).

Client Discharge: 

Discharge Criteria

The 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:

  • a majority of the Overarching Goals for the case have been met and sustained;
  • the EA has few significant behavioral health and justice-related problems;
  • the EA can effectively manage any recurring problems and functions reasonably well for at least 3 to 4 weeks;
  • the EA is making reasonable educational/vocational efforts;
  • the EA is involved with prosocial peers and is not involved with, or is minimally involved with problem peers; and
  • the therapist and supervisor feel the EA has the knowledge, skills, resources, and support needed to handle subsequent problems.

 

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.

Measurement Tool Used

Research Agenda

Clear Impact Suite is an easy-to-use, web-based software platform that helps your staff collaborate with external stakeholders and community partners by utilizing the combination of data collection, performance reporting, and program planning.

Scorecard Container Measure Action Actual Value Target Value Tag S A m/d/yy m/d/yyyy