MST Workshop: Implementing Fidelity and Measuring Impact

MST Workshop: Intensive Training in Multisystemic Therapy

Overview:
An intensive training workshop on Multisystemic Therapy (MST) prepares clinicians, supervisors, and agency leaders to deliver MST with fidelity. MST is an evidence-based, family- and community-focused intervention for adolescents with serious behavioral problems (e.g., criminal behavior, substance use, violent conduct). The workshop combines didactic instruction, practical skills practice, and implementation planning.

Who it’s for

• Clinicians (therapists, counselors) working with adolescents and families
• Program supervisors and fidelity monitors
• Agency leaders responsible for service implementation
• Case managers and community partners who support treatment goals

Typical duration and format

• Length: 2–5 days (commonly 3 days) of intensive training
• Format: Mix of lectures, case presentations, role-plays, small-group skill practice, and implementation discussion. Can be delivered in-person or virtually.

Core learning objectives

1. Understand MST theory and model: ecological/systemic principles, core components, and treatment targets.
2. Assessment and case formulation: identifying drivers of problem behavior across family, peers, school, and community systems.
3. Evidence-based interventions: behavior management strategies, caregiver skill-building, and interventions addressing peer and school risk factors.
4. Therapist skills: engagement, motivational techniques, problem-solving, and structured goal-setting.
5. Fidelity and supervision: using fidelity tools, outcome monitoring, and supervisor coaching techniques.
6. Implementation planning: adapting MST to local systems, referral pathways, and sustainability strategies.

Typical agenda highlights

• Introduction to MST research and outcomes
• Mapping multisystemic case formulations
• Structured role-plays: family sessions, caregiver training, and crisis intervention
• Use of measurement tools and progress monitoring
• Supervision labs: fidelity rating and corrective feedback
• Planning for local implementation and overcoming common barriers

Key materials and tools provided

• MST treatment manual excerpts and worksheets
• Case formulation templates and session guides
• Fidelity checklists and outcome monitoring forms
• Sample role-play scenarios and video demonstrations

Expected outcomes after attending

• Improved clinician competence in delivering MST interventions
• Clear plans for integrating MST into agency workflows
• Supervisor ability to monitor and improve fidelity
• Enhanced readiness to track outcomes and sustain program quality

Implementation considerations

• Requires organizational commitment to fidelity monitoring and ongoing supervision.
• Caseload and staffing models may need adjustment to match MST intensity.
• Local adaptation should preserve core components; consult MST purveyor or training materials when modifying.