Submitted by user on Thu, 12/12/2019 - 19:55
Study Name
Vocational Coaches to Enhance Multisystemic Therapy for Emerging Adults (MST-EA)
Study Sharepoint ID
Outcome domains examined
Strength of Evidence Tag
Settings in which the intervention was studied
Percent Young Adults
Percent mentally ill
Percent fomerly incarcerated
Percent homeless
Percent female
Percent Male
Percent Asian
Percent Black or African American
Percent Hispanic or Latino of any race
Percent White
Percent More than one race
Mean age
Group formation formatted

Individuals who were receiving case management services in a northeastern state were recruited for the study. Recruitment occured from March 2011 to January 2013. To be eligible for the study, individuals were required to be 17 to 20 years old, have been arrested or released from incarceration within the past 18 months, be diagnosed with a severe mental health condition, and be residing in a stable community setting. Individuals were randomly assigned to one of two study groups after a baseline interview. Sixteen individuals were randomly assigned to each of the two study groups. Coaches were also randomly assigned to deliver either vocational or standard coaching. Follow-up interviews occurred one and four months after program completion.

Study timing formatted

Recruitment occurred from March 1, 2011, to January 31, 2013. The final follow-up interview occurred an average of 11 months after services began and 4 months after an individual exited treatment.

Secondary domains examined
Study funding formatted

The study was supported by grants from the National Institute of Mental Health (R34MH081374) and the National Institute on Disability, Independent Living, and Rehabilitation Research (H133B090018).

Sample Characteristics

All individuals were ages 17 to 20 (average age 17.8), had been involved in the justice system (with 63 percent having been in juvenile detention and 36 percent having been to jail or prison), and had a mental health condition (with 50 percent having a major depressive disorder, 25 percent having an anxiety disorder, and 16 percent having a bipolar disorder). Most participants in the study were male (78 percent), and most were of a minority racial or ethnic background (47 percent Black, 3 percent Asian, 19 percent Hispanic, 6 percent biracial, and 44 percent White).

Implementing organization formatted

An unspecified private nonprofit organization.

Program history

Both the intervention and comparison conditions were pilot programs, although Multisystemic Therapy (MST) has been implemented since at least the 1990s.

Treatment condition formatted

Youth in the intervention group received Multisystemic Therapy for Emerging Adults (MST-EA) with additional coaching. MST-EA is designed to help individuals improve recidivism, mental illness, substance use, education, and employment outcomes using several types of therapy. Therapists were continually available to participants and met over the phone and in person with participants several times each week. Vocational coaches provided services to individuals in the intervention group, meeting with clients for two one-hour sessions each week. Coaches covered a wide variety of domains, including (but not limited to) employment, education, health, housing, parenting, and financial literacy. Each domain was the focus of between three and seven sessions. Participants in the intervention condition were not connected to state vocational rehabilitation services.

Comparison condition formatted

Youth in the comparison group also received MST-EA but with standard coaching. Standard coaches provided the same skills development services as the vocational coaches but did not provide coaching related to vocational domains. If participants in this group were interested in employment services, their MST-EA therapist connected them to the state vocational rehabilitation agency, which would then provide support.

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Timing of study formatted

Emerging adults typically received services through MST, including contact with therapists and coaches, over an average of seven to eight months.

Program funding formatted

An unspecified state agency provided funding.

Setting details formatted

The study took place in a northeastern state. Coaching and post-intervention interviews occurred in person at participants’ homes or in another place of their choice.

Delivered by public or private entity?
Earliest publication year
Most recent publication year
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