Multisystemic therapy for young people involved in or at risk of child criminal exploitation: Young people and Caregivers' perspectives

Child criminal exploitation is a form of child abuse, linked to youth gang involvement and with long-lasting serious consequences for communities. Multisystemic therapy (MST) is a systemic intervention for antisocial behaviour with an extensive evidence base but there is limited research focussing on gang involved or criminally exploited young people. Through semi-structured interviews, this study qualitatively explored young people at risk of exploitation (n = 4) and their caregivers (n = 6) experience of MST across three sites in England. Four themes emerged through thematic analysis: changes experienced; improved caregiver-young person relationship; facilitators of change; and barriers to change. The process of MST facilitated behaviour change and supported development of support networks for caregivers and engagement with prosocial young peers. Barriers to change included young people's association with negative adults and frequent peer relationship changes. Further exploration of the complex associations between negative adults and young people at risk of exploitation is recommended.