Multisystemic therapy-Health Care (MST-HC)

Case ID:

This invention is an evidence-based behavioral treatment developed for monitoring youths with chronic health conditions and a history of poor illness management.


Background & Unmet Need:

The main technology for monitoring chronically ill patients with poor adherence is disease management programs.  While these programs may be helpful, they are focused on adults and are not designed to meet the needs of children and families.  At present, there are no disease management programs in the state of Michigan and very few in the country focused on children, despite a clear need.  Of these existing evidence-based treatments targeting adolescents with chronic poor illness management, none have been consistently shown to effectively improve both illness management and related health outcomes for youth who have a variety of different chronic health conditions.


Technology Description:

This technology is an evidence‑based behavioral treatment with an intensive home and community‑based family therapy approach.  WSU researchers have adapted the Multisystemic Therapy‑Health Care (MST‑HC) for use with youths with chronic health conditions such as diabetes, asthma and HIV who also have a history of chronic poor illness management and related health complications.  Additionally, our researchers have adapted procedures for the training of therapists as well as quality assurance procedures for monitoring high quality delivery of the MST‑HC intervention on an ongoing basis.


Commercial Applications:

  • Disease management program focused to meet the needs of children and families


Stage of Development:

Preliminary clinical use


Competitive Advantages:

  • No other companies that have similar existing research data and quality assurance technologies
  • Evidence‑based medicine highly valued as a result of the passage of the Affordable Care Act


Intellectual Property Status:

No patent information available


Related Publications or Citations of Work:

Ellis, D.A., Narr-King, S., Chen, X., Moltz, K., Cunningham, P.B. & Idalski Carcone, A. (2012).  Multisystemic therapy compared to telephone support for  youth with poorly controlled diabetes: Findings from a randomized controlled trial. Annals of Behavioral Medicine, 44, 207-215

Ellis, D.A., Naar-King, S., Templin, T., Frey, M.A., Cunningham, P.B., Sheidow, A. Cakan, N. & Idalski, A. (2008) MST for adolescents with poorly controlled Type 1 diabetes: Reduced DKA admissions and related costs over 24 months. Diabetes Care, 31, 1746-7.

Patent Information:
For Information, Contact:
John Shallman
Wayne State University
Deborah Ellis
Sylvie Naar-King
Patient Monitoring