As MST’s effectiveness for treating chronic juvenile offenders became known, pilot studies were set up to explore the feasibility of treating other target populations. These are called MST adaptations and they follow the route of:
- Efficacy trials—does it achieve desired results?
- Effectiveness trials—testing the adaptation in practice settings
- Transportability trials—can the treatment be adapted in community programs?
- Mature transport—once MST developers are confident the intervention will be successful and that training and quality-assurance procedures support effective implementation, the adaptation is offered nationally and internationally.
There are currently 13 adaptations being studied with four in the later stages of development and implementation.