[Multisystemic therapy for child abuse and neglect (MST-CAN): description of the treatment, psychiatric morbidity, and the psychiatrist's role]. / Multisysteemtherapie bij kindermishandeling (MST-CAN): beschrijving van de behandeling, de psychiatrische problematiek en de rol van de psychiater.

BACKGROUND: Many untreated psychiatric problems occur in families where there is child abuse. It is very important to find ways of ensuring that the hard-to-reach families receive adequate psychiatric assessment and appropriate treatment. AIM: To describe the treatment method and first results of multisystemic therapy for child abuse and neglect (mst-can). METHOD: We report the psychiatric problems of the first 18 families that were treated and we report the follow-up during the first 18 months. In addition, the mst-can treatment and the psychiatrist's role are illustrated by taking two cases as an example. RESULTS: Most of the families agreed to a psychiatric assessment and subsequent treatment. In most families safety improved considerably and out-of-house placements were avoided. CONCLUSION: The first results suggest that mst-can is a promising treatment for families where there is child abuse. Essential elements of mst-can are targeted psychiatric diagnostic assessment and subsequent treatment.