RecruitingNot ApplicableNCT05606978

The Effectiveness of Blended Forensic Ambulant Systemic Therapy

The Effectiveness of Blended Forensic Ambulant Systemic Therapy (FASTb): A Randomized Controlled Trial Comparing Blended and Regular FAST

Sponsor

Utrecht University

Enrollment

200 participants

Start Date

Nov 14, 2022

Study Type

INTERVENTIONAL

Conditions

Conduct Disorder Antisocial Behavior Behavioral Disorder

Summary

The purpose of this study is to investigate whether blended Forensic Ambulant Systemic Therapy (FASTb) is equally effective as regular FAST (FASTr).

Eligibility

Min Age: 12 YearsMax Age: 21 Years

Inclusion Criteria11

Juvenile has an estimated IQ-score of 80 or higher and/or sufficient adaptive skills to benefit from the intervention. The estimated IQ-score is measured using the Screener voor intelligentie en licht verstandelijke beperking (SCIL). The score on the SCIL determiners whether an IQ-test and/or a measurement of adaptive skills using the ADAPT is necessary;
Juvenile is aged 12-21 years old at intervention start;
Juvenile exhibits externalizing behavior that results in problems in at least two areas of life (family, school, leisure time), determined by referrer information and/or intake;
Juvenile has a medium to high recidivism risk, measured by the Risicotaxatie-instrument voor de Ambulante Forensische GGZ Jeugd (RAF GGZ Jeugd) and/or the Landelijk Instrumentarium Jeugdstrafrechtketen (LIJ);
Presence of juvenile-caregiver relationship problems, as measured by the RAF GGZ Jeugd;
Juvenile has a diagnosis of a DSM-5 behavioral disorder, which is determined using case file analysis or a new diagnostic process;
Caregiver(s) and juvenile cannot be motivated to follow treatment at the outpatient clinic;
Juvenile and caregiver(s) have sufficient Dutch language skills, as estimated by the FAST therapist team;
Treatment can be offered in either a voluntary or mandatory framework;
Juvenile resides with their caregiver(s) or is expected to return to residing with caregiver(s) within the first two months of intervention.
A potential subject who meets any of the following criteria will be excluded from participation in this study:

Exclusion Criteria7

Juvenile exhibits severe psychiatric symptoms requiring admission;
Problem behavior of the juvenile is caused by primary substance abuse problems;
Caregiver(s) refuse structurally to participate in treatment
The safety of the therapist or family members cannot be guaranteed sufficiently;
Clients do not have an electronic device or suitable internet connection to receive blended care;
Clients have insufficient digital literacy to receive blended care;
Families need a translator to receive the intervention.