RecruitingNCT06032520

The Effectiveness of Forensic Outpatient Systemic Therapy: a Multiple Case Experimental Design

Sponsor

Utrecht University

Enrollment

15 participants

Start Date

Aug 25, 2023

Study Type

OBSERVATIONAL

Conditions

Aggression Conduct Disorder Antisocial Behavior Behavioral Disorder

Summary

The purpose of this study is to investigate the effectiveness and mediators of Forensic Outpatient Systemic Therapy (FAST).

Eligibility

Min Age: 12 YearsMax Age: 21 Years

Inclusion Criteria8

Juvenile has an estimated IQ-score of 80 or higher and/or sufficient adaptive skills to benefit from FAST;
Juvenile is aged 12 to 21 years old at the start of the intervention;
Juvenile exhibits externalizing behavior resulting in problems in at least two life areas (family, school, or leisure time), determined by clinical impressions based on information from intake and/or referrer information;
Juvenile has a medium to high recidivism risk, measured by the Risk Assessment Instrument for Outpatient Forensic Mental Health Care Youth (RAF GGZ Youth);
Presence of juvenile-caregiver relationship problems, measured by the RAF GGZ Youth;
Juvenile has a diagnosis of a DSM-5 behavioral disorder, which is determined using a new diagnostic process or case file analysis;
Juvenile and caregiver(s) cannot be motivated to follow treatment at the treatment site after multiple attempts by the therapist;
Juvenile resides with their caregiver(s) or is expected to return to residing with their caregiver(s) within the first two months of FAST.

Exclusion Criteria4

Juvenile exhibits severe psychiatric symptoms requiring admission;
Problem behavior of the juvenile is caused primarily by substance abuse problems and it is expected that treatment of the substance abuse problems will decrease the problem behavior;
The safety of the family members or therapist cannot be sufficiently guaranteed.
To be eligible for participation in this study, one modified study inclusion criterium applies, i.e., the juvenile has primary aggression and/or anger problems (approximately 80% of referred juveniles). In addition, one study exclusion criterium applies, i.e., the juvenile is in secure residential care or confined in a correctional or detention facility at start of the intervention.

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Interventions

BEHAVIORALFAST

FAST includes around 3 hours of face-to-face direct treatment time weekly and consists of a maximum of 10% online direct treatment time (i.e., treatment via phone, video-calling or texting). The treatment stage of FAST lasts five to nine months depending on the individual goals of the juvenile and the caregiver(s) and is followed by a period of aftercare.