RecruitingNot Applicable

The Effectiveness of Blended Forensic Ambulant Systemic Therapy

Netherlands200 participantsStarted 2022-11-14

Plain-language summary

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

Who can participate

Age range12 Years – 21 Years

SexALL

See this in plain English?

AI-rewrites the medical criteria so a patient or caregiver can understand them. Always confirm with the trial site.

Inclusion criteria

✓. 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;

Exclusion criteria

✕. 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.

What they're measuring

Change in Aggression and Delinquency assessed by the Youth Self Report (YSR)

Timeframe: T1 (baseline); monthly during intervention, up to 9 months; T2 (post-intervention) up to 9 months; T3 (follow-up) 6 months post intervention

Change in Aggression and Delinquency assessed with the Child Behavior Checklist (CBCL)

Timeframe: T1 (baseline); monthly during intervention, up to 9 months; T2 (post-intervention) up to 9 months; T3 (follow-up) 6 months post intervention

Change in Delinquency assessed with the Self-Report Delinquent Behavior (ZDG)

Timeframe: T1 (baseline); monthly during intervention, up to 9 months; T2 (post-intervention) up to 9 months; T3 (follow-up) 6 months post intervention

Percentage of Participants with Out of Home Placement assessed using File Analysis

Timeframe: T1 (baseline); T2 (post-intervention) up to 9 months

Percentage of Participants with Out of Home Placement assessed using an Out of Home Placement Questionnaire

Timeframe: T2 (post-intervention) up to 9 months; T3 (follow-up) 6 months post intervention

Change in Recidivism Risk assessed with the RAF GGZ Youth

Timeframe: T1 (baseline); T2 (post-intervention) up to 9 months

Trial details

NCT IDNCT05606978

SponsorUtrecht University

Sponsor typeOTHER

Study typeINTERVENTIONAL

Primary completion2027-02

Contact for this trial

Marjolein van Cappellen

+31621944124 s.m.vancappellen@uu.nl

View on ClinicalTrials.gov More Conduct Disorder trials

Who can participate

Age range12 Years – 21 Years

SexALL

See this in plain English?

AI-rewrites the medical criteria so a patient or caregiver can understand them. Always confirm with the trial site.

Inclusion criteria

✓. 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;

Exclusion criteria

✕. 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.