Status:

RECRUITING

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

Lead Sponsor:

Utrecht University

Collaborating Sponsors:

De Waag

Conditions:

Conduct Disorder

Antisocial Behavior

Eligibility:

All Genders

12-21 years

Brief Summary

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

Detailed Description

Forensic Outpatient Systemic Therapy (in Dutch: Forensische Ambulante Systeem Therapie; FAST) is a promising treatment for juveniles showing severe antisocial behavior, including aggression, (domestic...

Eligibility Criteria

Inclusion

  • FAST therapists determine whether clients meet inclusion and exclusion criteria of FAST during the standard intake procedure of FAST. The FAST inclusion criteria are:
  • 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.
  • The FAST exclusion criteria are:
  • 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.

Exclusion

    Key Trial Info

    Start Date :

    August 25 2023

    Trial Type :

    OBSERVATIONAL

    Allocation :

    ESTIMATED

    End Date :

    August 1 2025

    Estimated Enrollment :

    15 Patients enrolled

    Trial Details

    Trial ID

    NCT06032520

    Start Date

    August 25 2023

    End Date

    August 1 2025

    Last Update

    December 12 2024

    Active Locations (2)

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    Page 1 of 1 (2 locations)

    1

    de Waag

    Utrecht, Netherlands

    2

    Utrecht University

    Utrecht, Netherlands