Mental and behavioural disorders due to psychoactive substance use, Behavioural and emotional disorders with onset usually occurring in childhood and adolescence Mental and Behavioural Disorders
Conditions
Interventions
The aim of this study is to determine whether it is feasible to complete a pilot trial of Multi-Systematic Therapy-Exploitation (MST-E) within existing Multi-Systemic Therapy (MST) services in England
Sponsors
University of Warwick
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1. Aged between 10 to 15-years 2. Parental consent to take part 3. Child is at risk of exploitation as evidenced by either the child or family having disclosed information to indicate that the child is at risk of another individual or group taking advantage of an imbalance of power to coerce, control, manipulate, or deceive them into any criminal activity in exchange for something the victim needs or wants, for the financial or other advantage of the perpetrator or facilitator, or through violence or the threat of violence, or there is evidence of at least two of the following present which suggests that a children is at risk of exploitation: 3.1. A criminal conviction, or a final warning, cautions or reprimands within the last year 3.2. Exhibiting weekly aggressive behaviour which is of a significant risk to others (e.g. sexually abusive behaviour, physical fighting) outside the home 3.3. At least one period of having gone missing, even for a few hours, within the last six-months 3.4. History of substance misuse (alcohol or drugs) 3.5. History of permanent school exclusion 3.6. Association with peers or adults who are seen by others to have had a negative influence upon the child
Exclusion criteria
Exclusion criteria: 1. The family refuse to take part in the study 2. The young person lives independently, or a primary caregiver cannot be identified 3. The child is presenting with symptoms consistent with a psychotic illness 4. Child is at high risk of suicide 5. Documented evidence of a Full-Scale IQ <65 6. There is evidence to indicate that a family member who is living with the child has been sexually abusing them and there continues to be an active and enduring risk 7. The child has previously received a diagnosis of autism spectrum disorder and problematic behaviours as defined within the inclusion criteria have been judged to be associated with having a developmental disability (e.g. self-harm associated with hypersensitivity) by the clinical team assessing the referral
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Antisocial behaviours will be measured with the Self-Report Delinquency Measure (SRDM; Smith & McVie, 2003), collected at baseline, mid-point, end-point, and six months | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Crime data will be collected by working with referrers and the police to gain access to arrest, caution, reprimands, warnings and conviction data for participants. We aim to initially collect crime data over the prior 6-month period to the commencement of treatment, during treatment, and the 6-month follow-up period 2. Empathy will be assessed using the parental version of the Griffith Empathy Measure (GEM; Dadds et al., 2008), collected at baseline, mid-point, end-point, and six months 3. Callous and Unemotional Traits will be measured using the 24-item Inventory of Callous and Unemotional Traits – Parent Report and Youth Self-Report Versions (Essau, Sasagawa, & Frick, 2006), collected at baseline, mid-point, end-point, and six months 4. Well-being will be measured by the parent and self-report versions of the Strengths and Difficulties Questionnaire (SDQ, Goodman, 1997), at baseline, mid-point, end-point, and six months 5. Peer Deviance will be measured using the Behavior of Friends Questionnaire (BFQ; Goodnight, Bates, Newman, Dodge, & Pettit, 2006), at baseline, mid-point, end-point, and six months 6. Parenting will be measured using both the parent and child report versions of the The Alabama Parenting Questionnaire (Essau, Sasagawa, & Frick, 2006; Frick, Christian, & Wootton, 1999), at baseline, mid-point, end-point, and six months 7. Satisfaction and acceptability of the intervention will be measured by by asking all children, adolescents and parents to complete a short questionnaire containing 10-items that will be answered using a Likert scale at the end-point 8. Social Deprivation data will be drawn from the English Indices of Deprivation, retrieved using participants’ postcodes, which will be collected at baseline 9. Family Functioning will be measured using the Family Adaptability and Cohesion Scales – IV (FACES-IV; (Olson & Gorall, 2006), at baseline, mid-point, end-point, and six months 10. Gang Affiliation will be measured with the Gang Affiliatio | — |
Countries
England, United Kingdom
Outcome results
None listed