Antisocial behavior disorder behavior disorder
Conditions
Interventions
Both groups will receive Forensic Ambulant System Therapy (FAST), but in a
different form. The goal of FAST is to reduce antisocial and delinquent
behavior of youth and prevent out of home placement
Sponsors
Universiteit Utrecht
Eligibility
Age
12 Years to 64 Years
Inclusion criteria
Inclusion criteria: Every juvenile and caregiver who meets the FAST inclusion criteria is considered for the study. FAST therapists determine whether clients meet the inclusion criteria during the standard FAST intake procedure. The inclusion criteria are: 1. 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; Kaal et al., 2015). The score on the SCIL determiners whether an IQ-test and/or a measurement of adaptive skills using the ADAPT (Jonker & Nijman, 2021) is necessary; 2. Juvenile is aged 12-21 years old at intervention start; 3. 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; 4. Juvenile has a medium to high recidivism risk, measured by the Risicotaxatie-instrument voor de Ambulante Forensische GGZ Jeugd (RAF GGZ Jeugd; Van Horn et al., 2013) and/or the Landelijk Instrumentarium Jeugdstrafrechtketen (LIJ; Ministerie van Veiligheid en Justitie, 2012); 5. Presence of juvenile-caregiver relationship problems, as measured by the RAF GGZ Jeugd; 6. Juvenile has a diagnosis of a DSM-5 behavioral disorder, which is determined using case file analysis or a new diagnostic process; 7. Caregiver(s) and juvenile cannot be motivated to follow treatment at the outpatient clinic; 8. Juvenile and caregiver(s) have sufficient Dutch language skills, as estimated by the FAST therapist team; 9. Treatment can be offered in either a voluntary or mandatory framework; 10. Juvenile resides with their caregiver(s) or is expected to return to residing with caregiver(s) within the first two months of intervention.
Exclusion criteria
Exclusion criteria: 1. Clients meet the FAST exclusion criteria, which are: a. Juvenile exhibits severe psychiatric symptoms requiring admission; b. Problem behavior of the juvenile is caused by primary substance abuse problems; c. Caregiver(s) refuse structurally to participate in treatment d. The safety of the therapist or family members cannot be guaranteed sufficiently; 2. Clients do not have an electronic device or suitable internet connection to receive blended care; 3. Clients have insufficient digital literacy to receive blended care; 4. Families need a translator to receive the intervention.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Primary outcomes are aggression, delinquency, out of home placement, and recidivism (risk). | — |
Secondary
| Measure | Time frame |
|---|---|
| Seconday outcomes are internalizing problems of the youth, substance use, contact of the youth with deviant peers, and client formulated goals. | — |
Countries
Netherlands
Outcome results
None listed