severe behavioural problems Difficult behavior
Conditions
Interventions
Following standard referral procedures, families were either referred to
standard MST or MST-ID treatment (i.e., non-randomly). Both standard MST and
MST-ID are intensive, home-based treatments with
Sponsors
De Viersprong
Eligibility
Age
2 Years to 99 Years
Inclusion criteria
Inclusion criteria: 1. Adolescent must be 10 to 19 years old at the start of treatment; 2. Adolescent presents with severe behavioural problems in at least two life areas; 3. Adolescent lives with a family or there is a family the adolescent can live with, in which parent(s) have parental custody for a longer period of time; 4. Parent(s) consent(s) and is/are willing to engage in treatment to prevent an out-of-home placement of the adolescent; 5. A known or suspected intellectual disability (operationalised as an intelligence quotient [IQ] score of between 50-85 and additional deficits in adaptive functioning) in the adolescent and/or parent(s); 6. Have sufficient knowledge of the Dutch language (as assessed by a clinician and/or researcher) in order to understand and answer the various (self-report) questionnaires. This pertains to adolescents as well as parent(s).
Exclusion criteria
Exclusion criteria: 1. Adolescent lives independently; 2. Adolescent presents with severe problematic sexual behaviours, without presenting with other severe behavioural problems; 3. Adolescent presents suicidal, psychotic, or homicidal requiring specialised treatment (such as a crisis placement in a residential facility); 4. Adolescent has a severe Autism Spectrum Disorder (level 2-3 according to the DSM-V criteria) or a severe ID (IQ score lower than 50); 5. Adolescent has internalising psychiatric problems which are the primary reason for referral, or has serious psychiatric problems (similar to #3 as well as for example eating disorder; Henggeler et al., 2009).
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The primary parameter is rule-breaking behaviour of adolescents. This parameter is primarily considered from the parental perspective, using the Child Behavior Check List (CBCL; Achenbach & Rescorla, 2001) as answered by parents, and additionally from the adolescent perspective, using the Youth Self Report (YSR; Achenbach & Rescorla, 2001) as answered by adolescents. | — |
Secondary
| Measure | Time frame |
|---|---|
| The secondary parameters are: 1. Externalising and internalising behavioural problems of adolescents; 2. Parenting stress; 3. Out-of-home placement; 4. Delinquency; 5. Schoolgoing or employment; 6. Addictions; 7. Social network; 8. Instrumental outcomes. For the parameter 'Externalising and internalising behavioural problems of adolescents', the CBCL (6-18; Achenbach & Rescorla, 2001) as answered by parents and the YSR (Achenbach & Rescorla, 2001) as answered by adolescents are used. For the parameter 'Parenting stress', the Parenting Stress Questionnaire (OBVL; Vermulst et al., 2012) is used as completed by parents. For the parameters 'Out-of-home placement', 'Delinquency', 'Schoolgoing or employment', 'Addictions', 'Social network', and 'Instrumental outcomes' which all concern the adolescent and/or parents, the Social Demographic Information (SDI 3.0; Praktikon/MST-Netherlands/Belgium, 2022) is used as completed by the therapist (sometimes in cooperation with parents). Finally, the parameter 'Experiences of families receiving MST-ID' will be assessed in the qualitative part of the study. | — |
Countries
Netherlands
Contacts
Public ContactS.M.Y. van der Horst
De Viersprong
Outcome results
None listed