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

NCT ID: NCT06032520

Last Updated: 2024-12-12

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

RECRUITING

Total Enrollment

15 participants

Study Classification

OBSERVATIONAL

Study Start Date

2023-08-25

Study Completion Date

2025-08-31

Brief Summary

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

Detailed Description

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Forensic Outpatient Systemic Therapy (in Dutch: Forensische Ambulante Systeem Therapie; FAST) is a promising treatment for juveniles showing severe antisocial behavior, including aggression, (domestic) violence, and delinquent behavior. FAST has a flexible intensity and length, addresses individual and systemic risk and protective factors, and is responsive to the abilities of the client (system), intervention characteristics all considered crucial for effective treatment. The current study will investigate whether FAST is effective in reducing aggression of the juvenile, in reaching client formulated subgoals, and in improving family functioning (i.e., reducing juvenile-caregiver conflict and increasing caregiver responsiveness). In addition, processes of change will be examined, as well as mediation by reaching client formulated subgoals and improved family functioning. A Multiple Case Experimental Design (MCED) with an ABC design will be performed (A = baseline, B = intervention, and C = follow-up). Juveniles with primary aggression and/or anger problems (N = 15) and their caregiver(s) will be recruited.

Conditions

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Conduct Disorder Antisocial Behavior Aggression Behavioral Disorder

Keywords

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Multiple Case Experimental Design Forensic Outpatient Systemic Therapy Antisocial Behavior Aggression Mediation Effectiveness

Study Design

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Observational Model Type

CASE_ONLY

Study Time Perspective

PROSPECTIVE

Study Groups

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Forensic Outpatient Systemic Therapy (FAST)

FAST is a promising treatment for juveniles showing severe antisocial behavior, including aggression, (domestic) violence, and delinquent behavior. FAST has a flexible intensity and length, addresses individual and systemic risk and protective factors, and is responsive to the abilities of the client (system), intervention characteristics all considered crucial for effective treatment.

FAST

Intervention Type BEHAVIORAL

FAST includes around 3 hours of face-to-face direct treatment time weekly and consists of a maximum of 10% online direct treatment time (i.e., treatment via phone, video-calling or texting). The treatment stage of FAST lasts five to nine months depending on the individual goals of the juvenile and the caregiver(s) and is followed by a period of aftercare.

Interventions

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FAST

FAST includes around 3 hours of face-to-face direct treatment time weekly and consists of a maximum of 10% online direct treatment time (i.e., treatment via phone, video-calling or texting). The treatment stage of FAST lasts five to nine months depending on the individual goals of the juvenile and the caregiver(s) and is followed by a period of aftercare.

Intervention Type BEHAVIORAL

Other Intervention Names

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Forensic Outpatient Systemic Therapy Forensische Ambulante Systeem Therapie

Eligibility Criteria

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Inclusion Criteria

1. Juvenile has an estimated IQ-score of 80 or higher and/or sufficient adaptive skills to benefit from FAST;
2. Juvenile is aged 12 to 21 years old at the start of the intervention;
3. 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;
4. Juvenile has a medium to high recidivism risk, measured by the Risk Assessment Instrument for Outpatient Forensic Mental Health Care Youth (RAF GGZ Youth);
5. Presence of juvenile-caregiver relationship problems, measured by the RAF GGZ Youth;
6. Juvenile has a diagnosis of a DSM-5 behavioral disorder, which is determined using a new diagnostic process or case file analysis;
7. Juvenile and caregiver(s) cannot be motivated to follow treatment at the treatment site after multiple attempts by the therapist;
8. Juvenile resides with their caregiver(s) or is expected to return to residing with their caregiver(s) within the first two months of FAST.

Exclusion Criteria

1. Juvenile exhibits severe psychiatric symptoms requiring admission;
2. 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;
3. 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.
Minimum Eligible Age

12 Years

Maximum Eligible Age

21 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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De Waag

UNKNOWN

Sponsor Role collaborator

Utrecht University

OTHER

Sponsor Role lead

Responsible Party

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Marjolein van Cappellen

PhD Student

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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de Waag

Utrecht, , Netherlands

Site Status NOT_YET_RECRUITING

Utrecht University

Utrecht, , Netherlands

Site Status RECRUITING

Countries

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Netherlands

Central Contacts

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Marjolein van Cappellen

Role: CONTACT

Phone: +31621944124

Email: [email protected]

Jessica Asscher

Role: CONTACT

Phone: +31624584734

Email: [email protected]

Facility Contacts

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Larissa Hoogsteder

Role: primary

Marjolein van Cappellen

Role: primary

Jessica Asscher

Role: backup

Hanneke Creemers

Role: backup

Related Links

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Other Identifiers

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60-63600-98-1138a

Identifier Type: -

Identifier Source: org_study_id