Cognitive‐behavioral treatment for antisocial behavior in youth in residential treatment (original) (raw)
Related papers
Youth antisocial behavior exacts a tremendous toll on society and often persists into adulthood. Although researchers have identified a number of interventions that prevent or reduce youth antisocial behavior in the short term, only recently has evidence of longterm intervention effects become available. In addition, historical divisions between prevention and therapy have impeded cooperation among researchers and intervention providers alike, thereby limiting progress in addressing an important social concern. The present study used meta-analysis to (1) summarize evidence that youth interventions influence long-term patterns of antisocial behavior, (2) identify factors that moderate long-term outcomes of interventions, and (3) facilitate integration of findings across prevention and therapy outcome studies. Results from 66 intervention trials (i.e., 34 prevention trials, 32 therapy trials) indicated that many interventions delivered during childhood and adolescence can produce lasting reductions in antisocial behavior (mean d = .31, 95% confidence interval = .23-.39) relative to control conditions. In addition, moderator analyses revealed specific characteristics of participants, interventions, and study methods that influenced the size of those reductions. The results of this metaanalysis have important implications for selecting effective interventions to address antisocial behavior during childhood and adolescence. Moreover, the findings imply that youth service systems (e.g., education, mental health, juvenile justice, child welfare) would likely benefit from increased integration of prevention and therapy practices. Evaluating the Long-Term Impact of Youth Interventions on Antisocial Behavior: An Integrative Review and Analysis Antisocial behavior is the most common and costliest of all youth mental health problems (Cohen, 1998; Welsh et al., 2008) and follows a severe, persistent course for 5 to 10 percent of youths (Laub & Sampson, 2001; Moffitt, 1993). The research literature suggests that many interventions can effectively reduce youths' likelihood of engaging in antisocial behavior both while interventions are occurring and up to a few months after interventions have ended (Durlak & Wells,
The lancet. Psychiatry, 2018
Adolescent antisocial behaviour is a major health and social problem. Studies in the USA have shown that multisystemic therapy reduces such behaviour and the number of criminal offences committed by this group. However, findings outside the USA are equivocal. We aimed to assess the effectiveness and cost-effectiveness of multisystemic therapy versus management as usual in the treatment of adolescent antisocial behaviour. We did an 18 month, multisite, pragmatic, randomised controlled, superiority trial in England. Eligible participants aged 11-17 years with moderate-to-severe antisocial behaviour had at least three severity criteria indicating past difficulties across several settings and one of five general inclusion criteria for antisocial behaviour. We randomly assigned families (1:1) using stochastic minimisation, stratifying for treatment centre, sex, age at enrolment to study, and age at onset of antisocial behaviour, to receive either management as usual or 3-5 months of mult...
Residential Treatment for Children & Youth, 2019
Although research has repeatedly shown that residential care for youth with a serious behavior problem has little rehabilitation success, there is a group of youth for whom residential care in a locked setting is necessary. In this article, a manualized therapeutic residential treatment model for adolescents with serious behavior problems, MultifunC, is evaluated. The program theory of MultifunC is based on a review of the literature and synthesis effective treatment components. This study included 80 youth aged 15-17 years with a medium high or high risk for reoffending. Half of the participants received MultifunC, and half treatment as usual (TAU). Although non-randomized, the two groups were found to be equivalent on important background variables. After 24 months, this first evaluation of MultifunC demonstrated that youth participating in MultifunC had a reduced need for residential care in a locked setting as well as out-of-home placement in general compared to youth in the TAU group. The economic analysis found MultifunC to be a cost-effective alternative to TAU due to the reduced need of residential care in locked settings. There were no significant effects on reoffending or psychiatric care.
2015
Objective: We assess the impact of a community-based intervention program for boys 6-11 years old at-risk of antisocial behaviour, and compare changes in behaviour and competence pre-post for intervention and wait-list comparison group. Method: Interested parents called for enrolment. Inclusion required police contact and/or clinical scores (T>69) on Child Behaviour Checklist (CBCL) or Teacher Report Form (TRF), no developmental delay and English speaking. The program included two core 12-week groups (children’s, parents’) and optional additional services. Twelve sessions (February 2002 – December 2005) provide pre-post intervention data, boys waiting at least 6 months formed a comparison group (starting April 2005). Outcomes included CBCL and TRF behaviour scales (rule-breaking, aggression, conduct, total problems) and competence. Repeated measures analysis of variance was done. Results: Pre-post outcome comparisons indicated improve-ments among all boys, with significant differ...
Child and Adolescent Mental Health, 2004
Background: MST is an intensive home-and community-based intervention for youths with serious antisocial behaviour and other serious clinical problems, which has been effective at reducing out-of-home placements and producing favourable long-term clinical outcomes in the US. The aims of the study were to determine the degree to which these outcomes would be replicated in Norway for youths with serious behaviour problems and to conduct a randomised trial of MST by an independent team of investigators. Method: Participants were 100 seriously antisocial youths in Norway who were randomly assigned to Multisystemic Therapy (MST) or usual Child Welfare Services (CS) treatment conditions. Data were gathered from youths, parents, and teachers pre-and post-treatment. Results: MST was more effective than CS at reducing youth internalising and externalising behaviours and out-of-home placements, as well as increasing youth social competence and family satisfaction with treatment. Discussion: This is the first study of MST outside of the US and one of the first not conducted by the developers of MST. The findings replicate those obtained by MST's developers and demonstrate the generalisability of short-term MST effects beyond the US.
RISK FACTORS ASSOCIATED WITH JUVENILE ANTISOCIAL BEHAVIORS: A Systematic Literature Review Study
Antisocial behavior (ASB) among children and adolescents and related disorders are the leading issues in pediatric psychiatry appointments across the board, both in-patient and outpatient settings. Moreover, given multitude of ASB risk factors, treatment and management of these conditions often become ineffective, especially when these interventions focus on a single risk factor, while overlooked other potential factors. Methods: In this study, literature review of relevant peer reviewed papers was utilized, to dissect all risk factors of juvenile ASB through a biopsychosocial model of illness, diseases, and behavior, to better understand these factors. Outcomes: Results indicate that juvenile ASB risk factors include preexisting conditions such as genetics, brain structure and neurological functions, in close interaction with early childhood adverse events, and precipitating or perpetuating factors such as environment or socioeconomic strains (Appendices 1&2). Conclusion: The finding from this study shows that juvenile ASB is significantly linked to five interrelated risk factors including: (a) atypical brain development structure (ABDS) such as reduced engagement of anterior cingulate cortex, (b) genetics, (c) environment interaction, (d) mental disorders and related psychiatric comorbidities associated with adverse childhood experiences (ACEs), and (e) traumatic brain injury (TBI). Effective assessment, clinical interventions and evidence-based management strategies are provided in a holistic fashion.
BMC Psychiatry
Background Antisocial behavior during adolescence can have long-lasting negative effects and leads to high societal costs. Forensic Outpatient Systemic Therapy (Forensische Ambulante Systeem Therapie; FAST) is a promising treatment for juveniles aged 12–21 showing severe antisocial behavior. The intensity, content and duration of FAST can be adjusted to the needs of the juvenile and their caregiver(s), which is considered crucial for effective treatment. Next to the regular version of FAST (FASTr), a blended version (FASTb) in which face-to-face contacts are replaced by minimally 50% online contacts over the duration of intervention was developed during the Covid-19 pandemic. The current study will investigate whether FASTb is equally effective as FASTr, and through which mechanisms of change, for whom, and under which conditions FASTr and FASTb work. Methods A randomized controlled trial (RCT) will be carried out. Participants (N = 200) will be randomly assigned to FASTb (n = 100) ...