The effectiveness of blended Forensic Ambulant Systemic Treatment (FASTb): A randomized controlled trial comparing blended and regular FAST

Recruiting

• Conditions: Antisocial behavior disorder; behavior disorder; 10034726

• Registration Number: NL-OMON51458
• Lead Sponsor: niversiteit Utrecht

Brief Summary

Not available

Detailed Description

Not available

Study Timeline

• Results First Posted: 1900-01-01
• Last Update Posted: 9 April 2024

Recruitment & Eligibility

• Status: Recruiting
• Sex: Not specified
• Target Recruitment: 200

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

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.

Study & Design

• Study Type: Interventional
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
<p>Primary outcomes are aggression, delinquency, out of home placement, and<br /><br>recidivism (risk). </p><br>

Secondary Outcome Measures

Name	Time	Method
<p>Seconday outcomes are internalizing problems of the youth, substance use,<br /><br>contact of the youth with deviant peers, and client formulated goals. </p><br>