Back to resultsThe Effectiveness of Blended Forensic Ambulant Systemic Therapy (FASTb)
Primary Purpose
Conduct Disorder, Antisocial Behavior, Behavioral Disorder
Status
Recruiting
Phase
Not Applicable
Locations
Netherlands
Study Type
Interventional
Intervention
FASTb
FASTr
Sponsored by
About this trial
This is an interventional treatment trial for Conduct Disorder
Eligibility 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: 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). The score on the SCIL determiners whether an IQ-test and/or a measurement of adaptive skills using the ADAPT is necessary; Juvenile is aged 12-21 years old at intervention start; 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; Juvenile has a medium to high recidivism risk, measured by the Risicotaxatie-instrument voor de Ambulante Forensische GGZ Jeugd (RAF GGZ Jeugd) and/or the Landelijk Instrumentarium Jeugdstrafrechtketen (LIJ); Presence of juvenile-caregiver relationship problems, as measured by the RAF GGZ Jeugd; Juvenile has a diagnosis of a DSM-5 behavioral disorder, which is determined using case file analysis or a new diagnostic process; Caregiver(s) and juvenile cannot be motivated to follow treatment at the outpatient clinic; Juvenile and caregiver(s) have sufficient Dutch language skills, as estimated by the FAST therapist team; Treatment can be offered in either a voluntary or mandatory framework; Juvenile resides with their caregiver(s) or is expected to return to residing with caregiver(s) within the first two months of intervention. A potential subject who meets any of the following criteria will be excluded from participation in this study: Clients meet the FAST exclusion criteria, which are: Juvenile exhibits severe psychiatric symptoms requiring admission; Problem behavior of the juvenile is caused by primary substance abuse problems; Caregiver(s) refuse structurally to participate in treatment The safety of the therapist or family members cannot be guaranteed sufficiently; Clients do not have an electronic device or suitable internet connection to receive blended care; Clients have insufficient digital literacy to receive blended care; Families need a translator to receive the intervention.
Sites / Locations
- de Waag
- Utrecht UniversityRecruiting
Arms of the Study
Arm 1
Arm 2
Arm Type
Experimental
Active Comparator
Arm Label
FASTb
FASTr
Arm Description
Participants receive FAST blended (FASTb): a combination of face-to-face and online therapy
Participants receive FAST regular (FASTr): face-to-face therapy
Outcomes
Primary Outcome Measures
Change in Aggression and Delinquency assessed by the Youth Self Report (YSR)
The YSR is a self-reported instrument. The Externalizing scale contains 30 items assessing aggression and delinquency. Possible scores range from 0 (never) to 2 (often). For the monthly assessment, a shortened version of the YSR Externalizing scale will be administered.
Change in Aggression and Delinquency assessed with the Child Behavior Checklist (CBCL)
The CBCL is a caregiver-reported instrument. The Externalizing scale contains 36 items assessing aggression and delinquency. Possible scores range from 0 (never) to 2 (often). For the monthly assessment, a shortened version of the CBCL Externalizing scale will be administered.
Change in Delinquency assessed with the Self-Report Delinquent Behavior (ZDG)
The Self-report Delinquent Behavior [Zelfrapportage Delinquent Gedrag; ZDG] is a self-reported instrument, assessing how many times the juvenile has done certain (rule-breaking) things in the past year. The ZDG contains 30 items. For the monthly assessment, a shortened version of the ZDG will be administered.
Percentage of Participants with Out of Home Placement assessed using File Analysis
A participant is viewed as being placed out of home when they do not reside with their primary family, either temporarily or permanently, and either voluntarily or involuntarily. Out of home placement is registered by therapists during treatment as part of the standard FAST procedure.
Percentage of Participants with Out of Home Placement assessed using an Out of Home Placement Questionnaire
A participant is viewed as being placed out of home when they do not reside with their primary family, either temporarily or permanently, and either voluntarily or involuntarily. Out of home placement will be assessed using a questionnaire measuring living situation, which is filled in by juveniles and caregivers. The questionnaire contains one item assessing where the juvenile lives most days of the week.
Change in Recidivism Risk assessed with the RAF GGZ Youth
The RAF GGZ Youth is an extensive risk assessment instrument and includes items measuring recidivism risk. The RAF GGZ Youth is filled in by the therapist as part of the standard FAST procedure. Possible scores range from 1 (low) to 5 (high).
Percentage of Participants having Recidivated
Recidivism is defined as a conviction, which is coded from official judicial records.
Secondary Outcome Measures
Change in Internalizing Problems assessed with the Youth Self Report (YSR)
The YSR is a self-reported instrument. The Internalizing scale contains 31 items, with possible scores ranging from 0 (never) to 2 (often).
Change in Internalizing Problems assessed with the Child Behavior Checklist (CBCL)
The CBCL is a caregiver-reported instrument. The Internalizing scale contains 32 items, with possible scores ranging from 0 (never) to 2 (often).
Change in Substance Use assessed with the Monitoring Station Substance Use
Monitoring Station Substance Use [Peilstation Middelengebruik] is a self-reported instrument. It contains five items assessing frequency and intensity of substance use.
Change in Substance Use assessed with the RAF GGZ Youth
The RAF GGZ Youth is an extensive risk assessment instrument and includes items measuring substance use. The RAF GGZ Youth is filled in by the therapist as part of the standard FAST procedure.
Change in Substance Use assessed with the FAST Goal Lists
The FAST Goals Lists are filled in by juveniles, caregivers, and therapists as part of the standard FAST-procedure, and assess the achievement of FAST goals in the past two months. The list includes 1 item on change in substance use. Possible scores range from 1 (not true at all) to 10 (absolutely true).
Change in Contact with Deviant Peers assessed with the Basic Questionnaire Peers (BVL)
The Basic Questionnaire Peers [Basisvragenlijst Leeftijdsgenoten; BVL] is a self-reported instrument with 13 items. Possible scores differ per question, for instance measuring amount of friends, or 0 (never) to 4 (5 times or more).
Change in Contact with Deviant Peers assessed with the Family, Friends, & Self Scale (FFSS)
The FFSS is a self-reported instrument and contains 16 items. Possible scores range from 1 (none) to 5 (almost all of them).
Change in Client Formulated Goals assessed by the FAST Goal Lists
The FAST goal lists are filled in by juveniles, caregivers, and therapists as part of the standard FAST-procedure, and assess the achievement of FAST goals in the past two months. Possible scores range from 1 (not true at all) to 10 (absolutely true).
Full Information
NCT ID
NCT05606978
First Posted
October 25, 2022
Last Updated
January 17, 2023
Sponsor
Utrecht University
Collaborators
de Waag
1. Study Identification
Unique Protocol Identification Number
NCT05606978
Brief Title
The Effectiveness of Blended Forensic Ambulant Systemic Therapy
Acronym
FASTb
Official Title
The Effectiveness of Blended Forensic Ambulant Systemic Therapy (FASTb): A Randomized Controlled Trial Comparing Blended and Regular FAST
Study Type
Interventional
2. Study Status
Record Verification Date
January 2023
Overall Recruitment Status
Recruiting
Study Start Date
November 14, 2022 (Actual)
Primary Completion Date
February 2027 (Anticipated)
Study Completion Date
December 2028 (Anticipated)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
Utrecht University
Collaborators
de Waag
4. Oversight
Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No
5. Study Description
Brief Summary
The purpose of this study is to investigate whether blended Forensic Ambulant Systemic Therapy (FASTb) is equally effective as regular FAST (FASTr).
Detailed Description
Forensic Ambulant Systemic Therapy (FAST) is a promising treatment for juveniles aged 12-21 showing antisocial behavior and conduct disorders. Next to regular FAST (FASTr), a blended version was developed (FASTb), in which face-to-face contact is replaced by minimally 50% online contact over the duration of intervention, consisting of video-calls and eHealth modules. The primary aim of the current study is to investigate whether FASTb is equally effective as FASTr. All clients (and their caregivers) who meet the inclusion and eligibility criteria and who signed informed consent will be assigned to either the FASTr or FASTb condition. Randomization will be done on the family level and will not depend on therapist or treatment site.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Conduct Disorder, Antisocial Behavior, Behavioral Disorder
7. Study Design
Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
200 (Anticipated)
8. Arms, Groups, and Interventions
Arm Title
FASTb
Arm Type
Experimental
Arm Description
Participants receive FAST blended (FASTb): a combination of face-to-face and online therapy
Arm Title
FASTr
Arm Type
Active Comparator
Arm Description
Participants receive FAST regular (FASTr): face-to-face therapy
Intervention Type
Behavioral
Intervention Name(s)
FASTb
Intervention Description
FAST blended
Intervention Type
Behavioral
Intervention Name(s)
FASTr
Intervention Description
FAST regular
Primary Outcome Measure Information:
Title
Change in Aggression and Delinquency assessed by the Youth Self Report (YSR)
Description
The YSR is a self-reported instrument. The Externalizing scale contains 30 items assessing aggression and delinquency. Possible scores range from 0 (never) to 2 (often). For the monthly assessment, a shortened version of the YSR Externalizing scale will be administered.
Time Frame
T1 (baseline); monthly during intervention, up to 9 months; T2 (post-intervention) up to 9 months; T3 (follow-up) 6 months post intervention
Title
Change in Aggression and Delinquency assessed with the Child Behavior Checklist (CBCL)
Description
The CBCL is a caregiver-reported instrument. The Externalizing scale contains 36 items assessing aggression and delinquency. Possible scores range from 0 (never) to 2 (often). For the monthly assessment, a shortened version of the CBCL Externalizing scale will be administered.
Time Frame
T1 (baseline); monthly during intervention, up to 9 months; T2 (post-intervention) up to 9 months; T3 (follow-up) 6 months post intervention
Title
Change in Delinquency assessed with the Self-Report Delinquent Behavior (ZDG)
Description
The Self-report Delinquent Behavior [Zelfrapportage Delinquent Gedrag; ZDG] is a self-reported instrument, assessing how many times the juvenile has done certain (rule-breaking) things in the past year. The ZDG contains 30 items. For the monthly assessment, a shortened version of the ZDG will be administered.
Time Frame
T1 (baseline); monthly during intervention, up to 9 months; T2 (post-intervention) up to 9 months; T3 (follow-up) 6 months post intervention
Title
Percentage of Participants with Out of Home Placement assessed using File Analysis
Description
A participant is viewed as being placed out of home when they do not reside with their primary family, either temporarily or permanently, and either voluntarily or involuntarily. Out of home placement is registered by therapists during treatment as part of the standard FAST procedure.
Time Frame
T1 (baseline); T2 (post-intervention) up to 9 months
Title
Percentage of Participants with Out of Home Placement assessed using an Out of Home Placement Questionnaire
Description
A participant is viewed as being placed out of home when they do not reside with their primary family, either temporarily or permanently, and either voluntarily or involuntarily. Out of home placement will be assessed using a questionnaire measuring living situation, which is filled in by juveniles and caregivers. The questionnaire contains one item assessing where the juvenile lives most days of the week.
Time Frame
T2 (post-intervention) up to 9 months; T3 (follow-up) 6 months post intervention
Title
Change in Recidivism Risk assessed with the RAF GGZ Youth
Description
The RAF GGZ Youth is an extensive risk assessment instrument and includes items measuring recidivism risk. The RAF GGZ Youth is filled in by the therapist as part of the standard FAST procedure. Possible scores range from 1 (low) to 5 (high).
Time Frame
T1 (baseline); T2 (post-intervention) up to 9 months
Title
Percentage of Participants having Recidivated
Description
Recidivism is defined as a conviction, which is coded from official judicial records.
Time Frame
T4 (two years post-intervention)
Secondary Outcome Measure Information:
Title
Change in Internalizing Problems assessed with the Youth Self Report (YSR)
Description
The YSR is a self-reported instrument. The Internalizing scale contains 31 items, with possible scores ranging from 0 (never) to 2 (often).
Time Frame
T1 (baseline); T2 (post-intervention) up to 9 months; T3 (follow-up) 6 months post intervention
Title
Change in Internalizing Problems assessed with the Child Behavior Checklist (CBCL)
Description
The CBCL is a caregiver-reported instrument. The Internalizing scale contains 32 items, with possible scores ranging from 0 (never) to 2 (often).
Time Frame
T1 (baseline); T2 (post-intervention) up to 9 months; T3 (follow-up) 6 months post intervention
Title
Change in Substance Use assessed with the Monitoring Station Substance Use
Description
Monitoring Station Substance Use [Peilstation Middelengebruik] is a self-reported instrument. It contains five items assessing frequency and intensity of substance use.
Time Frame
T1 (baseline); T2 (post-intervention) up to 9 months; T3 (follow-up) 6 months post intervention
Title
Change in Substance Use assessed with the RAF GGZ Youth
Description
The RAF GGZ Youth is an extensive risk assessment instrument and includes items measuring substance use. The RAF GGZ Youth is filled in by the therapist as part of the standard FAST procedure.
Time Frame
T1 (baseline); T2 (post-intervention) up to 9 months
Title
Change in Substance Use assessed with the FAST Goal Lists
Description
The FAST Goals Lists are filled in by juveniles, caregivers, and therapists as part of the standard FAST-procedure, and assess the achievement of FAST goals in the past two months. The list includes 1 item on change in substance use. Possible scores range from 1 (not true at all) to 10 (absolutely true).
Time Frame
T1 (baseline); T2 (post-intervention) up to 9 months
Title
Change in Contact with Deviant Peers assessed with the Basic Questionnaire Peers (BVL)
Description
The Basic Questionnaire Peers [Basisvragenlijst Leeftijdsgenoten; BVL] is a self-reported instrument with 13 items. Possible scores differ per question, for instance measuring amount of friends, or 0 (never) to 4 (5 times or more).
Time Frame
T1 (baseline); T2 (post-intervention) up to 9 months; T3 (follow-up) 6 months post intervention
Title
Change in Contact with Deviant Peers assessed with the Family, Friends, & Self Scale (FFSS)
Description
The FFSS is a self-reported instrument and contains 16 items. Possible scores range from 1 (none) to 5 (almost all of them).
Time Frame
T1 (baseline); T2 (post-intervention) up to 9 months; T3 (follow-up) 6 months post intervention
Title
Change in Client Formulated Goals assessed by the FAST Goal Lists
Description
The FAST goal lists are filled in by juveniles, caregivers, and therapists as part of the standard FAST-procedure, and assess the achievement of FAST goals in the past two months. Possible scores range from 1 (not true at all) to 10 (absolutely true).
Time Frame
T1 (baseline); T2 (post-intervention) up to 9 months
Other Pre-specified Outcome Measures:
Title
Change in Social Support assessed by the Parental Support Questionnaire (PSQ)
Description
The PSQ is a caregiver self-reported instrument and contains 15 items. Possible scores range from 0 (no) to 1 (yes), and 1 (unsatisfied) to 5 (satisfied).
Time Frame
T1 (baseline); T2 (post-intervention) up to 9 months; T3 (follow-up) 6 months post intervention
Title
Change in Caregiver-Adolescent Conflict assessed by the Network of Relationship Inventory (NRI)
Description
The NRI is a juvenile and caregiver self-reported instrument. The NRI contains six items with possible scores ranging from 1 (little to not) to 5 (the most). For the monthly assessment, a shortened version of the NRI will be administered.
Time Frame
T1 (baseline); monthly from baseline to post intervention, up to 9 months; T2 (post-intervention) up to 9 months; T3 (follow-up) 6 months post intervention
Title
Change in Caregiver-Adolescent Relationship Quality assessed by the Inventory of Parent and Peer Attachment (IPPA)
Description
The IPPA is a juvenile self-reported instrument and contains 12 items per caregiver. Possible scores range from 1 (almost never) to 4 (almost always). For the monthly assessment, a shortened version of the IPPA will be administered.
Time Frame
T1 (baseline); monthly from baseline to post intervention, up to 9 months; T2 (post-intervention) up to 9 months; T3 (follow-up) 6 months post intervention
Title
Change in Caregiver-Adolescent Relationship Quality assessed by the Parental Stress Index (NOSI)
Description
The Parental Stress Index [Nijmeegse Ouderlijke Stress Index; NOSI] is a caregiver self-reported instrument and contains nine items. Possible scores range from 1 (not applicable at all) to 6 (completely applicable). For the monthly assessment, a shortened version of the NOSI will be administered.
Time Frame
T1 (baseline); monthly from baseline to post intervention, up to 9 months; T2 (post-intervention) up to 9 months; T3 (follow-up) 6 months post intervention
Title
Change in Caregiver Responsiveness assessed by the Responsiveness Scale of the Nijmegen Parenting Questionnaire (NOV)
Description
The Nijmegen Parenting Questionnaire [Nijmeegse Opvoedingsvragenlijst; NOV] is a juvenile and caregiver self-reported instrument. The Responsiveness scale contains eight items. Possible scores range from 1 (completely disagree) to 6 (completely agree). For monthly assessment, a shortened version of the Responsiveness scale will be administered.
Time Frame
T1 (baseline); monthly from baseline to post intervention, up to 9 months; T2 (post-intervention) up to 9 months; T3 (follow-up) 6 months post intervention
Title
Change in Caregiver Consistency assessed by the Consistency Scale of the Nijmegen Parenting Questionnaire (NOV)
Description
The Nijmegen Parenting Questionnaire [Nijmeegse Opvoedingsvragenlijst; NOV] is a juvenile and caregiver self-reported instrument. The Consistency scale contains eight items. Possible scores range from 1 (completely disagree) to 6 (completely agree). For the monthly assessment, a shortened version of the Consistency scale will be administered.
Time Frame
T1 (baseline); monthly from baseline to post intervention, up to 9 months; T2 (post-intervention) up to 9 months; T3 (follow-up) 6 months post intervention
Title
Change in Behavioral Control assessed by the Parenting Practices
Description
The Parent Practices is a juvenile and caregiver self-reported instrument and contains six items. Possible scores range from 1 (never) to 5 (always). For the monthly assessment, a shortened version of the Parenting Practices will be administered.
Time Frame
T1 (baseline); monthly from baseline to post intervention, up to 9 months; T2 (post-intervention) up to 9 months; T3 (follow-up) 6 months post intervention
Title
Change in Discipline Practices assessed by the Parenting Dimensions Inventory (PDI)
Description
The PDI is a juvenile and caregiver self-reported instrument and contains eight items. Possible scores range from 0 (very unlikely) to 3 (very likely). For the monthly assessment, a shortened version of the PDI will be administered.
Time Frame
T1 (baseline); monthly from baseline to post intervention, up to 9 months; T2 (post-intervention) up to 9 months; T3 (follow-up) 6 months post intervention
Title
Change in Psychological Control assessed by the Psychological Control Scale Youth Self-Report (PCS-YSR)
Description
The PCS-YSR is a self-reported instrument and contains eight items. Possible scores range from 1 (not applicable at all) to 5 (completely applicable). For the monthly assessment, a shortened version of the PCS-YR will be administered.
Time Frame
T1 (baseline); monthly from baseline to post intervention, up to 9 months; T2 (post-intervention) up to 9 months; T3 (follow-up) 6 months post intervention
Title
Change in Caregiver Competence assessed by the Parental Stress Index (NOSI)
Description
The Parental Stress Index [Nijmeegse Ouderlijke Stress Index; NOSI] is a caregiver self-reported instrument and contains 15 items. Possible scores range from 1 (completely disagree) to 6 (completely agree). For the monthly assessment, a shortened version of the NOSI will be administered.
Time Frame
T1 (baseline); monthly from baseline to post intervention, up to 9 months; T2 (post-intervention) up to 9 months; T3 (follow-up) 6 months post intervention
Title
Change in Cognitive Distortions assessed by the Shortened List Irrational Thoughts (V-LIG)
Description
The Shortened List Irrational Thoughts [Verkorte Lijst Irrationele Gedachten; V-LIG] is a self-reported instrument and contains 18 items. Possible scores range from 1 (completely disagree) to 6 (completely agree).
Time Frame
T1 (baseline); T2 (post-intervention) up to 9 months
Title
Demographics assessed by a Demographic Information Questionnaire
Description
The Demographic information questionnaire contains items about gender, age, and occupation. The questionnaire contains nine items for juveniles, 19 for caregivers, and eight for therapists.
Time Frame
T1 (baseline)
Title
Primary Diagnosis assessed by Therapist File Search
Description
The therapist file contains the primary diagnosis of the juvenile.
Time Frame
T1 (baseline)
Title
Change in Personality assessed by the Inventory of Callous-Unemotional Traits (ICU)
Description
The ICU is reported by juveniles, caregivers, and therapists and contains 24 items. Possible scores range from 1 (completely untrue) to 4 (always true).
Time Frame
T1 (baseline)
Title
Change in Personality assessed by the Antisocial Process Screening Device (APSD)
Description
The APSD is reported by juveniles, caregivers, and therapists and contains 12items for juveniles and 16 items for caregivers and therapists. Possible scoresrange from 1 (completely true) to 4 (always true).
Time Frame
T1 (baseline)
Title
Treatment Integrity assessed by the FAST Evaluation Forms
Description
The FAST evaluation forms are filled in as part of the standard FAST procedure. Possible scores range from 0 (no) to 1 (yes), and 1 (very bad, never) to 10 (very good, always).
Time Frame
T2 (post-intervention) up to 9 months from baseline
Title
Treatment Duration and Intensity assessed by a Treatment Duration and Intensity Questionnaire
Description
The treatment duration and intensity questionnaire is reported on by the therapist an contains two items. The questionnaire is rated in weeks and average hours per week.
Time Frame
T2 (post-intervention) up to 9 months from baseline
Title
Perceived Treatment Effectiveness assessed by a Perceived Effectiveness Questionnaire
Description
The perceived effectiveness questionnaire is reported on by the therapist and contains one item. Possible scores range from 1 (sometimes effective) to 4 (almost always effective).
Time Frame
T2 (post-intervention) up to 9 months from baseline
Title
Therapist-Client Alliance assessed by the Relationship with Interventionist
Description
The Relationship with Interventionist is a juvenile and caregiver self-reported instrument and contains 12 items. Possible scores range from 1 (completely disagree) to 6 (completely agree).
Time Frame
T2 (post-intervention) up to 9 months from baseline
Title
Treatment Satisfaction assessed by the Satisfaction with Program Scale (SPS)
Description
The SPS is a juvenile and caregiver self-reported instrument and contains 10 items. Possible scores range from 1 (completely disagree) to 6 (completely agree).
Time Frame
T2 (post-intervention) up to 9 months from baseline
Title
Treatment Cooperation assessed by the Cooperation Scale
Description
The Cooperation Scale is reported on by juveniles, caregivers, and therapists and contains five items. Possible scores range from 1 (completely disagree) to 6 (completely agree).
Time Frame
T2 (post-intervention) up to 9 months from baseline
Title
Treatment Expectancies assessed by the Parent Expectancies for Therapy Scale (PETS)
Description
The PETS is a caregiver self-reported instrument and contains seven items. Possible scores range from 1 (completely disagree) to 5 (completely agree).
Time Frame
T1 (baseline)
Title
Caregiver Psychopathology assessed by the RAF GGZ Youth
Description
The RAF GGZ Youth is an extensive risk assessment instrument and includes items measuring caregiver psychopathology. The RAF GGZ Youth is filled in by the therapist as part of the standard FAST procedure. Possible scores range from 0 (problems not present) to 2 (problems definitely present).
Time Frame
T1 (baseline)
Title
Change in Treatment Motivation assessed by the Treatment Motivation Scales for Forensic Outpatient Treatment (TMS-F)
Description
The TMS-F is reported on by juveniles and caregivers and contains 16 items. Possible scores range from 1 (completely disagree) to 5 (completely agree).
Time Frame
T1 (baseline)
10. Eligibility
Sex
All
Minimum Age & Unit of Time
12 Years
Maximum Age & Unit of Time
21 Years
Accepts Healthy Volunteers
No
Eligibility 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:
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). The score on the SCIL determiners whether an IQ-test and/or a measurement of adaptive skills using the ADAPT is necessary;
Juvenile is aged 12-21 years old at intervention start;
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;
Juvenile has a medium to high recidivism risk, measured by the Risicotaxatie-instrument voor de Ambulante Forensische GGZ Jeugd (RAF GGZ Jeugd) and/or the Landelijk Instrumentarium Jeugdstrafrechtketen (LIJ);
Presence of juvenile-caregiver relationship problems, as measured by the RAF GGZ Jeugd;
Juvenile has a diagnosis of a DSM-5 behavioral disorder, which is determined using case file analysis or a new diagnostic process;
Caregiver(s) and juvenile cannot be motivated to follow treatment at the outpatient clinic;
Juvenile and caregiver(s) have sufficient Dutch language skills, as estimated by the FAST therapist team;
Treatment can be offered in either a voluntary or mandatory framework;
Juvenile resides with their caregiver(s) or is expected to return to residing with caregiver(s) within the first two months of intervention.
A potential subject who meets any of the following criteria will be excluded from participation in this study:
Clients meet the FAST exclusion criteria, which are:
Juvenile exhibits severe psychiatric symptoms requiring admission;
Problem behavior of the juvenile is caused by primary substance abuse problems;
Caregiver(s) refuse structurally to participate in treatment
The safety of the therapist or family members cannot be guaranteed sufficiently;
Clients do not have an electronic device or suitable internet connection to receive blended care;
Clients have insufficient digital literacy to receive blended care;
Families need a translator to receive the intervention.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Marjolein van Cappellen
Phone
+31621944124
Email
s.m.vancappellen@uu.nl
First Name & Middle Initial & Last Name or Official Title & Degree
Jessica Asscher
Phone
+31624584734
Email
j.j.asscher@uu.nl
Facility Information:
Facility Name
de Waag
City
Utrecht
Country
Netherlands
Individual Site Status
Not yet recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Larissa Hoogsteder
Phone
+31302720685
Email
lhoogsteder@dewaagnederland.nl
Facility Name
Utrecht University
City
Utrecht
Country
Netherlands
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Marjolein van Cappellen
Phone
+31638710840
Email
s.m.vancappellen@uu.nl
First Name & Middle Initial & Last Name & Degree
Jessica Asscher
Phone
+31624584734
Email
j.j.asscher@uu.nl
First Name & Middle Initial & Last Name & Degree
Hanneke Creemers
12. IPD Sharing Statement
Plan to Share IPD
Yes
IPD Sharing Plan Description
The details on which parts of the data will be shared still have to be discussed.
Links:
URL
https://www.nji.nl/interventies/forensische-ambulante-systeem-therapie-fast
Description
FAST Intervention Description
Learn more about this trial
The Effectiveness of Blended Forensic Ambulant Systemic Therapy
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