A Trial of Multisystemic Therapy in UK a Statutory Therapeutic Intervention for Young Offenders

This study is ongoing, but not recruiting participants.
Sponsor:
Information provided by (Responsible Party):
The Brandon Centre, London
ClinicalTrials.gov Identifier:
NCT01713088
First received: October 18, 2012
Last updated: October 23, 2012
Last verified: October 2012
  Purpose

To evaluate whether Multisystemic Therapy (MST) is more effective in reducing youth offending and out-of-home placement in a large, ethnically diverse, urban U.K. sample than an equally comprehensive management protocol; to determine whether MST leads to broader improvements in youth sociality and in mediators believed to be responsible for change in MST.


Condition Intervention
Participants Are Male and Female Adolescents 13-16 Years at Risk for Continuing to Commit Criminal Offences.
Other: Multisystemic therapy
Other: YOT (usual services)

Study Type: Interventional
Study Design: Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single Blind (Outcomes Assessor)
Primary Purpose: Prevention

Further study details as provided by The Brandon Centre, London:

Primary Outcome Measures:
  • Change in offending behavior based on police records of criminal offenses committed [ Time Frame: baseline and 6, 12, 18, 24, 30 and 36 months post randomization ] [ Designated as safety issue: No ]
    The number of records of offending behavior (count data) was obtained, and 6-month periods free of any offending behavior were also recorded (binary data). Records were obtained from the National Young Offender Information System (YOIS) database. YOIS records detail offence information, court appearances, criminal orders, police custody records, and arrest rates.


Secondary Outcome Measures:
  • self- and parent-rated symptoms of antisocial behavior, delinquency-linked cognitions, personality functioning, and parenting variables [ Time Frame: baseline and 6 months after randomization ] [ Designated as safety issue: No ]
    Antisocial behavior was assessed using the Self-Report of Youth Behavior (SRYB), a brief, valid measure of the prevalence and incidence in pre-adolescent and adolescent children of delinquent behavior such as vandalism, theft, burglary, and fraud; and the delinquency and aggression subscales of the Youth Self-Report (YSR) and the parent-completed Child Behavior Checklist (CBCL).


Other Outcome Measures:
  • Antisocial Beliefs and Attitudes Scale (ABAS) [ Time Frame: Baseline and 6 months after randomization ] [ Designated as safety issue: No ]
  • Antisocial Process Screening Device (APSD) [ Time Frame: Baseline and 6 months after randomization ] [ Designated as safety issue: No ]
  • Measure of youth's involvement with delinquent peers (IDP) [ Time Frame: Baseline and 6 months after randomization ] [ Designated as safety issue: No ]
  • Measure of Positive Parenting and Disciplinary Practices, Parent Monitoring and Supervision [ Time Frame: Baseline and 6 months after randomization ] [ Designated as safety issue: No ]

Enrollment: 108
Study Start Date: November 2003
Estimated Study Completion Date: February 2014
Primary Completion Date: September 2010 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Experimental: Multisystemic therapy
MST is a family- and community-based intervention that establishes close contact with families to understand and deal with the factors that cause the young person's antisocial behaviour. The intervention targets the individual's adjustment, family relationships, school functioning and peer group affiliations. Therapists help caretakers develop skills to intervene and operate changes in important domains such as young person's individual adjustment, their family relationships, school functioning, and peer group affiliations.
Other: Multisystemic therapy
Active Comparator: YOT (usual services)
YOT intervention consisted of services currently available to young offenders in accordance with the Youth Justice Board National Standards.These services included supporting the young person to re-engage with education, with substance misuse problems and anger management; training them in social problem-solving skills; and programs to decrease vehicle-crime, violent-offending and knife crime. The treatments were delivered by professional social workers, specialist therapists or probation officers.
Other: YOT (usual services)

  Eligibility

Ages Eligible for Study:   13 Years to 16 Years
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • age between 13 and 16 years;
  • living in the home of and being brought up by a parent or principal caretaker;
  • on a court referral order for treatment or a supervision order of at least 3 months' duration, or, following imprisonment, on license in the community for at least 6 months.

Exclusion Criteria:

  • being a sex offender;
  • presented only with substance misuse;
  • diagnosed with a psychotic illness or posed a risk to trial personnel;
  • incompatible agency involvement (e.g., ongoing care proceedings).
  Contacts and Locations
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Please refer to this study by its ClinicalTrials.gov identifier: NCT01713088

Locations
United Kingdom
The Brandon Centre
London, United Kingdom, NW5 3LG
Sponsors and Collaborators
The Brandon Centre, London
  More Information

Additional Information:
Publications:
Responsible Party: The Brandon Centre, London
ClinicalTrials.gov Identifier: NCT01713088     History of Changes
Other Study ID Numbers: MSTBC2012, MSTBC2012
Study First Received: October 18, 2012
Last Updated: October 23, 2012
Health Authority: United Kingdom: National Health Service

Keywords provided by The Brandon Centre, London:
multisystemic therapy, RCT, young offenders, U.K.

ClinicalTrials.gov processed this record on August 21, 2014