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

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details. Identifier: NCT01713088
Recruitment Status : Unknown
Verified October 2012 by The Brandon Centre, London.
Recruitment status was:  Active, not recruiting
First Posted : October 24, 2012
Last Update Posted : October 24, 2012
Information provided by (Responsible Party):
The Brandon Centre, London

Brief Summary:
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 or disease Intervention/treatment Phase
Participants Are Male and Female Adolescents 13-16 Years at Risk for Continuing to Commit Criminal Offences. Other: Multisystemic therapy Other: YOT (usual services) Not Applicable

Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 108 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single (Outcomes Assessor)
Primary Purpose: Prevention
Study Start Date : November 2003
Actual Primary Completion Date : September 2010
Estimated Study Completion Date : February 2014

Arm Intervention/treatment
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)

Primary Outcome Measures :
  1. 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 ]
    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 :
  1. self- and parent-rated symptoms of antisocial behavior, delinquency-linked cognitions, personality functioning, and parenting variables [ Time Frame: baseline and 6 months after randomization ]
    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:
  1. Antisocial Beliefs and Attitudes Scale (ABAS) [ Time Frame: Baseline and 6 months after randomization ]
  2. Antisocial Process Screening Device (APSD) [ Time Frame: Baseline and 6 months after randomization ]
  3. Measure of youth's involvement with delinquent peers (IDP) [ Time Frame: Baseline and 6 months after randomization ]
  4. Measure of Positive Parenting and Disciplinary Practices, Parent Monitoring and Supervision [ Time Frame: Baseline and 6 months after randomization ]

Information from the National Library of Medicine

Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the contacts provided below. For general information, Learn About Clinical Studies.

Ages Eligible for Study:   13 Years to 16 Years   (Child)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No

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).

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its identifier (NCT number): NCT01713088

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

Additional Information:
Publications of Results:
Responsible Party: The Brandon Centre, London Identifier: NCT01713088     History of Changes
Other Study ID Numbers: MSTBC2012
MSTBC2012 ( Other Identifier: Brandon Centre )
First Posted: October 24, 2012    Key Record Dates
Last Update Posted: October 24, 2012
Last Verified: October 2012

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