Interventions for mood and anxiety disorders, and self harm in young offenders

Townsend, Ellen; Walker, David; Sargeant, Sally; Stocker, Olivia; Vostanis, Panos; Sithole, Jabulani; Hawton, Keith

doi:10.1002/14651858.cd007195

Cited by 7 publications

(7 citation statements)

References 29 publications

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“…As such, it recognizes the important role of the family system in the development and treatment of young people's drug abuse problems (Ozechowski & Liddle, 2000); indeed, the FFT model asks that there be no 'identified patient'. While a specific FFT intervention may focus on improving specific problems such as drug abuse, the FFT approach in itself adds a broader view of the change process and clinical outcomes by switching from an individual problem focus to a relational 2 A Cochrane review has evaluated psychosocial interventions for substance abuse and misuse in young offenders in locked facilities (Townsend et al, 2009). 3 Technically, FFT requires only that the youth be residing with a caregiver for 6 months.…”

Section: Description Of the I Nterventionmentioning

confidence: 99%

Functional Family Therapy (FFT) for Young People in Treatment for Non‐opioid Drug Use: A Systematic Review

Filges¹,

Andersen²,

Jørgensen³

2015

Campbell Systematic Reviews

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This Campbell systematic review assesses the effectiveness of FFT to reduce drug abuse (cannabis, amphetamines, ecstasy, or cocaine) among young people aged 11 to 21 years. The review includes two randomised controlled trials, but summarises findings from only one study reporting on the outcome of drug use. Two studies, reported in three papers, are included. Both were conducted in the USA. Only one provides outcomes related to youth drug use. It compares the effectiveness of FFT with that of alternative treatments. The results from the one study reporting on the effect of FFT on youth drug use shows a short‐term (four month) reduction in the use of cannabis, an effect that disappears in the longer term. There is a dearth of evidence on the effectiveness of FFT for the treatment of non‐opioid drug use in young people. Executive Summary/Abstract BACKGROUNDYouth drug use is a severe problem worldwide. Usage of cannabis, amphetamine ecstasy and cocaine, referred to here as non‐opioid drugs, are strongly associated with a range of health and social problems.Functional Family Therapy (FFT) is a short‐term, manual‐based, behaviorally oriented family therapy program for young people with behavior problems such as drug abuse, juvenile delinquency and violence. Delivered in an outpatient setting, it aims to help young people and their families by improving family interactions and relationship functioning by addressing dysfunctional individual behavior.As with many other forms of family therapy, FFT targets young people and their families as a system. As such, it recognizes the important role of the family system in the development and treatment of young people's drug abuse problems. OBJECTIVESThe main aim of this review is to evaluate the current evidence on the effects of FFT on drug abuse reduction for young people in treatment for non‐opioid drug use. SEARCH METHODSA wide range of electronic bibliographic databases were searched using a relatively narrow search strategy, in July 2013. We performed extensive searches in a broad selection of government and policy databanks, grey literature databases, citations in other reviews and included primary studies, and by hand searches of relevant journals and internet searches using Google. We also corresponded with researchers in the field of FFT. No language or date restrictions were applied to the searches. SELECTION CRITERIATo be eligible for inclusion, studies must have: involved a manual‐based outpatient FFT treatment for young people aged 11‐21 years enrolled for non‐opioid drug use; used experimental, quasi‐experimental or non‐randomized controlled designs; reported at least one eligible outcome variable measuring abstinence, reduction of drug use, family functioning, education or vocational involvement, retention, risk behavior or other adverse effects; not focused exclusively on treating mental disorders; and had FFT as the primary intervention. DATA COLLECTION AND ANALYSISThe literature search yielded a total of 6,719 records, which were screened for eligibility base...

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Section: Description Of the I Nterventionmentioning

confidence: 99%

Functional Family Therapy (FFT) for Young People in Treatment for Non‐opioid Drug Use: A Systematic Review

Filges¹,

Andersen²,

Jørgensen³

2015

Campbell Systematic Reviews

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“…The 2008 protocol was supported by the Forensic Mental Health R&D Programme. The authors would like to thank the original authors of the 2008 protocol Keith Hawton, Sally Sargeant, Jubulani Sithole and Olivia Stocker for their intellectual input which has informed this publication (Townsend 2008). We also thank Professor Conor Duggan and the three anonymous reviewers who provided advice on this earlier publication.…”

mentioning

confidence: 94%

“…We developed the search strategies with Sarah Dawson, the CCMD Information Specialist. This protocol replaces a previous Cochrane Protocol entitled 'Interventions for mood and anxiety disorders, and self harm in young offenders' first published in 2008 by some of the current author team (Townsend 2008), and subsequently withdrawn in 2018 (Townsend 2018). The 2008 protocol was supported by the Forensic Mental Health R&D Programme.…”

mentioning

confidence: 99%

Interventions for mood, anxiety disorders or self-harm in young offenders

Robertson

Aboaja

Walker

et al. 2020

Cochrane Database of Systematic Reviews

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“…33 A Cochrane review has evaluated psychosocial interventions for substance abuse and misuse in young offenders in locked facilities (Townsend et al, 2009). …”

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confidence: 99%

Family Behavior Therapy (FBT) for Young People in Treatment for Non‐opioid Drug Use: A Systematic Review

Lindstrøm¹,

Saidj²,

Kowalski³

et al. 2015

Campbell Systematic Reviews

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This publication is a systematic Campbell review of the effect of the family therapy approach Family Behavior Therapy (FBT) for treatment for non‐opioid drug use (e.g., cannabis, amphetamine, ecstasy or cocaine) among young people aged 11‐21 years. After a rigorous search for all relevant studies conducted to date, we identified two randomized controlled trials with, respectively, 56 and 26 participants. We used meta‐analysis to synthesize the empirical evidence on the effects of FBT on reduction of drug use frequency, family functioning, and risk behavior. The evidence found was limited, as only two studies with very few participants were included in the data‐analysis. The quality of the evidence is also limited. We were therefore unable to draw any firm conclusion regarding the effectiveness of the treatment. Overall, Family Behavior Therapy for the purpose of treating young people's drug use has not been evaluated with sufficient rigor to unequivocally determine its effectiveness Key messages This publication is a systematic Campbell review of the effect of the family therapy approach Family Behavior Therapy (FBT) for treatment for non‐opioid drug use (e.g., cannabis, amphetamine, ecstasy or cocaine) among young people aged 11‐21 years. Youth drug use is a severe problem worldwide. Recent reports describe concerning trends in the use of drugs by young people and a lack of available treatment. FBT is a manual‐based family therapy approach that seeks to reduce drug use among youth by identifying stimuli and triggers for drug taking, and teaching self‐control and other skills to correct the problem behaviors related to drug use. This approach is based on the therapeutic premise that the family carries a profound influence on child and youth development and that interventions need to be flexible and tailored to the unique characteristics of the families. It is also argued that there is a need for interventions to be problem‐focused, targeting first those patterns of behavior that most directly influence the youth's drug use. After a rigorous search for all relevant studies conducted to date, we identified two randomized controlled trials with, respectively, 56 and 26 participants. We used meta‐analysis to synthesize the empirical evidence on the effects of FBT on reduction of drug use frequency, family functioning, and risk behavior. The findings are as follows: ‐ On drug usage: There is no evidence that FBT has an effect on reduction of drug use frequency compared to Individual Cognitive Problem‐Solving (ICPS) and supportive counseling (SC). ‐ On family functioning: FBT may improve family functioning as reported by parents compared to Individual Cognitive Problem‐Solving (ICPS) and supportive counseling (SC). There is no evidence that FBT has an effect on family functioning as reported by youth compared to Individual Cognitive Problem‐Solving (ICPS) and supportive counseling (SC). ‐ On risk behavior: There is no evidence that FBT has an effect on risk behavior compared to Individual Cognitive Problem‐Solving (IC...

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Interventions for mood and anxiety disorders, and self harm in young offenders

Cited by 7 publications

References 29 publications

Functional Family Therapy (FFT) for Young People in Treatment for Non‐opioid Drug Use: A Systematic Review

Functional Family Therapy (FFT) for Young People in Treatment for Non‐opioid Drug Use: A Systematic Review

Interventions for mood, anxiety disorders or self-harm in young offenders

Family Behavior Therapy (FBT) for Young People in Treatment for Non‐opioid Drug Use: A Systematic Review

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