Preventing Adolescents From Entering the Juvenile Justice System

Substance Use Clinical Trial

— CCP  

Official title:

Preventing Adolescents From Entering the Juvenile Justice System: Testing An Empirically-Supported, Family-Based Diversion Model

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT02147743
• Other study ID #: 20080174
• Status: Completed
• Phase: N/A
• First received: May 21, 2014
• Last updated: May 27, 2014
• Start date: May 2009
• Est. completion date: January 2014

Study information

• Verified date: May 2014
• Source: University of Miami
• Contact: n/a
• Is FDA regulated: No
• Health authority: United States: Institutional Review Board
• Study type: Interventional

Clinical Trial Summary

This randomized controlled study tests an innovative juvenile diversion model that integrates evidence-based family therapy.Immediate and longer term effects of the family intervention will be compared to Services As Usual with 120 adolescents participating in Miami-Dade's Civil Citation Program.

Description:

This study proposes to rigorously test the innovative Civil Citation Program (CCP)with an integrated evidence-based family intervention, Multidimensional Family Therapy[MDFT](Liddle, 2002).

The study sample includes youth referred to the CCP throughout Miami-Dade county and who according to CCP screening are rated as high risk for re-offending. Youth are 12-17 years old with a first or second misdemeanor charge (excluding any gang, violence, or sex crimes charge). Nearly all (97%) of these youth are ethnic minorities (Hispanic and African American). They are at risk for school failure, substance use, and chronic delinquency due to drug availability in their communities, poor family functioning, peer drug use/delinquency, and school failure / disengagement.

120 youth who enter the Civil Citation Program and are eligible for the study will be assigned to one of the two interventions: CCP+SAU or the experimental intervention, CCP+MDFT.

The study asks a classical services research question(Compton et al, 2005) - does the addition of a family therapy intervention, multidimensional family therapy, into an existing diversion program significantly enhance the program outcomes in key outcome domains: recidivism, substance use, delinquency, school and family functioning.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 120
• Est. completion date: January 2014
• Est. primary completion date: January 2013
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: Both
• Age group: 12 Years to 17 Years

Eligibility

Inclusion Criteria:

• Youth 12 to 17 years old

• Parent or guardian willing to participate in assessments/treatment

• Demonstrate risk for mental health, substance abuse, or anger/adjustment problems on the Juvenile Services Department screening warranting intervention but not requiring residential treatment

Exclusion Criteria:

• Youth under the age of 12 or over the age of 18

• Parent/guardian not willing to participate in assessments and treatment

• Youth not demonstrating mental health, substance abuse or anger/adjustment problems

• Youth requiring residential treatment

• Youth with severe mental illness or retardation

Study Design

Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Factorial Assignment, Masking: Single Blind (Outcomes Assessor), Primary Purpose: Treatment

Related Conditions & MeSH terms

• Delinquency
• Substance Use

Intervention

Behavioral:
• CCP+MDFT
Multidimensional Family Therapy (MDFT; Liddle, 2002) is one of a new generation of multi-systems oriented family-based intervention for adolescent substance abuse and delinquency. It has demonstrated considerable success with juvenile justice youth at various stages of their involvement in the justice system. The model has demonstrated efficacy in reducing substance use and delinquency, increasing the prosocial behaviors (e.g., family functioning, school outcomes) of substance abusing and court involved adolescents.
• CCP+SAU
Services As Usual community partners will provide individualized mental health counseling and psychiatric services, psychoeducational groups and substance abuse counseling.

Locations

Country	Name	City	State
United States	University of Miami Miller School of Medicine	Miami	Florida

Sponsors (1)

Lead Sponsor	Collaborator
University of Miami

Country where clinical trial is conducted

United States, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Delinquency	Youth in CCP+MDFT will show less delinquency from intake to 9 months than youth in CCP+SAU.; National Youth Survey Self-Report Delinquency Scale (SRD)will be used to assess delinquency.	Intake through 9-month follow-up	No
Primary	Recidivism	Juvenile justice arrest records recoding total arrests, total misdemeanor arrests, and total felony arrests for youth 6 months prior to baseline through 24 months after baseline.	6 months prior to arrest that got youth in the CCP through 24 months after the baseline assessment	No
Secondary	Substance Use	Youth in CCP+MDFT will report less substance use from intake to 9 months than CCP+SAU. The Timeline Follow-Back Method, Personal Experiences Inventory and Urinalyses will be used to measure substance use.	Intake through the 9-month follow-up	No