Background: In Europe, the number of females exhibiting oppositional defiant disorder (ODD) and conduct disorder (CD) is growing. Many of these females live in youth welfare institutions.... Show moreBackground: In Europe, the number of females exhibiting oppositional defiant disorder (ODD) and conduct disorder (CD) is growing. Many of these females live in youth welfare institutions. Consequently, there is a great need for evidence-based interventions within youth welfare settings. A recently developed approach targeting the specific needs of girls with ODD and CD in residential care is START NOW. The aim of this group-based behavioural skills training programme is to specifically enhance emotional regulation capacities to enable females with CD or ODD to appropriately deal with daily-life demands. It is intended to enhance psychosocial adjustment and well-being as well as reduce oppositional and aggressive behaviour. We present the study protocol (version 4.1; 10 February 2016) of the FemNAT-CD intervention trial titled 'Group-Based Treatment of Adolescent Female Conduct Disorders: The Central Role of Emotion Regulation'. Methods/design: The study is a prospective, confirmatory, cluster-randomised, parallel-group, multi-centre, randomised controlled trial with 128 institutionalised female adolescents who fulfil the diagnostic criteria of ODD and/or CD. Institutions/wards will be randomised either to provide the 12-week skills training as an add-on intervention or to provide treatment as usual. Once the first cycle is completed, each institution will run a second cycle with the opposite condition. Primary endpoints are the pre-post change in number of CD/ODD symptoms as assessed by a standardised, semi-structured psychiatric interview (Kiddie Schedule for Affective Disorders and Schizophrenia for School-Age Children-Present and Lifetime, CD/ODD section) between baseline and the end of intervention, as well as between baseline and a 3-month follow-up point. Secondary objectives include pre-post change in CD/ODD-related outcome measures, most notably emotional regulation on a behavioural and neurobiological level after completion of START NOW compared with treatment as usual. Discussion: To our knowledge, this study is the first to date to systematically investigate the effectiveness of an adapted integrative psychosocial intervention designed for female adolescents with ODD and CD in youth welfare settings. Trial registration: German Clinical Trials Register (DRKS) identifier: DRKS00007524. Registered on 18 December 2015 and with the World Health Organisation International Clinical Trials Registry Platform. Show less
In criminology, measuring recidivism is a well-known method of establishing the preventive effect of penal interventions. There are measurements of this kind dating from as early as the 19th... Show moreIn criminology, measuring recidivism is a well-known method of establishing the preventive effect of penal interventions. There are measurements of this kind dating from as early as the 19th century. Recidivism studies have been conducted in the Netherlands too, but the earliest we know of stem from the 1970s. Due to developments in public sector fund accounting methods, interest in reconviction rates is now again on the increase. The Dutch government is looking for clear indicators to gauge the success of implemented policy measures. In the area of penal law recidivism, or rather the absence thereof, is readily embraced as a valid and efficient outcome indicator. Under what circumstances do recidivism statistics provide proof of the efficacy of policy interventions? And how can this construct best be measured? In the Netherlands there is no tradition of recidivism research. The methods used in past evaluation studies vary widely, the measurements were predominantly small-scale, and most studies were conducted at a time when the penal interventions under investigation were still at a developmental stage. Recidivism research in the Netherlands has lacked a sound methodological basis and there is consequently no comprehensive view on the outcome of penal interventions – until recently, that is, since the WODC has meanwhile developed a ‘Recidivism Monitor’. This is a project in which reconviction rates of virtually all offenders who have come into contact with the Dutch judiciary are routinely computed. The development of this instrument and its applications in evaluation research form the central themes of this dissertation. Show less
