Multi-Family Group Therapy for Reducing Behavioral Difficulties in Youth

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Brief Title

Multi-Family Group Therapy for Reducing Behavioral Difficulties in Youth

Official Title

Family Groups to Reduce Youth Behavioral Difficulties

Brief Summary

      This study will examine the effectiveness of a multiple family group mental health service
      delivery strategy in improving mental health service use and outcome for urban, low income
      children of color, ages 7-11 years old with disruptive behaviors and their families.
    

Detailed Description

      Oppositional defiant disorder (ODD) and conduct disorder (CD) are two common childhood
      psychiatric disorders. Children with ODD frequently have temper tantrums, argue excessively
      with adults, deliberately attempt to annoy or upset people, and blame others for their
      mistakes or behavior. Children with CD may exhibit aggression toward people and animals,
      destruction of property, deceitfulness, and rule breaking. The symptoms of these disorders
      can negatively affect children's social, family, and academic lives. Research has shown that
      early, comprehensive treatment leads to better treatment outcomes. Both disorders are
      commonly treated using parent training techniques. A multiple family group therapy setting
      may prove to be more engaging and beneficial than standard care for both parents and
      children. This study will examine the effectiveness of a multiple family group (MFG) mental
      health service delivery strategy in improving mental health service use and treatment outcome
      for urban, low income children of color with ODD or CD.

      Participants in this 18-month, open-label study will be randomly assigned to either receive
      standard of care or participate in an MFG in addition to receiving standard of care.
      Participants assigned to standard of care will receive treatment that is traditionally
      offered to outpatients. Participants in an MFG will meet in their groups once a week for 16
      weeks. Sessions will include adult caregivers and all children over age 6. Each session will
      follow the same procedures, and will proceed through the following stages: creating social
      networks; information exchange; group discussions; individual family practice; and homework
      assignment. Assessments of youth functioning will be held at Weeks 8 and 16 and Months 6 and
      18 post-treatment.
    


Study Type

Interventional


Primary Outcome

Youth externalizing behaviors and functioning

Secondary Outcome

 Parenting skills

Condition

Oppositional Defiant Disorder

Intervention

MFG therapy

Study Arms / Comparison Groups

 MFG therapy
Description:  Participants will receive multi-family group therapy

Publications

* Includes publications given by the data provider as well as publications identified by National Clinical Trials Identifier (NCT ID) in Medline.

Recruitment Information


Recruitment Status

Behavioral

Estimated Enrollment

416

Start Date

October 2006

Completion Date

January 2013

Primary Completion Date

January 2013

Eligibility Criteria

        Inclusion Criteria:

          -  Youth participants are between the ages of 7 and 11

          -  Adult caregivers are available to participate in the research and intervention
             activities

          -  Both youth and adult caregiver are English- or Spanish-speaking

          -  Youth meets criteria for a primary diagnosis of oppositional defiant disorder or
             conduct disorder, as measured by the Disruptive Behavior Disorder Rating Scale (DBD)

        Exclusion Criteria:

          -  Youth has significant cognitive impairment that might interfere with understanding of
             program content or informed consent process

          -  Youth or adult has emergency psychiatric needs that require services beyond those
             provided within an outpatient setting (e.g., hospitalization or specialized placement
             outside the home)

          -  Youth who are wards of the state
      

Gender

All

Ages

7 Years - N/A

Accepts Healthy Volunteers

Accepts Healthy Volunteers

Contacts

Mary M. McKay, PhD, , 

Location Countries

United States

Location Countries

United States

Administrative Informations


NCT ID

NCT00404911

Organization ID

GCO 04-0063

Secondary IDs

R01MH072649

Responsible Party

Sponsor

Study Sponsor

Icahn School of Medicine at Mount Sinai

Collaborators

 National Institute of Mental Health (NIMH)

Study Sponsor

Mary M. McKay, PhD, Principal Investigator, Icahn School of Medicine at Mount Sinai, Department of Psychiatry


Verification Date

June 2013