Multidimensional Treatment Foster Care for Adolescents in English care: randomised trial and observational cohort evaluation.
Br J Psychiatry
; 204(3): 214-21, 2014 Mar.
Article
en En
| MEDLINE
| ID: mdl-24357575
ABSTRACT
BACKGROUND:
Children in care often have poor outcomes. There is a lack of evaluative research into intervention options.AIMS:
To examine the efficacy of Multidimensional Treatment Foster Care for Adolescents (MTFC-A) compared with usual care for young people at risk in foster care in England.METHOD:
A two-arm single (assessor) blinded randomised controlled trial (RCT) embedded within an observational quasi-experimental case-control study involving 219 young people aged 11-16 years (trial registration ISRCTN 68038570). The primary outcome was the Child Global Assessment Scale (CGAS). Secondary outcomes were ratings of educational attendance, achievement and rate of offending.RESULTS:
The MTFC-A group showed a non-significant improvement in CGAS outcome in both the randomised cohort (n = 34, adjusted mean difference 1.3, 95% CI -7.1 to 9.7, P = 0.75) and in the trimmed observational cohort (n = 185, adjusted mean difference 0.95, 95% CI -2.38 to 4.29, P = 0.57). No significant effects were seen in secondary outcomes. There was a possible differential effect of the intervention according to antisocial behaviour.CONCLUSIONS:
There was no evidence that the use of MTFC-A resulted in better outcomes than usual care. The intervention may be more beneficial for young people with antisocial behaviour but less beneficial than usual treatment for those without.
Texto completo:
1
Banco de datos:
MEDLINE
Asunto principal:
Salud Mental
/
Conducta del Adolescente
/
Escolaridad
/
Cuidados en el Hogar de Adopción
/
Delincuencia Juvenil
Tipo de estudio:
Clinical_trials
/
Observational_studies
/
Risk_factors_studies
Límite:
Adolescent
/
Child
/
Female
/
Humans
/
Male
País como asunto:
Europa
Idioma:
En
Año:
2014
Tipo del documento:
Article