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Characterising usual services offered to adolescent offenders in a randomised controlled trial: Assessing risk-need-responsivity in the management-as-usual arm of the Systemic Therapy for At Risk Teens trial

Kelly, Stephanie; (2019) Characterising usual services offered to adolescent offenders in a randomised controlled trial: Assessing risk-need-responsivity in the management-as-usual arm of the Systemic Therapy for At Risk Teens trial. Doctoral thesis (D.Clin.Psy), UCL (University College London). Green open access

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Abstract

Antisocial behaviour in adolescence is a growing public concern and contributes to significant societal burden. This thesis focuses on the usual services available to this population of young people and comprises of three parts. Part One is a systematic review examining the evidence base for multisystemic Therapy (MST). It focuses on of the role of management-as-usual (MAU) conditions within the evidence base. Whilst several included studies often support the efficacy of MST, the outcome data are mixed. Socio-political context is implicated in these differences, acknowledging that within differing contexts usual service provision differs and therefore so too does MAU in empirical studies. It demonstrates that where MAU is used as a comparator trial outcome must be considered relative to the context in which it was conducted and highlights the need for researchers to thoroughly document MAU to enable replicability and generalisability. Part Two is an empirical study that uses the data from the Systemic Therapy for At Risk Teens (START) trial to consider usual service provision across the United Kingdom. It identifies specific risks through bifactor analyses of clinical measures, and then considers the dynamic and reciprocal nature of risks by identifying profiles of risks and needs using latent profile analysis (LPA). It then assesses the degree to which MAU is differentially provided based upon risk and need, in line with risk-need-responsivity. Part Three provides a critical appraisal of the research. It discusses the challenges associated with risk-focused research and the ethical dilemmas that such research poses.

Type: Thesis (Doctoral)
Qualification: D.Clin.Psy
Title: Characterising usual services offered to adolescent offenders in a randomised controlled trial: Assessing risk-need-responsivity in the management-as-usual arm of the Systemic Therapy for At Risk Teens trial
Event: UCL (University College London)
Open access status: An open access version is available from UCL Discovery
Language: English
Additional information: Copyright © The Author 2019. Original content in this thesis is licensed under the terms of the Creative Commons Attribution 4.0 International (CC BY 4.0) Licence (https://creativecommons.org/licenses/by/4.0/). Any third-party copyright material present remains the property of its respective owner(s) and is licensed under its existing terms. Access may initially be restricted at the author’s request.
UCL classification: UCL
UCL > Provost and Vice Provost Offices
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Div of Psychology and Lang Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Div of Psychology and Lang Sciences > Clinical, Edu and Hlth Psychology
URI: https://discovery.ucl.ac.uk/id/eprint/10082033
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