Solutions Trial: Solution Focused Brief Therapy (SFBT) in 10–17-year-olds presenting at police custody: a randomised controlled trial

Abstract Background Within England, children and young people (CYP) who come into police custody are referred to Liaison and Diversion (L&D) teams. L&D teams have responsibility for liaising with healthcare and other support services while working to divert CYP away from the criminal justice...

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Main Authors: Gwenllian Moody, Elinor Coulman, Emma Crocker-White, Kylie Gray, Richard P. Hastings, Andrea Longman, Fiona Lugg-Widger, Rebecca Playle, Jeremy Segrott, Paul Thompson, Julia Badger, Peter E. Langdon, Samantha Flynn
Format: Article
Language:English
Published: BMC 2024-03-01
Series:Trials
Subjects:
Online Access:https://doi.org/10.1186/s13063-024-07904-5
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author Gwenllian Moody
Elinor Coulman
Emma Crocker-White
Kylie Gray
Richard P. Hastings
Andrea Longman
Fiona Lugg-Widger
Rebecca Playle
Jeremy Segrott
Paul Thompson
Julia Badger
Peter E. Langdon
Samantha Flynn
author_facet Gwenllian Moody
Elinor Coulman
Emma Crocker-White
Kylie Gray
Richard P. Hastings
Andrea Longman
Fiona Lugg-Widger
Rebecca Playle
Jeremy Segrott
Paul Thompson
Julia Badger
Peter E. Langdon
Samantha Flynn
author_sort Gwenllian Moody
collection DOAJ
description Abstract Background Within England, children and young people (CYP) who come into police custody are referred to Liaison and Diversion (L&D) teams. L&D teams have responsibility for liaising with healthcare and other support services while working to divert CYP away from the criminal justice system but have traditionally not provided targeted psychological interventions to CYP. Considering evidence that Solution Focused Brief Therapy (SFBT) leads to a reduction in internalising and externalising behaviour problems in CYP, the aim of this randomised controlled trial (RCT) was to determine whether there is a difference between services as usual (SAU) plus SFBT offered by trained therapists working within a L&D team, and SAU alone, in reducing offending behaviours in 10–17-year-olds presenting at police custody. Methods Design: two-arm individually RCT with internal pilot and process evaluation. Participants: N = approximately 448 CYP aged 10–17 years presenting at one of three police custody suites in the area served by Lancashire and South Cumbria NHS Foundation Trust (LSCFT) who are referred to the L&D team. Participants will be recruited and allocated to intervention:control on a 1:1 basis. Interviews will be performed with 30–40 CYP in the intervention arm, 15 CYP in the control arm, up to 20 parents/guardians across both arms, up to 15 practitioners, and up to 10 site staff responsible for screening CYP for the trial. Intervention and control: Those allocated to the intervention will be offered SAU plus SFBT, and control participants will receive SAU only. Primary outcome: CYP frequency of offending behaviours assessed through the Self-Report Delinquency Measure (SRDM) at 12 months post-randomisation. Secondary outcomes: criminal offence data (national police database); emotional and behavioural difficulties (self-report and parent/guardian reported); gang affiliation (self-report). Process evaluation: evaluation of acceptability and experiences of the CYP, parents/guardians, site staff and practitioners; fidelity of SFBT delivery. Discussion This two-arm individually RCT will evaluate the effectiveness of SFBT in reducing offending behaviours in CYP presenting at police custody suites within the area served by LSCFT. Our process evaluation will assess the fidelity of delivery of SFBT, the factors affecting implementation, the acceptability of SFBT in CYP aged 10–17 years and recruitment and reach. We will also examine systems and structures for future delivery, therefore assessing overall scalability. Trial registration ClinicalTrials.gov  ISRCTN14195235 . Registered on June 16, 2023.
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spelling doaj.art-7942c4bebf4d4a098d19812ea5b9647b2024-03-05T20:10:32ZengBMCTrials1745-62152024-03-0125111610.1186/s13063-024-07904-5Solutions Trial: Solution Focused Brief Therapy (SFBT) in 10–17-year-olds presenting at police custody: a randomised controlled trialGwenllian Moody0Elinor Coulman1Emma Crocker-White2Kylie Gray3Richard P. Hastings4Andrea Longman5Fiona Lugg-Widger6Rebecca Playle7Jeremy Segrott8Paul Thompson9Julia Badger10Peter E. Langdon11Samantha Flynn12Centre for Trials Research, Cardiff UniversityCentre for Trials Research, Cardiff UniversityCentre for Research in Intellectual and Developmental Disabilities (CIDD), University of WarwickCentre for Research in Intellectual and Developmental Disabilities (CIDD), University of WarwickCentre for Research in Intellectual and Developmental Disabilities (CIDD), University of WarwickCentre for Trials Research, Cardiff UniversityCentre for Trials Research, Cardiff UniversityCentre for Trials Research, Cardiff UniversityCentre for Trials Research, Cardiff UniversityCentre for Research in Intellectual and Developmental Disabilities (CIDD), University of WarwickCentre for Research in Intellectual and Developmental Disabilities (CIDD), University of WarwickCentre for Research in Intellectual and Developmental Disabilities (CIDD), University of WarwickCentre for Research in Intellectual and Developmental Disabilities (CIDD), University of WarwickAbstract Background Within England, children and young people (CYP) who come into police custody are referred to Liaison and Diversion (L&D) teams. L&D teams have responsibility for liaising with healthcare and other support services while working to divert CYP away from the criminal justice system but have traditionally not provided targeted psychological interventions to CYP. Considering evidence that Solution Focused Brief Therapy (SFBT) leads to a reduction in internalising and externalising behaviour problems in CYP, the aim of this randomised controlled trial (RCT) was to determine whether there is a difference between services as usual (SAU) plus SFBT offered by trained therapists working within a L&D team, and SAU alone, in reducing offending behaviours in 10–17-year-olds presenting at police custody. Methods Design: two-arm individually RCT with internal pilot and process evaluation. Participants: N = approximately 448 CYP aged 10–17 years presenting at one of three police custody suites in the area served by Lancashire and South Cumbria NHS Foundation Trust (LSCFT) who are referred to the L&D team. Participants will be recruited and allocated to intervention:control on a 1:1 basis. Interviews will be performed with 30–40 CYP in the intervention arm, 15 CYP in the control arm, up to 20 parents/guardians across both arms, up to 15 practitioners, and up to 10 site staff responsible for screening CYP for the trial. Intervention and control: Those allocated to the intervention will be offered SAU plus SFBT, and control participants will receive SAU only. Primary outcome: CYP frequency of offending behaviours assessed through the Self-Report Delinquency Measure (SRDM) at 12 months post-randomisation. Secondary outcomes: criminal offence data (national police database); emotional and behavioural difficulties (self-report and parent/guardian reported); gang affiliation (self-report). Process evaluation: evaluation of acceptability and experiences of the CYP, parents/guardians, site staff and practitioners; fidelity of SFBT delivery. Discussion This two-arm individually RCT will evaluate the effectiveness of SFBT in reducing offending behaviours in CYP presenting at police custody suites within the area served by LSCFT. Our process evaluation will assess the fidelity of delivery of SFBT, the factors affecting implementation, the acceptability of SFBT in CYP aged 10–17 years and recruitment and reach. We will also examine systems and structures for future delivery, therefore assessing overall scalability. Trial registration ClinicalTrials.gov  ISRCTN14195235 . Registered on June 16, 2023.https://doi.org/10.1186/s13063-024-07904-5SFBTTherapyInterventionOffending behavioursRandomised controlled trialPolice custody
spellingShingle Gwenllian Moody
Elinor Coulman
Emma Crocker-White
Kylie Gray
Richard P. Hastings
Andrea Longman
Fiona Lugg-Widger
Rebecca Playle
Jeremy Segrott
Paul Thompson
Julia Badger
Peter E. Langdon
Samantha Flynn
Solutions Trial: Solution Focused Brief Therapy (SFBT) in 10–17-year-olds presenting at police custody: a randomised controlled trial
Trials
SFBT
Therapy
Intervention
Offending behaviours
Randomised controlled trial
Police custody
title Solutions Trial: Solution Focused Brief Therapy (SFBT) in 10–17-year-olds presenting at police custody: a randomised controlled trial
title_full Solutions Trial: Solution Focused Brief Therapy (SFBT) in 10–17-year-olds presenting at police custody: a randomised controlled trial
title_fullStr Solutions Trial: Solution Focused Brief Therapy (SFBT) in 10–17-year-olds presenting at police custody: a randomised controlled trial
title_full_unstemmed Solutions Trial: Solution Focused Brief Therapy (SFBT) in 10–17-year-olds presenting at police custody: a randomised controlled trial
title_short Solutions Trial: Solution Focused Brief Therapy (SFBT) in 10–17-year-olds presenting at police custody: a randomised controlled trial
title_sort solutions trial solution focused brief therapy sfbt in 10 17 year olds presenting at police custody a randomised controlled trial
topic SFBT
Therapy
Intervention
Offending behaviours
Randomised controlled trial
Police custody
url https://doi.org/10.1186/s13063-024-07904-5
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