Aggression Replacement Training (ART) för placerade ungdomar
Fråga och sammanfattning
Aggression Replacement Training (ART) är ett program som används i behandling av beteendeproblem. Ungdomar i institutionsvård eller med antisocial problematik är en vanlig målgrupp för behandlingen. Programmet baseras på tre behandlingskomponenter: social färdighetsträning, hantering av ilska och moralträning.
Fråga
Vilken sammanställd forskning och vetenskapliga studier finns om effekten av Aggression Replacement Training för placerade ungdomar?
Frågeställare: Statens institutionsstyrelse (SiS)
Sammanfattning
SBU:s upplysningstjänst har efter litteratursökning inte identifierat någon systematisk översikt som svarar på frågan.
Att underlag saknas ska inte tolkas som att insatsen saknar effekt. Det betyder däremot att det behövs forskning för att förbättra kunskapsläget.
Upplysningstjänsten har identifierat två artiklar från primärstudier, vilka har undersökt Aggression Replacement Training för placerade ungdomar med beteendestörning eller i behandling för psykosocial problematik eller kriminalitet.
Primärstudier granskas dock inte av Upplysningstjänsten med avseende på risk för bias och därför redovisas inga resultat eller slutsatser från dessa studier i svaret.
Bakgrund
Ungdomar i behov av stöd inom något av socialtjänstens områden kan ibland behöva placeras i annat boende än hemmet. Vården sker i många fall i Hem för vård eller boende (HVB) om placeringen sker med vårdnadshavarens eller den unge vuxnes samtycke. Statens institutionsstyrelse driver även 21 särskilda ungdomshem runt om i Sverige. Där vårdas barn och ungdomar upp till och med 20 år som riskerar att skadas av eget missbruk, kriminalitet eller annat socialt nedbrytande beteende och där man bedömt att frivillig vård inte är tillräcklig. År 2020 var 6 000 barn eller unga placerade i HVB [1] och 971 togs samma år in på särskilt ungdomshem för en eller flera perioder [2].
Aggression Replacement Training (ART) är ett manualbaserat program som syftar till att minska aggressivitet genom att förbättra förmågan att kontrollera och hantera ilska men också genom att stärka sociala färdigheter och moraliska resonemang. Metoden har använts i Sverige sedan slutet av 1990-talet, och används framför allt för behandling av ungdomar. Behandlingen ges i gruppform, och brukar i Sverige omfatta tre lektioner per vecka under tio veckor [3]. Delmomenten består av lektioner i interpersonell färdighetsträning, hur man kan kontrollera sin ilska, samt moralträning. Rollspel och diskussioner spelar en viktig roll i behandlingen.
Programmet har fått stor spridning både i Sverige och internationellt, och betydande variationer i innehåll, tillämpning och utbildning av behandlare finns [4].
Frågeställning och avgränsningar
Upplysningstjänsten har tillsammans med frågeställaren formulerat frågan enligt följande PICO1:
- Population: Ungdomar till och med 20 år i institutionsvård
- Intervention: Aggression Replacement Training
- Control: Annan intervention eller ingen intervention
- Outcome: Psykisk ohälsa, missbruk, kriminalitet, socialt nedbrytande beteende, självskadebeteende
Upplysningstjänsten har gjort sökningar (Bilaga 1) i databaserna MedLine, Scopus, PsycInfo, Criminal Justice Abstracts och SOCINDEX, samt i INAHTA2:s databas för HTA3-rapporter. Vi har även handsökt publikationer på webbsidor för regionala HTA-organisationer och myndigheter.
Upplysningstjänsten inkluderar artiklar publicerade i vetenskapliga tidskrifter samt systematiska översikter och rapporter från myndigheter och HTA-organisationer, som är publicerade på engelska eller ett av de skandinaviska språken.
1. PICO är en förkortning för patient/population/problem, intervention/index test, comparison/control (jämförelseintervention) och outcome (utfallsmått).
2. International Network of Agencies for Health Technology Assessment (INAHTA).
3. Utvärdering av hälso- och sjukvårdens (och i SBU:s fall socialtjänstens) metoder (eng. Health Technology Assessment).
Resultat från sökningen
Upplysningstjänstens litteratursökning genererade totalt 1 866 artikelsammanfattningar (abstrakt) efter dubblettkontroll. Ett flödesschema för urvalsprocessen visas i Bilaga 2. Två utredare på SBU läste alla artikelsammanfattningar och bedömde att 35 översikter och 10 artiklar från primärstudier kunde vara relevanta för frågan. Dessa artiklar lästes i fulltext av en utredare och de artiklar som inte var relevanta för frågan exkluderades. Exkluderade artiklar finns listade i Bilaga 3.
Upplysningstjänsten fann ingen systematisk översikt som var relevant för denna fråga och därför redovisas inga resultat eller slutsatser i detta svar. De vanligaste exklusionsorsakerna var antingen att fel intervention undersökts eller att rätt intervention varit en av flera som undersökts, men där resultaten inte har särredovisats. I ett antal översikter var rätt population inte inkluderad eller resultaten för placerade ungdomar var inte särredovisade.
Att underlag saknas ska inte tolkas som att insatsen saknar effekt, utan att forskning om programmet saknas.
I svaret listas två artiklar som är relevanta för frågan men som inte bedömts med avseende på risk för bias.
Primärstudier bedöms inte för risk för bias av SBU:s upplysningstjänst eftersom det ställer krav på sakkunskap inom forskningsområdet. Det är därför möjligt att flera av de relevanta primärstudier som inkluderats i svaret kan ha högre risk för bias än de studier som SBU inkluderar i andra rapporter.
Primärstudier
SBU:s upplysningstjänst identifierade även två relevanta artiklar från primärstudier [5] [6]. För dessa har inte risken för bias bedömts och av det skälet finns inte resultat eller slutsatser beskrivna i text eller tabell.
Primärstudierna undersökte effekten av ett tio veckor långt behandlingsprogram med Aggression Replacement Training för ungdomar i institutionsvård.
| Included studies | Population | Intervention | Outcome measures |
| Coleman et al, 1992 [5] Aggression Replacement Training with Behaviorally Disordered Adolescents |
Adolescents (n=39) with behavioral disorders in residential treatment. | Intervention: Aggression Replacement Training, daily sessions for 10 weeks. Control: Regular academic/vocational classes. |
Anger control, social skills and moral reasoning; Behavior Incident Report (BIR), Kendall-Wilcox Self-Control Scale (KWS), The Skill checklist, Socio-moral Reflection Measure (SRM). |
| Holmqvist et al, 2009 [6] Effects of aggression replacement training in young offender institutions. |
Adolescents (n=57) in compulsory residential treatment for psychosocial problems or criminal behaviour. | Intervention: Aggression Replacement Training, twice weekly for 10 weeks, plus token economy. Control: Relational treatment/contact person |
Sentences and Police Suspicion after discharge. |
Lästips
En översikt som fångades i sökningen exkluderades på grund av bristande särredovisning, men kan ändå vara av intresse [7]. Översikten undersökte Aggression Replacement Training i syfte att reducera antisocialt beteende hos vuxna och ungdomar, både i institutionsvård och i andra behandlingssituationer.
År 2016 publicerade SBU en rapport om program för ungdomar med antisocial problematik inom institutionsvård, där ART ingår som ett av de undersökta programmen [8].
Vetenskapliga kunskapsluckor
Enligt SBU:s modell innebär en vetenskaplig kunskapslucka att det saknas evidens för vilken sammanvägd effekt en metod eller insats har, det vill säga kunskap från en systematisk översikt (Faktaruta 2).
SBU:s upplysningstjänst har efter litteratursökning identifierat två relevanta primärstudier men ingen systematisk översikt. För att besvara Upplysningstjänstens fråga behövs en välgjord systematisk översikt som identifierar alla relevanta primärstudier och väger samman resultaten.
Projektgrupp
Detta svar är sammanställt av Emma Palmqvist Wojda (utredare), Idha Kurtsdotter (utredare), Sara Fundell (projektadministratör), Irene Edebert (produktsamordnare), Knut Sundell (intern sakkunnig) samt Pernilla Östlund (avdelningschef) vid SBU.
Referenser
- Socialstyrelsen. Statistik om socialtjänstinsatser till barn och unga 2021. Stockholm: Socialstyrelsen; 2022. Artnr 022-9-8096. [accessed Nov 17 2022]. Available from: https://www.socialstyrelsen.se/statistik-och-data/statistik/alla-statistikamnen/barn-och-ungdom/.
- SiS årliga statistik. Solna: Statens institutionsstyrelse (SiS); 2022. [updated Jun 28 2016; accessed 17 Nov 2022]. Available from: https://www.stat-inst.se/publikationer/sis-arliga-statistik/.
- Socialstyrelsen. ART (Aggression Replacement Training). Stockholm: Socialstyrelsen; 2019. Metodguiden. [accessed Nov 17 2022]. Available from: https://www.socialstyrelsen.se/kunskapsstod-och-regler/omraden/evidensbaserad-praktik/metodguiden/art-aggression-replacement-training/.
- Kaunitz C. Aggression Replacement Training (ART) i Sverige: spridning, programtrohet, målgrupp och utvärdering [Licentiate thesis, monograph]. Stockholm: Institutionen för socialt arbete - Socialhögskolan, Stockholms universitet; 2017. [accessed 2017-05-02]. Available from: http://urn.kb.se/resolve?urn=urn:nbn:se:su:diva-142439.
- Coleman M, Pfeiffer S, Oakland T. Aggression replacement training with behaviorally disordered adolescents. Behav Disord. 1992;18(1):54-66.
- Holmqvist R, Hill T, Lang A. Effects of aggression replacement training in young offender institutions. Int J Offender Ther Comp Criminol. 2009;53(1):74-92. Available from: https://doi.org/10.1177/0306624X07310452.
- Brännström L, Kaunitz C, Andershed A-K, South S, Smedslund G. Aggression replacement training (ART) for reducing antisocial behavior in adolescents and adults: A systematic review. Aggress Violent Behav. 2016;27:30-41. Available from: https://doi.org/10.1016/j.avb.2016.02.006.
- SBU. Program för ungdomar med antisocial problematik inom institutionsvård: en systematisk översikt och utvärdering av ekonomiska, sociala och etiska aspekter. Stockholm: Statens beredning för medicinsk och social utvärdering (SBU); 2016. SBU Utvärderar 252. [accessed 17 Nov 2022]. Available from: https://www.sbu.se/252.
Bilaga 1 Dokumentation av sökstrategier
Medline via OvidSP 10 Mar 2023
| / = Term from the MeSH controlled vocabulary; .sh = Term from the MeSH controlled vocabulary; exp = Term from MeSH including terms found below this term in the MeSH hierarchy; .ti,ab = Title or abstract; .tw = Title or abstract; .kf = Keywords; .kw.bt = Book title. NLM Bookshelf.; .pt = Publication type; .ja = Journal abbreviation; .af = All fields; adjn = Adjacent. Proximity operator retrieving adjacent words, adj3 retrieves records with search terms within two terms from each other.; * or $ = Truncation; “ “ = Citation Marks; searches for an exact phrase | ||
| Search terms | Items found | |
| Intervention: | ||
| 1. | Aggression replacement.ab,bt,kw,ti. | 15 |
| Setting: | ||
| 2. | Custodial Care/ | 190 |
| 3. | Involuntary Treatment/ | 121 |
| 4. | Residential Treatment/ | 3 307 |
| 5. | Involuntary Commitment/ | 72 |
| 6. | Coercion/ | 5 021 |
| 7. | exp Correctional Facilities/ | 11 337 |
| 8. | Foster Home Care/ | 3 865 |
| 9. | Group Homes/ | 1 019 |
| 10. | Orphanages/ | 488 |
| 11. | (involuntary or non voluntary or detention or detain* or correctional or forensic or prison* or incarce* or custod* or coerc* or restraint or institutionali*).ab,kf,ti,bt. | 156 526 |
| 12. | ((forced or forcibl* or compulsory or mandatory or mandated or institution* or residential or locked) adj4 (care or treat* or setting* or hospitali* or psychiatr* or unit* or ward* or admission or admit* or commit*)).ab,kf,ti,bt. | 66 893 |
| 13. | ((foster or group or placement) adj3 (care or home*)).ab,kf,ti,bt. | 26 131 |
| 14. | or/2-13 | 253 126 |
| Study types: systematic reviews and meta-analysis | ||
| 15. | ((Systematic Review/ or Meta-Analysis/ or Cochrane Database Syst Rev.ja. or ((systematic adj4 review) or "meta analys*" or metaanalys*).ti,bt,ab.) not (editorial/ or letter/ or case reports/)) | |
| Combined sets: | ||
| 16. | 1 and 15 [Intervention (ART) and Study type (Systematic review)] | 0 |
| 17. | 1 and 14 [Intervention (ART) and Setting (Residential Care)] | 10 |
| Final result | ||
| 16 OR 17 | 10 | |
Scopus via scopus.com 10 Mar 2023
| TITLE-ABS-KEY = Title, abstract or keywords (including indexed keywords and author keywords); ALL = All fields; W/n = Within. Proximity operator retrieving terms within n words from each other.; PRE/n = Precedes by. Proximity operator, the first term in the search must precede the second by n words.; LIMIT-TO (X) = Includes only results of specified type, e.g., publication type or time range.; DOCTYPE = Publication type; “re” = review; “le” = letter; “ed” = editorial; “ch” = book chapter; “cp” = conference proceedings; * = Truncation; “ “ = Citation Marks; searches for an exact phrase | ||
| Search terms | Items found | |
| Intervention: | ||
| 1. | TITLE-ABS-KEY ( “aggression replacement”) | 70 |
| Setting: | ||
| 2. | TITLE-ABS-KEY ( ( forced OR forcibl* OR compulsory OR mandatory OR mandated OR institution* OR residential OR locked ) W/3 ( care OR treat* OR setting* OR hospitali* OR psychiatr* OR unit* OR ward* OR admission OR admit* OR commit* ) ) | 120 691 |
| 3. | TITLE-ABS-KEY ( involuntary OR "non voluntary" OR detention OR detain* OR correctional OR forensic* OR prison* OR incarce* OR custod* OR coerc* OR institutionali* OR restraint) | 544 277 |
| 4. | TITLE-ABS-KEY ( ( foster OR group OR placement ) W/2 ( care OR home* ) ) | 51 114 |
| 5. | 2 OR 3 OR 4 | 699 672 |
| Study types: systematic reviews and meta-analysis | ||
| 6. | TITLE-ABS-KEY ( ( systematic W/2 review ) OR "meta analy*" OR metaanaly* ) AND (EXCLUDE (DOCTYPE, “le”) OR EXCLUDE (DOCTYPE, “ed”) OR EXCLUDE (DOCTYPE, “ch”) OR EXCLUDE (DOCTYPE, “cp”)) | |
| Combined sets: | ||
| 7. | 1 AND 6 [Intervention(ART) and Study type (Systematic review)] | 3 |
| 8. | 1 AND 5 [Intervention (ART) and Setting (Residential Care)] | 29 |
| Final result | ||
| 7 OR 8 | 32 | |
PSYCINFO via EBSCO 10 Mar 2023
| TI = Title; AB = Abstract; SU = Keyword, exact or part (including all other fields for indexed and author keywords); DE = Exact keyword; TX = All text; MR = Methodology; Nn = Near. Proximity operator retrieving terms within n words from each other.; * = Truncation; “ “ = Citation Marks; searches for an exact phrase | ||
| Search terms | Items found | |
| Intervention: | ||
| 1. | TI "aggression replacement" OR AB "aggression replacement" OR SU "aggression replacement" | 94 |
| Setting: | ||
| 2. | (DE "Involuntary Treatment") OR (DE "Residential Care Institutions") OR (DE "Correctional Institutions") | 16 127 |
| 3. | TI ( ( ( forced OR forcibl* OR compulsory OR mandatory OR mandated OR institution* OR residential OR locked ) N3 ( care OR treat* OR setting* OR hospitali* OR unit* OR ward* OR admission OR admit* OR commit* OR psychiatr* ) ) ) OR SU ( ( ( forced OR forcibl* OR compulsory OR mandatory OR mandated OR institution* OR residential OR locked ) N3 ( care OR treat* OR setting* OR hospitali* OR unit* OR ward* OR admission OR admit* OR commit* OR psychiatr* ) ) ) OR AB ( ( ( forced OR forcibl* OR compulsory OR mandatory OR mandated OR institution* OR residential OR locked ) N3 ( care OR treat* OR setting* OR hospitali* OR unit* OR ward* OR admission OR admit* OR commit* OR psychiatr* ) ) ) OR TI ( ( involuntary OR "non voluntary" OR detention OR detain* OR correctional OR forensic* OR custod* OR coerc* OR institutionali* OR prison* OR incarc* OR restrain* ) ) OR SU ( ( involuntary OR "non voluntary" OR detention OR detain* OR correctional OR forensic* OR custod* OR coerc* OR institutionali* OR prison* OR incarc* OR restrain*) ) OR AB ( ( involuntary OR "non voluntary" OR detention OR detain* OR correctional OR forensic* OR custod* OR coerc* OR institutionali* OR prison* OR incarc* OR restrain*)) | 166 260 |
| 4. | TI ( ( ( foster OR group OR placement ) N2 ( care OR home* ) ) ) OR AB ( ( ( foster OR group OR placement ) N2 ( care OR home* ) ) ) OR SU ( ( ( foster OR group OR placement ) N2 ( care OR home* ) ) ) | 22 314 |
| 5. | 2 OR 3 OR 4 | 184 409 |
| Study types: systematic reviews and meta-analysis | ||
| 6. | TI((systematic n3 review) OR "meta analys*" OR metaanalys*) OR AB((systematic n3 review) OR "meta analys*" OR metaanalys*) OR SU((systematic n3 review) OR "meta analys*" OR metaanalys*) OR (MR "Systematic Review" OR MR "meta analysis") | |
| Combined sets: | ||
| 7. | 1 AND 6 [Intervention(ART) and Study type (Systematic review)] | 2 |
| 8. | 1 AND 5 [Intervention (ART) and Setting (Residential Care)] | 35 |
| Final result | ||
| 7 OR 8 | 37 | |
SOCIndex via EBSCO 10 Mar 2023
| TI = Title; AB = Abstract; SU = Keyword, exact or part (including all other fields for indexed and author keywords); Nn = Near. Proximity operator retrieving terms within n words from each other.; * = Truncation; “ “ = Citation Marks; searches for an exact phrase | ||
| Search terms | Items found | |
| Intervention: | ||
| 1. | TI "aggression replacement" OR AB "aggression replacement" OR SU "aggression replacement" | 57 |
| Setting: | ||
| 2. | TI ( ( ( forced OR forcibl* OR compulsory OR mandatory OR mandated OR institution* OR residential OR locked ) N3 ( care OR treat* OR setting* OR hospitali* OR unit* OR ward* OR admission OR admit* OR commit* OR psychiatr* ) ) ) OR SU ( ( ( forced OR forcibl* OR compulsory OR mandatory OR mandated OR institution* OR residential OR locked ) N3 ( care OR treat* OR setting* OR hospitali* OR unit* OR ward* OR admission OR admit* OR commit* OR psychiatr* ) ) ) OR AB ( ( ( forced OR forcibl* OR compulsory OR mandatory OR mandated OR institution* OR residential OR locked ) N3 ( care OR treat* OR setting* OR hospitali* OR unit* OR ward* OR admission OR admit* OR commit* OR psychiatr* ) ) ) OR TI ( ( involuntary OR "non voluntary" OR detention OR detain* OR correctional OR forensic* OR custod* OR coerc* OR institutionali* OR prison* OR incarc* OR restrain* ) ) OR SU ( ( involuntary OR "non voluntary" OR detention OR detain* OR correctional OR forensic* OR custod* OR coerc* OR institutionali* OR prison* OR incarc* OR restrain*) ) OR AB ( ( involuntary OR "non voluntary" OR detention OR detain* OR correctional OR forensic* OR custod* OR coerc* OR institutionali* OR prison* OR incarc* OR restrain*)) | 130 434 |
| 3. | TI ( ( ( foster OR group OR placement ) N2 ( care OR home* ) ) ) OR AB ( ( ( foster OR group OR placement ) N2 ( care OR home* ) ) ) OR SU ( ( ( foster OR group OR placement ) N2 ( care OR home* ) ) ) | 12 024 |
| 4. | 2 OR 3 | 142 610 |
| Study types: systematic reviews and meta-analysis | ||
| 5. | TI((systematic N3 review) OR "meta analys*" OR metaanalys*) OR AB((systematic N3 review) OR "meta analys*" OR metaanalys*) OR SU((systematic N3 review) OR "meta analys*" OR metaanalys*) | |
| Combined sets: | ||
| 6. | 1 AND 5 [Intervention (ART) and Study type (Systematic review)] | 2 |
| 7. | 1 AND 4 [Intervention (ART) and Setting (Residential Care)] | 16 |
| Final result | ||
| 6 OR 7 | 18 | |
Criminal Justice Abstracts via EBSCO 10 Mar 2023
| TI = Title; AB = Abstract; SU = Keyword, exact or part (including all other fields for indexed and author keywords); Nn = Near. Proximity operator retrieving terms within n words from each other.; * = Truncation; “ “ = Citation Marks; searches for an exact phrase | ||
| Search terms | Items found | |
| Intervention: | ||
| 1. | TI "aggression replacement" OR AB "aggression replacement" OR SU "aggression replacement" | 49 |
| Setting: | ||
| 2. | TI ( ( ( forced OR forcibl* OR compulsory OR mandatory OR mandated OR institution* OR residential OR locked ) N3 ( care OR treat* OR setting* OR hospitali* OR unit* OR ward* OR admission OR admit* OR commit* OR psychiatr* ) ) ) OR SU ( ( ( forced OR forcibl* OR compulsory OR mandatory OR mandated OR institution* OR residential OR locked ) N3 ( care OR treat* OR setting* OR hospitali* OR unit* OR ward* OR admission OR admit* OR commit* OR psychiatr* ) ) ) OR AB ( ( ( forced OR forcibl* OR compulsory OR mandatory OR mandated OR institution* OR residential OR locked ) N3 ( care OR treat* OR setting* OR hospitali* OR unit* OR ward* OR admission OR admit* OR commit* OR psychiatr* ) ) ) OR TI ( ( involuntary OR "non voluntary" OR detention OR detain* OR correctional OR forensic* OR custod* OR coerc* OR institutionali* OR prison* OR incarc* OR restrain* ) ) OR SU ( ( involuntary OR "non voluntary" OR detention OR detain* OR correctional OR forensic* OR custod* OR coerc* OR institutionali* OR prison* OR incarc* OR restrain*) ) OR AB ( ( involuntary OR "non voluntary" OR detention OR detain* OR correctional OR forensic* OR custod* OR coerc* OR institutionali* OR prison* OR incarc* OR restrain*)) | 99 000 |
| 3. | TI ( ( ( foster OR group OR placement ) N2 ( care OR home* ) ) ) OR AB ( ( ( foster OR group OR placement ) N2 ( care OR home* ) ) ) OR SU ( ( ( foster OR group OR placement ) N2 ( care OR home* ) ) ) | 3 496 |
| 4. | 2 OR 3 | 101 592 |
| Study types: systematic reviews and meta-analysis | ||
| 5. | TI((systematic N3 review) OR "meta analys*" OR metaanalys*) OR AB((systematic N3 review) OR "meta analys*" OR metaanalys*) OR SU((systematic N3 review) OR "meta analys*" OR metaanalys*) | |
| Combined sets: | ||
| 6. | 1 AND 5 [Intervention(ART) and Study type (Systematic review)] | 2 |
| 7. | 1 AND 4 [Intervention (ART) and Setting (Residential Care)] | 16 |
| Final result | ||
| 6 OR 7 | 18 | |
Bilaga 2 Flödesschema för urval av artiklar
Bilaga 3 Exkluderade artiklar
Artiklar som exkluderats efter fulltextläsning på grund av bristande relevans. / Articles excluded after full text assessment of relevance.
Sökning A / Search strategy A
| Excluded articles | Reason for exclusion |
| Systematic reviews | |
| Brännström L, Kaunitz C, Andershed A-K, South S, Smedslund G. Aggression replacement training (ART) for reducing antisocial behavior in adolescents and adults: A systematic review. Aggression Violent Behav. 2016;27:30-41. Available from: https://doi.org/10.1016/j.avb.2016.02.006. | Inkluderad som Lästips Relevant studies included but not reported separately |
| Ensafdaran F, Krahé B, Njad SB, Arshadi N. Efficacy of different versions of Aggression Replacement Training (ART): A review. Aggression Violent Behav. 2019;47:230-7. Available from: https://doi.org/10.1016/j.avb.2019.02.006. | Relevant studies included but not reported separately. Focus on studies excluded from Brännström et al. (see above) due to major differences from original ART. (high risk of bias – insufficient reporting of search strategies, sceening and risk of bias assessment) |
| James S, Alemi Q, Zepeda V. Effectiveness and implementation of evidence-based practices in residential care settings. Child Youth Serv Rev. 2013;35(4):642-56. Available from: https://doi.org/10.1016/j.childyouth.2013.01.007. | Relevant studies included but not reported separately (high risk of bias – insufficient reporting of search strategies and screening) |
| Ondrus CA. Outcomes of Aggression Replacement Training for US adolescents in residential facilities: ProQuest Information & Learning; 2017. | Wrong publication type, dissertation |
| Salas AP. Effectiveness of aggression replacement training on the treatment of adolescent aggression: A meta-analysis: ProQuest Information & Learning; 2020. | Wrong publication type, dissertation |
| Primary studies | |
| Currie MR, Wood CE, Williams B, Bates GW. Aggression replacement training in australia: Youth justice pilot study. Psychiatry Psychol Law. 2009;16(3):413-26. Available from: https://doi.org/10.1080/13218710902852859. | No control group |
| Currie MR, Wood CE, Williams B, Bates GW. Aggression Replacement Training (ART) in Australia: A Longitudinal Youth Justice Evaluation. Psychiatry Psychol Law. 2012;19(4):577-604. Available from: https://doi.org/10.1080/13218719.2011.615807. | No control group |
| Erickson JA. The efficacy of aggression replacement trainingrtm with female juvenile offenders in a residential commitment program: ProQuest Information & Learning; 2014. | Wrong publication type, dissertation |
| Gerchow CE. Evaluating the impact of two cognitive behavioral therapy programs on recidivism in chronic juvenile offenders: ProQuest Information & Learning; 2018. | Wrong publication type, dissertation |
| Nugent WR, Bruley C, Allen P. The effects of aggression replacement training on antisocial behavior in a runaway shelter. Res Soc Work Pract. 1998;8(6):637-56. Available from: https://doi.org/10.1177/104973159800800602. | Wrong setting, short term shelter No control group |
| Nugent WR, Bruley C, Allen P. The Effects of Aggression Replacement Training on Male and Female Antisocial Behavior in a Runaway Shelter. Res Soc Work Pract. 1999;9(4):466-82. Available from: https://doi.org/10.1177/104973159900900404. | Wrong setting, short term shelter No control group |
| Nugent WR, Ely G. The Effects of Aggression Replacement Training on Periodicities in Antisocial Behavior in a Short-Term Shelter for Adolescents. J Soc Social Work Res. 2010;1(3):140-58. Available from: https://doi.org/10.5243/jsswr.2010.11. | Wrong setting, short term shelter No control group |
| Tholander M, Andersson Bruck K. The ART of apologizing: Entering the black box of an intervention program. Text Talk. 2021;41(1):95-117. Available from: https://doi.org/10.1515/text-2019-0111. | Wrong study type |
Sökning B / Search strategy B
| Excluded articles | Reason for exclusion |
| Ahankari AS, Wray J, Jomeen J, Hayter M. The effectiveness of combined alcohol and sexual risk taking reduction interventions on the sexual behaviour of teenagers and young adults: A systematic review. Public Health. 2019;173:83-96. Available from: https://doi.org/10.1016/j.puhe.2019.05.023. | Wrong population Wrong intervention |
| Armelius B-Å, Andreassen TH. Cognitive-Behavioral Treatment for Antisocial Behavior in Youth in Residential Treatment. Campbell Syst Rev. 2007;3(1):1-57. Available from: https://doi.org/10.4073/csr.2007.8. | Wrong intervention |
| Beaudry G, Yu R, Perry AE, Fazel S. Effectiveness of psychological interventions in prison to reduce recidivism: a systematic review and meta-analysis of randomised controlled trials. Lancet Psychiatry. 2021;8(9):759-73. Available from: https://doi.org/10.1016/S2215-0366(21)00170-X. | Wrong intervention |
| Brazão N, da Motta C, Rijo D. From multimodal programs to a new cognitive-interpersonal approach in the rehabilitation of offenders. Aggression Violent Behav. 2013;18(6):636-43. Available from: https://doi.org/10.1016/j.avb.2013.07.018. | Wrong intervention |
| Davis JP. Effect of mindfulness based relapse prevention on developmental trends, stress, and substance use among young adults in residential substance use treatment: A randomized controlled trial: ProQuest Information & Learning; 2019. | Wrong publication type, dissertation Wrong intervention |
| De Swart JJW, Van den Broek H, Stams GJJM, Asscher JJ, Van der Laan PH, Holsbrink-Engels GA, et al. The effectiveness of institutional youth care over the past three decades: A meta-analysis. Child Youth Serv Rev. 2012;34(9):1818-24. Available from: https://doi.org/10.1016/j.childyouth.2012.05.015. | Wrong intervention |
| Donkoh C, Underhill K, Montgomery P. Independent Living Programmes for Improving Outcomes for Young People Leaving the Care System. Campbell Syst Rev. 2006;2(1):1-34. Available from: https://doi.org/10.4073/csr.2006.8. | Wrong intervention Wrong population |
| Doucet MM, Greeson JKP, Eldeeb N. Independent living programs and services for youth 'aging out' of care in Canada and the US: A systematic review. Child Youth Serv Rev. 2022;142. Available from: https://doi.org/10.1016/j.childyouth.2022.106630. | Wrong intervention Wrong population |
| Eadeh H-M, Breaux R, Nikolas MA. A meta-analytic review of emotion regulation focused psychosocial interventions for adolescents. Clin Child Family Psychol Rev. 2021;24(4):684-706. Available from: https://doi.org/10.1007/s10567-021-00362-4. | Wrong intervention Wrong population |
| Elliott L, Orr L, Watson L, Jackson A. Secondary prevention interventions for young drug users: a systematic review of the evidence. Adolescence. 2005;40(157). | Wrong intervention Wrong population |
| Everson-Hock ES, Jones R, Guillaume L, Clapton J, Duenas A, Goyder E, et al. Supporting the transition of looked-after young people to independent living: a systematic review of interventions and adult outcomes. Child Care Health Dev. 2011;37(6):767-79. Available from: https://doi.org/10.1111/j.1365-2214.2011.01287.x. | Wrong intervention Wrong population |
| Gagnon JC, Benedick AR, Mason-Williams L. Mental Health Interventions for Youth Who Are Incarcerated: A Systematic Review of Literature. Am J Orthopsychiatry. 2022;92(4):391-404. Available from: https://doi.org/10.1037/ort0000587. | Wrong intervention |
| Gagnon JC, Ruiz E, Mathur SR, Mason-Williams L. Interventions Addressing Incarcerated Youth Behavior: A Review of Literature. Am J Orthopsychiatry. 2022;92(4):405-17. Available from: https://doi.org/10.1037/ort0000621. | Wrong intervention |
| Grietens H, Hellinckx W. Evaluating effects of residential treatment for juvenile offenders by statistical metaanalysis: A review. Aggression Violent Behav. 2004;9(4):401-15. Available from: https://doi.org/10.1016/S1359-1789(03)00043-0. | Wrong publication type Wrong intervention |
| Hambrick EP, Oppenheim-Weller S, N'zi AM, Taussig HN. Mental health interventions for children in foster care: A systematic review. Child Youth Serv Rev. 2016;70:65-77. Available from: https://doi.org/10.1016/j.childyouth.2016.09.002. | Wrong population Wrong intervention |
| Hammarström S, Stenqvist K, Lindroth M. Sexual health interventions for young people in state care: a systematic review. Scand J Public Health. 2018;46(8):817-34. Available from: https://doi.org/10.1177/1403494818783077. | Wrong intervention |
| Howey W, Lundahl B, Assadollahi A. Effectiveness of Residential Treatment for Juveniles with Problematic Sexual Behavior: A Systematic Review. Int J Environ Res Public Health. 2022;19(23). Available from: https://dx.doi.org/10.3390/ijerph192315625. | Wrong intervention |
| Jones C, Nonas-Barnes L. Effectiveness of Skills Groups for Adolescents in Correctional Settings: A Scientific Systematic Review. Columbia Social Work Review (Columbia University School of Social Work). 2017;8. | Wrong intervention |
| Kemmis-Riggs J, Dickes A, McAloon J. Program Components of Psychosocial Interventions in Foster and Kinship Care: A Systematic Review. Clin Child Family Psychol Rev. 2018;21(1):13-40. Available from: https://doi.org/10.1007/s10567-017-0247-0. | Wrong intervention Wrong population |
| Kvamme LS, Waaler P, Helland SS, Kjøbli J. Striving for Happily Ever After: Supportive Interventions for Youth Leaving Residential Placement. A Systematic Review of Reviews. Child Adolesc Ment Health. 2022;27(4):389-98. Available from: https://doi.org/10.1111/camh.12507. | Wrong publication type Wrong intervention Wrong population |
| Lanier P, Jensen T, Bryant K, Chung G, Rose R, Smith Q, et al. A systematic review of the effectiveness of children’s behavioral health interventions in psychiatric residential treatment facilities. Child Youth Serv Rev. 2020;113. Available from: https://doi.org/10.1016/j.childyouth.2020.104951. | Wrong intervention |
| Leipoldt JD, Harder AT, Kayed NS, Grietens H, Rimehaug T. Determinants and outcomes of social climate in therapeutic residential youth care: A systematic review. Child Youth Serv Rev. 2019;99:429-40. Available from: https://doi.org/10.1016/j.childyouth.2019.02.010. | Wrong focus |
| Maclean S, Cameron J, Harney A, Lee NK. Psychosocial therapeutic interventions for volatile substance use: a systematic review. Addiction. 2012;107(2):278-88. Available from: https://doi.org/10.1111/j.1360-0443.2011.03650.x. | Wrong intervention Wrong population |
| Mak C, Whittingham K, Cunnington R, Boyd RN. Efficacy of Mindfulness-Based Interventions for Attention and Executive Function in Children and Adolescents—a Systematic Review. Mindfulness. 2018;9(1):59-78. Available from: https://doi.org/10.1007/s12671-017-0770-6. | Wrong intervention Wrong population |
| Reitzel LR, Carbonell JL. The effectiveness of sexual offender treatment for juveniles as measured by recidivism: A meta-analysis. Sex Abuse J Res Treat. 2006;18(4):401-21. Available from: https://doi.org/10.1177/107906320601800407. | Wrong intervention |
| Robert A, Illa JM, Navarro ME. The therapeutic community for substance use disorders among adolescents. Trastor Adict. 2012;14(4):112-7. Available from: https://doi.org/10.1016/S1575-0973(12)70054-5. | Wrong language - spanish |
| Tripodi SJ, Bender K. Substance abuse treatment for juvenile offenders: A review of quasi-experimental and experimental research. J Crim Justice. 2011;39(3):246-52. Available from: https://doi.org/10.1016/j.jcrimjus.2011.02.007. | Wrong intervention |
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