Conduct Disorder and Offending Behaviour in Young People Child and Adolescent Mental Health Series Writtenforprofessionalsandparents,theseaccessible,evidence-basedresourcesare essentialreadingforanyoneseekingtounderstandandpromotechildrenandyoung people’smentalhealth.TheworkwascommissionedbyFOCUS,amultidisciplinary project based at the Royal College of Psychiatrists’ Research Unit funded by the GatsbyCharitableFoundation.Eachtitleintheseriesbringstogetherpracticaland policy-levelsuggestionswithup-to-the-minuteanalysisof research. otherbooksintheseries Understanding Attachment and Attachment Disorders Theory,EvidenceandPractice VivienPriorandDanyaGlaser ISBN9781843102458 Cannabis and Young People ReviewingtheEvidence RichardJenkins ISBN9781843103981 Deliberate Self-Harm in Adolescence ClaudineFoxandKeithHawton ISBN9781843102373 Mental Health Services for Minority Ethnic Children and Adolescents EditedbyMhemoodaMalekandCarolJoughin ForewordbyDrKedarNathDwivedi ISBN9781843102366 of relatedinterest Children and Behavioural Problems Anxiety, Aggression, Depression and ADHD – A Biopsychological Model withGuidelinesforDiagnosticsandTreatment MartineF.Delfos ISBN9781843101963 Conduct Disorder and Behavioural Parent Training ResearchandPractice DermotO’Reilly ISBN9781843101635 Children Who Commit Acts of Serious Interpersonal Violence MessagesforBestPractice EditedbyAnnHagellandRenukaJeyarajah-Dent ISBN9781843103844 ChildandAdolescentMentalHealthSeries Conduct Disorder and Offending Behaviour in Young People Findings from Research Kristin Liabø and Joanna Richardson TheRoyalCollegeof Psychiatrists’ResearchandTrainingUnit Jessica Kingsley Publishers London and Philadelphia DiagnosticCriteriafromtheInternationalStatisticalClassificationofDiseasesandRelatedHealth Problems:TenthRevisiononpp.101–102reproducedwithpermissionfromtheWorldHealth Organisation. DiagnosticCriteriafromtheDiagnosticandStatisticalManualofMentalHealthDisorders(fourth edition)onpp.102–103reproducedwithpermissionfromtheAmericanPsychiatricAssociation. Firstpublishedin2007 byJessicaKingsleyPublishers 116PentonvilleRoad LondonN19JB,UK and 400MarketStreet,Suite400 Philadelphia,PA19106,USA www.jkp.com Copyright©TheRoyalCollegeofPsychiatrists2007 TherightofTheRoyalCollegeofPsychiatriststobeidentifiedasauthorsofthisworkhas beenassertedbytheminaccordancewiththeCopyright,DesignsandPatentsAct1988. Allrightsreserved.Nopartofthispublicationmaybereproducedinanymaterialform (includingphotocopyingorstoringitinanymediumbyelectronicmeansandwhetherornot transientlyorincidentallytosomeotheruseofthispublication)withoutthewrittenpermission ofthecopyrightownerexceptinaccordancewiththeprovisionsoftheCopyright,Designsand PatentsAct1988orunderthetermsofalicenceissuedbytheCopyrightLicensingAgency Ltd,90TottenhamCourtRoad,London,EnglandW1T4LP.Applicationsforthecopyright owner’swrittenpermissiontoreproduceanypartofthispublicationshouldbeaddressedtothe publisher. Warning:Thedoingofanunauthorisedactinrelationtoacopyrightworkmayresultinbotha civilclaimfordamagesandcriminalprosecution. Disclaimer Theopinionsexpressedinthisbookarethoseoftheauthor(JoannaRichardson)andnot necessarilyofNICE. LibraryofCongressCataloginginPublicationData ACIPcatalogrecordforthisbookisavailablefromtheLibraryofCongress BritishLibraryCataloguinginPublicationData ACIPcataloguerecordforthisbookisavailablefromtheBritishLibrary ISBN9781843105084 ISBNpdfeBook9781846426605 PrintedandboundinGreatBritainby AthenaeumPress,Gateshead,TyneandWear Contents Acknowledgements 8 Preface 9 Part One: Introduction 11 1 Overview of Conduct Disorder 13 Definitionsandterminology13;Prevalence15;Long-termoutlook 16 2 Young People With More Than One Disorder (Comorbidity) 17 Oppositionaldefiantdisorder(ODD)18;Attention-deficit hyperactivitydisorder(ADHD)18;Depression19;Suicide19; Substanceabuse19;Learningdisabilities20 3 Aetiology and Developmental Pathways 21 Individualfactors22;Familyfactors23;Schoolfactors25;Protective factors26 4 Prevention 29 5 Measuring and Assessing Problem Behaviour 32 Measuresusedintheincludedstudies34 6 Services for Adolescents 36 Part Two: The Research Base – Techniques for Treating Conduct Disorder and Treatment Approaches for Young Offenders 41 7 Individual Programmes 45 Cognitivebehaviourtherapy45;Conclusion54 8 Family and Parenting Interventions 56 Familytherapy56;Multisystemictreatment(MST)59;Parent managementtraining(PMT)62;Fostercareinterventions64; Barrierstosuccessfulfamily-basedtreatments68;Conclusion69 9 School-based Interventions 71 Conclusion76 10 Pharmacology 78 Psychostimulants78;Neuroleptics79;Lithiumcarbonate80; Anticonvulsants81;Othercompounds82;Conclusion82 11 Interventions for Young People Involved in Firesetting and Arson 84 12 Other Treatments for Conduct Disorder 86 13 Treatment Approaches forYoung Offenders 87 TheResearchEvidence87;Interventionswithastrongbackingfrom research91;Interventionswithsomebackingfromresearch94; Harmfulinterventionsandinterventionsofnoeffect95; Conclusion96 14 Summary of Key Issues 97 Keyfindings98;Limitationsofcurrentresearch100 Appendix 1: Diagnostic Criteria for Conduct Disorder 101 Appendix 2: Useful Terms for Understanding and Assessing Research 104 Appendix 3: Search Strategy 112 Appendix 4: Critical Appraisal 115 Appendix 5: Resources 121 References 124 Subject Index 138 Author Index 140 About FOCUS 143 Acknowledgements Thanksareduetoallthepeoplewhohelpedwiththisreview.CarolJoughin initiatedtheworkinherpreviousroleatFOCUS.AngelaScottandMervyn Townleyassistedwiththeinitialsearchstrategiesandsiftingofpapers.Atthe Child Health Research and Policy Unit, City University, we are indebted to ReneeKunklerandJuliaNewberywhohelpedwiththescreeningof search hits, referencing and critical appraisal. We are grateful to Nick Hindley and Helen Roberts who commented on an earlier draft. Several practitioners responded helpfully to our queries, in particular: Geoff Baruch and Charles Wells at the Brandon Centre, Dawn Walker at the Multidimensional Treat- ment Foster Care Team (North), Chris Mearns at the Chrysalis Fostering Project, and all those who replied to our call for topic suggestions. FOCUS wouldespeciallyliketothankSueBaileywhoreviewedanearliermanuscript, and made astute suggestions, and Stephen Scott who advised on the pharmacological section.
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