Swedish Agency for Health Technology Assessment and Assessment of Social Services
Adolescent Community Reinforcement Approach (A-CRA) for young persons in involuntary institutional care
A-CRA is a programme targeting adolescents with substance use and their families. The programme is primarily used in community care settings or as a residential treatment after care programme. It has also been adapted for use in mandated institutional care.
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Question
What scientific studies have been published regarding the effect of Adolescent Community Reinforcement Approach (A-CRA) for adolescents in involuntary institutional care?
Method
A systematic literature search was performed using the following databases: MedLine, Scopus, PsycInfo, SocIndex and Criminal Justice Abstracts.
Two authors independently assessed the abstracts of all identified studies.
Risk of bias in relevant systematic reviews was assessed using an assessment tool based on AMSTAR.
Identified literature
No relevant systematic reviews or primary studies were identified.
Search strategies
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 = Keywords, exact; .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. | community reinforcement.ab,bt,kw,ti. | 221 |
| 2. | (adolescent* or youth or teen* or young adult* or juvenile).ab,bt,kf,ti. | 561 999 |
| 3. | 1 and 2 | 59 |
| 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. | (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 |
| 9. | ((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 |
| 10. | or/4-9 | 253 126 |
| Study types: systematic reviews and meta-analysis | ||
| 11. | ((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: | ||
| 12. | 3 and 11 [Intervention (A-CRA) and Study type (Systematic review)] | 3 |
| 13. | 3 and 10 [Intervention (A-CRA) and Setting (Involuntary Residential Care)] | 3 |
| Final result | ||
| 12 OR 13 | 6 | |
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 ( "community reinforcement" AND ( adolescent* OR teen* OR youth OR juvenile OR "young adult" ) ) | 97 |
| 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. | 2 OR 3 | 659 322 |
| Study types: systematic reviews and meta-analysis | ||
| 5. | 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: | ||
| 6. | 1 AND 5 [Intervention(A-CRA) and Study type (Systematic review)] | 6 |
| 7. | 1 AND 4 [Intervention (A-CRA) and Setting (Involuntary Residential Care)] | 6 |
| Final result | ||
| 6 OR 7 | 10 | |
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 ( "community reinforcement" AND (adolescent* OR teen* OR youth OR "young adult*" OR juvenile") ) OR SU ( "community reinforcement" AND (adolescent* OR teen* OR youth OR "young adult*" OR juvenile") ) OR AB ( "community reinforcement" AND (adolescent* OR teen* OR youth OR "young adult*" OR juvenile") ) | 76 |
| 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. | 2 OR 3 | 166 813 |
| 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*) OR (MR "Systematic Review" OR MR "meta analysis") | |
| Combined sets: | ||
| 6. | 1 AND 5 [Intervention (A-CRA) and Study type (Systematic review)] | 4 |
| 7. | 1 AND 4 [Intervention (A-CRA) and Setting (Involuntary Residential Care)] | 7 |
| Final result | ||
| 6 OR 7 | 11 | |
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 ( "community reinforcement" AND (adolescent* OR teen* OR youth OR "young adult*" OR juvenile") ) OR SU ( "community reinforcement" AND (adolescent* OR teen* OR youth OR "young adult*" OR juvenile") ) OR AB ( "community reinforcement" AND (adolescent* OR teen* OR youth OR "young adult*" OR juvenile") ) | 19 |
| 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 |
| Study types: systematic reviews and meta-analysis | ||
| 3. | 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: | ||
| 4. | 1 AND 3 [Intervention (A-CRA) and Study type (Systematic review)] | 0 |
| 5. | 1 AND 2 [Intervention (A-CRA) and Setting (Involuntary Residential Care)] | 2 |
| Final result | ||
| 4 OR 5 | 2 | |
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 ( "community reinforcement" AND (adolescent* OR teen* OR youth OR "young adult*" OR juvenile") ) OR SU ( "community reinforcement" AND (adolescent* OR teen* OR youth OR "young adult*" OR juvenile") ) OR AB ( "community reinforcement" AND (adolescent* OR teen* OR youth OR "young adult*" OR juvenile") ) | 27 |
| 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 |
| Study types: systematic reviews and meta-analysis | ||
| 3. | 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: | ||
| 4. | 1 AND 3 [Intervention (A-CRA) and Study type (Systematic review)] | 1 |
| 5. | 1 AND 2 [Intervention (A-CRA) and Setting (Involuntary Residential Care)] | 2 |
| Final result | ||
| 4 OR 5 | 3 | |
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