Acceptance and Commitment Therapy (ACT) för placerade ungdomar
Fråga och sammanfattning
Acceptance and Commitment Therapy är en form av kognitiv beteendeterapi (KBT) som bland annat används för att utveckla individens förmåga att hantera stress och ångest, och som kan ingå som behandling för ungdomar placerade i frivillig social heldygnsinsats eller tvångsvård.
Fråga
Vilken sammanställd forskning och vetenskapliga studier finns om Acceptance and Commitment Therapy (ACT) för placerade ungdomar
Frågeställare: Statens institutionsstyrelse (SiS)
Sammanfattning
SBU:s upplysningstjänst har efter litteratursökning inte identifierat någon relevant systematisk översikt. Att systematiska översikter saknas ska dock inte tolkas som att insatsen saknar effekt, utan att sammanställd forskning behövs för att förbättra kunskapsläget.
Upplysningstjänsten har identifierat två primärstudier som har undersökt effekten av ACT för tvångsvårdade ungdomar. Primärstudier granskas 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 socialtjänsten 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 unges 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 på HVB [1] och 971 togs samma år in på särskilt ungdomshem för en eller flera perioder [2].
Acceptance and Commitment Therapy (ACT) är en terapiform som används för många olika tillstånd och som ibland används inom ungdomsvården för att behandla tvångsvårdade ungdomar, vilka ofta har en omfattande samsjuklighet (t.ex. uppförandestörning, depression, ångest, skadligt substansbruk) [3]. ACT är en form av kognitiv beteendeterapi (KBT), och till skillnad från klassisk KBT ligger fokus på medveten närvaro och acceptans istället för på förändring av oönskade tankar och känslor. Syftet är att individen ska öka sin psykologiska flexibilitet och lära sig att svara på ett funktionellt sätt även på svåra tankar och känslor [4]. Inom svensk institutionsvård syftar behandlingen till att lära individen att hantera stress och ångest, och skapa förutsättningar för livsförändringar.
Frågeställning och avgränsningar
Upplysningstjänsten har tillsammans med frågeställaren formulerat frågan enligt följande PICO1:
- Population: Placerade ungdomar till och med 20 år
- Intervention: Acceptance and Commitment Therapy (ACT)
- 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, SOCIndex och Criminal Justice Abstracts, 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 (insats, behandling)/, comparison/control (jämförelseintervention (insats, behandling)) 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 (engelska: Health Technology Assessment)
Resultat från sökningen och bedömning av risk för bias
Upplysningstjänstens litteratursökning genererade totalt 2 484 artiklar efter dubblettkontroll. Ett flödesschema för urvalsprocessen visas i Bilaga 2. Två utredare på SBU läste alla artikelsammanfattningar och bedömde att 35 översikter och 3 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 populationen inte inkluderade eller särredovisade placerade ungdomar.
I svaret ingår en lista med två artiklar från primärstudier 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 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.
| Included studies | Population/ Setting | Intervention/ Control | Outcome measures |
| Duchschere et al, 2022 [6] Addressing A Mental Health Intervention Gap in Juvenile Detention: A Pilot Study. |
128 adolescent males (14–17) in juvenile detention, United States | Intervention: BREAK, a six-session adapted ACT, group intervention Control: Waiting list |
Mental health (BSI + interviews); ACT specific outcomes (AFQ-Y, CFQ, VQ); Recidivism; Treatment fidelity and facilitator competence; feasibility and acceptability |
| Livheim et al, 2020 [7] A quasi-experimental, multicenter study of acceptance and commitment therapy for antisocial youth in residential care. |
160 antisocial youth (16–18) in residential care, Sweden | Intervention: Manualized ACT, six two-hour group sessions Control: Treatment as usual |
Mental health (BYI-II); ACT specific outcomes (AFQ-Y8); Behavioural and emotional problems (SDQ); Drug use (ADAD) |
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: 2022-9-8096. [accessed 17 Nov 2022]. Available from: https://www.socialstyrelsen.se/globalassets/sharepoint-dokument/artikelkatalog/statistik/2022-9-8096.pdf.
- Statens institutionsstyrelse (SiS). SiS årliga statistik. Solna: Statens institutionsstyrelse (SiS); 2022. [accessed 17 Nov 2022]. Available from: https://www.stat-inst.se/publikationer/sis-arliga-statistik/.
- Livheim F. ACT inom statlig ungdomsvård. Solna: Statens institutionsstyrelse; 2021. Institutionsvård i fokus Nr 4. [accessed 17 Nov 2022]. Available from: https://www.stat-inst.se/contentassets/7864de590bbb4b3fab5ed09f58e71a4c/sis_rapport_4_2021.pdf.
- Hayes SC, Pistorello J, Levin ME. Acceptance and commitment therapy as a unified model of behavior change. Couns Psychol. 2012;40(7):976-1002.
- Duchschere JE, Reznik SJ, Shanholtz CE, O’Hara KL, Gerson N, Beck CJ, et al. Addressing A Mental Health Intervention Gap in Juvenile Detention: A Pilot Study. Evid Based Pract Child Adolesc Mental Heal. 2022. Available from: https://doi.org/10.1080/23794925.2022.2042873.
- Livheim F, Tengström A, Andersson G, Dahl J, Björck C, Rosendahl I. A quasi-experimental, multicenter study of acceptance and commitment therapy for antisocial youth in residential care. J Contextual Behav Sci. 2020;16:119-27. Available from: https://doi.org/10.1016/j.jcbs.2020.03.008.
Bilaga 1 Dokumentation av sökstrategier
Sökning A / Search strategy A
Medline via OvidSP 7 Feb 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; “ “ = Citation Marks; searches for an exact phrase; .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. | "Acceptance and Commitment Therapy"/ or (acceptance adj3 commitment).ab,bt,kf,ti. | 1 800 |
| 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. | 67 058 |
| 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(ACT) and Study type (Systematic review)] | 182 |
| 17. | 1 and 14 [Intervention (ACT) and Setting (Involuntary Residential Care)] | 45 |
| Final result | ||
| 18. | 16 OR 17 | 227 |
Scopus via scopus.com 7 Feb 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 ( acceptance W/2 commitment) | 3 849 |
| 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) | 544 189 |
| 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 | ||
| 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(ACT) and Study type (Systematic review)] | 437 |
| 7. | 1 AND 4 [Intervention (ACT) and Setting (Involuntary Residential Care)] | 119 |
| Final result | ||
| 8. | 6 OR 7 | 556 |
PSYCINFO via EBSCO 7 Feb 2023
| Search terms | Items found | |
| 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 | ||
| Intervention: | ||
| 1. | DE "Acceptance and Commitment Therapy" OR TI (acceptance N2 commitment) OR SU (acceptance N2 commitment) OR AB (acceptance N2 commitment) | 3 431 |
| 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(ACT) and Study type (Systematic review)] | 205 |
| 8. | 1 AND 5 [Intervention (ACT) and Setting (Involuntary Residential Care)] | 92 |
| Final result | ||
| 9. | 7 OR 8 | 297/td> |
SOCIndex via EBSCO 7 Feb 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 (acceptance N2 commitment) OR SU (acceptance N2 commitment) OR AB (acceptance N2 commitment) | 223 |
| 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(ACT) and Study type (Systematic review)] | 12 |
| 7. | 1 AND 4 [Intervention (ACT) and Setting (Involuntary Residential Care)] | 11 |
| Final result | ||
| 8. | 6 OR 7 | 23 |
Criminal Justice Abstracts via EBSCO 7 Feb 2023
| Search terms | Items found | |
| TI = Title; ABSU = 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 | ||
| Intervention: | ||
| 1. | TI (acceptance N2 commitment) OR SU (acceptance N2 commitment) OR AB (acceptance N2 commitment) | 96 |
| 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*)) | 98 574 |
| 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(ACT) and Study type (Systematic review)] | 7 |
| 7. | 1 AND 4 [Intervention (ACT) and Setting (Involuntary Residential Care)] | 8 |
| Final result | ||
| 8. | 6 OR 7 | 15 |
Sökning B / Search strategy B
Medline via OvidSP 27 Jan 2023
| Search terms | Items found | |
| / = 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 | ||
| Population: Adolescents | ||
| 1. | Minors/ | 2 787 |
| 2. | Adolescent/ | 2 200 267 |
| 3. | Young Adult/ | 1 003 438 |
| 4. | Child/ | 1 885 456 |
| 5. | Adolescent, Institutionalized/ | 14 |
| 6. | Child, Institutionalized/ | 1 937 |
| 7. | Child, Foster/ | 183 |
| 8. | (adolescent* or young or youth or teenage* or juvenile or minor* or child or children or boy* or girl*).ab,kf,ti,bt. | 2 543 392 |
| 9. | or/1-8 | 4 758 456 |
| Setting: Residential care | ||
| 10. | Custodial Care/ | 190 |
| 11. | Involuntary Treatment/ | 121 |
| 12. | Residential Treatment/ | 3 308 |
| 13. | Involuntary Commitment/ | 72 |
| 14. | Coercion/ | 5 021 |
| 15. | exp Correctional Facilities/ | 11 330 |
| 16. | Foster Home Care/ | 3 864 |
| 17. | Group Homes/ | 1 019 |
| 18. | Orphanages/ | 488 |
| 19. | (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. | 156 251 |
| 20. | (((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. | 66 782 |
| 21. | ((foster or group or placement) adj3 (care or home*)).ab,kf,ti,bt. | 26 024 |
| 22. | Or/10-21 | 252 293 |
| Study types: systematic reviews and meta-analysis | ||
| 23. | ((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: | ||
| 24. | 9 and 22 and 23 | 1 054 |
| Final result | ||
| 25. | 24 | 1 054 |
Scopus via scopus.com 27 January 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 | |
| Population: Adolescents | ||
| 1. | TITLE-ABS-KEY ( adolescent* OR young OR youth OR teenage* OR juvenile OR minor* OR child OR children OR boy* OR girl* ) | 6 915 331 |
| Setting: Residential care | ||
| 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* ) ) | 122 839 |
| 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) | 543 327 |
| 4. | TITLE-ABS-KEY ( ( foster OR group OR placement ) W/2 ( care OR home* ) ) | 51 018 |
| 5. | 2 OR 3 OR 4 | 700 221 |
| 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 5 AND 6 | 1 933 |
| Final result | ||
| 8. | 7 | 1 933 |
PSYCINFO via EBSCO 27 January 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 | |
| Population: Adolescents | ||
| 1. | AG (adolescence OR "school age" OR "young adulthood") | 1 116 135 |
| 2. | TI ( ( adolescent* OR young OR youth OR teenage* OR juvenile OR minor* OR child* ) ) OR AB ( ( adolescent* OR young OR youth OR teenage* OR juvenile OR minor* OR child* ) ) OR SU ( ( adolescent* OR young OR youth OR teenage* OR juvenile OR minor* OR child* ) ) | 1 415 128 |
| 3. | 1 OR 2 | 1 860 619 |
| Setting: Residential care | ||
| 4. | 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*)) | 166 031 |
| 5. | 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* ) ) ) | 22 283 |
| 6. | 4 OR 5 | 184 152 |
| Study types: systematic reviews and meta-analysis | ||
| 7./td> | 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: | ||
| 8. | 3 AND 6 AND 7 | 888 |
| Final result | ||
| 9. | 8 | 888 |
SocIndex via EBSCO 27 January 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 | |
| Population: Adolescents | ||
| 1. | TI ( ( adolescent* OR young OR youth OR teenage* OR juvenile OR minor* OR child* ) ) OR AB ( ( adolescent* OR young OR youth OR teenage* OR juvenile OR minor* OR child* ) ) OR SU ( ( adolescent* OR young OR youth OR teenage* OR juvenile OR minor* OR child* ) ) | 473 825 |
| Setting: Residential care | ||
| 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*)) | 133 347 |
| 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* ) ) ) | 12 012 |
| 4. | 2 OR 3 | 142 503 |
| 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 4 AND 5 | 319 |
| Final result | ||
| 7. | 6 | 319 |
Criminal Justice Abstracts via EBSCO 27 January 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 | |
| Population: Adolescents | ||
| 1. | TI ( ( adolescent* OR young OR youth OR teenage* OR juvenile OR minor* OR child* ) ) OR AB ( ( adolescent* OR young OR youth OR teenage* OR juvenile OR minor* OR child* ) ) OR SU ( ( adolescent* OR young OR youth OR teenage* OR juvenile OR minor* OR child* ) ) | 134 857 |
| Setting: Residential care | ||
| 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*)) | 98 888 |
| 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* ) ) ) | 3 461 |
| 4. | 2 OR 3 | 101 474 |
| 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 4 AND 5 | 246 |
| Final result | ||
| 7. | 6 | 246 |
Bilaga 2 Flödesschema för urval av artiklar
Bilaga 3 Exkluderade artiklar
Artiklar som exkluderats efter fulltextläsning på grund av bristande relevans
Sökning A / Search strategy A
| Excluded articles | Reason for exclusion |
| Calati R, Courtet P. Is psychotherapy effective for reducing suicide attempt and non-suicidal self-injury rates? Meta-analysis and meta-regression of literature data. J Psychiatr Res. 2016;79:8-20. Available from: https://doi.org/10.1016/j.jpsychires.2016.04.003. | Wrong setting Wrong intervention |
| Han A, Kim TH. The Effects of Internet-Based Acceptance and Commitment Therapy on Process Measures: Systematic Review and Meta-analysis. J Med Internet Res. 2022;24(8). Available from: https://doi.org/10.2196/39182. | Wrong population |
| Matowski JC. Feasibility and acceptability of a brief acceptance and commitment therapy (ACT) intervention for juvenile offenders. ProQuest Information & Learning; 2020. Dissertation Abstracts International: Section B: The Sciences and Engineering. | Wrong publication type - dissertation |
| Montgomery KL, Kim JS, Springer DW, Learman JA. A systematic and empirical review of mindfulness interventions with adolescents: A potential fit for delinquency intervention. Best Pract Ment Health. 2013;9(1). | Wrong setting |
| Moyes E, Nutman G, Mirman JH. The Efficacy of Targeted Mindfulness-Based Interventions for Improving Mental Health and Cognition Among Youth and Adults with ACE Histories: A Systematic Mixed Studies Review. J Child Adolesc Trauma. 2022;15(4):1165-77. Available from: https://doi.org/10.1007/s40653-022-00454-5 | Wrong setting |
| Perkins AM, Meiser-Stedman R, Spaul SW, Bowers G, Perkins AG, Pass L. The effectiveness of third wave cognitive behavioural therapies for children and adolescents: A systematic review and meta-analysis. Br J Clin Psychol. 2022. Available from: https://doi.org/10.1111/bjc.12404 | Wrong setting |
| Visdómine-Lozano JC. Contextualist Perspectives in the Treatment of Antisocial Behaviors and Offending: A Comparative Review of FAP, ACT, DBT, and MDT. Trauma Violence Abuse. 2022;23(1):241-54. Available from: https://doi.org/10.1177/1524838020939509. | Wrong publication type – not systematic review |
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. Available from: https://dx.doi.org/10.1016/j.puhe.2019.05.023. | Wrong population |
| 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). Available from: https://dx.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). 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. Dissertation Abstracts International Section A: Humanities and Social Sciences. | 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). 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 |
| 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 |
| 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). Available from: https://doi.org/10.1007/s10567-021-00362-4. | Wrong intervention |
| 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). Available from: https://doi.org/10.1111/j.1365-2214.2011.01287.x. | Wrong intervention |
| 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). Available from: https://dx.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). Available from: https://dx.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). Available from: https://doi.org/10.1016/S1359-1789(03)00043-0. | Wrong publication type Wrong intervention |
| Hambrick EP, Oppenheim-Weller S, N'Zi A M, Taussig HN. Mental Health Interventions for Children in Foster Care: A Systematic Review. Child Youth Serv Rev. 2016;70. Available from: https://dx.doi.org/10.1016/j.childyouth.2016.09.002. | Wrong population Wrong intervention |
| Hammarstrom S, Stenqvist K, Lindroth M. Sexual health interventions for young people in state care: a systematic review. Scand J Public Health. 2018;46(8). Available from: https://dx.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 |
| James S, Alemi Q, Zepeda V. Effectiveness and implementation of evidence-based practices in residential care settings. Child Youth Serv Rev. 2013;35(4). Available from: https://doi.org/10.1016/j.childyouth.2013.01.007. | 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 Fam Psychol Rev. 2018;21(1). Available from: https://dx.doi.org/10.1007/s10567-017-0247-0. | Wrong intervention Wrong population |
| Kvamme LS, Waaler P, Helland SS, Kjobli 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). Available from: https://dx.doi.org/10.1111/camh.12507. | Wrong publication type Wrong intervention |
| 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. 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). Available from: https://dx.doi.org/10.1111/j.1360-0443.2011.03650.x. | Wrong intervention |
| 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). Available from: https://doi.org/10.1007/s12671-017-0770-6. | Wrong intervention |
| 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). 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). Available from: https://doi.org/10.1016/S1575-0973(12)70054-5. | Wrong language – Spanish |
| Salas AP. Effectiveness of aggression replacement training on the treatment of adolescent aggression: A meta-analysis. 2020. Dissertation Abstracts International: Section B: The Sciences and Engineering. | Wrong publication type – dissertation Wrong intervention |
| Tripodi SJ, Bender K. Substance abuse treatment for juvenile offenders: A review of quasi-experimental and experimental researchJ Crim Justice. 2011;39(3). Available from: https://doi.org/10.1016/j.jcrimjus.2011.02.007. | Wrong intervention |
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