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Effectiveness of care offered to multiproblem families


- candidate number22904
- NTR NumberNTR5428
- ISRCTNISRCTN no longer applicable
- Date ISRCTN created
- date ISRCTN requested
- Date Registered NTR24-sep-2015
- Secondary IDs201501002 UMCG Research Register
- Public TitleEffectiveness of care offered to multiproblem families
- Scientific TitleCare Offered to Multiproblem families- Effectiveness of an Organizational model in the Netherlands
- ACRONYMCOME-ON!
- hypothesisMultiproblem families (MPFs) provide a huge public health challenge because of socio-economic deprivation, psychosocial problems, parenting problems, domestic violence and rule-breaking behaviour. Therefore, there is a strong need for evidence-based approaches to successfully manage the difficulties of MPFs in various domains of life.

The aim of the study is to evaluate the effectiveness of an organizational model to support MPFs in the Netherlands. The model is based on the Flexible Assertive Community Treatment (FACT) and the outcomes of a literature study concerning effective elements of interventions for MPFs.
- Healt Condition(s) or Problem(s) studiedMultiproblem, Psychosiocial problems, Efficacy
- Inclusion criteriaFamilies can be included in the study if they consist of at least one adult and one child aged between 4-18 years, who are living together in the same household and who experience difficulties in various domains of life (socio-economic, psychosocial and parenting problems) whereas parenting problems have to be present in any case.
- Exclusion criteriaFamilies can not be included in the study when they live outside the municipalities that participate in our study and when there are no children present in the household aged between 4-18 years.
- mec approval receivedno
- multicenter trialno
- randomisedno
- groupParallel
- Type2 or more arms, non-randomized
- Studytypeintervention
- planned startdate 1-okt-2015
- planned closingdate1-apr-2015
- Target number of participants200
- InterventionsExperimental condition (Flexible Assertive Community Treatment, FACT)
Assertive Community Treatment (ACT) is a well-defined service delivery model for the care and treatment of the most severely mentally ill people (SMI) in the community. In the Netherlands a Dutch version named FACT have been set up, Flexible Assertive Community Treatment. FACT is a rehabilitation-oriented clinical case management model, which is based on the ACT model but is more flexible and able to serve a broader range of clients with severe mental illness. The FACT team is a case management team with partly an individual approach and partly a team approach; the approach varies from client to client, depending on the client’s or family’s needs. For more stable long-term clients FACT provides coordinated multidisciplinary treatment and care by individual case management. Unstable clients or families at risk of relapse, neglect and readmission are provided with intensive assertive outreach care by the same team, working with a shared caseload for this subgroup.

Control condition (Care as Usual, CAU)
The control condition comprises the care as usual that is available for multiproblem families within the participating municipalities.
- Primary outcome- (Social) participation
- Family functioning
- Well-being of the parents and their child/children
- Self-reliance
- Secondary outcome- Care use
- Self-regulation/health literacy
- Satisfaction with program
- TimepointsMeasures will be assessed at inclusion (T0), after half a year (T1), after a year (T2) and after two years (T3) after the working method started within the municipalities. Questionnaires will be filled in at each time point by professionals, parents and children (>12 years).
- Trial web sitewww.comeonderzoek.nl
- statusopen: patient inclusion
- CONTACT FOR PUBLIC QUERIESDr. K.E. Evenboer
- CONTACT for SCIENTIFIC QUERIESDr. D.E.M.C. Jansen
- Sponsor/Initiator University Medical Center Groningen (UMCG), Department of Health Sciences
- Funding
(Source(s) of Monetary or Material Support)
Institute Gak
- PublicationsHolwerda, A., Jansen, D.E.M.C., & Reijneveld, S.A. (2014). The effects of care for multiproblem families: an overview. University Medical Center Groningen, Groningen (in Dutch).
- Brief summaryMultiproblem families (MPFs) provide a huge public health challenge because of socio-economic deprivation, psychosocial problems, parenting problems, domestic violence and rule-breaking behaviour. Therefore, the aim of the study is to evaluate the effectiveness of an organizational model to support MPFs in the Netherlands on the (social) participation, self-reliance and quality of life of MPFs. The model is based on the Flexible Assertive Community Treatment (FACT) and the outcomes of a literature study concerning effective elements of interventions for MPFs. We assess the effectiveness of this model comparing FACT with Care As Usual (CAU) among 200 MPFs in six municipalities . Primary outcomes are (social) participation and family functioning. Secondary outcomes are psychosocial problems, care use, health literacy, self-reliance, quality of life and the satisfaction with the organizational model. This study is conducted for a period of five years, applying questionnaires and qualitative interviews at four time points (T0, T1, T2, T3).
- Main changes (audit trail)
- RECORD24-sep-2015 - 9-nov-2015


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