Effects of Multidimensional Treatment Foster Care on Psychotic Symptoms in Girls

 

 

Richie Poulton, PhD, Mark J. Van Ryzin, PhD, Gordon T. Harold, PhD, Patricia Chamberlain, PhD, David Fowler, MS, Mary Cannon, MRCPsych, PhD, Louise Arseneault, PhD, Leslie D. Leve, PhD

Journal of the American Academy of Child & Adolescent Psychiatry

16 September 2014

 

 

http://www.sciencedirect.com/science/article/pii/S0890856714006182

 

Objective

Neurodevelopmental theories of psychosis highlight the potential benefits of early intervention, prevention, and/or preemption. How early intervention should take place has not been established, nor whether interventions based on social learning principles can have preemptive effects. The objective was to test whether a comprehensive psychosocial intervention can significantly alter psychotic symptom trajectories during adolescence—a period of heightened risk for a wide range of psychopathology.

Method

This study was a randomized controlled trial (RCT) of Multidimensional Treatment Foster Care (MTFC) for delinquent adolescent girls. Assessment of psychotic symptoms took place at baseline and then 6, 12, 18, and 24 months post-baseline using a standardized self-report instrument (Brief Symptom Inventory). A second source of information about psychotic symptoms was obtained at baseline or 12 months, and again at 24 months using a structured diagnostic interview (the Diagnostic Interview Schedule for Children [DISC]).

Results

Significant benefits for MTFC over treatment as usual for psychosis symptoms were observed over a 24-month period. Findings were replicated across both measures. Effects were independent of substance use and initial symptom severity and persisted beyond the initial intervention period.

Conclusion

Ameliorating nonclinical psychotic symptoms trajectories beginning in mid adolescence via a multifaceted psychosocial intervention is possible. Developmental research on nonclinical psychotic symptoms and their prognostic value should be complemented by more psychosocial intervention research aimed at modifying these symptom trajectories early in their natural history.

 

 

 

 

 

 

 

 

Human Services and Justice Coordinating Committee

www.hsjcc.on.ca/