Randomized controlled trial of Functional Family Therapy for offending and antisocial behavior in UK youth
Open accessAbstract
Background: Youth offending and antisocial behavior ( ASB ) are associated with low quality mental health and relationships and usually lead to poor adult functioning; they are very costly for society. Family interventions are effective in children but there are few reliably effective and inexpensive interventions for adolescents. Functional Family Therapy ( FFT ) is an evidence‐based intervention but seldom tested outside the United States. Methods: One hundred and eleven adolescents (10–17 years of age, M = 15.0, SD = 1.63) and their families were randomized to FFT + Management As Usual ( MAU ) ( n = 65) or to MAU ( n = 46). Assessments were made at baseline 6, and 18 months after randomization and included interviews and questionnaires of parenting behaviors, conduct disorders (CDs) and offending. Parent–child interaction was directly observed and police records obtained. Trial registration: ISRCTN27650478. Results: Eighty‐nine (80%) were followed‐up. In both groups, there were large reductions over time in all measures of offending and antisocial behavior (e.g. primary outcome p < 0.001), but no significant changes over time in parenting behavior or the parent–child relationship. However, there were no differences between intervention and control groups at 6 or 18 months on self‐reported delinquency, police records of offending, symptoms or diagnoses of CDs, parental monitoring or supervision, directly observed child negative behavior, or parental positive or negative behavior. Against predictions, the intervention group showed lower levels of directly observed child positive behavior at 18 months compared to controls. Conclusions: In contrast to most previous trials of FFT , FFT + MAU did not lead to greater reductions in youth ASB and offending compared to MAU alone, and did not lead to improvements in parenting or the parent–child relationship. This may be because the trial was more rigorously conducted than prior studies; equally, the possibility that MAU was effective requires further research.
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
Several US-based interventions targeting youth development, education and crime reduction have struggled to replicate their positive effects in the UK and Europe, due in part to differences in service systems, cultural norms and school environments.
“Several US-based interventions targeting youth development, education and crime reduction have struggled to replicate their positive effects in the UK and Europe more widely. This is arguably due in part to differences in service systems, cultural norms and school environments, which complicate implementation (e.g., Skärstrand et al., 2014; Baldus et al., 2016; Humayun et al., 2017; Fonagy et al.,”
From Promoting positive youth development with adolescent boys in UK schools: A theory-driven evaluation of the "Becoming a Man" programme (2026) · cites this paper as Humayun et al., 2017
Split into 2 atoms — 0 confirmed, 2 partially supported, 0 disputed, 0 misattributed, 0 unverifiable. Expand the claim to see per-atom verdicts.
Experimental — accuracy not yet measured
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Cites
GPOWER: A general power analysis program
Erdfelder, E., Faul, F., & Buchner, A. (1996) · Behavior Research Methods, Instruments, & Computers · doi:10.3758/bf03203630 · Cited by 4,864 · see citing works
Kim-Cohen, J., Caspi, A., Moffitt, T. E., Harrington, H., Milne, B. J., & Poulton, R. (2003) · Archives of General Psychiatry · doi:10.1001/archpsyc.60.7.709 · Cited by 2,025 · see citing works
The Relationship Between Parenting and Delinquency: A Meta-analysis
Hoeve, M., Dubas, J. S., Eichelsheim, V. I., van der Laan, P. H., Smeenk, W., & Gerris, J. R. M. (2009) · Journal of Abnormal Child Psychology · doi:10.1007/s10802-009-9310-8 · Cited by 1,358 · cited 1× · see citing works
“Negative family interactions are major risk factors for the development of ASB and delinquency (Hoeve et al., 2009; Murray & Farrington, 2010) and are potentially modifiable.”
Lipsey, M. W. (2009) · Victims & Offenders · doi:10.1080/15564880802612573 · Cited by 962 · see citing works
Fergusson, D. M., John Horwood, L., & Ridder, E. M. (2005) · Journal of Child Psychology and Psychiatry · doi:10.1111/j.1469-7610.2004.00387.x · Cited by 946 · see citing works
Financial cost of social exclusion: follow up study of antisocial children into adulthood
Scott, S., Knapp, M. R. J., Henderson, J., & Maughan, B. (2001) · BMJ · doi:10.1136/bmj.323.7306.191 · Cited by 906 · see citing works
Self-citationNew Evidence on the Monetary Value of Saving a High Risk Youth
Cohen, M. A., & Piquero, A. R. (2009) · Journal of Quantitative Criminology · doi:10.1007/s10940-008-9057-3 · Cited by 682 · see citing works
Youth Violence: A Report of the Surgeon General
(2001) · American Journal of Health Education · doi:10.1080/19325037.2001.10603459 · Cited by 565 · see citing works
Alexander, J. F., & Parsons, B. V. (1973) · Journal of Abnormal Psychology · doi:10.1037/h0034537 · Cited by 536 · see citing works
Risk factors for conduct disorder and delinquency: key findings from longitudinal studies
Murray, J., & Farrington, D. P. (2010) · The Canadian Journal of Psychiatry · doi:10.1177/070674371005501003 · Cited by 529 · see citing works
Hyperactivity and conduct problems as risk factors for adolescent development.
Taylor, E., Chadwick, O., Heptinstall, E., & Danckaerts, M. (1996) · Journal of the American Academy of Child and Adolescent Psychiatry · doi:10.1097/00004583-199609000-00019 · Cited by 484 · see citing works
Evidence-Based Psychosocial Treatments for Adolescent Substance Abuse
Waldron, H. B., & Turner, C. W. (2008) · Journal of Clinical Child & Adolescent Psychology · doi:10.1080/15374410701820133 · Cited by 418 · see citing works
Treatment outcomes for adolescent substance abuse at 4- and 7-month assessments.
Barrett, H., Slesnick, N., Brody, J. L., Turner, C. W., & Peterson, T. R. (2001) · Journal of Consulting and Clinical Psychology · doi:10.1037/0022-006x.69.5.802 · Cited by 390 · see citing works
Zoccolillo, M., Pickles, A. R., Quinton, D., & Rutter, M. L. (1992) · Psychological Medicine · doi:10.1017/s003329170003854x · Cited by 346 · see citing works
The effectiveness of Multisystemic Therapy (MST): A meta-analysis
van der Stouwe, T., Asscher, J. J., Stams, G. J. J. M., Deković, M., & van der Laan, P. H. (2014) · Clinical Psychology Review · doi:10.1016/j.cpr.2014.06.006 · Cited by 323 · see citing works
Sexton, T. L., & Turner, C. W. (2010) · Journal of Family Psychology · doi:10.1037/a0019406 · Cited by 247 · see citing works
The Effects of Family Therapies for Adolescent Delinquency and Substance Abuse: A Meta‐analysis
Baldwin, S. A., Christian, S., Berkeljon, A., & Shadish, W. R. (2012) · Journal of Marital and Family Therapy · doi:10.1111/j.1752-0606.2011.00248.x · Cited by 244 · see citing works
McAra, L., & McVie, S. (2005) · Criminal Justice · doi:10.1177/1466802505050977 · Cited by 221 · see citing works
From Juvenile Delinquency to Adult Crime
(2012) · Oxford University Press eBooks · doi:10.1093/acprof:oso/9780199828166.001.0001 · Cited by 194 · see citing works
Multisystemic Therapy for social, emotional, and behavioral problems in youth aged 10-17
Littell, J., Popa, M., & Forsythe, B. (2005) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd004797.pub3 · Cited by 187 · see citing works
Butler, S., Baruch, G., Hickey, N., & Fonagy, P. (2011) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1016/j.jaac.2011.09.017 · Cited by 184 · see citing works
Sundell, K., Hansson, K., Löfholm, C. A., Olsson, T. M., Gustle, L., & Kadesjö, C. (2008) · Journal of Family Psychology · doi:10.1037/a0012790 · Cited by 176 · see citing works
Theory and Method in the Edinburgh Study of Youth Transitions and Crime
Smith, D. J. (2003) · The British Journal of Criminology · doi:10.1093/bjc/43.1.169 · Cited by 174 · see citing works
Short-term family intervention: A therapy outcome study.
Parsons, B. V., & Alexander, J. F. (1973) · Journal of Consulting and Clinical Psychology · doi:10.1037/h0035181 · Cited by 173 · see citing works
Chapter I. Family Functioning and the Adjustment of Adolescent Siblings in Diverse Types of Families
Hetherington, E. M. (1999) · Monographs of the Society for Research in Child Development · doi:10.1111/1540-5834.00045 · Cited by 161 · see citing works
The Effect of Functional Family Therapy for Delinquents on Adult Criminal Behavior
Gordon, D. A., GRAVES, K., & Arbuthnot, J. (1995) · Criminal Justice and Behavior · doi:10.1177/0093854895022001005 · Cited by 160 · see citing works
Woolfenden, S. R., Williams, K. J., & Peat, J. K. (2001) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd003015 · Cited by 149 · see citing works
Genetic and environmental influences on adolescent attachment
Fearon, P. R. M., Shmueli‐Goetz, Y., Viding, E. M., Fonagy, P., & Plomin, R. J. (2013) · Journal of Child Psychology and Psychiatry · doi:10.1111/jcpp.12171 · Cited by 137 · see citing works
Snell, T., Knapp, M. R. J., Healey, A., Guglani, S., Evans-Lacko, S. E., Fernández, J., Meltzer, H., & Ford, T. J. (2013) · Journal of Child Psychology and Psychiatry · doi:10.1111/jcpp.12055 · Cited by 137 · see citing works
Joseph, M., O’Connor, T. G., Briskman, J., Maughan, B., & Scott, S. (2013) · Development and Psychopathology · doi:10.1017/s0954579413000540 · Cited by 117 · see citing works
Self-citationHartnett, D., Carr, A., Hamilton, E., & O’Reilly, G. (2016) · Family Process · doi:10.1111/famp.12256 · Cited by 107 · see citing works
Henggeler, S. W., & Schoenwald, S. K. (2011) · Child Policy Nexus · doi:10.1002/j.2379-3988.2011.tb00066.x · Cited by 103 · see citing works
Measuring Parenting in Community and Public Health Research Using Brief Child and Parent Reports
Scott, S., Briskman, J., & Dadds, M. R. (2010) · Journal of Child and Family Studies · doi:10.1007/s10826-010-9398-z · Cited by 95 · see citing works
Self-citationMultisystemic Therapy for social, emotional, and behavioral problems in youth aged 10-17
Littell, J. H., Campbell, M., Green, S., & Toews, B. (2005) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd004797.pub4 · Cited by 84 · see citing works
Comparison of Multisystemic Therapy and Functional Family Therapy Effectiveness
Baglivio, M. T., Jackowski, K., Greenwald, M. A., & Wolff, K. T. (2014) · Criminal Justice and Behavior · doi:10.1177/0093854814543272 · Cited by 69 · see citing works
Hartnett, D., Carr, A., & Sexton, T. (2016) · Family Process · doi:10.1111/famp.12195 · Cited by 55 · see citing works
Multisystemic Therapy for Social, Emotional, and Behavioral Problems in Youth Aged 10–17
Littell, J. H., Popa, M., & Forsythe, B. (2005) · Campbell Systematic Reviews · doi:10.4073/csr.2005.1 · Cited by 54 · see citing works
Multisystemic Therapy: Clinical Foundations and Research Outcomes
Henggeler, S. W. (2012) · Psychosocial Intervention · doi:10.5093/in2012a12 · Cited by 47 · see citing works
Maughan, B., Stafford, M., Shah, I., & Kuh, D. J. (2013) · Psychological Medicine · doi:10.1017/s0033291713001402 · Cited by 38 · see citing works
Evaluation of functional family therapy in an Irish context
Graham, C., Carr, A., Rooney, B., Sexton, T., & Satterfield, L. W. (2013) · Journal of Family Therapy · doi:10.1111/1467-6427.12028 · Cited by 31 · see citing works
Alexander, J. F., & Robbins, M. S. (2010) · Springer eBooks · doi:10.1007/978-1-4419-6297-3_10 · Cited by 23 · see citing works
Henderson, S. H. (1999) · Monographs of the Society for Research in Child Development · doi:10.1111/1540-5834.00046 · Cited by 22 · see citing works
Evidence-Based Interventions for Violent Behavior in Children and Adolescents
Humayun, S., & Scott, S. (2014) · Springer eBooks · doi:10.1007/978-94-017-8999-8_18 · Cited by 5 · see citing works
Self-citation
Flagged first, then by citations
Research works printed but not linked: 3
- Lipsey, M., & Wilson, D. (1998). Effective intervention for serious juvenile offenders: A synthesis of research. In R. Loeber & D. Farrington (Eds.), Serious & violent juvenile offenders: Risk factors and successful interventions (pp. 313-345). Thousand Oaks, CA, US: Sage Publications, Inc.
- Ministry of Justice. (2016). Proven Reoffending Statistics Quarterly Bulletin July 2013 to June 2014, England and Wales. London: National Statistics.
- Snell, T., Knapp, M., Healey, A., Guglani, S., Evans-Lacko, S., Fernandez, J.-L., … Ford, T. (2013). Economic impact of childhood psychiatric disorder on public sector services in Britain. Journal of Child Psychology and Psychiatry, 54, 977-985.
Cited by
Sorted by citations
Gardner, F., Leijten, P., Melendez-Torres, G. J., Landau, S., Harris, V., Mann, J., Beecham, J., Hutchings, J., & Scott, S. (2019) · Child Development · doi:10.1111/cdev.13138 · Cited by 95 · see citing works
Self-citationArundell, L.-L., Greenwood, H., Baldwin, H., Kotas, E., Smith, S., Trojanowska, K., & Cooper, C. (2020) · Systematic Reviews · doi:10.1186/s13643-020-01333-6 · Cited by 53 · see citing works
Promoting learning from null or negative results in prevention science trials
Axford, N., Berry, V., Lloyd, J., Hobbs, T., & Wyatt, K. (2022) · Prevention Science · doi:10.1007/s11121-020-01140-4 · Cited by 34 · see citing works
Green, F., Preece, C., Allen, K., Manzi, S., Mannes, J., Callaghan, L., Berry, V., de Lima, E. S., Woodburn, A., Hobbs, T., et al. (2026) · Journal of Prevention · doi:10.1007/s10935-025-00888-1 · Cited by 2 · see citing works
“This is arguably due in part to differences in service systems, cultural norms and school environments, which complicate implementation (e.g., Skärstrand et al., 2014 ; Baldus et al., 2016 ; Humayun et al., 2017 ; Fonagy et al., 2018; Segrott et al., 2022 ).”
- Authors
- Humayun, S., Herlitz, L., Chesnokov, M., Doolan, M., Landau, S., & Scott, S.
- Affiliations
- King's College London (GB)
- London School of Hygiene & Tropical Medicine (GB)
- Corresponding author
- Humayun, Sajid
- Venue
- Journal of Child Psychology and Psychiatry
- Publisher
- Wiley
- Published
- 2017-05-15
- Volume
- 58
- Issue
- 9
- Pages
- 1023-1032
- ISSN
- 0021-9630 (ISSN-L)
- 1469-7610
- OpenAlex
- W2612225466
- Cited by
- 57
- References
- 43
- Citations by year
- 2026: 4 · 2025: 3 · 2024: 3 · 2023: 8 · 2022: 6 · 2021: 8 · 2020: 9 · 2019: 4 · 2018: 8 · 2017: 3 · 2016: 1
- FWCI
- 16.76
- Type
- journal article
- Language
- en
- Open access
- green
- kclpure.kcl.ac.uk
- Licence
- Locations
- Journal of Child Psychology and Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- Greenwich Academic Literature Archive (University of Greenwich) (acceptedVersion)
- LSHTM Research Online (London School of Hygiene and Tropical Medicine) (acceptedVersion)
- Research Portal (King's College London) (submittedVersion, other-oa)
- Funders
- National Institute for Health Research
- South London and Maudsley NHS Foundation Trust
- Topics
- Social Sciences › Sociology and Political Science › Crime Patterns and Interventions
- Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
- Social Sciences › Psychology › Clinical Psychology › Psychopathy, Forensic Psychiatry, Sexual Offending
- Keywords
- functional family therapy, juvenile delinquency, antisocial behavior, adolescents, family intervention, parental behavior, conduct disorder, parent-child relationship, intervention effectiveness
- MeSH terms
- Adolescent, Adolescent Behavior, Adult, Child, Child Behavior, Family Therapy, Female, United Kingdom, Humans, Juvenile Delinquency, Male, Parent-Child Relations, Parenting, Treatment Outcome, Conduct Disorder, Criminals
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review