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Cognitive
Behaviour Therapy can be effective in managing behavioural
problems and conduct disorder in pre-adolescence
This
EvidenceNugget was updated in 2006.
view
and download the print version here
- In
the UK, 6.9% of boys and 2.8% of girls from 5 to 10
years of age exhibit conduct disorder.
- 40%
of 7 to 8 year olds diagnosed with conduct disorder
become persistent offenders as teenagers; over 90%
of persistent offenders had conduct disorder as children.
- Cognitive
behavioural therapies (CBT) emphasise the process
of learning in improving and maintaining behaviour.
The client is encouraged to identify connections between
thoughts and their responses to social situations.
- CBT
often involves problem solving skills training. This
type of training has been widely evaluated and there
is evidence for its efficacy in the short term in
treating aggression and conduct disorders in children.
- CBT
may be appropriate for children whose families are
unable to participate in parenting programmes, and
is often delivered to groups at school or in other
community setting
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One-to-one
mentoring programmes and problem behaviour in adolescence
This
EvidenceNugget was updated in 2006.
view
and download the print version here
-
There are several models of mentoring. This Evidence
Nugget reports on one-to-one mentoring, delivered
by a volunteer and organised by a dedicated mentoring
project or scheme.
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One-to-one
mentoring programmes can have different aims ranging
from being a preventative measure to helping young
people change their disruptive behaviour. This nugget
focuses on the latter.
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A
review of 55 individual mentoring evaluations found
that overall the programmes had a small but beneficial
effect on problem and high-risk behaviour, when
measured by the young people's own report.
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Many
evaluations have reported positive experiences by
young people who sustain their relationship with
their mentor. Little research has looked at why
so many mentoring relationships break down, and
the effect this has on the young people.
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Increasingly
mentors are used as part of a multi-component project
where mentoring is one part of a range of tailor-made
packages for young people. Research indicates that
these programmes are more successful than those
delivering mentoring on its own.
- Some
research has found that mentoring can cause harm,
particularly when relationships break down and when
delivered to young people who exhibit personal vulnerabilities.
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Group-based
parenting programmes can reduce behaviour problems of
children aged 3 - 10 years
This EvidenceNugget was updated in 2006.
view
and download the print version here
Behaviour
problems in young children can be associated with a
range of problems later in life. Group-based parenting
programs can reduce behaviour problems amongst children
and reduce the chances of later difficulties.
- Most
children experience behaviour problems as a normal
part of their development and grow out of them.
- Behaviour
problems persisting from early childhood have been
associated with later difficulties including criminal
behaviour, drug and alcohol misuse, mental health
problems, relationship breakdowns and poor work histories.
- Parenting
and family interaction have been reported to account
for as much as 30-40% of the variation in anti-social
behaviour in children.
- Group-based
parenting programmes have been shown to reduce behaviour
problems in children aged 3-12 years.
- Some
parenting programmes have been found to work effectively
in a routine NHS context, with standard referrals
to child mental health services and regular clinic
staff carrying out the interventions.
- The
National Institute for Clinical Excellence (NICE)
and the Social Care Institute for Excellence (SCIE)
issued guidance in July 2006 recommending the implementation
of group-based parenting programmes for children with
conduct disorder. For families with particularly complex
needs individual programmes are recommended.
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