Comorbidity , gender , age , number of sessions , duration , intervention type , setting , medication use or dropout percentage did not influence the effect of treatment .
CONCLUSIONS Psychological treatments have a small effect in reducing parent- , teacher- and observer-rated CD problems  in children and adolescents with clinical CD problems/diagnosis .
There is not enough evidence to support one specific psychological treatment over another .
Many reports failed to provide detailed information to allow optimization of psychological treatment strategies
BACKGROUND This meta- analysis evaluates the efficacy of nonpharmacological treatments for conduct disorder ( CD ) problems in children and adolescents , based on child , parent and teacher report .
Improving Access to Care and Clinical Outcome for Pediatric Behavioral Problems: A Randomized Trial of a Nurse-Administered Intervention in Primary Care
Objective : To determine the effectiveness of an on-site modular intervention in improving access to mental health services and outcomes for children with behavioral problems in primary care relative to enhanced usual care . The study includes boys and girls from six primary care offices in metropolitan Pittsburgh , PA . Methods : One hundred sixty-three clinical ly referred children who met a modest clinical cutoff ( 75th percentile ) on the externalizing behavior scale of the Pediatric Symptom Checklist-17 were r and omized to a protocol for on-site , nurse-administered intervention or to enhanced usual care . Protocol for on-site , nurse-administered intervention applied treatment modules from an evidence -based specialty mental health treatment for children with disruptive behavior disorders that were adapted for delivery in the primary care setting ; enhanced usual care offered diagnostic assessment , recommendations , and facilitated referral to a specialty mental health provider in the community . The main outcome measures such as st and ardized rating scales , including the Pediatric Symptom Checklist-17 , individualized target behavior ratings , treatment termination reports , and diagnostic interviews were collected . Results : Protocol for on-site , nurse-administered intervention cases were significantly more likely to receive and complete mental health services , reported fewer service barriers and more consumer satisfaction , and showed greater , albeit modest , improvements on just a few clinical outcomes that included remission for categorical behavioral disorders at 1-year follow-up . Both conditions also reported several significant improvements on several clinical outcomes over time . Conclusions : A psychosocial intervention for behavior problems that was delivered by nurses in the primary care setting is feasible , improves access to mental health services , and has some clinical efficacy . Options for enhancing clinical outcome include the use of multifaceted collaborative care interventions in the pediatric practice
Comorbidity , gender , age , number of sessions , duration , intervention type , setting , medication use or dropout percentage did not influence the effect of treatment .
CONCLUSIONS Psychological treatments have a small effect in reducing parent- , teacher- and observer-rated CD problems  in children and adolescents with clinical CD problems/diagnosis .
There is not enough evidence to support one specific psychological treatment over another .
Many reports failed to provide detailed information to allow optimization of psychological treatment strategies
BACKGROUND This meta- analysis evaluates the efficacy of nonpharmacological treatments for conduct disorder ( CD ) problems in children and adolescents , based on child , parent and teacher report .