Rutgers, The State University of New Jersey
Rutgers University Website Institute for Health, Health Care Policy and Aging Research

Center for Education and Research on Therapeutics (CERTs)

Treatment of Maladaptive Aggression in Youth (T-MAY) Toolkit

Prepared by the T-May Steering Committee:

Peter Jensen, M.D.
Chair, T-MAY Steering Committee
President and CEO, The REACH Institute
*contact for T-MAY manuscript preprints

Stephen Crystal, Ph.D.
Principal Investigator, CERTS
Rutgers University

T-May Steering Committee
Sherrie Bendele, B.S.
Alanna Chait, B.S.
Christoph Correll, M.D.
M. Lynn Crismon, Pharm.D.
Robert Findling, M.D.
Tobias Gerhard, Ph.D.
Cindy Gibson
Karen Hart, B.S.
Penelope Knapp, M.D.
Danielle Laraque, M.D.
Laurel K. Leslie, M.D., M.P.H.
John Lochman, Ph.D.
Judith A. Lucas, APN, Ed.D.
Matt Perkins, M.D.
Mark Olfson, M.D.
Elizabeth Pappadopuls, Ph.D.
Nancy Scotto Rosato, Ph.D.
Nancy Parker
Mark Wolraich, M.D.


Psychotropic agents are increasingly prescribed to youth on an outpatient basis for the treatment of overt aggression, a symptom that may have multiple causes and can be complex and difficult to manage. 

To address the difficulties and complexities of treating and managing aggression, and improve outcomes for children and adolescents with maladaptive aggression, the Rutgers CERTs initiated a collaboration with the REsource for Advancing Children's Health Institute (REACH), the New York State Office of Mental Health, the University of Texas at Austin College of Pharmacy, the California Department of Health Care Services, and participating national experts in the fields of policy, research, advocacy and child and adolescent psychiatry to implement the Treatment for Maladaptive Aggression in Youth (T-MAY) consensus development and quality improvement initiative.  

Among the T-MAY activities was the development of a concise reference guide, the T-MAY Clinician's Tool Kit. The Tool Kit presents a systematic, evidence-based treatment approach that incorporates treatment recommendations developed at a CERTs-convened consensus conference, along with other resource materials.  We encourage states, health plans, clinicians, and other stakeholders for children's mental health to adopt and utilize the Tool Kit, and welcome inquiries.