A Controlled Evaluation and Description of Individual-Cognitive Problem Solving and Family-Behavior Therapies in Dually-Diagnosed Conduct-Disordered and Substance-Dependent Youth

Azrin, Nathan H.; Donohue, Brad; Teichner, Gordon; Crum, Thomas A.; Howell, J. Christina; DeCato, Leah A.

doi:10.1300/j029v11n01_01

Cited by 133 publications

(178 citation statements)

References 66 publications

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“…The implication is that intervention efforts directed towards substance use (combining alcohol and drugs) in general might not be as effective as those that address alcohol use differently from other drug use. Few studies have examined alcohol use outcomes separately from drug use outcomes among adolescents, but those that have provide some indication that alcohol may be more difficult to treat than drug use (42)(43)(44).…”

Section: Discussionmentioning

confidence: 99%

Treatment Attendance among Homeless Youth: The Impact of Childhood Abuse and Prior Suicide Attempts

2008

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Treatment engagement and retention is a significant challenge for those who serve adolescent substance abusers. Homeless youth are considered especially challenging to engage and maintain in intervention efforts given their lack of residence and range of associated problems. This study examined predictors of treatment attendance and its impact on substance use outcome among a sample of substance abusing homeless youth (n = 133). Stepwise regression results indicated that a history of sexual abuse and suicide attempts were the two strongest predictors of the treatment attendance rate, higher attendance among those with these histories. Youths who attended greater than 6 treatment sessions showed a significant reduction in alcohol use at post-treatment, but attendance rates did not impact other substance use. Identifying predictors of treatment attendance among this subgroup of adolescents is vital given that much research suggests that treatment attendance alone is associated with better short and long term outcomes.

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Section: Discussionmentioning

confidence: 99%

Treatment Attendance among Homeless Youth: The Impact of Childhood Abuse and Prior Suicide Attempts

2008

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“…Family behavioral therapy has been shown to be as effective as individual cognitive problem-solving in treating adolescents with conduct disorder and substance dependence. 18 Although there are few trials comparing behavioral therapy with other modalities for treating adolescent substance use disorders, the trials conducted to date are very promising.…”

Section: Behavioral Therapymentioning

confidence: 99%

Evidence-Based Treatments for Alcohol Use Disorders in Adolescents

Deas

2008

Pediatrics

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The author has indicated she has no financial relationships relevant to this article to disclose. ABSTRACTThe prevalence of adolescent alcohol use and its related consequences underscore the need for evidenced-based treatments in this population. During the past decade, much progress has been made in treating adolescent alcohol use disorders with evidenced-based modalities developed specifically for adolescents. Controlled treatment outcome studies that compared Ն1 modality, used random assignment to treatment conditions, and were published between 1990 and 2004 are discussed in this review. Psychosocial treatments such as family-based interventions, motivational enhancement therapy (motivational interviewing), behavioral therapy, and cognitive-behavioral therapy, as well as the limited pharmacotherapy studies, are discussed. All of the studies used assessment tools validated for use in adolescent populations. Overall, great strides have been made in the area of adolescent alcohol treatment, and the treatment modalities presented have more than adequate potential for replication. O VER THE PAST decade, great strides have been made in the treatment of alcohol and other drug (AOD) disorders in adolescents. Before that period, most of the treatments administered for AOD disorders were those used to treat adults, and little or no modifications were made on the basis of developmental considerations for adolescents. Treatment replication was almost nonexistent, because treatments lacked specific protocols or structured delivery. In an attempt to evaluate the effectiveness of adolescent drug treatment, Catalano et al 1 concluded that some treatment is better than no treatment. Recent advances in AOD disorder treatment include treatment modalities designed specifically to treat adolescents, some of which were modified from adult treatments. The awareness that "adolescents are not adults" and that there are developmental differences that may affect treatment, adherence, and outcomes has advanced the field of adolescent alcohol treatment. 2 Treatments have been developed specifically to target AOD disorders in adolescents. This article reviews treatment outcome studies for adolescents with AOD disorders. INCLUSION CRITERIAOverwhelmingly, treatments for AOD disorders in adolescents have involved psychosocial modalities, the bulk of which have not been tested in a controlled, comparative fashion. To identify treatment outcome studies that were conducted in a controlled fashion, comparing Ն1 modality, a computerized literature search was conducted through journal databases, including Medline, PsychInfo, and Current Contents. In addition, the reference lists of the published articles were reviewed. Studies included in this review were those that (1) focused on AOD use disorders in adolescents, (2) evaluated Ն1 treatment modality in a comparative manner, (3) were published between 1990 and 2005, and (4) used random assignment to treatment conditions. This approach was used to highlight evidence-based treatments, to promote the...

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“…125 Mixed results have been found for intensive BIs for drug and alcohol using adolescents, with parental involvement (see Appendix 2). 112,115,117,148,149 However, significant variation exists between experimental conditions examined with regards to both the intensity and the frequency of the intervention (ranging from a single 1-hour family check-up to 64 hours of family and individual CBT), as well as the theoretical basis of the therapeutic approach. Moreover, the heterogeneity of the adolescent samples, which included dually diagnosed adolescents, risky drinkers, drug and alcohol users, runaways and gang-affiliated young people, made it difficult to compare the findings of the trials.…”

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confidence: 99%

A pilot feasibility cluster randomised controlled trial of screening and brief alcohol intervention to prevent hazardous drinking in young people aged 14–15 years in a high school setting (SIPS JR-HIGH)

Newbury‐Birch

Scott

O’Donnell

et al. 2014

Public Health Research

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A pilot feasibility cluster randomised controlled trial of screening and brief alcohol intervention to prevent hazardous drinking in young people aged 14-15 years in a high school setting (SIPS JR-HIGH) This journal is a member of and subscribes to the principles of the Committee on Publication Ethics (COPE) (www.publicationethics.org/).Editorial contact: nihredit@southampton.ac.ukThe full PHR archive is freely available to view online at www.journalslibrary.nihr.ac.uk/phr. Print-on-demand copies can be purchased from the report pages of the NIHR Journals Library website: www.journalslibrary.nihr.ac.uk Criteria for inclusion in the Public Health Research journalReports are published in Public Health Research (PHR) if (1) they have resulted from work for the PHR programme, and (2) they are of a sufficiently high scientific quality as assessed by the reviewers and editors.Reviews in Public Health Research are termed 'systematic' when the account of the search appraisal and synthesis methods (to minimise biases and random errors) would, in theory, permit the replication of the review by others. PHR programmeThe Public Health Research (PHR) programme, part of the National Institute for Health Research (NIHR), evaluates public health interventions, providing new knowledge on the benefits, costs, acceptability and wider impacts of non-NHS interventions intended to improve the health of the public and reduce inequalities in health. The scope of the programme is multi-disciplinary and broad, covering a range of interventions that improve public health. The Public Health Research programme also complements the NIHR Health Technology Assessment programme which has a growing portfolio evaluating NHS public health interventions.For more information about the PHR programme please visit the website: http://www.nets.nihr.ac.uk/programmes/phr This reportThe research reported in this issue of the journal was funded by the PHR programme as project number 10/3002/07. The contractual start date was in October 2011. The final report began editorial review in September 2013 and was accepted for publication in June 2014. The authors have been wholly responsible for all data collection, analysis and interpretation, and for writing up their work. The PHR editors and production house have tried to ensure the accuracy of the authors' report and would like to thank the reviewers for their constructive comments on the final report document. However, they do not accept liability for damages or losses arising from material published in this report.This report presents independent research funded by the National Institute for Health Research (NIHR). The views and opinions expressed by authors in this publication are those of the authors and do not necessarily reflect those of the NHS, the NIHR, NETSCC, the PHR programme or the Department of Health. If there are verbatim quotations included in this publication the views and opinions expressed by the interviewees are those of the interviewees and do not necessarily reflect those of the authors,...

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A Controlled Evaluation and Description of Individual-Cognitive Problem Solving and Family-Behavior Therapies in Dually-Diagnosed Conduct-Disordered and Substance-Dependent Youth

Cited by 133 publications

References 66 publications

Treatment Attendance among Homeless Youth: The Impact of Childhood Abuse and Prior Suicide Attempts

Treatment Attendance among Homeless Youth: The Impact of Childhood Abuse and Prior Suicide Attempts

Evidence-Based Treatments for Alcohol Use Disorders in Adolescents

A pilot feasibility cluster randomised controlled trial of screening and brief alcohol intervention to prevent hazardous drinking in young people aged 14–15 years in a high school setting (SIPS JR-HIGH)

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