A randomized clinical trial of motivational interviewing plus skills training vs. Relaxation plus education and 12-Steps for substance using incarcerated youth: Effects on alcohol, marijuana and crimes of aggression

Abstract

Background.-Motivational Interviewing plus Cognitive Behavior Therapy (MI/CBT) has been used to reduce adolescent substance use, but has rarely been applied in youth correctional settings. This trial compared MI/CBT against Relaxation Training plus Substance-Education/12-Steps (RT/ SET) to reduce substance use and crime among incarcerated youth.

Psychosocial Interventions for Prisoners with Mental and Substance Use Disorders: A Systematic Review

“…The sample size of the participants in the included studies ranged from 34 to 759. Twenty studies were conducted in high-income countries (USA 10, 18 , 19 , 21 – 28 UK 3, 29 – 31 Netherlands 1, 32 Norway 1, 33 Spain 2, 34 , 35 China 2, 36 , 37 and Sweden 1 38 ; one study was conducted in an upper-middle-income country Malaysia). 39 There were no studies that were conducted in middle-income or lower- income countries.…”

“…The intervention group underwent different therapies such as motivation enhancement therapy (MET), 17 , 18 , 21 , 28 , 40 seeking safety program, 41 cognitive behavior therapy (CBT), 42 interpersonal therapy (IPT), 25 acceptance and commitment therapy (ACT), 34 , 35 cognitive behavioral suicidal prevention therapy (CBSP), 43 group interpersonal psychotherapy, 24 , 44 music therapy, 33 , 37 art therapy, 36 group psychological intervention, 31 and mindfulness-based relapse prevention intervention. 27 The average duration of intervention in the studies ranged from 10 min to 120 min, with the frequency of sessions being one per week to six per week across one month to six months.…”

“…Four studies adapted brief motivational intervention (MI) for alcohol and SUDs. 17 , 21 , 28 , 40 The majority of the interventions included in the review were delivered by trained mental health professionals (MHPs) in prison. Only in one study intervention was provided by trained prison staff.…”

Conducta criminal y trastornos mentales: revisión sistemática de instrumentos de autorreporte para adolescentes en conflicto con la ley

“…En la consistencia interna y su mensura, se prioriza la confiabilidad por estabilidad de la dimensión de supresión de la agresión en tres momentos, siendo la correlación entre estas de .79, .78 y .82 (Miron et al, 2020). Por otro lado, la evaluación de la depresión de manera asilada fue realizada en dos artículos (Stein et al, 2020y Kelly et al, 2019 a través del Center for Epidemiological Studies -Depression Inventory (CES-CD; Weissman et al, 1980). Este instrumento, si bien no tiene objetivos diagnósticos a nivel psiquiátrico, es útil en la mensura de manifestaciones depresivas.…”

“…Otras manifestaciones clínicas de frecuente interés en los artículos revisados son aquellos relacionados a las expresiones de agresión, cólera e ira (Shao et al, 2019;Kelly et al, 2019;Kimonis et al, 2017y Aghajani et al, 2016, además del abuso de alcohol y drogas (Wahab et al, 202;Vilela et al, 2021;Stein et al, 2020y Newbury-Birch et al, 2015. Sin embargo, ningún instrumento se ha erigido como de mayor frecuencia de uso.…”