Adolescent Substance Abuse Treatment: A Review of Evidence-Based Research

Winters, Ken C.; Botzet, Andria; Stinchfield, Randy; Gonzales-Castaneda, Rachel; Finch, Andrew J.; Piehler, Timothy F.; Ausherbauer, Kadie; Chalmers, Kristen; Hemze, Anna

doi:10.1007/978-3-319-90611-9_5

Cited by 31 publications

(13 citation statements)

References 101 publications

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“…For example, youth have shorter substance use histories and therefore often express fewer negative consequences related to their substance use, which may reduce their perceived need for services [ 15 ]. Further, the normalization of substance use among younger populations and the influence of peers and family members may also play a factor in reducing young people’s ability to recognize problems that arise due to their substance use [ 9 , 23 ]. Confidentiality concerns may also prevent youth from accessing services when needed [ 23 ].…”

Section: Introductionmentioning

confidence: 99%

“…Further, the normalization of substance use among younger populations and the influence of peers and family members may also play a factor in reducing young people’s ability to recognize problems that arise due to their substance use [ 9 , 23 ]. Confidentiality concerns may also prevent youth from accessing services when needed [ 23 ]. Youth are therefore unlikely to access substance use services before they are in crisis.…”

Section: Introductionmentioning

confidence: 99%

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A qualitative study exploring how young people perceive and experience substance use services in British Columbia, Canada

Turuba

Amarasekera

Howard

et al. 2022

Subst Abuse Treat Prev Policy

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Background Substance use among youth (ages 12–24) is troublesome given the increasing risk of harms associated. Even more so, substance use services are largely underutilized among youth, most only accessing support when in crisis. Few studies have explored young people’s help-seeking behaviours to address substance use concerns. To address this gap, this study explored how youth perceive and experience substance use services in British Columbia (BC), Canada. Methods Participatory action research methods were used by partnering with BC youth (under the age of 30) from across the province who have lived and/or living experience of substance use to co-design the research protocol and materials. An initial focus group and interviews were held with 30 youth (ages 12–24) with lived and/or living experience of substance use, including alcohol, cannabis, and illicit substances. The discussions were audio-recorded, transcribed verbatim, and analyzed thematically using a data-driven approach. Results Three main themes were identified and separated by phase of service interaction, starting with: Prevention/Early intervention, where youth described feeling unworthy of support; Service accessibility, where youth encountered many barriers finding relevant substance use services and information; and Service delivery, where youth highlighted the importance of meeting them where they are at, including supporting those who have milder treatment needs and/or do not meet the diagnosis criteria of a substance use disorder. Conclusions Our results suggest a clear need to prioritize substance use prevention and early interventions specifically targeting youth and young adults. Youth and peers with lived and/or living experience should be involved in co-designing and co-delivering such programs to ensure their relevance and credibility among youth. The current disease model of care leaves many of the needs of this population unmet, calling for a more integrated youth-centred approach to address the multifarious concerns linked to young people’s substance use and service outcomes and experiences.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

A qualitative study exploring how young people perceive and experience substance use services in British Columbia, Canada

Turuba

Amarasekera

Howard

et al. 2022

Subst Abuse Treat Prev Policy

View full text Add to dashboard Cite

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“…Improving parenting practices and promoting an agentic–communal interpersonal style are important components of prevention and intervention efforts targeting adolescent substance use (Winters et al, 2018; Yeager et al, 2018); for example, interventions that target parental responsiveness and demandingness through increasing behaviors such as parent–child communication and parental monitoring (Austin, Macgowan, & Wagner, 2005). Agency and communion are targeted through increasing assertiveness and resistance to peer influence, and building relationships with peers not using substances (Bryan et al, 2016; Kuntsche & Kuntsche, 2016).…”

Section: Discussionmentioning

confidence: 99%

An examination of the joint effects of adolescent interpersonal styles and parenting styles on substance use

Meisel

Colder

2021

Dev Psychopathol

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The current study examined how parenting and adolescent interpersonal styles jointly influence youths’ abilities to form close relationships – a central developmental milestone – yet avoid substance use, which predominantly occurs in the presence of peers. Nine annual waves from an adolescent sample (N = 387) were used to assess (a) combinations of interpersonal and parenting styles from early to middle adolescence using longitudinal latent profile analysis, (b) the validity of these profiles on indicators of adjustment, and (c) the relationships between the profiles and growth in substance use across adolescence as well as substance-related consequences in late adolescence. The results supported five distinct combinations of interpersonal and parenting styles, and validity analyses identified both risk and protective profiles. The protective profile submissive–communal interpersonal style + high-warmth–authoritative parenting style was associated with indicators of positive social adjustment (e.g., friendship quality, resistance to peer influence) as well as lower levels of substance use. Significant differences also emerged with respect to substance-related consequences. The findings of this study highlight how combinations of adolescent interpersonal style and parenting render adolescents more or less successful at navigating peer relationships while avoiding substance use behaviors.

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“…Another example of an intervention for adolescents with substance use disorders is multisystemic therapy substance abuse. Multisystemic therapy substance abuse is an evidence-based intervention that targets multiple systems surrounding youth including families, peers, schools, and communities to treat substance use disorders (Winters et al, 2018).…”

Section: Practice Implicationsmentioning

confidence: 99%

Child maltreatment types and adolescent substance use: The role of deviant peer affiliation

Yoon

Snyder

Yoon

2019

Child & Family Social Work

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This is the first study to examine the mediating effects of deviant peer affiliation on the association between different types of child maltreatment and adolescent substance use that includes alcohol, tobacco, and marijuana. Peer deviance is a well‐established correlate of adolescent substance use, but most studies exploring the relationship between child maltreatment and adolescent substance use have failed to include peer deviance. Structural equation modelling was conducted to examine the direct effects of each type of child maltreatment (i.e., physical, sexual, and emotional abuse, and neglect) on adolescent substance use, as well as indirect effects via deviant peer affiliation, using Longitudinal Studies of Child Abuse and Neglect. The results indicated that deviant peer affiliation fully mediated the individuals who had been emotionally abused showed increased deviant peer affiliation, which in turn was associated with higher levels of adolescent substance use. None of the four types of child maltreatment was directly associated with adolescent substance use. The study's findings underscore the importance of early assessment and intervention for the peer relationships of youth who have been emotionally abused.

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Adolescent Substance Abuse Treatment: A Review of Evidence-Based Research

Cited by 31 publications

References 101 publications

A qualitative study exploring how young people perceive and experience substance use services in British Columbia, Canada

A qualitative study exploring how young people perceive and experience substance use services in British Columbia, Canada

An examination of the joint effects of adolescent interpersonal styles and parenting styles on substance use

Child maltreatment types and adolescent substance use: The role of deviant peer affiliation

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