Beyond Treatment Effects: Predicting Emerging Adult Alcohol and Marijuana Use among Substance-Abusing Delinquents.

Clingempeel, W. Glenn; Henggeler, Scott W.; Pickrel, Susan G.; Brondino, Michael J.; Randall, Jeff

doi:10.1037/0002-9432.75.4.540

Cited by 10 publications

(10 citation statements)

References 33 publications

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“…Previous literature has found these variables to be protective against a wide range of negative outcomes such as substance use (Anderson et al, 2006;Clingempeel et al, 2005;Elder et al, 2000;Griffin et al, 2001), teenage pregnancy (Dogan-Ates & Carrion-Basham, 2007), and purging behaviors (Perkins & Jones, 2004). Therefore, the current study adds to the literature in finding that club involvement and social competence are somewhat protective regarding sexual concerns symptoms.…”

Section: Univariate Analysessupporting

confidence: 52%

“…Social competence has been found to predict better behavioral outcomes among aggressive and emotionally disturbed youth (Vance, Bowen, Fernandez, & Thompson, 2002), among adolescents with substance use problems (Anderson, Ramo, & Brown, 2006;Clingempeel, Henggeler, Pickrel, Brondino, & Randall, 2005;Griffin, Epstein, Botvin, & Spoth, 2001), and among youth in the child welfare system experiencing rumination (Leon et al, 2008). Because the symptoms associated with sexual concerns often involve impaired interpersonal boundaries (Briere & Elliot, 1994), it is reasonable to hypothesize that social competence might be protective regarding sexual concerns.…”

Section: Protective Factorsmentioning

confidence: 96%

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Predictors of Clinically Significant Sexual Concerns in a Child Welfare Population

Lyons

Leon

Zaddach

et al. 2009

Journ Child Adol Trauma

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This study employed a risk and resilience paradigm to examine the correlates of youth with and without clinically significant sexual concerns (Trauma Symptom Checklist for Children) in a child welfare sample. Participants were 158 youth in substitute care with sexual behavior problems, as well as their caregivers. A multivariate classification tree analysis yielded an overall classification rate of 88%. Youth with clinically significant sexual concerns were more likely to have been sexually abused, have a substantial number of prior placements, and be residing in residential placements. For youth without a sexual abuse history, being female and witnessing community violence was associated with sexual concerns. This study demonstrated that a range of variables interact in complex ways to predict sexual concerns symptoms.

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Section: Univariate Analysessupporting

confidence: 52%

Section: Protective Factorsmentioning

confidence: 96%

Predictors of Clinically Significant Sexual Concerns in a Child Welfare Population

Lyons

Leon

Zaddach

et al. 2009

Journ Child Adol Trauma

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“…Further, some studies have found reciprocal relationships between delinquency and substance use (Mason & Windle, 2002) whereas other studies have not (Dembo et al, 1995; Dembo, Williams, Wothke, & Schmeidler, 1994). In general, studies in this area differ in terms of the substances examined (e.g., alcohol, drugs, or some combination), the time periods investigated, and samples utilized, such as school based youth (e.g., Barnes et al, 2002; Mason & Windle, 2002), high risk, juvenile justice involved youth (e.g., Clingempeel, Henggeler, Pickrel, Brondino, & Randall, 2005; D’Amico, Edelen, Miles, & Morral, 2008), homeless youth (e.g., Paradise & Cauce, 2003); and youth with mental health concerns (e.g., Becker et al, 2012). Understanding the temporal ordering of substance use and delinquency in adolescence is critical in order to effectively intervene and prevent these behaviors from further escalation (Dembo, Wareham, Greenbaum, Childs, & Schmeidler, 2009).…”

Section: Introductionmentioning

confidence: 99%

“…We examined self-reported delinquent behaviors and substance use upon entry into the program and then six months later. Secondary analyses from randomized clinical trials may help to identify potential predictors of substance use and related behaviors that could lead to enhancements in intervention strategies and help inform theories of behavioral change (Clingempeel, Henggeler, Pickrel, Brondino, & Randall, 2005). …”

Section: Introductionmentioning

confidence: 99%

Temporal associations between substance use and delinquency among youth with a first time offense

Hunter¹,

Miles²,

Pedersen³

et al. 2014

Addictive Behaviors

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OBJECTIVE Substance use and delinquency among adolescents has been shown to be positively associated; however, the temporal relationship is not well understood. Examining the association between delinquency and substance use is especially relevant among adolescents with a first-time substance use related offense as they are at-risk for future problems. METHOD Data from 193 adolescents at time of diversion program entry and six months later was examined using cross-lagged path analysis to determine whether substance use and related consequences were associated with other types of delinquency across time. RESULTS Results demonstrated that delinquency at program entry was related to subsequent reports of heavy drinking and alcohol consequences, but not marijuana use or its consequences. In contrast, alcohol and marijuana use at program entry was not related to future reports of delinquency. CONCLUSIONS Findings emphasize the need to build in comprehensive assessments and interventions for youth with a first time offense in order to prevent further escalation of substance use and criminal behaviors.

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“…Substance use problems can negatively affect adolescents' physical and mental health, and can seriously disrupt developmental trajectories (Clingempeel, Henggeler, Pickrel, Brondino, & Randall, 2005; C. E. Grella, Hser, Joshi, & Rounds-Bryant, 2001; Mertens, Flisher, Fleming, & Weisner, 2007; S.…”

Section: Introductionmentioning

confidence: 99%

Specialty addiction and psychiatry treatment initiation and engagement: Results from an SBIRT randomized trial in pediatrics

Sterling

Kline-Simon

Jones

et al. 2017

Journal of Substance Abuse Treatment

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Objective Many adolescents needing specialty addiction or psychiatry treatment never access care. We examined initiation and engagement with addiction and/or psychiatry treatment among adolescents referred to treatment from a trial comparing two different modalities of delivering Screening, Brief Intervention and Referral to Treatment (SBIRT) to Usual Care in pediatric primary care. We hypothesized that both intervention arms would have higher initiation and engagement rates than usual care. Methods We randomized all pediatricians (n=52) in a pediatric primary care clinic to three arms: 1) pediatrician-only arm, in which pediatricians were trained to deliver SBIRT for substance use and/or mental health problems; 2) embedded-behavioral health clinician (embedded-BHC arm), in which pediatricians referred adolescents who endorsed substance use and/or mental health problems to a BHC; and 3) Usual Care (UC). We used electronic health record (EHR) data to examine specialty addiction and psychiatry treatment initiation and engagement rates after referral. Results Among patients who screened positive for substance use and/or mental health problems and were referred to specialty addiction and/or psychiatry (n=333), those in the embedded-BHC arm had almost four times higher odds of initiating treatment than those in the pediatrician-only arm, OR=3.99, 95% CI=[1.99-8.00]. Compared to UC, those in the pediatrician-only arm had lower odds of treatment initiation (OR=0.53, 95% CI=[0.28-0.99]), while patients in the embedded-BHC arm had marginally higher odds (OR=1.83, 95% CI=[0.99-3.38]). Black patients and those with other/unknown race/ethnicity had lower odds of treatment initiation compared with white adolescents; there were no gender or age differences. We found no differences in treatment engagement across the three arms. Conclusions Embedded BHCs can have a significant positive impact on facilitating treatment initiation for pediatric primary care adolescents referred to addiction and/or psychiatry services.

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Beyond Treatment Effects: Predicting Emerging Adult Alcohol and Marijuana Use among Substance-Abusing Delinquents.

Cited by 10 publications

References 33 publications

Predictors of Clinically Significant Sexual Concerns in a Child Welfare Population

Predictors of Clinically Significant Sexual Concerns in a Child Welfare Population

Temporal associations between substance use and delinquency among youth with a first time offense

Specialty addiction and psychiatry treatment initiation and engagement: Results from an SBIRT randomized trial in pediatrics

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