Effectiveness of a brief-intervention and continuity of care in enhancing attendance for treatment by adolescent substance users

Tait, Robert J.; Hulse, Gary Kenneth; Robertson, Suzanne I.

doi:10.1016/j.drugalcdep.2004.01.003

Cited by 64 publications

(49 citation statements)

References 27 publications

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“…Brief interventions, such as motivational interviewing for adolescents, have a small but significant effect size, which remains over time and has the greatest impact on reducing the use of illicit substances. 114,115 Studies using new methodologies could help corroborate clinical results, such as studies linking neuroimaging to brain changes resulting from psychotherapeutic interventions. 116 Studies describing the approach and interventions used throughout the therapeutic process in greater detail are needed to enable proper comparative analysis of the effectiveness of different types of available therapies.…”

Section: Non-pharmacological Approachesmentioning

confidence: 99%

Use of psychoactive substances by adolescents: current panorama

Lopes

Nobrega

Prette

et al. 2013

Rev. Bras. Psiquiatr.

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Adolescence is a period of vulnerability to substance use disorders (SUDs). Epidemiological studies indicate that about 23% of Brazilian adolescents use drugs, with alcohol being the most widely consumed substance. The etiology of SUDs is complex, influenced by an interaction of genetic risk, individual development, environmental factors, context of use, and substance used. Clinicians should consider diagnostic criteria and be aware of behavioral changes that may indicate drug use and its consequences in various aspects of adolescent life. Identification and treatment of comorbid conditions is critical to the management of SUDs in this age group. Interventions should restrict access to drugs and facilitate prompt recognition of initial use, preventing progression to serious patterns of abuse or dependence. Intervention should be broad, including academic and occupational activities as well as social relationships and leisure, which are critical to the reestablishment of normal adolescent development.

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Section: Non-pharmacological Approachesmentioning

confidence: 99%

Use of psychoactive substances by adolescents: current panorama

Lopes

Nobrega

Prette

et al. 2013

Rev. Bras. Psiquiatr.

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“…An important issue when considering brief interventions is the targeted population. Interventions in vulnerable groups such as those already showing drug-related health problems have been tested; Tait et al [28] demonstrated the effectiveness of a brief intervention with adolescents who were seen in hospital emergency departments for presentations related to alcohol use, for instance. However, one of the socalled high-risk adolescent populations, those who present a comorbid psychiatric condition, has been less investigated.…”

Section: Introductionmentioning

confidence: 99%

Brief intervention in substance-use among adolescent psychiatric patients: a randomized controlled trial

Goti

Díaz

Serrano

et al. 2009

Eur Child Adolesc Psychiatry

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Objective of the study is to assess the efficacy of a brief motivational enhancement intervention in adolescents referred to psychiatric treatment who reported substance-use. In a sample of adolescents (n = 237) consecutively admitted to a psychiatry department, 143 were identified as users. Subjects were randomly allocated to one of two groups: an experimental group that received a brief intervention aimed at increasing their awareness of the risks of substance-use, or a control group. All subjects received standard treatment according to the primary diagnosis. Structured questionnaires assessing knowledge, problems, perception of risks and intention of use of psychoactive substances were administered upon admission and 1 month later. Fifty-nine subjects entered the experimental group and 44 the control group. No significant differences between the two groups were identified in socio-demographic features or substance-use. Nonparametric analyses showed a significant increase across time in overall knowledge about drugs and perception of risk in the experimental group (P \ 0.05). A significant increase in overall knowledge in the experimental group compared to controls was found (P \ 0.05). No differences were observed for other variables such as intention of use or perception of risk. Brief intervention in adolescents entering psychiatric treatment led to a significant change in overall knowledge about psychoactive substances but not in other variables related to use. Our results point to the need of more intensive interventions.

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“…Brief intervention (BI) is a conversation that focuses on e4 Among adolescents presenting to an ED for a substance use-related problem, BI has been shown to reduce subsequent alcohol use, 43 marijuana use, 44 and associated problems 45 and to be cost-effective compared with brief education. 46 Several BI models have been evaluated in primary care: structured intervention "5A's, " 47 "CHAT, " 48 intervention with follow-up "Healthy Choices, " 49 "MOMENT, " 50 and therapist-delivered versus computerdelivered BI.…”

Section: Brief Interventionmentioning

confidence: 99%

Substance Use Screening, Brief Intervention, and Referral to Treatment

Levy¹,

Williams²,

Ryan³

et al. 2016

Pediatrics

252

178

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The enormous public health impact of adolescent substance use and its preventable morbidity and mortality highlight the need for the health care sector, including pediatricians and the medical home, to increase its capacity regarding adolescent substance use screening, brief intervention, and referral to treatment (SBIRT). The American Academy of Pediatrics first published a policy statement on SBIRT and adolescents in 2011 to introduce SBIRT concepts and terminology and to offer clinical guidance about available substance use screening tools and intervention procedures. This clinical report provides a simplified adolescent SBIRT clinical approach that, in combination with the accompanying updated policy statement, guides pediatricians in implementing substance use prevention, detection, assessment, and intervention practices across the varied clinical settings in which adolescents receive health care.

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Effectiveness of a brief-intervention and continuity of care in enhancing attendance for treatment by adolescent substance users

Cited by 64 publications

References 27 publications

Use of psychoactive substances by adolescents: current panorama

Use of psychoactive substances by adolescents: current panorama

Brief intervention in substance-use among adolescent psychiatric patients: a randomized controlled trial

Substance Use Screening, Brief Intervention, and Referral to Treatment

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