Ethnic differences among substance-abusing adolescents in a treatment dissemination project

Becker, Sara J.; Stein, Gabriela L.; Curry, John F.; Hersh, Jacqueline

doi:10.1016/j.jsat.2011.08.007

Cited by 20 publications

(17 citation statements)

References 27 publications

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“…African American youth with substance use disorders are less likely to receive specialty care compared with their White and Hispanic counterparts (Alegria et al, 2011). Even when they do engage in treatment, African American youth receive significantly fewer treatment sessions than their White peers (Becker et al, 2012), are more likely to leave treatment prematurely (Austin & Wagner, 2010), and are less likely to complete posttreatment assessment (Becker et al, 2012). Successfully engaging underserved youth in evidence-based treatments can address the gap in the research base about how to access hard-to-reach populations.…”

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confidence: 99%

Peer Network Counseling as Brief Treatment for Urban Adolescent Heavy Cannabis Users

Mason

Sabo

Zaharakis

2017

J. Stud. Alcohol Drugs

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ABSTRACT. Objective: A small body of evidence supports targeting adolescents who are heavy users of cannabis with brief interventions, yet more research is needed to confirm the effectiveness of these studies. We conducted a secondary analysis of our Peer Network Counseling (PNC) study (Mason et al., 2015), focusing on 46 adolescents of the sample of 119 who reported heavy cannabis use at baseline. Method: Urban adolescents (91% African American) presenting for primary health care were randomized to intervention or control conditions and followed for 6 months. We selected cases (n = 46) to analyze based on heavy cannabis use reported at baseline ( 10 times in past month). The ordinal response data (cannabis use) were modeled using a mixed-effects proportional odds model, including fixed effects for treatment, time, and their interaction, and a subject-level random effect. Results: In the subsample of adolescents with heavy cannabis use, those assigned to PNC had a 35.9% probability of being abstinent at 6 months, compared with a 13.2% probability in the control condition. Adolescents in the PNC condition had a 16.6% probability of using cannabis 10 or more times per month, compared with a 38.1% probability in the control condition. This differs from results of the full sample (N = 119), where no significant effects on cannabis use were found. Conclusions: PNC increased the probability of abstinence and reduced heavy cannabis use. These results provide initial support for PNC as a model for brief treatment with non-treatmentseeking adolescents who are heavy users of cannabis. (J. Stud. Alcohol Drugs, 78, 152-157, 2017)

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confidence: 99%

Peer Network Counseling as Brief Treatment for Urban Adolescent Heavy Cannabis Users

Mason

Sabo

Zaharakis

2017

J. Stud. Alcohol Drugs

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“…Following the standard MET/CBT-5 treatment, adolescents were offered a final session focused on interpretive feedback and the provision of appropriate recommendations. To ensure therapist competence and adherence, a stringent protocol utilizing a train-the-trainers model and weekly supervision was implemented (For more details see Becker, Livas Stein, Curry, & Hersh, 2012). …”

Section: Methodsmentioning

confidence: 99%

The Influence of Comorbid Depression and Conduct Disorder on MET/CBT Treatment Outcome for Adolescent Substance Use Disorders

Hersh

Curry

Becker

2013

International Journal of Cognitive Therapy

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Although depression and conduct disorder frequently co-occur with substance use disorders (SUDs), few studies have investigated the individual and interactive effects of these conditions on SUD treatment outcome. Data were collected from 90 adolescents aged 13–21 (M = 17.1, SD = 2.07) who received a brief evidence-based intervention for SUD. Hierarchical regressions assessed the relationship among demographic variables, depression, conduct disorder, and two substance use outcomes (frequency and problems) at two intervals (three months, six months). Results revealed that higher baseline substance use and lower socioeconomic status significantly predicted higher substance problems and frequency at three-months. At six months, higher three month substance problems and lower depressive symptoms predicted substance problems. In addition, an interaction indicated that the effect of conduct disorder on substance problems was greatest at lower levels of depression. Results are discussed in the context of previous research indicating mixed effects of depression on SUD treatment outcome.

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“…Some prior studies have reported that no relation is found between ethnicity and drug dependence or treatment outcome 27–29. On the contrary, some of the previous studies have found that drug users of different ethnic groups tend to have different levels of psychosocial functions,30 patterns of treatment use,31–34 and treatment outcomes 35–37.…”

Section: Introductionmentioning

confidence: 95%

Examining the relationship between ethnicity and the use of drug-related services: an ethnographic study of Nepali drug users in Hong Kong

Tang

2014

SAR

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A recent survey has shown that Nepali drug users in Hong Kong tend to have a low rate of usage of day-care and residential rehabilitation services, but a high rate of usage of methadone services. Little is known about the reasons behind such a pattern. Therefore, in this study, a 12-month ethnographic examination has been implemented in three sites, including a day-care center, residential rehabilitation center, and methadone clinic, to explore the experiences of 20 Nepali drug users in their use of drug-related services in Hong Kong and to examine the relationship between ethnicity and the use of drug-related services. The result shows that the reason for this pattern of service use is related to the approach of the services and the cultural perception of the service providers about the service users. The day-care and residential rehabilitation services emphasize an integrated approach, but the staff tend to overlook the heterogeneity of their clients, for example, the differences in caste and sex, and fail to provide suitable services to them, whereas the methadone service follows a biomedical model, which seldom addresses the social characteristics of the service users, which in turn minimizes the opportunity for misunderstandings between the staff and the clients. This research shows that ethnicity is a significant factor in drug treatment and that culture-specific treatment that takes into consideration the treatment approach and the heterogeneity of the clients is strongly needed.

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Ethnic differences among substance-abusing adolescents in a treatment dissemination project

Cited by 20 publications

References 27 publications

Peer Network Counseling as Brief Treatment for Urban Adolescent Heavy Cannabis Users

Peer Network Counseling as Brief Treatment for Urban Adolescent Heavy Cannabis Users

The Influence of Comorbid Depression and Conduct Disorder on MET/CBT Treatment Outcome for Adolescent Substance Use Disorders

Examining the relationship between ethnicity and the use of drug-related services: an ethnographic study of Nepali drug users in Hong Kong

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