Outpatient psychosocial substance use treatments for young people: An overview of reviews

Snowdon, Nicole; Allan, Julaine; Shakeshaft, Anthony; Rickwood, Debra; Stockings, Emily; Boland, Veronica; Courtney, Ryan J.

doi:10.1016/j.drugalcdep.2019.107582

Cited by 3 publications

(1 citation statement)

References 51 publications

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“…In a review that included multiple psychosocial interventions, including CBT, MI, BI, MDFT, FFT, etc., MDFT was the only one found to be an effective intervention in reducing substance use. 77 Five systematic reviews reported on the effectiveness of motivational approaches relative to control conditions. Like with FBT, motivational approaches were generally found to be positively associated with adolescent substance-use outcomes.…”

Section: People In Contact With the Criminal Justice System (N=6)mentioning

confidence: 99%

Drug and alcohol psychosocial interventions

Fisher¹,

Nepal²,

Harvey³

et al. 2020

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This Evidence Check reviewed effective psychosocial interventions for the management of people with alcohol and other drug issues. The review also aimed to identify the most effective psychosocial interventions for special population groups. A range of psychosocial interventions were examined, including behavioural, motivational, psychodynamic, counselling, mindfulness-based and self-help approaches. A number of psychosocial interventions are supported by the literature, especially for alcohol and tobacco use. The review found evidence to support the effectiveness of Motivational Interviewing with and without Cognitive Behavioural Therapy for particular groups, including pregnant women, people with co-occurring mental health and alcohol and other drug issues, and people in the criminal justice system. The reviewers identified a number of gaps in the evidence base including the need for supports after treatment, research into substances other than alcohol and tobacco, and a need for a greater understanding of technology-based interventions.

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Section: People In Contact With the Criminal Justice System (N=6)mentioning

confidence: 99%

Drug and alcohol psychosocial interventions

Fisher¹,

Nepal²,

Harvey³

et al. 2020

View full text Add to dashboard Cite

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Factors Associated with Treatment Response at 1-Year Follow-Up from a Residential Substance Use Disorder Programme for Young People Aged 16–24 Years

Marceau,

Holmes,

Mullaney

et al. 2023

Int J Ment Health Addiction

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Identifying correlates of treatment response may help to improve outcomes for adolescents and young people with substance use disorder (SUD). We assessed treatment response in an adolescent/young person-specific community-based residential SUD programme located in NSW, Australia. Participants (N = 100) were aged 16–24 years and recruited between 2018 and 2020 from a cohort study investigating treatment outcomes over time. We assessed treatment response using available data at 1-year follow-up (n = 24). Approximately one third (n = 9) of participants were classified as responders at 1-year follow-up (i.e. scoring below the clinical cut-off on the Brief Symptom Inventory Global Severity Index). At treatment entry, responders had higher levels of self-efficacy (d = 1.04), better functional status (d = 1.09), and less borderline personality disorder (BPD) symptoms (d = 1.26). Exploratory whole-sample analyses indicated over half of participants (56%) screened positively for a diagnosis of BPD at treatment entry, which was associated with more severe global psychiatric symptoms (d = .85), poorer functional status, (d = .76), lower self-efficacy (d = .73), higher substance use severity (d = .46), yet better cognitive functioning (d = .75). Findings suggest that comorbid BPD is common in this setting and may contribute to poorer outcomes for adolescents and young people with SUD.

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