Evidence-Based Psychosocial Treatments for Adolescent Substance Abuse

Oregon Research Institute, Eugene, OR 97403, USA.
Journal of Clinical Child & Adolescent Psychology (Impact Factor: 1.92). 02/2008; 37(1):238-61. DOI: 10.1080/15374410701820133
Source: PubMed


This review synthesized findings from 17 studies since 1998 regarding evaluation of outpatient treatments for adolescent substance abuse. These studies represented systematic design advances in adolescent clinical trial science. The research examined 46 different intervention conditions with a total sample of 2,307 adolescents. The sample included 7 individual cognitive behavior therapy (CBT) replications (n = 367), 13 group CBT replications (n = 771), 17 family therapy replications (n = 850) and 9 minimal treatment control conditions (n = 319). The total sample was composed of approximately 75% males, and the ethnic/racial distribution was approximately 45% White, 25% Hispanic, 25% African American, and 5% other groups. Meta-analysis was used to evaluate within-group effect sizes as well as differences between active treatment conditions and the minimal treatment control conditions. Methodological rigor of studies was classified using Nathan and Gorman (2002) criteria, and treatments were classified using criteria for well-established and probably efficacious interventions based on Chambless et al. (1996). Three treatment approaches, multidimensional family therapy, functional family therapy, and group CBT emerged as well-established models for substance abuse treatment. However, a number of other models are probably efficacious, and none of the treatment approaches appeared to be clearly superior to any others in terms of treatment effectiveness for adolescent substance abuse.

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Available from: Charles Turner, Mar 20, 2015
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    • "Youth substance use remains a public health concern, with early use associated with increased risk for later abuse and use-related problems (e.g., Ellickson, Tucker, Klein, & Saner, 2004; Jacobsen et al., 2005; Tucker, Ellickson, Orlando, Martino, & Klein, 2005) along with substantial financial costs to individuals and society as a whole (Miller, 2004; National Research Council, 2004). Current early substance use prevention and intervention programs have been found to be limited in their effectiveness (Ennett et al., 1994; Ennett et al., 2003; Waldron & Turner, 2008). Thus, a better understanding of factors that influence risk for early substance use is important for the improvement of current substance use prevention and intervention strategies. "
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    ABSTRACT: The current study evaluated the link between proactive (goal-oriented) and reactive (behavior in response to a perceived threat) aggression and lifetime alcohol, tobacco, and marijuana use in a sample of 152 predominantly Hispanic (94.7%) high school students. Furthermore, the impact of neighborhood violence and gender invariance on these associations were examined. Findings suggested unique associations between proactive, not reactive, aggression and use of all three substances. No significant interactions between the aggression subtypes and neighborhood violence were evident, and no gender differences emerged. Findings suggest targeting proactive aggression for the prevention of substance use for both males and females.
    Journal of Child & Adolescent Substance Abuse 10/2014; 23(6):398-406. DOI:10.1080/1067828X.2012.748440 · 0.62 Impact Factor
    • "Furthermore, in 2009, 7 % of adolescents ages 12–17 were dependent on or abused alcohol or illicit drugs (SAMSHA 2010). A growing body of research indicates that numerous adolescent substance abuse treatment programs are effective (Chassin 2008; Waldron and Turner 2008), and that retention of adolescents in treatment is related to treatment outcomes (Williams et al. 2000). Yet, retaining adolescents in treatment is challenging (Brannigan et al. 2004), with less time in treatment resulting in lower rates of treatment completion and lower reductions in substance use. "
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    ABSTRACT: Adolescent alcohol and illicit drug (AOD) use is a major public health concern. This longitudinal study examines the effectiveness of The Seven Challenges in reducing adolescent substance use and mental health problems, as well as the process by which it is effective. Participants were 89 adolescents (72 male, 17 female) enrolled in a 3 month intensive outpatient adolescent substance abuse treatment program using The Seven Challenges and who provided self-report data at pre- and post-treatment. Results indicated that The Seven Challenges was effective at increasing the number of days refrained from using AOD, reducing use of tetrahydrocannabinol (THC) and other drugs, and reducing substance use problems and internal mental distress. Results also indicated that The Seven Challenges drug counselors effectively established and maintained therapeutic alliance but this seems to not play a role in the effectiveness of The Seven Challenges. Both treatment dose and completion played a role in the effectiveness of The Seven Challenges; they were both positively related to post-treatment days refrained from AOD use, and negatively related to days of THC use, substance use problems, and internal mental distress. However, the strength of the influence of treatment completion was stronger when treatment dose was low than when it was high. Despite a small sample and other limitations, findings add to existing literature that suggests that The Seven Challenges is an effective substance abuse treatment for adolescents. Furthermore, findings suggest that adolescent substance abuse treatment should focus on clients meeting pre-determined program goals as well as on dose.
    Child and Adolescent Social Work Journal 02/2014; 31(1). DOI:10.1007/s10560-013-0307-3
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    • "Intervention Model and Fidelity Measure Multidimensional Family Prevention (MDFP) MDFP (Hogue and Liddle 1999) is a family-based preventive intervention for indicated-risk adolescents. MDFP is a prevention version of multidimensional family therapy, an empirically supported treatment for adolescent substance use (as nominated in Becker and Curry 2008; Waldron and Turner 2008). MDFP has shown efficacy in preventing problem behaviors in multiple developmental domains (Hogue et al. 2002b). "
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    ABSTRACT: Reliable therapist-report methods appear to be an essential component of quality assurance procedures to support adoption of evidence-based practices in usual care, but studies have found weak correspondence between therapist and observer ratings of treatment techniques. This study examined therapist reliability and accuracy in rating intervention target (i.e., session participants) and focus (i.e., session content) in a manual-guided, family-based preventive intervention implemented with 50 inner-city adolescents at risk for substance use. A total of 106 sessions selected from three phases of treatment were rated via post-session self-report by the participating therapist and also via videotape by nonparticipant coders. Both groups estimated the amount of session time devoted to model-prescribed treatment targets (adolescent, parent, conjoint) and foci (family, school, peer, prosocial, drugs). Therapists demonstrated excellent reliability with coders for treatment targets and moderate to high reliability for treatment foci across the sample and within each phase. Also, therapists did not consistently overestimate their degree of activity with targets or foci. Implications of study findings for fidelity assessment in routine settings are discussed.
    Administration and Policy in Mental Health and Mental Health Services Research 09/2013; 41(5). DOI:10.1007/s10488-013-0520-6 · 3.44 Impact Factor
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