Reaching adolescents who drink harmfully: Fitting intervention to developmental reality

School of Applied Psychology, Griffith University, Gold Coast, PMB 50, Gold Coast Mail Centre, 4217, Australia.
Journal of Substance Abuse Treatment (Impact Factor: 3.14). 07/2003; 24(4):347-55. DOI: 10.1016/S0740-5472(03)00047-3
Source: PubMed


Alcohol use usually starts in early adolescence. While the greater proportion of young people develop adaptive patterns of drinking, many drink at harmful levels and may be at risk for future alcohol-related problems. Findings from the empirical literature suggest that universal prevention programs may delay onset of drinking among low-risk baseline abstainers; however, there is little evidence supporting their utility for at-risk adolescents. Further research is needed on how risk and protective factors interact to determine substance use trajectory, and intervention outcomes that take substance use trajectories into account may capture change more effectively than the use of absolute measures of substance use. Indicated prevention programs may benefit from modulations that account for adolescent individuation and identity formation. It is argued that motivational interviewing within a harm reduction framework is well suited to adolescents.

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Available from: Adrian B Kelly,
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    • "Tevyaw and Monti, 2004). Masterman and Kelly (2003) indicate that MI may be particularly well suited to adolescents , given their sensitivity and resistance to adult attempts to control or direct their behavior (Marlatt and Witkiewitz, 2002)—features that may be especially common among delinquent adolescents. MI (Miller and Rollnick, 2002) is ideally suited for correctional settings in that it is brief, can be used as a prelude to other treatments (Bein et al., 1993; Brown and Miller, 1993), and has also been found effective as a stand-alone treatment for substance misuse (see Burke et al., 2002; Colby et al., 1998; Monti et al., 1999). "
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    ABSTRACT: Motivational interviewing to reduce alcohol and marijuana use among incarcerated adolescents was evaluated. Adolescents (N = 162, 84% male; M = 17.10 years old) were randomly assigned to receive motivational interviewing or relaxation training, with follow-up assessment 3 months after release. Compared with those who received relaxation training, adolescents who received motivational interviewing had lower rates of alcohol and marijuana use at follow-up, with some evidence for moderating effects of depression. At low levels of depression, adolescents who received motivational interviewing had lower rates of use. Adolescents who received relaxation training and who had high levels of depressive symptoms early in incarceration showed less use at follow-up than those low in depressive symptoms who received relaxation training. This brief motivational interviewing intervention during incarceration reduces alcohol and marijuana use after release. In addition, depressive symptoms early in incarceration should be considered in treating these adolescents, but more work is needed to extend follow-up period and account for the impact of depression on outcomes.
    Journal of studies on alcohol and drugs 05/2011; 72(3):497-506. DOI:10.15288/jsad.2011.72.497 · 2.76 Impact Factor
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    • "Few studies have investigated substance use interventions with incarcerated adolescents; however, Motivational Interviewing (MI) has shown promising results. MI may be particularly well-suited to adolescents, given their sensitivity and resistance to adult attempts to control or direct their behavior (Marlatt and Witkiewitz, 2002; Masterman and Kelly, 2003). One randomized trial found that substance-involved incarcerated adolescents that received MI as compared to Relaxation Training (RT) engaged more in substance use treatment 2 months into standard facility care (Stein et al., 2006a). "
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    ABSTRACT: The impact of depressed mood on Motivational Interviewing (MI) to reduce risky behaviors and consequences in incarcerated adolescents was examined in this brief report. Adolescents (N=189) were randomly assigned to receive MI or Relaxation Training (RT). At 3-month follow-up assessment, MI significantly reduced risks associated with marijuana use, with a trend towards reducing risks associated with alcohol use. There was also a trend for depressive symptoms to be associated with reduced risks after release. Interaction effects were non-significant, indicating no moderating effects for depressed mood on treatment outcome. MI may be a useful treatment for incarcerated adolescents in order to reduce risks and consequences associated with substance use after release.
    Drug and alcohol dependence 04/2011; 118(2-3):475-8. DOI:10.1016/j.drugalcdep.2011.03.023 · 3.42 Impact Factor
    • "Based on the original DMQ–R, Kuntsche, Knibbe, Engels, and Gmel (in press) recently developed a coding procedure that can identify any given adolescent who attends counseling or treatment, or adolescents in any given school or community, as either enhancement or coping drinkers. This is an important distinction as, to be effective , prevention and intervention should be targeted at homogenous groups of adolescents who share a particular combination of needs and problems rather than at the general adolescent population (Conrod, Stewart, Comeau, & Maclean, 2006; Gorman, 2001; Masterman & Kelly, 2003; Swaim, 2003). The different needs and problems of these adolescents are reflected in the reasons they give for drinking alcohol (Cooper, Frone, Russell, & Mudar, 1995). "
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    ABSTRACT: A short form of the Drinking Motive Questionnaire Revised (DMQ-R; Cooper, 1994) was developed, using different item selection strategies based on a national representative sample of 5,617 12- to 18-year-old students in Switzerland. To confirm the concurrent validity of the short-form questionnaire, or DMQ-R SF, data from a second national sample of 2,398 12- to 17-year-old students were analyzed by means of structural equation modeling. The results confirmed the four-dimensional factor structure of the DMQ-R SF both in general and among subpopulations. The mean values as well as the links with alcohol use and related problems were similar to those obtained with the original DMQ-R. These results support the potential use of the DMQ-R SF in a wide range of international studies that measure drinking motives.
    Journal of Clinical Child & Adolescent Psychology 11/2009; 38(6):899-908. DOI:10.1080/15374410903258967 · 1.92 Impact Factor
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