Disorders - Substance Use Disorders
O'Neill, J. M., Clark, J. K., Jones, J. A.
BACKGROUND: In elementary grades, comprehensive health
education curricula mostly have demonstrated effectiveness in addressing singular health issues. The Michigan Model for Health (MMH) was implemented
and evaluated to determine its impact on multiple health issues, including social and emotional skills, prosocial behavior, and drug use and
aggression. METHODS: Schools (N = 52) were randomly assigned to intervention and control conditions. Participants received 24 lessons in grade 4
(over 12 weeks) and 28 more lessons in grade 5 (over 14 weeks), including material focusing on social and emotional health, interpersonal
communication, social pressure resistance skills, drug use prevention, and conflict resolution skills. The 40-minute lessons were taught by the
classroom or health teacher who received curriculum training and provided feedback on implementation fidelity. Self-report survey data were collected
from the fourth-grade students (n = 2512) prior to the intervention, immediately after the intervention, and 6 weeks after the intervention, with the
same data collection schedule repeated in fifth grade. RESULTS: Students who received the curriculum had better interpersonal communication skills,
social and emotional skills, and drug refusal skills than the control group students. Intervention students also reported lower intentions to use
alcohol and tobacco, less alcohol and tobacco use initiated during the study and in the past 30 days, and reduced levels of aggression. CONCLUSION:
The effectiveness of the MMH in promoting mental health and preventing drug use and aggression supports the call for integrated strategies that begin
in elementary grades, target multiple risk behaviors, and result in practical and financial benefits to schools. (copyright) 2011, American School
Health Association.
Journal of School
Health, 81(6) : 320-330
- Year: 2011
- Problem: Substance Use Disorders (any)
- Type: Randomised controlled trials
-
Stage: Universal prevention
-
Treatment and intervention: Psychological Interventions
(any), Psychoeducation, Skills training
Ogel, Kultegin, Coskun, Sibel
Of 62 males admitted for
treatment in Turkey in 2008 with a diagnosis of volatile substance misuse (VSM) dependency, half were randomly allocated to receive a cognitive
behavioral therapy (CBT)-based brief intervention and an education program and half participated only in the education program. One year after
treatment, 38.2% of the experimental group and 58.1% of the control group had continued VSM during the last three months. This statistically
significant difference indicates that CBT-based brief intervention is associated with reducing VSM in adolescents. Factors associated with abstinence
after treatment are identified and study limitations are noted. (PsycINFO Database Record (c) 2012 APA, all rights reserved) (journal abstract)
Substance Use & Misuse, 46(s1) : 128-133
- Year: 2011
- Problem: Substance Use Disorders (any)
- Type: Randomised controlled trials
-
Stage: Disorder established (diagnosed disorder)
-
Treatment and intervention: Psychological Interventions
(any), Cognitive & behavioural therapies (CBT), Psychoeducation
Mason, M., Pate, P., Drapkin, M., Sozinho, K.
This study tested the efficacy of a brief
preventive intervention for substance use and associated risk behaviors among female adolescent patients of an urban primary care health clinic. We
integrated an evidenced-based motivational interviewing (MI) approach with a social network component to develop a 20-minute session, a social
network intervention delivered in an MI-consistent style. Female adolescents (N = 28) 14 to 18 years old were recruited, provided consent/assent,
were screened, and were randomly assigned to the treatment or control (no treatment) condition. The sample was 82% African American and 18% mixed
race, with 32% living below the U.S. poverty line. At 1-month follow-up, teens in the treatment condition reported less trouble due to alcohol use,
less substance use before sexual intercourse, less social stress, less offers for marijuana use, and increased readiness to start counseling compared
with the teens in the control condition. Results provide support for socially based brief interventions with at-risk urban adolescents. (copyright)
2011 Elsevier Inc.
Journal of Substance Abuse Treatment, 41(2) : 148-155
- Year: 2011
- Problem: Substance Use Disorders (any)
- Type: Randomised controlled trials
-
Stage: Universal prevention
-
Treatment and intervention: Psychological Interventions
(any), Motivational interviewing, includes Motivational Enhancing Therapy, Other Psychological Interventions
McCambridge, J., Hunt, C., Jenkins, R. J., Strang, J.
Background: The prevention of initiation of tobacco, alcohol and drug use is a major societal challenge, for which the existing research
literature is generally disappointing. This study aimed to test the effectiveness of adaptation of Motivational Interviewing (MI) for universal
prevention purposes, i.e. to prevent initiation of new substance use among non-users, and to reduce risks among existing users. Methods: Cluster
randomised trial with 416 students aged 16-19 years old recruited in 12 London Further Education colleges without regard to substance use status.
Individualised MI was compared with standard practice classroom-delivered Drug Awareness intervention, both delivered over the course of one lesson.
Prevalence, initiation and cessation rates for the 3 target behaviours of cigarette smoking, alcohol consumption and cannabis use, along with
reductions in use and harm indicators after both 3 and 12 months were assessed. Results: This adaptation of MI was not demonstrated to be effective
in either intention-to-treat or sub-group analyses for any outcome. Unexpected lower levels of cannabis initiation and prevalence were found in the
Drug Awareness control condition. Conclusions: This particular adaptation of MI is ineffective as a universal drug prevention intervention and does
not merit further study. (copyright) 2010 Elsevier Ireland Ltd.
Drug & Alcohol Dependence, 114(2-3) : 177-184
- Year: 2011
- Problem: Substance Use Disorders (any)
- Type: Randomised controlled trials
-
Stage: Universal prevention
-
Treatment and intervention: Psychological Interventions
(any), Motivational interviewing, includes Motivational Enhancing Therapy, Psychoeducation
Aboutanos, M. B, Jordan,
A, Cohen, R., Foster, R. L., Goodman, K., Halfond, R. W., Poindexter, R., et-al
BACKGROUND: Currently there are few data that brief violence
intervention (BVI) and community case management services (CCMS) are effective for trauma patients admitted for interpersonal violence in terms of
recidivism, service utilization, or alcohol abuse. The objective of this study is to assess outcomes for a cohort of young trauma patients in a
prospective, randomized trial comparing BVI with BVI + CCMS. METHODS: Intentionally injured patients, aged 10 years to 24 years, admitted to a Level
I trauma center were randomized to receive a brief in-hospital psychoeducational violence intervention alone (Group I) or in combination with a 6
months wraparound CCMS (Group II) that included vocational, employment, educational, housing, mental health, and recreational assistance. Recidivism,
alcohol use, and hospital and community service utilization were assessed at 6 weeks (6W) and 6 months (6M). RESULTS: Seventy-five of 376 eligible
injured patients were randomized into Group I and II. The two groups had similar demographics, injuries, and clinical outcomes. After discharge,
percent clinic visits maintained was 57% in both the groups. Group II showed better hospital service utilization, CMS, and risk factor reduction at
6W and 6M. One patient in each group sustained a reinjury at 6M. CONCLUSIONS: In-hospital BVI with community wraparound case management interventions
can improve hospital and community service utilization both short- and long-term for high-risk injured patients. Longer follow-up is needed to show
sustained reduction. Copyright (copyright) 2011 by Lippincott Williams & Wilkins.
Journal of Trauma - Injury, Infection & Critical Care, 71(1) : 228-
237
- Year: 2011
- Problem: Substance Use Disorders (any)
- Type: Controlled clinical trials
-
Stage: At risk (indicated or selected prevention)
-
Treatment and intervention: Service Delivery & Improvement, Psychological Interventions
(any), Cognitive & behavioural therapies (CBT), Motivational interviewing, includes Motivational Enhancing Therapy, Psychoeducation, Case management
Jensen, C. D., Cushing, C. C., Aylward, B. S., Craig, J. T., Sorell, D. M., Steele, R.
G.
Objective: This study was
designed to quantitatively evaluate the effectiveness of motivational interviewing (MI) interventions for adolescent substance use behavior change.
Method: Literature searches of electronic databases were undertaken in addition to manual reference searches of identified review articles. Databases
searched include PsycINFO, PUBMED/MEDLINE, and Educational Resources Information Center. Twenty-one independent studies, representing 5,471
participants, were located and analyzed. Results: An omnibus weighted mean effect size for all identified MI interventions revealed a small, but
significant, posttreatment effect size (mean d =.173, 95 CI [.094,.252], n = 21). Small, but significant, effect sizes were observed at follow-up
suggesting that MI interventions for adolescent substance use retain their effect over time. MI interventions were effective across a variety of
substance use behaviors, varying session lengths, and different settings, and for interventions that used clinicians with different levels of
education. Conclusions: The effectiveness of MI interventions for adolescent substance use behavior change is supported by this meta-analytic review.
In consideration of these results, as well as the larger literature, MI should be considered as a treatment for adolescent substance use. (copyright)
2011 American Psychological Association.
Journal of Consulting & Clinical Psychology, 79(4) : 433-
440
- Year: 2011
- Problem: Substance Use Disorders (any)
- Type: Systematic reviews
-
Stage: At risk (indicated or selected prevention), Disorder established (diagnosed disorder)
-
Treatment and intervention: Psychological Interventions
(any), Motivational interviewing, includes Motivational Enhancing Therapy
Liddle, H. A., Dakof, G. A., Henderson, C., Rowe, C.
Responding to urgent calls for effective interventions to address
young offenders' multiple and interconnected problems, a new variant of an existing empirically-validated intervention for drug-using adolescents,
Multidimensional Family Therapy (MDFT)-Detention to Community (DTC) was tested in a two-site controlled trial. This article (a) outlines the
rationale and protocol basics of the MDFT-DTC intervention, a program for substance-using juvenile offenders that links justice and substance abuse
treatment systems to facilitate adolescents' post-detention community reintegration; (b) presents implementation outcomes, including fidelity,
treatment engagement and retention rates, amount of services received, treatment satisfaction, and substance abuse-juvenile justice system
collaboration outcomes; and (c) details the implementation and sustainability challenges in a cross-system (substance abuse treatment and juvenile
justice) adolescent intervention. Findings support the effectiveness of the MDFT-DTC intervention, and the need to develop a full implementation
model in which transfer and dissemination issues could be explored more fully, and tested experimentally.
International Journal of Offender Therapy & Comparative Criminology, 55(4) : 587-
604
- Year: 2011
- Problem: Substance Use Disorders (any)
- Type: Controlled clinical trials
-
Stage: At risk (indicated or selected prevention)
-
Treatment and intervention: Psychological Interventions
(any), Family therapy, Other Psychological Interventions
Haaga, D. A. F., Grosswald, S., Gaylord-King, C., Rainforth, M., Tanner, M, Travis, F., Nidich, S., et-al
A randomized wait-
list controlled trial (N=295 university students) of the effects of the Transcendental Meditation program was conducted in an urban setting.
Substance use was assessed by self-report at baseline and 3 months later. For smoking and illicit drug use, there were no significant differences
between conditions. For alcohol use, sex X intervention condition interactions were significant; TM instruction lowered drinking rates among male but
not female students. TM instruction could play a valuable role in reducing alcohol use among male university students. Limitations are noted, along
with suggestions for further research. Copyright (copyright) 2011 David A. F. Haaga et al.
Cardiology Research &
Practice, 1(1) :
- Year: 2011
- Problem: Substance Use Disorders (any)
- Type: Randomised controlled trials
-
Stage: Universal prevention
-
Treatment and intervention: Psychological Interventions
(any), Mindfulness based
therapy
Hides, L. M., Elkins, K. S., Scaffidi,
A., Cotton, S. M., Carroll, S., Lubman, D. I.
Objective: To determine whether the addition of cognitive behaviour
therapy and motivational interviewing (CBT/MI) to standard alcohol and other drug (AOD) care improves outcomes for young people with comorbid
depression and substance misuse. Participants and setting: Participants were young people with comorbid depression (Kessler Psychological Distress
Scale score (greater-than or equal to)17) and substance misuse (mainly alcohol and/or cannabis) seeking treatment at two youth AOD services in
Melbourne, Australia. The study was conducted between September 2006 and September 2008. Sixty young people received CBT/MI in addition to standard
care (SC) (the SC+CBT/MI group) and 28 received SC only (the SC group). Main outcome measures: Depressive symptoms and AOD use in the previous 30
days, measured at baseline and at 3-month and 6-month follow-up. Results: Compared with participants in the SC group, those in the SC+CBT/MI group
showed significant reductions in depression and cannabis use and increased social contact and motivation to change substance use at 3-month follow-
up. However, at 6- month follow-up, the SC group had achieved similar improvements to the CBT/MI group on these variables. All young people achieved
significant improvements in functioning and quality of life variables over time, regardless of treatment group. No changes in AOD use were found in
either group at 6-month follow-up. Conclusion: The delivery of CBT/MI in addition to SC may achieve accelerated treatment gains in the short
term.
Medical Journal of
Australia, 195(3 SUPPL.) : S31-S37
- Year: 2011
- Problem: Depressive Disorders, Substance Use Disorders (any)
- Type: Randomised controlled trials
-
Stage: Disorder established (diagnosed disorder)
-
Treatment and intervention: Psychological Interventions
(any), Cognitive & behavioural therapies (CBT), Motivational interviewing, includes Motivational Enhancing Therapy
Bodin, Maria, Leifman,
Hakan
This report describes an independent evaluation of a psychosocial, adult-to-youth mentoring program run by the Swedish branch of
the Mentor Foundation, aiming to prevent substance use in low-risk youth (ClinicalTrials.gov ID: NCT01138982). Eligible 14-year-olds (n = 128) were
randomly assigned to the mentoring program or to a control condition. Baseline and 12-month follow-up measurements included self-reports on
emotional, behavioral, and substance use measures from youth and their parents, and grade point average. These were retrieved from school registers
at the follow-up. With alpha-levels corrected for multiple comparisons, analyses revealed no statistically significant outcome differences between
the two groups. However, a relatively low statistical power and a low program dosage preclude any definite conclusions about program effectiveness.
Among the 65 youth assigned to the intervention, those who met with their mentor for a full program period (n = 33, 51%) were significantly more
likely than non-completers to report liking, trusting, and getting help from their mentors. The high rates of premature program terminations
highlight the difficulties inherent in implementing mentoring programs under real-world conditions, and the need to strive for adherence to
empirically and theoretically derived best practices when doing so. Best practices - such as using mentors with a helping professional background, an
ongoing training of mentors, and close monitoring of the mentoring relationships - may be crucial for successful program implementation, and
consequently also for the chances of mentoring programs to meet their goals of substance use prevention and improved life quality for the targeted
youth. (PsycINFO Database Record (c) 2012 APA, all rights reserved) (journal abstract)
Addiction Research & Theory, 19(5) : 438-
447
- Year: 2011
- Problem: Substance Use Disorders (any)
- Type: Randomised controlled trials
-
Stage: Universal prevention
-
Treatment and intervention: Psychological Interventions
(any), Other Psychological Interventions
Comello, Maria Leonora G., Slater, Michael D.
Behavioral willingness is conceptualized as
a pathway to behavior that is non-deliberative, yet traditional measures require thoughtful deliberation to complete. This study explored non-
deliberative measures of alcohol-related willingness to complement recent work on marijuana-related willingness. The study also examined whether
adverts from a field-tested drug and alcohol prevention campaign may have operated by influencing alcohol-related willingness. Participants viewed
campaign adverts or consumer adverts (control). Outcomes were reaction times to make speeded judgments about whether one would engage in risky
alcohol-related behaviors. Results showed that campaign advertisements lowered willingness to play drinking games and (for males) to drive while
intoxicated.;
Journal of Health Psychology, 16(8) : 1268-1276
- Year: 2011
- Problem: Substance Use Disorders (any)
- Type: Randomised controlled trials
-
Stage: Universal prevention
-
Treatment and intervention: Psychological Interventions
(any), Other Psychological Interventions
Esposito-
Smythers, C., Spirito, A., Kahler, C. W., Hunt, J., Monti, P.
Objective: This study tested a cognitive-behavioral treatment protocol for
adolescents with a co-occurring alcohol or other drug use disorder (AOD) and suicidality in a randomized clinical trial. Method: Forty adolescents (M
age = 15 years; 68 female, 89 White) and their families recruited from an inpatient psychiatric hospital were randomly assigned to an integrated
outpatient cognitive-behavioral intervention for co-occurring AOD and suicidality (I-CBT) or enhanced treatment as usual (E-TAU). Primary measures
include the Schedule for Affective Disorders and Schizophrenia for School-Age Children, Suicide Ideation Questionnaire, Columbia Impairment Scale,
Timeline Followback, Rutgers Alcohol Problem Index, and Rutgers Marijuana Problem Index. Assessments were completed at pretreatment as well as 3, 6,
12, and 18 months postenrollment. Results: In intent-to-treat analyses, I-CBT was associated with significantly fewer heavy drinking days and days of
marijuana use relative to E-TAU but not with fewer drinking days. Those randomized to I-CBT in comparison to E-TAU also reported significantly less
global impairment as well as fewer suicide attempts, inpatient psychiatric hospitalizations, emergency department visits, and arrests. Adolescents
across groups showed equivalent reductions in suicidal ideation. Conclusions: I-CBT for adolescents with co-occurring AOD and suicidality is
associated with significant improvement in both substance use and suicidal behavior, as well as markedly decreased use of additional health services
including inpatient psychiatric hospitalizations and emergency department visits. Further testing of integrated protocols for adolescent AOD and
suicidality with larger and more diverse samples is warranted. (copyright) 2011 American Psychological Association.
Journal of Consulting & Clinical Psychology, 79(6) : 728-
739
- Year: 2011
- Problem: Suicide or self-harm behaviours (excluding non-suicidal self-harm), Substance Use Disorders (any)
- Type: Randomised controlled trials
-
Stage: Disorder established (diagnosed disorder)
-
Treatment and intervention: Psychological Interventions
(any), Cognitive & behavioural therapies (CBT)