Disorders - Substance Use Disorders
Castro, F. G., Barrera-Jr, M., Pantin, H., Martinez, C., Felix-Ortiz, M., Rios, R., Lopez, V. A., Lopez, C.
Selected studies with specific relevance to substance abuse prevention interventions with Hispanic youth and families were examined to
identify prior findings and emerging issues that may guide the design of future substance abuse prevention intervention research and its
implementation with Hispanic populations. The origins of prevention research and role of risk and protective factors are examined, including
culturally-specific risk and protective factors for Hispanic populations. Correlational studies, non-experimental interventions, and randomized
controlled trials were examined for the period of 1974-2003. The literature search yielded 15 articles selected for this review that exhibited
adequate methodological rigor. An added search for more recent studies identified three additional articles, for a total of 18 prevention
intervention articles that were reviewed. Theoretical and methodological issues and recommendations are presented for future research aimed at
improving the efficacy and effectiveness of future prevention intervention studies and their cultural relevance for Hispanic populations. copyright
2006 Elsevier Ireland Ltd. All rights reserved.
Drug & Alcohol Dependence, 84(SUPPL) : S29-
S42
- Year: 2006
- Problem: Substance Use Disorders (any)
- Type: Systematic reviews
-
Stage: Universal prevention
-
Treatment and intervention: Psychological Interventions
(any)
Bender, Kimberly, Springer, David W., Kim, Johnny S.
The
treatment of dually diagnosed adolescents is challenging for many reasons, including complex treatment needs, poor treatment engagement and
retention, and a lack of sustainable treatment outcomes. Although a large percentage of adolescents are diagnosed with both substance abuse and
mental health diagnoses, research is only beginning to identify effective treatments for this population. The current study systematically reviews
randomized clinical trials of interventions for dually diagnosed adolescents. Results examining both between-group effect sizes and within group
changes indicate the efficacy of several treatment modalities in improving specific aspects of treatment needs but highlight family behavior therapy
and individual cognitive problem-solving therapy as showing large effect sizes across externalizing, internalizing, and substance-abuse outcomes in
dually diagnosed youth. The study further discusses the complexities of systematically evaluating the currently limited state of research on dually
diagnosed youth. Finally, preliminary guidelines for treating dually diagnosed adolescents are derived from a review of those treatments shown to be
most effective. (PsycINFO Database Record (c) 2007 APA, all rights reserved) (journal abstract).
Brief Treatment &
Crisis Intervention, 6(3) : 177-205
- Year: 2006
- Problem: Substance Use Disorders (any)
- Type: Systematic reviews
-
Stage: Disorder established (diagnosed disorder)
-
Treatment and intervention: Psychological Interventions
(any)
Henggeler, S. W., Halliday-Boykins, C. A., Cunningham, P. B., Randall, J., Shapiro, S. B., Chapman, J. E.
Evaluated the effectiveness of juvenile drug court for 161 juvenile offenders meeting diagnostic criteria for substance abuse or
dependence and determined whether the integration of evidence-based practices enhanced the outcomes of juvenile drug court. Over a 1-year period, a
four-condition randomized design evaluated outcomes for family court with usual community services, drug court with usual community services, drug
court with multisystemic therapy, and drug court with multisystemic therapy enhanced with contingency management for adolescent substance use,
criminal behavior, symptomatology, and days in out-of-home placement. In general, findings supported the view that drug court was more effective than
family court services in decreasing rates of adolescent substance use and criminal behavior. Possibly due to the greatly increased surveillance of
youths in drug court, however, these relative reductions in antisocial behavior did not translate to corresponding decreases in rearrest or
incarceration. In addition, findings supported the view that the use of evidence-based treatments within the drug court context improved youth
substance-related outcomes. Clinical and policy implications of these findings are discussed.
Journal of Consulting & Clinical Psychology, 74(1) : 42-54
- Year: 2006
- Problem: Substance Use Disorders (any)
- Type: Randomised controlled trials
-
Stage: Disorder established (diagnosed disorder)
-
Treatment and intervention: Service Delivery & Improvement, Psychological Interventions
(any), Multisystemic
therapy, Case management, Other service delivery and improvement
interventions
Gates, S., McCambridge, J., Smith, L. A., Foxcroft, D. R.
BACKGROUND: Interventions intended to
prevent or reduce use of drugs by young people may be delivered in schools or in other settings. This review aims to summarise the current literature
about the effectiveness of interventions delivered in non schools settings. OBJECTIVES: (1) - To summarise the current evidence about the
effectiveness of interventions delivered in non-school settings intended to prevent or reduce drug use by young people under 25;(2) - To investigate
whether interventions' effects are modified by the type and setting of the intervention, and the age of young people targeted;(3) - To identify
areas where more research is needed. SEARCH STRATEGY: We searched Cochrane Central Register of Controlled Trials (CENTRAL - The Cochrane Library
Issue 4, 2004), MEDLINE (1966-2004), EMBASE (1980-2004), PsycInfo (1972-2004), SIGLE (1980-2004), CINAHL (1982-2004) and ASSIA (1987-2004). We
searched also reference lists of review articles and retrieved studies. SELECTION CRITERIA: Randomised trials that evaluated an intervention
targeting drug use by young people under 25 years of age, delivered in a non-school setting, compared with no intervention or another intervention,
that reported substantive outcomes relevant to the review. DATA COLLECTION AND ANALYSIS: Two authors independently assessed trial quality and
extracted data. Results were tabulated, as studies were considered too dissimilar to combine using meta-analysis. MAIN RESULTS: Seventeen studies, 9
cluster randomised studies, with 253 clusters, 8 individually randomised studies with 1230 participants, evaluating four types of intervention:
motivational interviewing or brief intervention, education or skills training, family interventions and multi-component community interventions. Many
studies had methodological drawbacks, especially high levels of loss to follow-up. There were too few studies for firm conclusions. One study of
motivational interviewing suggested that this intervention was beneficial on cannabis use. Three family interventions (Focus on Families, Iowa
Strengthening Families Program and Preparing for the Drug-Free Years), each evaluated in only one study, suggested that they may be beneficial in
preventing cannabis use. The studies of multi component community interventions did not find any strong effects on drug use outcomes, and the two
studies of education and skills training did not find any differences between the intervention and control groups. AUTHORS' CONCLUSIONS: There is a
lack of evidence of effectiveness of the included interventions. Motivational interviewing and some family interventions may have some benefit.
Cost-effectiveness has not yet been addressed in any studies, and further research is needed to determine whether any of these interventions can be
recommended. [References: 63]
Cochrane Database of Systematic
Reviews, (1) : CD005030
- Year: 2006
- Problem: Substance Use Disorders (any)
- Type: Systematic reviews
-
Stage: Universal prevention
-
Treatment and intervention: Psychological Interventions
(any)
Griffin, Kenneth W., Botvin,
Gilbert J., Nichols, Tracy R.
Early onset of substance use among adolescents has been found to be
associated with later risky sexual behaviors. This study examined long-term follow-up data from a large randomized school-based drug prevention trial
to (1) investigate the long-term impact of the prevention program on drug use and sexual behaviors that put one at elevated risk for HIV infection;
and (2) use growth modeling procedures to examine potential mechanisms of intervention effects. Self-report survey data were collected from students
in the 7th grade, prior to the intervention in 1985, and in grades 8, 9, 10, and 12. Participants in the intervention condition received a 30-session
drug prevention program in 7th through 9th grades. Follow-up surveys were completed by 2042 young adults (mean age = 24) in 1998. As young adults,
participants were considered to be engaging in high-risk behavior for HIV infection if they reported having multiple sex partners, having intercourse
when drunk or very high, and recent high-risk substance use. The intervention had a direct protective effect on HIV risk behavior in the overall
sample in young adulthood. Furthermore, among participants receiving 60% or more of the prevention program, analyses showed that the intervention
significantly reduced growth in alcohol and marijuana intoxication over the course of adolescence, which in turn was associated with a reduction in
later HIV risk behavior. The behavioral effects of competence-enhancement drug prevention programs can extend to risk behaviors including those that
put one at risk for HIV infection.
Prevention Science, 7(1) : 103-12
- Year: 2006
- Problem: Substance Use Disorders (any)
- Type: Randomised controlled trials
-
Stage: Universal prevention
-
Treatment and intervention: Psychological Interventions
(any), Skills training
Hallfors, D., Cho, H., Sanchez, V., Khatapoush, S., Hyung, M. K., Bauer, D.
Objectives. The US Department
of Education requires schools to choose substance abuse and violence prevention programs that meet standards of effectiveness. The Substance Abuse
and Mental Health Services Agency certifies \"model\" programs that meet this standard. We compared findings from a large, multisite effectiveness
trial of 1 model program to its efficacy trial findings, upon which the certification was based. Methods. 1370 high-risk youths were randomized to
experimental or control groups across 9 high schools in 2 large urban school districts. We used intent-to-treat and on-treatment approaches to
examine baseline equivalence, attrition, and group differences in outcomes at the end of the program and at a 6-month follow-up. Results. Positive
efficacy trial findings were not replicated in the effectiveness trial. All main effects were either null or worse for the experimental than for the
control group. Conclusions. These findings suggest that small efficacy trials conducted by developers provide insufficient evidence of effectiveness.
Federal agencies and public health scientists must work together to raise the standards of evidence and ensure that data from new trials are
incorporated into ongoing assessments of program effects.
American Journal of Public
Health, 96(12) : 2254-2259
- Year: 2006
- Problem: Substance Use Disorders (any)
- Type: Randomised controlled trials
-
Stage: At risk (indicated or selected prevention)
-
Treatment and intervention: Psychological Interventions
(any), Skills training
Peterson, Peggy L., Baer, John S., Wells, Elizabeth A., Ginzler, Joshua A., Garrett, Sharon B.
The short-term results of a
randomized trial testing a brief feedback and motivational intervention for substance use among homeless adolescents are presented. Homeless
adolescents ages 14-19 (N = 285) recruited from drop-in centers at agencies and from street intercept were randomly assigned to either a brief
motivational enhancement (ME) group or 1 of 2 control groups. The 1-session motivational intervention presented personal feedback about patterns of
risks related to alcohol or substance use in a style consistent with motivational interviewing. Follow-up interviews were conducted at 1 and 3 months
postintervention. Youths who received the motivational intervention reported reduced illicit drug use other than marijuana at 1-month follow-up
compared with youths in the control groups. Treatment effects were not found with respect to alcohol or marijuana. Post hoc analyses within the ME
group suggested that those who were rated as more engaged and more likely to benefit showed greater drug use reduction than did those rated as less
engaged. Limitations of the study are discussed as are implications for development of future substance use interventions for this high-risk group.
((c) 2006 APA, all rights reserved).
Psychology of Addictive Behaviors, 20(3) : 254-64
- Year: 2006
- Problem: Substance Use Disorders (any)
- Type: Randomised controlled trials
-
Stage: At risk (indicated or selected prevention)
-
Treatment and intervention: Psychological Interventions
(any), Motivational interviewing, includes Motivational Enhancing Therapy
Najavits, Lisa M., Gallop, Robert J., Weiss, Roger
D.
This randomized, controlled trial evaluated a
manualized psychotherapy, Seeking Safety (SS), for posttraumatic stress disorder (PTSD) and substance use disorder (SUD) in adolescent females. To
our knowledge, no prior study has evaluated any psychotherapy designed for this population. SS was compared to treatment as usual (TAU) for 33
outpatients, at intake, end-of-treatment, and 3 months follow-up. SS evidenced significantly better outcomes than TAU in a variety of domains at
posttreatment, including substance use and associated problems, some trauma-related symptoms, cognitions related to SUD and PTSD, and several areas
of pathology not targeted in the treatment (e.g., anorexia, somatization). Effect sizes were generally in the moderate to high range. Some gains were
sustained at follow-up. SS appears a promising treatment for this population, but needs further study and perhaps additional clinical
modification.
Journal of Behavioral Health Services & Research, 33(4) : 453-
63
- Year: 2006
- Problem: Substance Use Disorders (any)
- Type: Randomised controlled trials
-
Stage: Disorder established (diagnosed disorder)
-
Treatment and intervention: Psychological Interventions
(any), Skills training
Nozu, Y., Watanabe, M., Kubo, M., Sato, Y., Shibata, N., Uehara, C., Kikuchi, N., et-al
Objective: To examine the effectiveness of a drug abuse prevention program focusing on social influences for drug education classes in
high school. Methods: The social influence program in the experimental group used role-playing led by a pharmacist, a police officer and a teacher.
The intervention evaluation used a quasi-experimental design. The subjects were first-year students from 10 high schools assigned to the experimental
group (6 schools, 828 students) and the control group (4 schools, 408 students). In the control group, a pharmacist used a conventional information
program in a lecture format. Results: Regarding knowledge about drug abuse, in both the experimental and control groups, and for both males and
females, a long-term effect was observed immediately after the program and lasted up to 15 months. For three other measures, attitudes toward drug
abuse problem, self-efficacy regarding drug abuse prevention, and perception of social support for preventing drug abuse, a short-term effect was
generally observed in the experimental group beginning immediately after the program and lasting for 3 months. A long-term effect was evident in
high-risk students with positive opinions regarding drugs. In the control group and for both males and females, although an effect was generally
evident immediately after the program, neither a short- nor a long-term effect was observed in males, suggesting the difficulty in achieving lasting
effects. Conclusions: The social influence program in the experimental group showed remarkable effectiveness. Thus, the program may be useful for
preventing drug abuse among high school students in Japan.
Environmental Health & Preventive
Medicine, 11(2) : 75-81
- Year: 2006
- Problem: Substance Use Disorders (any)
- Type: Controlled clinical trials
-
Stage: Universal prevention
-
Treatment and intervention: Psychological Interventions
(any), Skills training
McCambridge, Jim, Strang, John
AIM: To test whether beneficial effects of a single session of Motivational Interviewing (MI) on
alcohol, tobacco and illicit drug use apparent after 3 months were maintained until 12 months. DESIGN: Cluster randomized trial, allocating 200 young
people in the natural groups in which they were recruited to either MI (n = 105) or to an assessment-only control condition (n = 95). SETTING: Ten
further education colleges across inner London. PARTICIPANTS: Two hundred young people who were current users of illegal drugs (age range 16-20
years) with whom contact was established through peers trained for the project. INTERVENTION: The intervention was adapted from MI in the form of a
topic-based 1-hour single-session discussion. MEASUREMENTS: Changes in cigarette, alcohol, cannabis and other drug use and perceptions of risk and
harm between the time of recruitment and follow-up interviews after 3 and 12 months. FINDINGS: A satisfactory follow-up rate (81%) was achieved.
After 12 months, 3-month differences between MI and assessment-only groups have disappeared almost entirely. Unexpected improvements by the
assessment-only control group on a number of outcomes suggest the possibility of reactivity to the research assessment at 3-month follow-up.
CONCLUSION: In the terms of the original experiment, there is little evidence of enduring intervention effectiveness shown by between-group
differences after 12 months. Deterioration of effect is the most probable explanation, although reactivity to 3-month assessment, a late Hawthorne
effect, cannot be ruled out.
Addiction, 100(4) : 470-8
- Year: 2005
- Problem: Substance Use Disorders (any)
- Type: Controlled clinical trials
-
Stage: At risk (indicated or selected prevention)
-
Treatment and intervention: Psychological Interventions
(any), Motivational interviewing, includes Motivational Enhancing Therapy
Kulis, Stephen, Marsiglia, Flavio F., Elek, Elvira, Dustman, Patricia, Wagstaff, David A., Hecht, Michael L.
A randomized trial tested the
efficacy of three curriculum versions teaching drug resistance strategies, one modeled on Mexican American culture; another modeled on European
American and African American culture; and a multicultural version. Self-report data at baseline and 14 months post-intervention were obtained from
3,402 Mexican heritage students in 35 Arizona middle schools, including 11 control sites. Tests for intervention effects used simultaneous regression
models, multiple imputation of missing data, and adjustments for random effects. Compared with controls, students in the Latino version reported less
overall substance use and marijuana use, stronger intentions to refuse substances, greater confidence they could do so, and lower estimates of
substance-using peers. Students in the multicultural version reported less alcohol, marijuana, and overall substance use. Although program effects
were confined to the Latino and multicultural versions, tests of their relative efficacy compared with the non-Latino version found no significant
differences. Implications for evidence-based practice and prevention program designs are discussed, including the role of school social workers in
culturally grounded prevention. (PsycINFO Database Record (c) 2007 APA, all rights reserved) (journal abstract).
Children & Schools, 27(3) : 133-145
- Year: 2005
- Problem: Substance Use Disorders (any)
- Type: Controlled clinical trials
-
Stage: Universal prevention
-
Treatment and intervention: Psychological Interventions
(any), Skills training
Lam, C.
W., Shek, D. T. L., Ng, H. Y., Yeung, K. C., Lam, D. O. B.
Recent approaches to drug prevention have turned to focus on
comprehensive strategies that target early risk factors and that strengthen protective factors in adolescence. Objective: To develop a drug
prevention program that is evidence-based and conceptually sound for the Chinese community. Study group: The \"Astro\" project was designed for
high-risk youths in Hong Kong and consisted of three psychosocial primary prevention programs conducted in structured group sessions. Methods: A
three-year longitudinal study and control group comparisons are integrated in this project for the program evaluation. Results and conclusions: The
findings showed that the experimental group, after participating in the programs, was generally better than the control group in terms of social
skills, knowledge of drugs, refusal skills, attitudes towards drugs, and the behavioral intention to avoid drug abuse. It suggests that this program
could function well as a drug prevention program. copyright Freund Publishing House Ltd.
International Journal of Adolescent Medicine & Health, 17(4) : 343-
353
- Year: 2005
- Problem: Substance Use Disorders (any)
- Type: Controlled clinical trials
-
Stage: At risk (indicated or selected prevention)
-
Treatment and intervention: Psychological Interventions
(any), Psychoeducation, Skills training