Disorders - Substance Use Disorders
Gonzales-Castaneda, R., McKay, J. R., Steinberg, J., Winters, K. C., Yu, C. H., Valdovinos, I. C., Casillas, J. M., McCarthy, K. C.
Background: The goal of this paper is to advance the understanding of
mechanisms of\raction involved in behavioral-driven aftercare interventions for substance use disorders (SUDs)\ramong youth populations. This paper
reports data from a study that measured the impact of an\raftercare intervention on primary substance use relapse among youth who completed
treatment\rin Los Angeles County for SUDs. The aftercare intervention, Project ESQYIR-Educating and\rSupporting inQuisitive Youth In Recovery,
utilized text messaging to monitor relapse and recovery\rprocesses, provide feedback, reminders, support, and education among youth from SUD
specialty\rsettings during the initial three-month period following treatment completion.\rMethod: Mediational modeling informed by Baron and Kenny
was used to examine the extent to\rwhich select recovery processes including participation in extracurricular activities and self-help,\rwere
impacted by the texting intervention, and if such processes helped sustain recovery and\rprevent primary substance use relapse. The data come from a
two-group randomized controlled\rpilot study testing the initial efficacy of a mobile health texting aftercare intervention among 80\ryouth (Mage=
20.7, SD = 3.5, range: 14-26 years) who volunteered to participate after completing\rSUD treatment between 2012 and 2013.\rResults: Among the two
recovery processes examined in the mediational modeling, only\rinvolvement in extracurricular activities mediated the effects of the texting
aftercare intervention\ron reductions in primary substance use relapse; not self-help participation.\rConclusion: Findings from this pilot study
offer greater understanding about potential\rrecovery-related mechanisms of action of mobile aftercare interventions. Mobile texting was\rfound to
promote increased engagement in recovery-related behaviors such as participation\rin extracurricular activities, which mediated the effects of the
mobile aftercare intervention\ron decreasing primary substance use relapse. Findings suggest mobile approaches may be\reffective for increasing
adherence to a wide-array of recovery behavioral regiments among youth\rpopulations challenged by complex behavioral issues.
Substance
Abuse, 43(1) : 1-12
- Year: 2022
- Problem: Substance Use Disorders (any)
- Type: Randomised controlled trials
-
Stage: Relapse prevention
-
Treatment and intervention: Service Delivery & Improvement, Psychological Interventions
(any), Other Psychological Interventions, Technology, interventions delivered using technology (e.g. online, SMS)
Glass, N. E., Clough, A., Messing, J. T., Bloom, T., Brown, M. L., Eden, K. B., Campbell, J. C., Gielen, A., Laughon, K., Grace, K. T., Turner, R. M., Alvarez, C., Case, J., Barnes-Hoyt, J., Alhusen, J., Hanson, G. C., Perrin, N. A.
The objective of this study was to examine differences in
change over time in health and safety outcomes among female college students randomized to myPlan, a tailored safety planning app, or usual web-based
safety planning resources. Three hundred forty-six women (175 intervention, 171 control) from 41 colleges/universities in Oregon and Maryland
completed surveys at baseline, 6- and 12-months from July 2015 to October 2017. Generalized estimating equations were used to test group differences
across time. Both groups improved on four measure of intimate partner violence (IPV; Composite Abuse Scale [CAS], TBI-related IPV, digital abuse,
reproductive coercion [RC]) and depression. Reduction in RC and improvement in suicide risk were significantly greater in the myPlan group relative
to controls (p = .019 and p = .46, respectively). Increases in the percent of safety behaviors tried that were helpful significantly reduced CAS
scores, indicating a reduction in IPV over time in the myPlan group compared to controls (p = .006). Findings support the feasibility and importance
of technology-based IPV safety planning for college women. myPlan achieved a number of its objectives related to safety planning and decision-making,
the use of helpful safety behaviors, mental health, and reductions in some forms of IPV.
Journal of interpersonal violence, 37(13-
14) : NP11436-NP11459
- Year: 2022
- Problem: Anxiety Disorders (any), Depressive Disorders, Suicide or self-harm behaviours (excluding non-suicidal self-harm), Substance Use Disorders (any)
- Type: Randomised controlled trials
-
Stage: At risk (indicated or selected prevention)
-
Treatment and intervention: Service Delivery & Improvement, Psychological Interventions
(any), Other Psychological Interventions, Technology, interventions delivered using technology (e.g. online, SMS)
Filges, T., Dalgaard, N. T., Viinholt, B. C. A.
Background: At-
risk youth may be defined as a diverse group of young people in unstable life circumstances, who are currently experiencing or are at risk of
developing one or more serious problems. At-risk youth are often very unlikely to seek out help for themselves within the established venues, as
their adverse developmental trajectories have installed a lack of trust in authorities such as child protection agencies and social workers. To help
this population, a number of outreach programmes have been established seeking to help the young people on an ad hoc basis, meaning that the
interventions are designed to fit the individual needs of each young person rather than as a one-size-fits-all treatment model. The intervention in
this review is targeted outreach work which may be (but does not have to be) multicomponent programmes in which outreach may be combined with other
services.\rObjectives: The main objective of this review was to answer the following research questions: What are the effects of outreach programmes
on problem/high-risk behaviour of young people between 8 and 25 years of age living in OECD countries? Are they less likely to experience an adverse
outcome such as school failure or drop-out, runaway and homelessness, substance and/or alcohol abuse, unemployment, long-term poverty, delinquency
and more serious criminal behaviour?\rSearch Methods: We identified relevant studies through electronic searches of bibliographic databases,
governmental and grey literature repositories, hand search in specific targeted journals, citation tracking, and Internet search engines. The
database searches were carried out in September 2020 and other resources were searched in October and November 2021. We searched to identify both
published and unpublished literature, and reference lists of included studies and relevant reviews were searched.\rSelection Criteria: The
intervention was targeted outreach work which may have been combined with other services. Young people between 8 and 25 years of age living in OECD
countries, who either have experienced or is at-risk of experiencing an adverse outcome were eligible. Our primary focus was on measures of
problem/high-risk behaviour and a secondary focus was on social and emotional outcomes. All study designs that used a well-defined control group were
eligible for inclusion. Studies that utilised qualitative approaches were not included.\rData Collection and Analysis: The total number of
potentially relevant studies constituted 17,659 hits. A total of 16 studies (17 different interventions) met the inclusion criteria. Only five
studies could be used in the data synthesis. Eight studies could not be used in the data synthesis as they were judged to have critical risk of bias
and, in accordance with the protocol, were excluded from the meta-analysis on the basis that they would be more likely to mislead than inform. Two
studies (three interventions) did not provide enough information enabling us to calculate an effect size and standard error, and one study did not
provide enough information to assess risk of bias. Meta-analysis of all outcomes were conducted on each conceptual outcome separately. All analyses
were inverse variance weighted using random effects statistical models incorporating both the sampling variance and between study variance components
into the study level weights. Random effects weighted mean effect sizes were calculated using 95% confidence intervals. Too few studies were included
to carry out any sensitivity analyses.\rMain Results: Four of the five studies used for meta analysis were from the USA and one was from Canada. The
timespan in which included studies were carried out was 32 years, from 1985 to 2017; on average the intervention year was 2005. The average number of
participants in the analysed interventions was 116, ranging from 30 to 346 and the average number of controls was 81, ranging from 32 to 321. At
most, the results from two studies could be pooled in a single meta-analysis. It was only possible to pool the outcomes drug (other than marijuana)
use, marijuana use and alcohol use each at two different time points (one and 3 months follow up). At 1 month follow up the weighted averages varied
between zero and 0.05 and at 3 months follow up between -0.17 and 0.07. None of them were statistically significant. In addition, a number of other
outcomes were reported in a single study only.\rAuthors' Conclusions: Overall, there were too few studies included in any of the meta-analyses in
order for us to draw any conclusion concerning the effectiveness of outreach. The vast majority of studies were undertaken in the USA. The dominance
of the USA as the main country in which outreach interventions meeting our inclusion criteria have been evaluated using rigorous methods and within
our specific parameters clearly limits the generalisability of the findings. None of the studies, however, was considered to be of overall high
quality in our risk of bias assessment and the process of excluding studies with critical risk of bias from the meta-analysis applied in this review
left us with only five of a total of 16 possible studies to synthesise. Further, because too few studies reported results on the same type of outcome
at most two studies could be combined in a particular meta-analysis. Given the limited number of rigorous studies available from countries other than
the USA, it would be natural to consider conducting a series of randomised controlled trials evaluating the effectiveness of outreach for at-risk
youth in countries outside the USA. The trial(s) should be designed, conducted and reported according to methodological criteria for rigour in
respect of internal and external validity to achieve robust results and preferably reporting a larger number of outcomes.
Campbell Systematic
Reviews, 18(4) : e1282
- Year: 2022
- Problem: Substance Use Disorders (any)
- Type: Systematic reviews
-
Stage: At risk (indicated or selected prevention)
-
Treatment and intervention: Service Delivery & Improvement, Other service delivery and improvement
interventions
Del-Palacio-Gonzalez, A., Hesse, M., Thylstrup, B., Pedersen, M. U., Pedersen, M. M.
INTRODUCTION: An increasing number of
adolescents and emerging adults are entering treatment for drug use disorders in high-income countries. This fact points not only to a need to
evaluate treatment outcomes related to drug use reduction, but also to evaluate other indicators of treatment success. The aim of this study was to
examine treatment effects on predicting readmission to drug use treatment and being convicted for a criminal offence among youth. A second aim was to
examine whether a psychiatric history had an impact on these outcomes.\rMETHODS: Participants were 460 youth aged 15-25 who took part in the
YouthDAT, a randomized pragmatic clinical trial for outpatient drug use treatment. The trial compared four treatment conditions consisting of 12
sessions of a manualized treatment based on cognitive behavioral therapy and motivational interviewing. Condition one was the standard (only the
manual); condition two consisted of standard treatment and contingency management (CM) (Vouchers); condition three included standard treatment, text
reminders, and low-intensity aftercare (Reminders+LIA); and condition four combined the standard treatment, CM, text reminders, and low-intensity
aftercare (Combined+LIA). The study linked participants to register data on psychiatric history, drug use treatment history, and criminal
convictions.\rRESULTS: Treatment conditions Reminders+LIA (aB = 0.42, p = .026) and Combined+LIA (aB = 0.69, p = .000) predicted longer time to
readmission compared to standard treatment. The Vouchers condition predicted a lower risk for criminal convictions (aIRR = 0.26, p = .001). Half of
the participants had a psychiatric history. The treatments with additional strategies were useful in delaying readmission and reducing convictions
for these youth. The results remained significant in the adjusted models accounting for relevant participant characteristics.\rCONCLUSIONS:
Additional treatment strategies in outpatient drug use treatment, such as CM, text reminders, and low-intensity aftercare, predicted delayed
readmission to treatment and fewer legal problems. Mental health problems were common among youth. However, the treatments with additional strategies
were effective with youth with a psychiatric history. Overall, while the additional strategies may be resource demanding for clinical settings, they
support treatment success and may also help to decrease other public costs.\rTRIAL REGISTRATION: ISRCTN registry ISRCTN27473213.
Journal of substance abuse
treatment, 133 : 108617
- Year: 2022
- Problem: Substance Use Disorders (any)
- Type: Randomised controlled 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, Other Psychological Interventions, Contingency
management, Technology, interventions delivered using technology (e.g. online, SMS)
Decker, M. J., Gutmann-Gonzalez, A., Saphir, M., Nguyen, N. T., Zhi,
Q., Brindis, C. D.
BACKGROUND:
Most health and developmental issues affecting young people are interrelated. However, few interventions address multiple behavioral domains
simultaneously or are based on theories that encompass a holistic perspective of youth development. AIM: The purpose of this scoping review was to
identify and describe the range of theory-based, multibehavioral health interventions aimed at improving two or more of the following behavioral
youth outcomes: (1) sexual and reproductive health; (2) education and employment; (3) violence; and (4) substance use. METHOD(S): Interventions
conducted worldwide and published in English or Spanish between January 2000 and July 2020 were identified using four databases: PubMed, PsycINFO,
LILACS, and SciELO. RESULT(S): A total of 11,084 articles were identified, of which 477 were retrieved and assessed for eligibility. Twenty-three
articles (evaluating 21 interventions) ultimately met the inclusion criteria. Most interventions were conducted in the United States and addressed
two behavioral domains of interest, although seven interventions incorporated three domains, and one incorporated all four. Substance use was the
most common domain (16 interventions) but only in the United States/Canada, followed by sexual and reproductive health (14 interventions). All
produced significant improvement in at least one outcome or for at least one subgroup of youth. The most common theoretical foundations were positive
youth development and social learning theory. CONCLUSION(S): Integrated interventions that are theory based and evidence informed can support
positive development and empower youth to make healthy decisions. Further efforts are needed to address structural and policy issues that affect
young people's developmental opportunities and health outcomes.
Health education
& behavior : the official publication of the Society for Public Health
Education, : 10901981221130734
- Year: 2022
- Problem: Substance Use Disorders (any)
- Type: Systematic reviews
-
Stage: Universal prevention, At risk (indicated or selected prevention)
-
Treatment and intervention: Complementary & Alternative
Interventions (CAM), Service Delivery & Improvement, Psychological Interventions
(any)
Curry, John F., Kaminer, Yifrah, Goldston, David B., Chan, Grace, Wells, Karen C., Burke, Rebecca H., Inscoe, Adrienne Banny, Meyer, Allison E., Cheek, Shayna M.
Objective: To investigate prevalence and predictors of early depression
response (EDR) in adolescents with substance use and depression receiving cognitive-behavioral therapy (CBT) for substance use and to test the
efficacy of supplemental CBT targeting depression (CBT-D) for non-EDR adolescents in an adaptive treatment approach. Method: At 2 sites, 95 youths
(ages 14-21, mean [SD] = 17.4 [1.8]) with alcohol or cannabis use and depressive symptoms received up to 12 sessions of CBT for substance use over 14
weeks. Assessments were at baseline and weeks 4, 9, and 14. The Children's Depression Rating Scale-Revised was the primary depression measure, with
a reduction of 50% or more on this scale at week 4 defining EDR. The primary substance use outcomes of alcohol use, heavy alcohol use, and cannabis
use frequency were assessed via interview report on the Alcohol Consumption Questionnaire and the Drug Checklist. Urinalysis provided a secondary
measure of cannabis use. Non-EDR adolescents were randomly assigned to supplemental CBT-D or enhanced treatment as usual (ETAU). Results: Thirty-five
adolescents (37%; 95% CI, 27%-47%) demonstrated EDR. Fewer days of cannabis use (odds ratio 0.977; 95% CI, 0.961-0.992) and absence of conduct
disorder (odds ratio 0.149; 95% CI, 0.031-0.716) predicted EDR. Frequency of drinking (F1,82 = 11.09, eta = 0.119, p = .001), heavy drinking (F1,82 =
19.91, eta2 = 0.195, p < .0001), and cannabis use (F1,220 = 35.01, eta2 = 0.137, p < .001) decreased over time for EDR, CBT-D, and ETAU adolescents,
with EDR adolescents evidencing earlier lower cannabis use (F2,220 = 4.16, eta2 = 0.036, p = .0169). Negative (clean) urine screens increased over
time (F1,219 = 5.10, eta2 = 0.023, p = .0249). Comparison of CBT-D and ETAU indicated that depression significantly decreased over time in both
groups (F1,48 = 64.20, eta2 = 0.572, p < .001), with no advantage for CBT-D. Conclusion: Approximately one-third of adolescents with substance use
and depression attain EDR during substance use treatment. Less frequent cannabis use facilitates depression response. The relatively small sample may
have precluded identification of additional EDR predictors. (PsycInfo Database Record (c) 2022 APA, all rights reserved)
Journal of the American Academy of Child & Adolescent Psychiatry, 61(4) : 508-
519
- Year: 2022
- Problem: Depressive Disorders, Substance Use Disorders (any)
- Type: Randomised controlled trials
-
Stage: Disorder established (diagnosed disorder), At risk (indicated or selected prevention)
-
Treatment and intervention: Psychological Interventions
(any), Cognitive & behavioural therapies (CBT), Motivational interviewing, includes Motivational Enhancing Therapy
Bourduge, C., Brousse, G., Morel, F., Pereira, B., Lambert, C., Izaute, M., Teissedre, F.
The \"Intervention Program based on Self\" (IPSELF) project
was created to address the gap between the acquisition of life skills during prevention programs and their application with a session for developing
one's self-concept included in the European program \"Unplugged\". The present study evaluated its effectiveness. A total of 157 middle school
students (94 girls, 63 boys, MAGE = 12.89, SD = 0.45) from three schools in France participated in this study. The participants attended
one of two programs (Unplugged/IPSELF). The effectiveness of the IPSELF add-on session was measured with the Self-Concept Clarity Scale, and the
differences between the two programs was measured with the prototype willingness model. Adolescents in IPSELF rated the typical nonsmoker and
cannabis nonsmoker more favorably, and the typical drinker less favorably. They felt more different from the typical smoker and drinker after
participation in IPSELF. More alcohol experimenters were observed in Unplugged. The knowledge gained in IPSELF appeared to help adolescents more than
that gained in Unplugged to change their smoking behavior. Furthermore, IPSELF had a more beneficial effect for girls, who felt that they had gained
more control over their alcohol and cannabis use than boys, whereas Unplugged had a more positive effect on boys, who gained better control over
their consumption. Moreover, the girls felt that they had gained more knowledge about the substances discussed in IPSELF than in Unplugged. We
therefore recommend the use of IPSELF especially with female audiences.
International Journal of Environmental Research & Public Health [Electronic
Resource], 19(15) : 24
- Year: 2022
- Problem: Substance Use Disorders (any)
- Type: Randomised controlled trials
-
Stage: Universal prevention
-
Treatment and intervention: Psychological Interventions
(any), Skills training, Other Psychological Interventions
Bonar, E. E., Bauermeister, J. A., Blow, F.
C., Bohnert, A. S., Bourque, C., Coughlin, L. N., Davis, A. K., Florimbio,
A. R., Goldstick, J. E., Wisnieski, D. M., Young, S. D., Walton, M. A.
Purpose: Alcohol use among adolescents and emerging
adults is an important public health issue requiring prevention approaches. Herein, we describe outcomes from a randomized controlled trial testing
the efficacy of group-based social media interventions targeting risky drinking among youth. Procedures: Using social media advertisements to screen
potential participants, we recruited 955 youth (ages 16-24) reporting recent risky drinking. After completing a baseline assessment, participants
were randomized to 8-week secret Facebook group conditions: Social Media Intervention + Incentives for engagement, Social Media Intervention only,
and attention-placebo control. Electronic coaches trained in motivational interviewing facilitated interaction in intervention groups. Primary
outcomes include past 3-month alcohol use and consequences over 3-, 6-, and 12-month follow-ups. Secondary outcomes include other drug use,
consequences, and impaired driving. We also measured intervention engagement and acceptability.
Drug and Alcohol Dependence, 237 : 1-
11
- Year: 2022
- Problem: Substance Use Disorders (any)
- Type: Randomised controlled trials
-
Stage: At risk (indicated or selected prevention)
-
Treatment and intervention: Service Delivery & Improvement, Psychological Interventions
(any), Other Psychological Interventions, Technology, interventions delivered using technology (e.g. online, SMS)
Belenko, S., Dennis, M., Hiller, M., Mackin, J., Cain, C., Weiland,
D., Estrada, B., Kagan, R.
Juvenile Drug Treatment Courts (JDTC) emerged in the mid-1990s as a potential solution to concern about substance use among youth in the
juvenile justice system (JJS). Despite substantial research, findings on the JDTC effectiveness for reducing recidivism and substance use remain
inconsistent, hampered by methodological problems. In 2016, the Office of Juvenile Justice and Delinquency Prevention published research-based JDTC
Guidelines for best practices, and funded technical assistance for implementation and a multisite national outcomes study among JDTCs implementing
the Guidelines. Ten sites were originally selected for this study, with a JDTC and Traditional Juvenile Court (TJC) participating. In two sites,
moderate- to high-risk youth were randomized to JDTC or TJC, and in eight sites, a regression discontinuity design assigned moderate- to high-risk
youth to JDTC, and other youth to TJC. Findings from four sites with sufficient cases and follow-up rates indicated that JDTCs reduced cannabis use,
increased access to mental health services, and reduced recidivism. However, the effects were small to moderate, with positive impacts mainly
observed among high-risk youth. The impacts of JDTCs may have been attenuated because Guidelines implementation was inconsistent across courts, and
some TJCs implemented elements of the Guidelines, blurring the distinction between JDTCs and TJCs. Copyright © 2022. National Council for Mental
Wellbeing.
The journal of behavioral health services & research, 49(4) : 436-
455
- Year: 2022
- Problem: Substance Use Disorders (any), Cannabis Use
- Type: Randomised controlled trials
-
Stage: At risk (indicated or selected prevention)
-
Treatment and intervention: Service Delivery & Improvement, Other service delivery and improvement
interventions
Ahmad, J., Joel, U. C., Talabi, F. O., Bibian, O. N., Aiyesimoju, A. B., Adefemi, V. O., Gever, V. C.
Drug
abuse is one of the serious social problems facing the globe today. There have been cases of young people under the influence of drugs; engaging in
different crimes such as kidnapping, rape, and armed robbery. The goal of this study was to test the effectiveness of social media-based intervention
in reducing drug abuse propensity among youths in Nigeria. The design of the study was a two-way ANOVA with repeated measures. The Substance Abuse
Proclivity (SAP) scale was used to collect data for the study. The study showed that social media-based intervention effectively reduced drug abuse
propensity for participants in the treatment group compared with those in the control group. A follow-up intervention after two years shows a steady
decline in drug abuse propensity among youth in the treatment group, unlike those in the control group. Comparatively, the training skills type of
intervention was more effective than motivational interviewing. Copyright © 2022 Elsevier Ltd. All rights reserved.
Evaluation and program planning, 94 : 102122
- Year: 2022
- Problem: Substance Use Disorders (any)
- Type: Randomised controlled trials
-
Stage: Universal prevention
-
Treatment and intervention: Service Delivery & Improvement, Psychological Interventions
(any), Motivational interviewing, includes Motivational Enhancing Therapy, Psychoeducation, Skills training, Technology, interventions delivered using technology (e.g. online, SMS)
Vigna-Taglianti, F., Mehanovic, E., Alesina, M., Damjanovic, L., Ibanga, A., Pwajok, J., Prichard, G., van-der-Kreeft,
P., Virk, H. K., Unplugged Nigeria Coordination Group.
BACKGROUND: School-based programs are the most convenient interventions to
tackle substance use among youth. \"Unplugged\" is a Social Influence universal school curriculum developed and tested in the \"EU-Dap\" project. In
2015, Nigeria implemented a large-scale project to promote healthy lifestyles in schools, families and communities. Within the project, the
effectiveness of \"Unplugged\" was evaluated through a cluster randomized controlled trial.\rMETHODS: The program was adapted to the Nigerian
context, assembling suggestions from monitoring forms and interviews, and performing fidelity checks on content and method. Thirty-two secondary
schools were extracted from a list provided by the Federal Ministry of Education, and randomly allocated to intervention and control arms. A self-
completed anonymous questionnaire was used for baseline and follow-up surveys. The analysis sample finally included 2685 pupils (mean age 14.2
years). Multilevel models were run to estimate program effects on prevalence of self-reported cigarettes, alcohol, and marijuana use. Mediation
analysis was performed to identify possible mediators of program effect on alcohol use.\rRESULTS: Unplugged significantly reduced the prevalence of
recent alcohol use in intervention vs control pupils. The effect on prevalence of cigarette and marijuana use was not statistically significant. The
program prevented progress and encouraged regress across stages of intensity of alcohol use. Negative beliefs, risk perceptions, and class climate
mediated the effect of Unplugged on alcohol use.\rCONCLUSIONS: Unplugged was effective in preventing alcohol use improving beliefs, class climate and
risk perceptions among Nigerian students. The implementation of the program at a larger scale in the country should be supported.
Drug & Alcohol Dependence, 228 : 108966
- Year: 2021
- Problem: Substance Use Disorders (any)
- Type: Randomised controlled trials
-
Stage: Universal prevention
-
Treatment and intervention: Psychological Interventions
(any), Skills training, Personalised feedback, normative feedback
Tolou-Shams, M., Dauria, E. F., Folk, J., Shumway, M., Marshall, B. D.
L., Rizzo, C. J., Messina, N., Covington, S., Haack, L. M., Chaffee, T., Brown, L.
K.
Background: Girls have unique developmental pathways to
substance use and justice system involvement, warranting gender-responsive intervention. We tested the efficacy of VOICES (a 12-session, weekly
trauma-informed, gender-responsive substance use intervention) in reducing substance use and HIV/STI risk behaviors among justice- and school-
referred girls. Method(s): Participants were 113 girls (Mage = 15.7 years, SD = 1.4; 12 % White, 19 % Black, 15 % multi-racial; 42 %
Latinx) with a history of substance use referred from juvenile justice (29 %) and school systems (71 %). Study assessments were completed at
baseline, 3-, 6- and 9-months follow-up. Primary outcomes included substance use and HIV/STI risk behaviors; secondary outcomes included psychiatric
symptoms (including posttraumatic stress) and delinquent acts. We hypothesized that girls randomized to the VOICES (n = 51) versus GirlHealth
(attention control; n = 62) condition would report reduced alcohol, cannabis and other substance use, HIV/STI risk behaviors, psychiatric symptoms,
and delinquent acts. Result(s): Girls randomized to VOICES reported significantly less cannabis use over 9-month follow-up relative to the control
condition (time by intervention, p < .01), but there were no between group differences over time in HIV/STI risk behavior. Girls in both conditions
reported fewer psychiatric symptoms and delinquent acts over time. Conclusion(s): Data support the use of a trauma-informed, gender-responsive
intervention to reduce cannabis use among girls with a substance use history and legal involvement; reducing cannabis use in this population has
implications for preventing future justice involvement and improving public health outcomes for girls and young women, who are at disproportionate
health and legal risk relative to their male counterparts. Copyright © 2021
Drug
and Alcohol Dependence, 228 (no pagination) :
- Year: 2021
- Problem: Post Traumatic Stress Disorder, Substance Use Disorders (any)
- Type: Randomised controlled trials
-
Stage: Disorder established (diagnosed disorder), At risk (indicated or selected prevention)
-
Treatment and intervention: Psychological Interventions
(any), Psychoeducation, Other Psychological Interventions