Motivational and Skills for THC/ETOH+ Teens in Jail

05:28 EDT 15th September 2014 | BioPortfolio

Summary

The pupose of this study is to test the efficacy of individual MI and group CBT for reducing alcohol and marijuana-related harm as well as alcohol and maurjuana use in incarcerated youth.

Description

This study will focus on treating substance abusing incarcerated teens using 2 individually administered motivational interviewing sessions followed by 10 group sessions of cognitive behavior therapy (CBT). Motivational Interviewing (MI)is conceptualized as preparation for group CBT. The control group receives individualized relaxation training (RT)followed by group treatment as usual(TU). In this propozed randomized trial a one way design (MI/CBT v. RT/TU) will be used to determine whether MI/CBT enhances group therapy participation and reduces substance use and related problems (e.g., crime, injuries) post discharge in substance involved juvenile delinquents. RT/TU is based on the 12 step model and includes psychoeducational components. Participants are followed during incarceration and for 6 months post incarceration. Primary outcome variables include alcohol and marijuana use, as well as related behaviors (illegal activity, sex or injuries while drunk or high). It is hypothesized that in comparison to teens in RT/TU youth receiving MI/CBT will participate more in therapy (accroding to teen, facility staff, and counselor ratings) and will show lower levels of substance use and related problems after discharge. Frequently substance abuse treatment is unavailable to youths in the juvenile justice system and when treatment is available it may be provided in group format using untested therapies. A motivation/skills based intervention (delivered in group format) may prove efficacious in enhancing motivation and in reducing substance abuse and related problems. This study extends previous research by rigorously evaluating group treatment for incarcerated teens. We will examine processes contributing to the efficacy of group MI/CBT and the influence of race and ethnicity on treatment effects. The development of effective interventions for substance using juvenile offenders has the potential to reduce substance abuse and crime in this population.

Study Design

Allocation: Randomized, Control: Active Control, Endpoint Classification: Efficacy Study, Intervention Model: Single Group Assignment, Masking: Double-Blind, Primary Purpose: Treatment

Conditions

Alcohol Abuse

Intervention

Behavior therapy

Location

Rhode Island Training School
Cranston
Rhode Island
United States
02920

Status

Not yet recruiting

Source

National Institute on Drug Abuse (NIDA)

Results (where available)

View Results

Links

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