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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.
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.
Allocation: Randomized, Control: Active Control, Endpoint Classification: Efficacy Study, Intervention Model: Single Group Assignment, Masking: Double-Blind, Primary Purpose: Treatment
Rhode Island Training School
Not yet recruiting
National Institute on Drug Abuse (NIDA)
Published on BioPortfolio: 2014-08-27T03:47:50-0400
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Component of the NATIONAL INSTITUTES OF HEALTH. It conducts research focused on improving the treatment and prevention of alcoholism and alcohol-related problems to reduce the health, social, and economic consequences of this disease. NIAAA, NIMH, and NIDA were created as coequal institutes within the Alcohol, Drug Abuse and Mental Health Administration in 1974. It was established within the NATIONAL INSTITUTES OF HEALTH in 1992.
Disorders stemming from the misuse and abuse of alcohol.
A condition where seizures occur in association with ethanol abuse (ALCOHOLISM) without other identifiable causes. Seizures usually occur within the first 6-48 hours after the cessation of alcohol intake, but may occur during periods of alcohol intoxication. Single generalized tonic-clonic motor seizures are the most common subtype, however, STATUS EPILEPTICUS may occur. (Adams et al., Principles of Neurology, 6th ed, p1174)
Component of the NATIONAL INSTITUTES OF HEALTH. It supports a comprehensive research portfolio that focuses on the biological, social, behavioral and neuroscientific bases of drug abuse on the body and brain as well as its causes, prevention, and treatment. NIDA, NIAAA, and NIMH were created as coequal institutes within the Alcohol, Drug Abuse and Mental Health Administration in 1974. It was established within the NATIONAL INSTITUTES OF HEALTH in 1992.
An agency of the PUBLIC HEALTH SERVICE concerned with the overall planning, promoting, and administering of programs pertaining to substance abuse and mental health. It is commonly referred to by the acronym SAMHSA. On 1 October 1992, the United States Alcohol, Drug Abuse, and Mental Health Administration (ADAMHA) became SAMHSA.
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