Motivation and Skills for THC/ETOH+ Teens in Jail

监狱中 THC/ETOH 青少年的动机和技能

• 批准号: 6860629
• 负责人: LYNDA A STEIN
• 金额: $ 68.64万
• 依托单位: BROWN UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2004
• 资助国家: 美国
• 起止时间: 2004-09-25 至 2009-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6860629
• 关键词: adolescence (12-20); alcoholism /alcohol abuse; behavior therapy; behavioral /social science research tag; cannabinoids; clinical research; clinical trials; correctional institutions; criminal behavior; group therapy; human subject; human therapy evaluation; motivation; patient oriented research; questionnaires; racial /ethnic difference; relaxation; safe sex /sex abstinence; substance abuse related behavior

DESCRIPTION (provided by applicant): This proposal is in response to RFA-DA-04-008, Group Treatment for Individuals in Drug Abuse or Alcoholism Treatment. Of particular interest to the agencies are group therapies for Conduct Disordered adolescents, reducing the spread of infectious disease, and mechanisms of action. This proposal targets these areas of interest. This study will focus on treating substance abusing incarcerated teens using 2 individually administered Motivational Interviewing (MI) sessions followed by 10 group sessions of Cognitive Behavior Therapy (CBT). MI is conceptualized as preparation for group CBT. The control group receives individualized Relaxation Training (RT) followed by group Treatment as Usual (TU). Currently, there is little research regarding effective group treatments for incarcerated teens and this study will address this gap in our knowledge base. In this proposed randomized trial, a one-way design (MI/CBT vs. RT/TU) will be used to determine whether MI/CBT enhances group therapy participation and reduces substance use and related problems (such as crime, injuries and unprotected sex) post discharge in substance-involved juvenile delinquents. RT/TU is based on the 12-step model and includes psycho-educational components. Participants are followed during incarceration and for 12 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 (according 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.

描述（由申请人提供）： 该提案是对RFA-DA-04-008的响应，这是针对药物滥用或酗酒治疗的人的小组治疗。这些机构特别感兴趣的是行为无序青少年的群体疗法，减少了传染病的传播和作用机制。该提案针对这些感兴趣的领域。这项研究将着重于使用2种单独管理的动机访谈（MI）会议，然后进行10个小组认知行为疗法（CBT），以治疗滥用虐待的青少年。 MI被概念化为CBT组的准备。对照组接受个性化的放松训练（RT），然后像往常一样进行小组治疗。当前，关于被监禁青少年的有效小组治疗的研究很少，这项研究将解决我们知识库中的这一差距。 在这项拟议的随机试验中，将使用单向设计（MI/CBT与RT/TU）来确定MI/CBT是否可以增强群体治疗的参与并减少物质的使用和相关问题（例如犯罪，伤害和未受保护的性行为）在物质涉及的毒品造成的Juevenile Delinquents中。 RT/TU基于12步模型，包括心理教育组成部分。在监禁期间和监禁后12个月遵循参与者。主要结果变量包括酒精和大麻的使用以及相关行为（醉酒或高中时的非法活动，性别或伤害）。假设与RT/TU中的青少年相比，接受MI/CBT的青年将更多地参与治疗（根据青少年，设施人员和辅导员评级），并将显示出较低水平的物质使用和相关问题。 通常，少年司法系统中的年轻人无法获得药物滥用治疗，并且在可用治疗时，可以使用未经测试的疗法以小组格式提供。基于动机/技能的干预措施（以小组形式提供）可能会有效地增强动力和减少药物滥用和相关问题。这项研究通过严格评估被监禁的青少年的群体治疗来扩展以前的研究。我们将研究有助于MI/CBT疗效的过程，以及种族和种族对治疗效果的影响。使用青少年罪犯开发有效的物质干预措施有可能减少该人群中的滥用药物和犯罪。