Engaging resistant adolescents in drug abuse treatment.

Full Abstract

In the first phase of a two-part treatment development study, families with a treatment-resistant drug-abusing adolescent (n = 42) were offered 12 sessions of Community Reinforcement and Family Training (CRAFT). This parent-focused intervention was designed to help parents facilitate their adolescents' entry into treatment, to support adolescents' subsequent behavior change, and to improve parent and family functioning. In the second phase, successfully engaged adolescents (n = 30) were offered 12 sessions of a multicomponent individual cognitive-behavioral therapy (CBT) targeting substance use and related problem behaviors. For parents and adolescents, measures were collected on pretreatment and posttreatment, with an additional follow-up assessment for parents at 3 months after treatment. Parents on CRAFT intervention experienced a significant reduction in negative symptoms, and 71% of parents were successful in engaging their resistant youths in treatment. The CBT intervention for engaged youths was associated with a statistically significant, but not clinically significant, reduction in marijuana use.

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Author information

Author/s: Waldron, Holly Barrett (HB); Kern-Jones, Sheryl (S); Turner, Charles W (CW); Peterson, Thomas R (TR); Ozechowski, Timothy J (TJ);

Affiliation: Center for Family and Adolescent Research, Oregon Research Institute, 2700 Yale SE, Suite 200, Albuquerque, NM 87106, USA.

Grants: R01 DA011955-07 (Agency:NIDA NIH HHS) ; R01 DA017023-04 (Agency:NIDA NIH HHS)

Journal and publication information

Publication Type: Journal Article

Journal: Journal of substance abuse treatment (J Subst Abuse Treat), published in United States. (Language: eng)

Reference: 2007-Mar; vol 32 (issue 2) : pp 133-42

Dates: Created 2007/02/19; Completed 2007/05/02; Revised 2008/11/20;

PMID: 17306722, status: MEDLINE (last retrieval date: 12/26/2008)

Sourced from the National Library of Medicine. Abstract text and other information may be subject to copyright.

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MeSH headings (categories)

This article was linked to the MESH Headings shown below.

Humans
Male
Middle Aged
Motivation
Outcome and Process Assessment (Health Care)
Parent-Child Relations
Patient Acceptance of Health Care - psychology
Patient Compliance - psychology
Substance-Related Disorders - psychology; rehabilitation

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