Twelve-step and mutual help groups These are free groups in the community that provide ongoing support to people with addictions. Child Youth Care Forum. SBIRT for adolescent drug and alcohol use: current status and future directions.
Note that most of the meta-analyses reported here used a small sample correction factor 54 to adjust the standardized mean difference effect sizes. Whereas the evaluation research in this area is still small compared with the adult drug outcome literature, and there is still a lack of systematic investigation as to what types of treatment programs work best for whom and the extent research literature supports the view that most treatment approaches for adolescents are associated with reduced drug use at post-treatment.
The extraction will be verified by at least one other experienced methodologist and discrepancies will be discussed between them, as needed.
One reviewer HF checked the data entry. Despite the brief duration of the interventions all involved less than 5 hours of intervention contact the beneficial effects persisted for up to one year after receipt.
In the case of Motivational Interviewing issues relating to monitoring and reporting fidelity of interventions need to be addressed.Free Talk This is a group, motivational interviewing program for adolescents with a first-time alcohol or drug offense. The goal of assertive continuing care is to prevent relapse through a home-based program that uses positive and negative reinforcement change behaviors. Factors contributing to problems associated with drug involvement Numerous personal and environmental factors contribute to the initiation and maintenance of adolescent drug involvement, including drug availability, family environment and parenting factors, school connectedness, affiliation with delinquent peers, personality traits eg, poor impulse control , mental illness eg, depression, attention deficit hyperactivity disorder , and genetic vulnerability. Several distinct models have been studied, and these approaches range from brief interventions to intensive treatments. There were no statistically significant differences on most of the measured outcomes between the treatment and control groups. Collegiate recovery communities Similar to recovery high schools, collegiate recovery communities provide a supportive peer environment for students in recovery. Within the EPC program, the Key Informant role is to provide input into identifying the Key Questions for research that will inform healthcare decisions. The final report does not necessarily represent the views of individual reviewers. Continuing care and recovery supports Adolescents often experience reductions in drug use by the end of treatment, 23 but research has shown that these treatment effects decrease over time. The program is rated No Effects. Motivational enhancement therapists use a person-centered, non-confrontational style in assisting the youth to explore different facets of his or her use patterns. The tool covers four domains to detect bias in systematic reviews relating to study eligibility criteria; identification and selection of studies; data collection and study appraisal; synthesis and findings. National Center for Health Statistics. Ozechowski, T. Two reviewers screened abstracts and full text articles, excluded reviews and extracted data from the remaining reviews.
Additionally, we will peruse the reference lists of published clinical practice guidelines, and relevant systematic reviews as identified in MEDLINE, the Cochrane Database of Systematic Reviews, and Epistemonikos for eligible studies.
We therefore define a priori cutoffs in the magnitude of the intervention effect to categorize effect magnitudes.
Also, mandated reporting requirements dictate that some issues disclosed by an adolescent cannot be fully confidential. Methods Design We conducted a systematic review of existing reviews referred to as an overview [ 13 ]. Third, there are critical research needs, including the following: understanding which pharmacological treatments for substance use disorders are potential medications for adolescents; factors that mediate and moderate engagement in the behavior change process, including the extent to which problem recognition is associated with treatment outcome; the role of parents in treatment engagement and support of recovery; and the role of technology eg, smart phones as a relapse prevention tool to promote treatment effectiveness.