Motivational interviewing for adolescent substance use a review of the literature

It is typically delivered in conjunction with other treatment approaches. The goal of assertive continuing care is to prevent relapse through a home-based program that uses positive and negative reinforcement change behaviors. We systematically documented and explored the conclusions reported by the authors of the reviews. This may be due to several factors, including but not limited to, a shorter history of drug use, fewer perceived drug-related consequences, enabling behaviors by parents, use within the peer group, normalizing the behavior, and a lack of maturity that contributes to poor insight that a problem exists. Peer reviewers who disclose potential business or professional conflicts of interest may submit comments on draft reports through the public comment mechanism. Also, note that we present effect sizes here so that positive valences indicate a beneficial treatment effects, relative to comparison conditions. Sessions can occur weekly or twice weekly. Introduction There is overwhelming epidemiological evidence that health behaviour such as smoking, substance abuse drugs and alcohol , physical inactivity, and unhealthy eating are associated with increased morbidity and mortality. National Institute on Drug Abuse. Where these reviews included overlapping aims and outcomes, we compared conclusions; where there was a discrepancy in conclusions, we focused conclusions of the most up-to-date and highest quality reviews judged using ROBIS [ 15 ]. We therefore define a priori cutoffs in the magnitude of the intervention effect to categorize effect magnitudes. Because of their unique clinical or content expertise, individuals are invited to serve as Technical Experts and those who present with potential conflicts may be retained. Peer recovery support services Peer recovery support services link individuals in treatment or recovery to peers in their community who have had experiences with addiction. The data sources, basic study characteristics, and each strength-of-evidence dimensional rating will be summarized in a "Summary of Evidence Reviewed" table detailing our reasoning for arriving at the overall strength of evidence rating. Department of Health and Human Services.

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.

miller and rollnick 2002

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.

Motivational interviewing activities for substance abuse

The study found no statistically significant differences in measures of substance use and aggressive behaviors between adolescents in the treatment group, compared with adolescents receiving standard care. Cochrane Database Syst Rev. Because of their role as end-users, individuals are invited to serve as Key Informants and those who present with potential conflicts may be retained. Treatments using motivational enhancement also tended to yield beneficial effects relative to other treatment approaches. Peer and public review will provide an additional opportunity for the TEP and other experts in the field to ensure that no key publications have been missed. This evidence map process will help to determine final eligibility status for each study. The EPC will complete a disposition of all peer review comments. Of the 59 studies eligible for the review, 12 fell into this category. A comprehensive search of electronic databases, Web sites, mailing lists, and references of primary studies was conducted to locate eligible studies. Disclosure The authors report no conflicts of interest in this work. This included the following data: Number of trials and participants in the meta-analysis; Measure of effect e.

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.

motivational interviewing for alcohol use

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.

motivational interviewing interventions
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[Full text] Current advances in the treatment of adolescent drug use