Rationale and design of a brief substance use intervention for homeless adolescents

Rationale and design of a brief substance use intervention for homeless adolescents
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DOI:
10.1080/1606635042000236475
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发表时间:
2004-08-01
影响因子:
2.9
通讯作者:
Wells, EA
Wells, EA
中科院分区:
医学3区
文献类型:
--
作者:
Baer, JS;Peterson, PL;Wells, EA

文献摘要

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描述了针对无家可归青少年物质使用的简短反馈和动机干预的基本原理和设计。与其他青少年相比,无家可归的青少年使用药物的比率极高,并因此遭受相当大的负面后果。然而,针对药物使用和滥用的传统预防和治疗方案并未惠及无家可归的青少年,或者对其没有反应。回顾了使用简短反馈干预措施的理由,并描述了一项旨在减少无家可归青少年物质使用风险的计划。该干预措施与减少伤害的租户一致,通过其结构、最低要求和灵活的临床策略和目标鼓励参与。描述了根据初步试验的经验教训对干预措施进行的修改,并强调了根据客户的生活环境、可用性和动机制定减少伤害计划以促进参与的重要性。
The rationale and design for a brief feedback and motivational intervention for substance use among homeless adolescents is described. Homeless adolescents use substances at extremely high rates compared to other youth, and experience considerable negative consequences as a result. Yet homeless adolescents are not reached by, or are not responsive to, traditional prevention and treatment programs for substance use and abuse. The rationale for the use of brief feedback interventions is reviewed, and one such program that was designed to reduce substance use risk among homeless youth is described. The intervention is consistent with tenants of harm reduction in its effort to encourage engagement via its structure, minimal demands, and flexible clinical strategies and goals. Modifications made to the intervention based on lessons learned from an initial trial are described, and highlight the importance of tailoring harm reduction programs to facilitate engagement based on clients' life circumstances, availability, and motivation.