Comparing the effectiveness of three substance use interventions for youth with and without homelessness experiences prior to treatment.
Comparing the effectiveness of three substance use interventions for youth with and without homelessness experiences prior to treatment.
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DOI：
10.1037/ccp0000704
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发表时间：
2021-12
影响因子：
5.9
通讯作者：
Davis, Jordan P
中科院分区：
文献类型：
--
作者：
DiGuiseppi, Graham T;Tucker, Joan S;Prindle, John J;Henwood, Benjamin F;Huey, Stanley J;Rice, Eric R;Davis, Jordan P
许多接受药物使用治疗的青少年和年轻人都经历过无家可归或面临无家可归的风险。目前还不清楚具体的治疗方法是否更有效或更少的青年经历无家可归（YEH）相比，稳定的住房青年。本研究比较了青少年社区强化方法（ACRA），动机增强疗法结合认知行为疗法（MET/CBT）和治疗作为治疗（TAU）对这两组的有效性。进一步的亚组差异进行了调查的年龄，性别，性和性别少数地位。YEH（n = 855）和稳定居住的青年（n = 855）的匹配样本来自全球个人需求评估，一个全国性的物质使用治疗数据集。多组潜在变化评分模型用于检查基线、3个月、6个月和12个月随访时物质使用频率和相关问题的变化。结果表明，所有干预组的药物使用频率和治疗期间的问题显着下降。TAU组在治疗期间物质使用问题的下降幅度最大，治疗后频率下降幅度最大。与稳定居住的年轻人相比，YEH进入治疗时有更多的物质使用和问题，只有MET/CBT组的物质使用下降幅度更大。年龄和性别也存在其他差异。总体而言，所有三种药物使用干预措施似乎都能有效减少药物使用和相关问题。TAU和MET/CBT在治疗环境中可能对YEH特别有效。未来的研究和实践的影响进行了讨论。
Many adolescents and young adults receiving substance use treatment have experienced or are at risk for homelessness. It is unknown whether specific treatment approaches are more or less effective for youth experiencing homelessness (YEH) compared to stably housed youth. The current study compared the effectiveness of the Adolescent Community Reinforcement Approach (ACRA), Motivational Enhancement Therapy combined with Cognitive Behavioral Therapy (MET/CBT), and Treatment as Usual (TAU) for these two groups. Further subgroup differences were investigated by age, sex, and sexual and gender minority status. YEH (n = 855) and a matched sample of stably housed youth (n = 855) were drawn from the Global Appraisal of Individual Needs, a nationwide substance use treatment data set. Multiple-group latent change score modeling was used to examine change in substance use frequency and related problems at baseline, 3, 6, and 12-month follow-ups. Results indicated significant declines in substance use frequency and problems during treatment for all intervention groups. The TAU group showed the greatest declines in substance use problems during treatment, and the greatest declines in frequency post-treatment. Compared to stably housed youth, YEH entered treatment with greater substance use and problems, and had greater declines in substance use in the MET/CBT group only. Other differences were found by age and sex. Overall, all three substance use interventions appear to be effective in reducing substance use and related problems. TAU and MET/CBT may be particularly effective for YEH in treatment settings. Implications for future research and practice are discussed.