RETAINING DRUG ABUSING YOUTH IN FAMILY THERAPY

让吸毒青少年参与家庭治疗

• 批准号: 2119885
• 负责人: JOAN D KOSS-CHIOINO
• 金额: $ 35.88万
• 依托单位: ARIZONA STATE UNIVERSITY-TEMPE CAMPUS
• 依托单位国家: 美国
• 财政年份: 1991
• 资助国家: 美国
• 起止时间: 1991-09-01 至 1997-01-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/2119885
• 关键词: Hispanic Americans; adolescence (12-20); alcoholism /alcohol abuse; drug abuse; drug abuse education; family therapy; human subject; human therapy evaluation; longitudinal human study; psychological adaptation; toxicology registry /referral center

The proposed study will take place on the outpatient adolescent unit at the Center on Alcoholism, Substance Abuse and other Addictions (CASAA) of UNM. The general objective is to test the effectiveness of the engagement and treatment components of the Structural Strategic Systems (SSS) family intervention with New Mexican Hispanic youths, 13-18 years old and families. This is a replication of treatment studies of Cuban American youths by Szapocznik et al. in Miami. It explores the issue of treatment effectiveness relative to observed differences in family functioning among Hispanic cultures in the US, comparing Cuban American with Hispanic/Mexican American. It also looks at similar responses to treatment despite cultural differences. The SSS intervention will be compared with two control/comparison conditions, SSS therapy without engagement and group therapy. Two main research questions are examined: How effective is the SSS intervention (engagement plus family therapy) in engaging and retaining young Hispanic polydrug abusers and their families in treatment compared with the control conditions? And, how effective is the SSS intervention in treating clients relative to control condition? Relationships between family functioning, drug use and psychosocial adjustment of youths will be explored. A prospective design will be employed with random assignment to the three treatment conditions, each carried out over a modal 16 sessions. Treatments will follow the guidelines of manuals developed in Miami and therapists will be rated regarding adherence to treatment guidelines. Each treatment condition will be conducted by two therapists each Hispanic and Anglo, the ethnic mix of clinical staff. This will allow assessment of the effect of individual therapist/client helping alliances. Outcome measures will be administered at pretreatment, completion of treatment, and 6 and 12 month follow-up. Measures of outcome assess the effectiveness of the interventions along five dimensions: 1) rate of engagement in therapy; 2) rate of retention in therapy; 3) reduction or cessation of drug abuse; 4) improvement in psychosocial adjustment of the client; and 5) improvement in family functioning. Possible confounds are the quality of the therapist-client alliance; current family history of substance abuse or psychiatric illness; significant group differences in therapy contact hours, and in pre-test (intake) scores.

拟议的研究将在#年的青少年门诊单元进行。 酒精中毒、药物滥用和其他成瘾中心(CASAA) 新墨西哥州大学的。总体目标是测试以下措施的有效性 结构战略系统的参与和处理组成部分 (SSS)对新墨西哥拉美裔青年的家庭干预，13-18岁 老人和家人。这是对古巴人治疗研究的复制 《美国青年》，Szapocznik等人著。在迈阿密。它探讨了 治疗效果与观察到的家庭差异 在美国的拉美裔文化中发挥作用，比较古巴裔美国人 和西班牙裔/墨西哥裔美国人。它还研究了类似的反应 尽管存在文化差异，但仍需接受治疗。SSS的干预措施将是 与两种对照/对照条件相比，SSS治疗没有 参与和集体治疗。考察了两个主要的研究问题： SSS干预的效果如何(参与加家庭治疗) 在吸引和留住年轻的西班牙裔多药滥用者和他们的 家庭在治疗中与对照条件相比？以及，如何 SSS干预在治疗以下方面的客户方面是否有效 控制情况呢？家庭功能、药物使用之间的关系 并将探索青少年的心理社会适应。一位潜在的 设计将采用随机分配到三个处理 条件，每个进行了16个模式的会议。治疗将会 遵循迈阿密开发的手册的指导方针，治疗师将 在遵守治疗指南方面进行评级。每种治疗方法 情况将由两名治疗师指导，分别是西班牙裔和盎格鲁人， 临床工作人员的种族混杂。这将允许评估 个人治疗师/受助者联盟的效果。结果 措施将在治疗前、治疗结束时实施， 术后6个月和12个月随访。结果的衡量标准评估 五个维度的干预措施的有效性：1) 参与治疗；2)治疗中的保留率；3)减少或 停止滥用药物；4)改善青少年的心理社会适应 客户；5)家庭功能的改善。可能的 混淆是治疗师-客户联盟的质量；目前 有滥用药物或精神疾病的家族史；有显著意义 治疗接触时间和预试(摄入量)的组间差异 得分。