Engaging & treating young court referred marijuana users

引人入胜

• 批准号: 6660509
• 负责人: KATHLEEN CARROLL
• 金额: $ 17.92万
• 依托单位: YALE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2002
• 资助国家: 美国
• 起止时间: 2002-09-12 至 2003-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6660509
• 关键词: behavior therapy; behavioral /social science research tag; drug abuse therapy; health related legal; human subject; human therapy evaluation; marijuana abuse; motivation; young adult human (21-34)

Although large numbers of individuals seek treatment specifically for a principal problem of marijuana dependence, little is known about effective strategies to treat this population. Young adult marijuana users who have been referred by the court system for treatment are characterized by poor retention and outcome in standard outpatient approaches. Targeting this population and addressing their low level of motivation and facilitating treatment engagement may be an effective strategy for early intervention with a population at risk for progression to more severe drug use and associated legal problems. Motivational Enhancement Therapy, directed to fostering motivation for change in this highly ambivalent group, and Contingency Management, directed to foster treatment retention and abstinence, are promising strategies, given their high level of empirical support in other substance-abusing populations and their suitability of the population targeted here. In this study 150 young adults referred by their probation officers for evaluation and treatment of marijuana use will be randomly assigned, using randomization, one of four conditions: (1) standard psychoeducational drug counseling, (2) contingency management plus drug counseling, (3) Motivational Enhancement Therapy (MET), and (4) Contingency Management plus MET. Primary outcomes will be retention in treatment, reduction in marijuana use, and induction to long-term treatment. Study treatments will last 8 we4eks and will be delivered to subjects on an individual basis. Follow-ups at 1,3,6,9 and 12 months after cessation of study treatment will assess the durability and/or delayed emergence of treatment effects.

尽管许多人专门针对大麻依赖这一主要问题寻求治疗，但人们对治疗这一人群的有效策略知之甚少。被法院系统转介接受治疗的年轻成年大麻使用者的特点是标准门诊治疗方法的保留率和结果不佳。针对这一人群，解决他们的低积极性并促进治疗参与，可能是对有发展为更严重吸毒和相关法律问题风险的人群进行早期干预的有效策略。动机增强疗法旨在培养这个高度矛盾群体的变革动力，而应急管理则旨在促进治疗保留和戒断，鉴于它们在其他药物滥用人群中的高水平经验支持以及它们对此处目标人群的适用性，都是有前途的策略。在这项研究中，缓刑官员转介进行大麻使用评估和治疗的 150 名年轻人将被随机分配，使用随机化，以下四种条件之一：(1) 标准心理教育药物咨询，(2) 应急管理加药物咨询，(3) 动机增强治疗 (MET)，(4) 应急管理加 MET。主要结果将是坚持治疗、减少大麻使用以及诱导长期治疗。研究治疗将持续 8 周，并将针对个体进行治疗。停止研究治疗后 1、3、6、9 和 12 个月的随访将评估治疗效果的持久性和/或延迟出现。