Adolescent Treatment and 12-step Mutual-help Involvement

青少年治疗和十二步互助参与

• 批准号: 7503115
• 负责人: JOHN F. KELLY
• 金额: $ 5.73万
• 依托单位: MASSACHUSETTS GENERAL HOSPITAL
• 依托单位国家: 美国
• 财政年份: 2006
• 资助国家: 美国
• 起止时间: 2006-04-10 至 2010-03-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7503115
• 关键词: Abstinence; Acute; Adolescent; Adult; Aftercare; Age; Alcohol or Other Drugs use; Alcoholics Anonymous; Ambulatory Care; Attitude; Belief; Child; Communities; Community Networks; Comorbidity; Computer information processing; Disease model; Distal; Effectiveness; Elderly; Environment; Evidence based practice; Fellowship; Health Priorities; Inpatients; Institute of Medicine (U.S.); Intervention; Knowledge; Leadership; Link; Managed Care; Measures; Modality; Modeling; Motivation; Narcotics; Outcome; Outpatients; Parents; Pharmaceutical Preparations; Physicians; Policies; Process; Prospective Studies; Public Health; Recovery; Recruitment Activity; Relapse; Research; Research Personnel; Resources; Risk; Self Efficacy; Services; Severities; Support System; System; Testing; Therapeutic; Time; Treatment Effectiveness; Treatment Step; Treatment outcome; United States Substance Abuse and Mental Health Services Administration; Youth; addiction; adolescent substance use; alcohol and other drug; base; coping; cost; design; follow-up; improved; programs; prospective; treatment program; young adult

The majority of treatment programs targeting youth are based on a "12-step" model, a central aim of which, is to facilitate involvement in 12-step mutual-help groups, such as Alcoholics Anonymous (AA) and Narcotics Anonymous (NA). Research indicates that youth who attend AA/NA meetings have significantly better treatment outcomes. Furthermore, because AA and NA community networks are widely available and flexible enough to provide "acute" abstinence-specific support (e.g., through a sponsor) at times of high risk (e.g., evenings, weekends) as well as function as ongoing support systems at no cost, they hold promise as a useful adjunct to professional services in an increasingly cost-constricting, managed-care environment. However, little is known about youth AA/NA participation, in general, and what is known is derived solely from inpatient settings, which may not reflect current treatment reality as the system has transitioned to mostly outpatient care. Further, little is known about factors that influence AA/NA participation, or the specific change processes youth undergo during professional 12-step treatment. A prospective, process-oriented, design will be utilized to assess: 1) the extent to which youth (N=162; 14-18 yrs) recruited from 12-step- oriented outpatient treatment, attend, become involved in, and benefit from, AA/NA during a 12-month follow- up period; 2) factors that influence adolescent AA/NA participation and related benefits; and, 3) the influence of treatment involvement on 12-step (e.g., disease-model beliefs), and common (e.g., self-efficacy, coping), processes of change and how these, in turn, relate to proximal (i.e., AA/NA involvement) and distal (i.e., substance use) outcomes. A secondary aim is to investigate staff 12-step referral practices and staff and parent attitudes toward AA/NA attendance for youth. Results will provide new information about the effectiveness of treatment as delivered to youth in current treatment contexts and supply developmentally- specific knowledge that will inform 12-step facilitation efforts targeting youth.

大多数针对青少年的治疗方案都是基于“12步”模式，这是一个中心目标， 这是为了促进参与12步互助小组，如酗酒者匿名（AA）和 麻醉品匿名（NA）。研究表明，参加AA/NA会议的年轻人 更好的治疗效果。此外，由于AA和NA社区网络广泛可用， 足够灵活以提供“急性”禁欲特异性支持（例如，通过赞助商）在高风险时期 (e.g.,晚上，周末）以及功能作为持续的支持系统，免费，他们持有承诺， 在成本日益紧缩的管理式医疗环境中，这是专业服务的一个有用的辅助手段。 然而，一般而言，对青年AA/NA参与情况知之甚少，所知仅来自 从住院设置，这可能不反映当前的治疗现实，因为系统已经过渡到 主要是门诊治疗此外，很少有人知道影响AA/NA参与的因素，或具体的 青少年在专业12步治疗期间经历的变化过程。一个前瞻性的，面向过程的， 设计将被用来评估：1）在多大程度上，年轻人（N=162; 14-18岁）从12步- 在12个月的随访期间，接受门诊治疗，参与AA/NA并从中受益- 2）影响青少年AA/NA参与和相关利益的因素;以及，3）影响 治疗涉及12步（例如，疾病模型信念），和共同（例如，自我效能，应对）， 改变的过程以及这些过程又如何与近端（即，AA/NA受累）和远端（即， 物质使用）的结果。第二个目的是调查工作人员的12步转介做法和工作人员， 家长对青少年参加AA/NA的态度。研究结果将提供有关 在目前的治疗情况下向青年提供的治疗的有效性， 具体知识将为针对青年的12步便利化工作提供信息。