Individual & Family Motivational Interviews for Substance Using Truant Teens

描述（由申请人提供）：逃学的青少年更有可能使用药物，从事犯罪行为，并从事早期和无保护的性活动。逃学青年的情绪/行为紊乱率也很高，这反过来又可能增加他们滥用药物的可能性。当物质使用与情绪/行为问题同时发生时，自杀行为、性冒险行为和卷入少年司法系统的可能性会增加。诸如此类的调查结果认为逃学青年是一个高危人群，并认为有必要将药物使用的筛查和干预作为任何全面逃学计划的一部分。这个应用程序将提供一个潜在的模型，增加物质使用评估和简短的干预到逃学法庭程序的测试。本研究的主要目的是确定动机干预是否会减少因上学问题而被提交逃学法庭的青少年的物质使用。在这项治疗开发应用中，将首先对逃学法庭转介的20个家庭进行公开审判。本试验将用于调整现有的激励干预措施，以包括与学校出勤率和表现相关的材料。然后，100个参与国际扶轮逃学法庭计划的13-16岁青少年家庭，他们报告使用物质，将被随机分配接受实验性干预加标准逃学法庭程序或心理教育加标准逃学法庭程序。两个阶段的干预方案包括个人动机访谈和家庭检查（Dishion & Kavanagh，2003），一个基于家庭的动机访谈。实验方案提供了一个全面的评估个人和家庭的长处和弱点方面的物质使用预防和学校出勤率/表现。将在3个月和6个月时进行随访。拟议的研究将填补现有文献中的空白，通过对已知有最终发展为物质使用障碍（SUD）风险的人群进行预防性干预测试。该申请针对的是《2010年健康人口》指标26- 10 a，即“增加在过去30天内不使用酒精或任何非法药物的青少年比例”，以及指标25-11，即“增加禁欲或在目前性活跃的情况下使用避孕套的青少年比例”。“本申请还涉及指标7-1“提高高中毕业率”，因为“学业成绩差和对学校的依恋程度低、同伴的不良影响、家庭管理和父母监督不足”已被确定为高中辍学和吸毒的先决条件。 公共卫生相关性：逃学的青少年更有可能使用药物，犯罪行为和冒险行为，包括危险的性行为。儿童越早开始使用酒精和其他药物，长期问题的风险就越大。这个简短的家庭预防计划是针对那些已经开始尝试大麻，酒精和其他药物的逃学青少年。将对青少年和父母进行单独的简短动机干预，以确定其对物质使用，上学/表现和危险性行为的影响。

DESCRIPTION (provided by applicant): Adolescents who are truant from school are more likely to use substances, engage in delinquent behavior, and engage in earlier and unprotected sexual activity. Truant youth also have high rates of emotional/behavioral disorders which in turn may also increase their susceptibility for substance abuse. When substance use co- occurs with emotional/behavioral problems, there is an increased likelihood of suicidal behavior, sexual risk taking behavior, and involvement with the juvenile justice system. Findings such as these deem truant youth as an at-risk population and argue for the need to include screening and intervention for substance use as part of any comprehensive truancy program. This application will provide a test of one potential model for adding substance use assessment and brief intervention into a truancy court program. The primary goal of this study is to determine whether a motivational intervention will reduce substance use among adolescents referred to truancy court for school attendance problems. In this treatment development application, an open trial with 20 families referred by truancy court will first be conducted. This trial will be used to adapt an existing motivational intervention to include material relevant to school attendance and performance. Then 100 families participating in the RI Truancy Court Program with adolescents between the ages of 13-16 years who report using substances will be randomly assigned to receive the experimental intervention plus standard truancy court procedures or psycho education plus standard truancy court procedures. The 2-session intervention protocol consists of an individual motivational interview plus the Family Check-Up (Dishion & Kavanagh, 2003), a family based motivational interview. The experimental protocol provides a thorough assessment of both individual and family strengths and weaknesses with respect to substance use prevention and school attendance/performance. Follow-up interviews will be conducted at 3 and 6 months. The proposed research will fill a gap in the existing literature by testing preventive interventions with a population known to be at risk for the eventual development of substance use disorders (SUD's). This application addresses Healthy People 2010 indicators 26-10a to "increase the proportion of adolescents not using alcohol or any illicit drugs during the past 30 days" and 25-11 to "increase the proportion of adolescents who abstain from sexual intercourse or use condoms if currently sexually active." This application also addresses indicator 7-1 to "increase high school completion" because "low academic achievement and low attachment to school, adverse peer influence, inadequate family management and parental supervision" have been identified as antecedents to high school dropout and substance use. PUBLIC HEALTH RELEVANCE: Adolescents who are truant from school are more likely to engage in substance use, delinquent behavior, and risk-taking including risky sexual behavior. The earlier a child initiates alcohol and other drug use, the greater the risk of long-range problems. This brief family prevention program is geared to truant young adolescents who have already begun experimenting with marijuana, alcohol, and other drugs. Separate brief motivational interventions for both adolescents and parents will be conducted to determine their effects on substance use, school attendance/performance, and risky sexual behavior.