Individual & Family Motivational Interviews for Substance Using Truant Teens

描述(申请人提供)：逃学的青少年更有可能使用毒品，从事违法行为，并从事更早的和无保护的性行为。逃学的青少年也有很高的情绪/行为障碍，这反过来也可能增加他们滥用药物的易感性。当物质使用与情绪/行为问题同时发生时，自杀行为、性冒险行为和参与青少年司法系统的可能性增加。这些发现认为逃学的青少年是高危人群，并主张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。这项申请将测试一种潜在的模式，用于在逃学法庭计划中增加物质使用评估和简短干预。这项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转到逃学法庭的青少年使用药物。在这项治疗开发申请中，将首先对逃学法院转介的20个家庭进行公开审判。这项试验将被用来修改现有的动机干预措施，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岁青少年报告使用药物的家庭将被随机分配到接受实验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体检(Dishion&Kavanagh，2003)，这是一种基于家庭的动机访谈。实验议定书全面评估了个人和家庭在药物使用、预防和在校就学/成绩方面的长处和短处。后续访谈将在3个月和6个月进行。这项拟议的研究将填补现有文献中的一个空白，通过测试已知有可能最终发展为物质使用障碍(SUD)的人群进行预防性干预。这项申请涉及2010年健康人指标26-10a“增加在过去30天内未使用酒精或任何非法药物的青少年比例”和25-11指标“增加目前性行为活跃时禁欲或使用避孕套的青少年比例”。这项申请还涉及指标7-1，即“提高高中毕业率”，因为“学业成绩低、对学校的依恋程度低、同龄人的不良影响、家庭管理不足和父母监督不足”已被确定为高中辍学和吸毒的前因。 公共卫生相关性：逃学的青少年更有可能从事药物使用、违法行为和冒险行为，包括危险的性行为。孩子越早开始使用酒精和其他药物，出现长期问题的风险就越大。这一简短的家庭预防计划是针对逃学的青少年，他们已经开始尝试大麻、酒精和其他药物。将对青少年和父母进行单独的简短动机干预，以确定他们对药物使用、学校出勤率/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.