CRAFT for Parents of Adolescents in Outpatient Drug Treatment

青少年家长门诊药物治疗的技巧

• 批准号: 8695313
• 负责人: KIMBERLY C KIRBY
• 金额: $ 58.43万
• 依托单位: TREATMENT RESEARCH INSTITUTE
• 依托单位国家: 美国
• 资助国家: 美国
• 起止时间: 至 2017-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8695313
• 关键词: Address; Adolescent; Adult; Affect; Aftercare; Alcohol or Other Drugs use; American; Americas; Area; Behavior Therapy; Censuses; Center for Translational Science Activities; Child; Communication Board; Communities; Country; Data; Data Set; Dependence; Drug Addiction; Drug abuse; Drug usage; Drug user; Educational Intervention; Effectiveness; Enrollment; Family; Family member; Fostering; Goals; Income; Internet; Intervention; Legal Rights; Love; Manuals; Mental Health; Methods; Modeling; Moods; Outcome; Outpatients; Parent-Child Relations; Parenting behavior; Parents; Participant; Pharmaceutical Preparations; Pilot Projects; Prevention program; Problem behavior; Process; Psychological reinforcement; Randomized Controlled Clinical Trials; Randomized Controlled Trials; Reporting; Research; Research Project Grants; Resistance; Resources; Severities; Shapes; Social Functioning; Societies; Staging; Substance Use Disorder; Substance abuse problem; Testing; Time; Training; Translational Research; Work; adolescent drug abuse; adolescent drug use; adolescent substance abuse; adolescent substance use; base; community based treatment; control trial; drug abstinence; drug abuser; high risk; improved; meetings; member; physical conditioning; programs; satisfaction; skills; substance abuse treatment; substance using adolescents; therapy development; tool; treatment program

Over 3.4 million adolescents in the U.S. meet criteria for a substance use disorder, but less than 10% enter treatment each year (US DHHS, 2000a, 2000b). Data suggest that as many as 60% of parents who are aware and concerned about their adolescent's substance use are unable to get them into treatment without assistance (Szapocznik et al., 1988) and very little research has examined methods to help them. Community Reinforcement and Family Training (CRAFT) has good empirical support for helping family members foster treatment entry of treatment-resistant adults, but it has not been tested in a controlled trial with parents of substance-abusing adolescents. This project will conduct a Stage I behavior therapy pilot study to modify CRAFT (CRAFT-P) and Alanon/Naranon Facilitation (ANF) for use with parents who are concerned about an out-of-treatment adolescent. A Stage II two-group randomized controlled clinical trial will then compare CRAFT-P (n=77) vs ANF (n=77) to determine if the occurrence of adolescent treatment entry significantly differs. Mixed effects models will he used to determine if participants who are enrolled in the CRAFT-P condition report reductions in adolescent substance use and behavior problems, and improvements in parenting skills, social functioning, mood, and in parent-adolescent relationship satisfaction. Problems related to a substance abusing loved affect a wide variety of American families, in all areas of the country and at all income levels (Hudson et al., 2002; Kirby et al., 2005). Research suggests that most parents not only are motivated to help their children to address their substance abuse problems, they often are able to influence them. Unfortunately, few community-based treatment programs use empirically-based family interventions that are likely to help parents engage their child in treatment, improve treatment retention, provide effective aftercare support, and help interrupt their child's trajectory from substance use to dependence. Since parents can complete CRAFT Independent of their child, it could be disseminated to them not only through community-based adolescent substance abuse treatments, but also through private practitioners and community-based mental health programs. Moreover, preliminary data suggest that, if effective, CRAFT-P could also be disseminated directly to parents via the internet. Given that the first goal of the Parents Translation Research Center is to provide effective tools for parents of substance using adolescents, this study represents an important step In that direction. Interactions with parents on our Parent Advisory Board and elsewhere suggest that many parents feel desperate for this type of help.

在美国，超过340万青少年符合物质使用障碍的标准，但每年只有不到10%的人接受治疗（美国国土卫生和公众服务部，2000年a， 2000年b）。数据显示，有多达60%的父母知道并关心他们的青少年的药物使用，但在没有帮助的情况下无法让他们接受治疗（Szapocznik et al., 1988），而且很少有研究检查了帮助他们的方法。