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，从事违法行为，更早地从事无保护的性活动。逃学青年也有很高的情绪/行为障碍率，这反过来也可能增加他们对药物滥用的易感性。当药物使用与情绪/行为问题同时发生时，自杀行为、性冒险行为和涉及少年司法系统的可能性增加。诸如此类的研究结果将逃学青少年视为高危人群，并认为有必要将药物使用的筛查和干预作为任何综合逃学计划的一部分。本应用程序将提供一个潜在的模型的测试，以增加物质使用评估和短暂干预到逃学法庭程序。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。在这项治疗发展申请中，将首先与逃学法庭转介的20个家庭进行公开审判。该试验将用于调整现有的动机干预措施，以包括与上学出勤率和表现有关的材料。然后100个参加国际扶轮逃学法庭计划的家庭，他们的青少年年龄在13-16岁之间，他们报告使用药物，将被随机分配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。两阶段干预方案包括个人动机访谈和家庭检查（Dishion & Kavanagh, 2003），这是一种基于家庭的动机访谈。实验方案全面评估了个人和家庭在预防药物使用和上学/表现方面的优势和劣势。随访访谈将在3个月和6个月进行。拟议的研究将填补现有文献的空白，通过对已知有物质使用障碍（SUD）最终发展风险的人群进行预防性干预试验。这一申请涉及2010年健康人指标26-10a，即“增加过去30天内不使用酒精或任何非法药物的青少年比例”，以及25-11，即“增加目前性活跃的青少年不发生性行为或使用避孕套的比例”。本申请还涉及指标7-1“提高高中学业完成率”，因为“学业成绩低、对学校的依恋程度低、同伴不良影响、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。

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.