Youth Living in Balance: A Curriculum for Adolescents

描述（由申请人提供）：青少年药物滥用现在被认为是一个国家公共卫生问题（Stevens & Mortal 2003）。2002年全国药物使用和健康调查报告称，青年（12至17岁）的药物依赖或滥用率为9%，年轻成年人（18至25岁）为22%（SAMHSA，2003年）。2002年，在230万需要戒毒治疗的青少年中，只有186 000人（8.2%）实际得到了治疗，估计有210万青少年得不到援助。尽管需要服务的青年人数不断增加，但对他们具体的戒毒治疗需求关注不够。总的来说，该领域缺乏以研究为基础的，针对青少年药物滥用的手动方法，这些方法可以复制，评估，传播并容易纳入现有的青少年治疗方案（Dennis等人，2003年）。由于这一不足，一小部分青少年治疗中心使用为青少年设计的方法（SAMHSA 2002）。相反，大多数药物滥用治疗中心使用成人模型与他们的青年人口，产生差到混合的结果最好的。青少年治疗方案必须了解青少年发展与药物滥用之间的关系，并使用解决这些因素的治疗方法，而不是使用经验证的成人模型的向下扩展（CSAT 2002; Kaminer 2001）。对此，丹雅国际股份有限公司（Danya International，Inc.）建议制定和评估青年生活在平衡（青年LIB）-一个创新的，全面的心理教育计划，为辅导员使用与酒精或其他物质有关的问题的青少年。拟议的产品将包括主持人指南和放松和引导图像录音带/光盘。主持人的指南将包括介绍该计划和技能培训，动机增强技术，以及辅导员和参与者的材料为24个会议。青少年LIB将专为辅导员和其他专业人员（治疗师，心理学家，个案经理）与青少年提出的药物滥用服务在不同的治疗环境中使用。青少年药物滥用治疗和治疗人员将参与拟议方案的制定和制作。第一阶段将侧重于产品开发。第二阶段将侧重于最终确定产品和评估青年LIB计划。

DESCRIPTION (provided by applicant): Substance abuse among youth is now recognized as a national public health concern (Stevens & Mortal 2003). The 2002 National Survey on Drug Use and Health reported the rate of substance dependence or abuse as 9 percent for youth (agesl2 to 17) and 22 percent for young adults (ages 18 to 25) (SAMHSA 2003). In 2002, only 186,000 (8.2 percent) of the 2.3 million youth who needed addiction treatment actually received it, leaving an estimated 2.1 million adolescents without assistance. Despite the rising number of youth needing services, insufficient attention has been paid to their specific addiction treatment needs. Overall, the field lacks research-based, manualized approaches to adolescent substance abuse that can be replicated, evaluated, disseminated and easily integrated into existing youth treatment programs (Dennis et al 2003). Due to this shortfall, a fraction of adolescent treatment centers use approaches designed for adolescents (SAMHSA 2002). Instead, the majority of substance abuse treatment centers use adult models with their youth populations, generating poor to mixed outcome results at best. It is imperative for adolescent treatment programs to understand the relationship between adolescent development and substance abuse and to use treatment approaches that address these factors, rather than using downward extensions of empirically-validated adult models (CSAT 2002; Kaminer 2001). In response to this Danya International, Inc. proposes to develop and evaluate Youth Living in Balance (Youth LIB) - an innovative, comprehensive psychoeducational program for counselors to use with adolescents with problems related to alcohol or other substances. The proposed product will consist of a facilitator's guide and a relaxation and guided imagery audiotape/CD. The facilitator's guide will include an introduction to the program and skills training, motivational enhancement techniques, and counselor and participant materials for 24 sessions. Youth LIB will be designed for counselors and other professionals (therapists, psychologists, case managers) to use with adolescents presenting for substance abuse services in diverse treatment settings. Youth in substance abuse treatment and treatment staff will be involved in the development and production of the proposed program. Phase I will focus on product development. Phase II will focus on finalizing the products and evaluating the Youth LIB program.