Staying Off Substances: A Tailored Early Recovery Program for Teens.?

描述（由申请人提供）：大多数在早期恢复期间努力避免使用药物的青少年也在应对许多其他问题（例如，关系、法律的、心理健康），他们需要持续的支持。我们建议为青少年开发一个名为“远离物质”（SOS）的在线复发预防计划。该计划中的具体内容将根据其客户报告的青少年综合健康评估（CHAT）的需求和优势推荐给咨询师，CHAT是一种用于治疗环境的网络交互式青少年自我报告评估。咨询师将能够根据其临床判断分配客户的用户名以访问该内容和/或其他内容的权限。我们预计CHAT：SOS最终将有八个模块（即，身体健康、情绪健康、家庭关系、同伴关系、浪漫关系、学校和法律的）。聊天：SOS将包括通过在线互动练习和日记活动加强青少年在治疗中学习的技能和理念的机会。这些资源将在治疗期间和治疗后提供给他们。青少年将获得量身定制的建议和个性化的用户体验，因为CHAT：SOS将利用一个名为LogicBase的创新软件逻辑应用程序。此外，CHAT：SOS将利用激励性反馈来激励客户认识和解决早期恢复中的问题。聊天：SOS还将提供辅导员将指导如何使用这个程序与他们的客户（例如，在会话中、在善后期间）和定制用户报告，包括青少年对节目内容的评级。这种干预将涉及第二阶段CHAT评估的所有领域，但我们将专注于第一阶段可行性测试中的同伴关系模块。公共卫生相关性：青少年药物滥用是一个重大的公共卫生问题。不幸的是，2005年联邦治疗事件数据集表明，不到15万青少年接受了治疗。通常情况下，75%接受治疗的人在第二年内复发。为了满足成本效益评估的需要，Inflexxion，Inc.开发了青少年综合健康评估（CHAT），这是一种用于治疗环境的网络交互式自我报告评估。我们建议通过增加一个补充性的在线复发预防计划来扩大CHAT的范围，该计划称为CHAT：远离物质（SOS）。聊天：SOS将利用青少年对CHAT评估的反应，根据青少年的个人需求定制基于网络的复发预防内容。在第二阶段完成后，CHAT：SOS将使用最先进的技术，包括多媒体功能和文本消息，使程序在其他支持可能不可用时具有交互性和可访问性。向CHAT保证：SOS的吸引力和有效性、内容和方案特点将根据重点小组的投入以及对有药物滥用诊断的青少年和青少年药物滥用治疗专家的访谈来制定。

DESCRIPTION (provided by applicant): The majority of adolescents struggling to avoid substance use during early recovery are also coping with many other issues (e.g., relationships, legal, mental health) for which they require consistent support. We are proposing the development of an online relapse prevention program for adolescents called Staying Off Substances (SOS). Specific content in the program will be recommended to counselors based on their client's reported needs and strengths on the Comprehensive Health Assessment for Teens (CHAT), a web-enabled interactive adolescent self-report assessment for use in treatment settings. Counselors will be able to assign the client's user name to access privileges for that content and/or other content per their clinical judgment. We expect that CHAT: SOS will ultimately have eight modules (i.e., Physical Health, Emotional Health, Family Relationships, Peer Relationships, Romantic Relationships, School, and Legal) corresponding with the CHAT subscales. CHAT: SOS will include opportunities to reinforce the skills and philosophies that adolescents learn in treatment through online interactive exercises and journaling activities. This resource will be available to them during treatment and post-treatment. Adolescents will receive tailored recommendations and an individualized user experience because CHAT: SOS will utilize an innovative software logic application called LogicBase. In addition, CHAT: SOS will utilize motivational feedback to motivate clients to recognize and address issues in early recovery. CHAT: SOS will also provide counselors will guidelines on how to use this program with their clients (e.g., in sessions, during aftercare) and custom user reports, including adolescents' ratings of program content. This intervention will address all areas of the CHAT assessment in Phase II, but we will focus on the Peer Relationships module in the Phase I feasibility test. PUBLIC HEALTH RELEVANCE: Adolescent substance abuse is a significant public health issue. Unfortunately, the 2005 federal Treatment Episode Data Set indicated that less than 150,000 adolescents received treatment. Typically, 75% of those who receive treatment relapse within the following year. To address the need for cost-effective assessment, Inflexxion, Inc. developed the Comprehensive Health Assessment for Teens (CHAT), a web-enabled interactive self report assessment for use in treatment settings. We propose augmenting CHAT`s scope by adding a supplemental online relapse prevention program called CHAT: Staying Off Substances (SOS). CHAT: SOS will use an adolescent's responses to the CHAT assessment to tailor web-based relapse prevention content to the adolescent's individual needs. When completed in Phase II, CHAT: SOS will use state of the art technology, including multimedia features and text messaging, to make the program interactive and accessible when other support might not be available. To assure CHAT: SOS's appeal and effectiveness, content and program features will be developed with input from focus groups and interviews with adolescents with a substance abuse diagnosis and experts in adolescent substance abuse treatment.