The limited literature on adolescent substance abuse treatment reveals high levels of relapse to alcohol and marijuana use. It has been argued that relapse can be reduced by greater involvement of youth with alcohol related disorders (ARD) in aftercare programs. The purpose of the study is to address the need for effective maintenance of treatment gains for adolescents. The primary goal is to assess and compare the efficacy of three aftercare conditions, two of which represent different modalities of aftercare intervention: (1) manual guided Individualized Cognitive- Behavioral Therapy (ICBT) sessions addressing alcohol/substance use and multidimensional functioning; and (2) manual guided Individualized Brief Therapeutic Phone Contacts (IBTPC) utilizing CBT based problem solving techniques. The third aftercare condition will be a No Intervention Condition (NIC). This investigation is intended to answer the following questions: Is there differential treatment outcome between the NIC and each of the other conditions? If aftercare for adolescents is effective at all, are there differential outcomes between the ICBT and IBTPC? A total of 240 adolescents 13-18 years of age who have been diagnosed with DSM-IV ARD will participate in an intent-to-treat study comprised of three phases: 3-month treatment phase, 3-month aftercare phase, and 12- month follow-up phase. Participants will be randomly assigned before any treatment into one of three aftercare conditions, and then they will enroll in 9-weekly manual guided CBT group sessions. The experimental aftercare conditions include: (a) 5 ICBT sessions, (b) 5 IBTPC on a similar schedule, or (c) NIC. Then the adolescents will be followed for an additional 12- month period. Treatment outcome assessments will be conducted upon completion of planned aftercare, and at 6, and 12 months later. It is anticipated that the aftercare intervention may sustain sobriety, or reduction in use, decrease the intensity (i.e., frequency, quantity) of relapse and related negative consequences, and improve overall functioning of the participants.

Agency
National Institute of Health (NIH)
Institute
National Institute on Alcohol Abuse and Alcoholism (NIAAA)
Type
Research Project (R01)
Project #
5R01AA012187-02
Application #
6509019
Study Section
Health Services Research Review Subcommittee (AA)
Program Officer
Lowman, Cherry
Project Start
2001-07-01
Project End
2006-06-30
Budget Start
2002-07-01
Budget End
2003-06-30
Support Year
2
Fiscal Year
2002
Total Cost
$478,342
Indirect Cost
Name
University of Connecticut
Department
Psychiatry
Type
Schools of Medicine
DUNS #
City
Farmington
State
CT
Country
United States
Zip Code
06030
Burleson, Joseph A; Kaminer, Yifrah; Burke, Rebecca H (2012) Twelve-month follow-up of aftercare for adolescents with alcohol use disorders. J Subst Abuse Treat 42:78-86
Arias, Janelle E; Hawke, Josephine M; Arias, Albert J et al. (2009) Eating disorder symptoms and alcohol use among adolescents in substance abuse treatment. Subst Abuse 3:81-91
Kaminer, Yifrah; Burleson, Joseph A; Burke, Rebecca H (2008) Efficacy of outpatient aftercare for adolescents with alcohol use disorders: a randomized controlled study. J Am Acad Child Adolesc Psychiatry 47:1405-12
Hawke, Josephine M; Kaminer, Yifrah; Burke, Rebecca et al. (2008) Stability of comorbid psychiatric diagnosis among youths in treatment and aftercare for alcohol use disorders. Subst Abus 29:33-41
Kaminer, Yifrah; Burleson, Joseph A; Burke, Rebecca (2008) Can assessment reactivity predict treatment outcome among adolescents with alcohol and other substance use disorders? Subst Abus 29:63-9
Burleson, Joseph A; Kaminer, Yifrah (2007) Aftercare for adolescent alcohol use disorder: feasibility and acceptability of a phone intervention. Am J Addict 16:202-5
Kaminer, Yifrah; Burleson, Joseph A; Goldston, David B et al. (2006) Suicidal ideation among adolescents with alcohol use disorders during treatment and aftercare. Am J Addict 15 Suppl 1:43-9
Kaminer, Yifrah; Litt, Mark D; Burke, Rebecca H et al. (2006) An interactive voice response (IVR) system for adolescents with alcohol use disorders: a pilot study. Am J Addict 15 Suppl 1:122-5
Kaminer, Yifrah; Slesnick, Natasha (2005) Evidence-based cognitive-behavioral and family therapies for adolescent alcohol and other substance use disorders. Recent Dev Alcohol 17:383-405
Kaminer, Yifrah; Napolitano, Chris (2004) Dial for therapy: aftercare for adolescent substance use disorders. J Am Acad Child Adolesc Psychiatry 43:1171-4

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