A significant proportion of teens involved in the juvenile justice system abuse substances. Multiple drug use increases the likelihood of remaining a youth involved in crime. Many teens involved in crime use alcohol or drugs prior to the commission of delinquent acts. A substantial number of delinquent youths who are offered treatment are unmotivated for intervention. The objective of this research is to investigate ways to enhance motivation for treatment and effectively reduce substance abuse among juvenile offenders. Motivational intervention (MI) as preparation for residential treatment and for persons (including teens) with little motivation to change has been effective in reducing substance abuse. Thus, MI designed for delinquent youths who are required to attend substance abuse treatment may prove efficacious. In this proposed randomized trial, a one-way design (MI + Standard Care [SC] vs. Attention Control [AC] + SC) will be used to determine whether MI enhances subsequent treatment participation and reduces substance-related problems post discharge in substance using, delinquent youths. Teens will also receive a booster session of MI or AC prior to discharge. SC includes skills training and psycho-educational components; AC provides relaxation training. Participants will be followed at 3 months post discharge. Primary outcome variables include alcohol and marijuana use, as well as related behaviors (illegal activity, sex or injures while drunk or high). It is hypothesized that in comparison to teens receiving AC, youths receiving MI will participate more (by therapist and teen ratings) in SC and will show the lowest levels of heavy substance use and related problems after discharge. It is hypothesized that effects found post discharge will be mediated by stage of change, drug effect expectancies, self-efficacy and treatment participation. This study will extend previous research by evaluating the use of MI with ethnically diverse substance abusing teens in a correctional facility, and by expanding outcome measures to include alcohol and marijuana-related risk behavior (such as injuries and illegal activity when drunk or high) in this population. The development of effective interventions for substance using juvenile offenders has the potential to reduce substance abuse and crime in this population.

National Institute of Health (NIH)
National Institute on Drug Abuse (NIDA)
Research Project (R01)
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Human Development Research Subcommittee (NIDA)
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Riddle, Melissa
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Brown University
Public Health & Prev Medicine
Schools of Public Health
United States
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Clair-Michaud, Mary; Martin, Rosemarie A; Stein, Linda A R et al. (2016) The Impact of Motivational Interviewing on Delinquent Behaviors in Incarcerated Adolescents. J Subst Abuse Treat 65:13-9
Bassett, Shayna S; Stein, L A R; Rossi, Joseph S et al. (2016) Evaluating Measures of Fidelity for Substance Abuse Group Treatment With Incarcerated Adolescents. J Subst Abuse Treat 66:9-15
Bernstein, Michael H; Stein, L A R (2015) Do bisexual girls report higher rates of substance use than heterosexual girls? A failure to replicate with incarcerated and detained youth. J Bisex 15:498-508
Stein, L A R; Clair, Mary; Soenksen, Shayna et al. (2015) Studying Process and Proximal Outcomes of Supervision for Motivational Interviewing. Train Educ Prof Psychol 9:175-182
Stein, L A R; Clair, Mary; Rossi, Joseph S et al. (2015) Gender, ethnicity and race in incarcerated and detained youth: services and policy implications for girls. Psychiatr Rehabil J 38:65-73
Reavy, Racheal; Stein, L A R; Quina, Kathryn et al. (2014) Assessing conduct disorder: a new measurement approach. J Correct Health Care 20:4-17
Clair, Mary; Stein, L A R; Soenksen, Shayna et al. (2013) Ethnicity as a moderator of motivational interviewing for incarcerated adolescents after release. J Subst Abuse Treat 45:370-5
Reavy, Racheal; Stein, L A R; Paiva, Andrea et al. (2012) Validation of the delinquent activities scale for incarcerated adolescents. Addict Behav 37:875-9
Stein, L A R; Clair, Mary; Lebeau, Rebecca et al. (2011) Motivational interviewing to reduce substance-related consequences: effects for incarcerated adolescents with depressed mood. Drug Alcohol Depend 118:475-8
Clair, Mary; Stein, L A R; Martin, Rosemarie et al. (2011) Motivation to change alcohol use and treatment engagement in incarcerated youth. Addict Behav 36:674-80

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