This proposal is in response to RFA-DA-04-008, Group Treatment for Individuals in Drug Abuse or Alcoholism Treatment. Of particular interest to the agencies are group therapies for Conduct Disordered adolescents, reducing the spread of infectious disease, and mechanisms of action. This proposal targets these areas of interest. This study will focus on treating substance abusing incarcerated teens using 2 individually administered Motivational Interviewing (MI) sessions followed by 10 group sessions of Cognitive Behavior Therapy (CBT). MI is conceptualized as preparation for group CBT. The control group receives individualized Relaxation Training (RT) followed by group Treatment as Usual (TU). Currently, there is little research regarding effective group treatments for incarcerated teens and this study will address this gap in our knowledge base. In this proposed randomized trial, a one-way design (MI/CBT vs. RT/TU) will be used to determine whether MI/CBT enhances group therapy participation and reduces substance use and related problems (such as crime, injuries and unprotected sex) post discharge in substance-involved juvenile delinquents. RT/TU is based on the 12-step model and includes psycho-educational components. Participants are followed during incarceration and for 12 months post incarceration. Primary outcome variables include alcohol and marijuana use, as well as related behaviors (illegal activity, sex or injuries while drunk or high). It is hypothesized that in comparison to teens in RT/TU, youth receiving MI/CBT will participate more in therapy (according to teen, facility staff, and counselor ratings) and will show lower levels of substance use and related problems after discharge. Frequently, substance abuse treatment is unavailable to youths in the juvenile justice system, and when treatment is available, it may be provided in group format using untested therapies. A motivation/skills-based intervention (delivered in group format) may prove efficacious in enhancing motivation and in reducing substance abuse and related problems. This study extends previous research by rigorously evaluating group treatment for incarcerated teens. We will examine processes contributing to the efficacy of group MI/CBT, and the influence of race and ethnicity on treatment effects. The development of effective interventions for substance using juvenile offenders has the potential to reduce substance abuse and crime in this population.

Agency
National Institute of Health (NIH)
Institute
National Institute on Drug Abuse (NIDA)
Type
Research Project (R01)
Project #
5R01DA018851-06
Application #
7493107
Study Section
Special Emphasis Panel (ZDA1-KXN-G (04))
Program Officer
Chambers, Jessica Campbell
Project Start
2004-09-25
Project End
2011-08-31
Budget Start
2008-09-01
Budget End
2011-08-31
Support Year
6
Fiscal Year
2008
Total Cost
$589,208
Indirect Cost
Name
University of Rhode Island
Department
Internal Medicine/Medicine
Type
Schools of Arts and Sciences
DUNS #
144017188
City
Kingston
State
RI
Country
United States
Zip Code
02881
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
Martin, Rosemarie A; Stein, Lynda A R; Clair, Mary et al. (2015) Adolescent Substance Treatment Engagement Questionnaire for Incarcerated Teens. J Subst Abuse Treat 57:49-56
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
Soenksen, Shayna; Stein, L A R; Brown, Joanna D et al. (2015) Cannabis Withdrawal Among Detained Adolescents: Exploring the Impact of Nicotine and Race. J Child Adolesc Subst Abuse 24:119-124
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
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
Stein, L A R; Clair, Mary; Martin, Rosemarie A et al. (2014) Measuring behaviors of individual adolescents during group-based substance abuse intervention. Subst Abus 35:408-17
Stein, L A R; Lebeau, Rebecca; Clair, Mary et al. (2012) Preliminary web-based measures development for GHB: expectancies, functions, and withdrawal. Am J Drug Alcohol Abuse 38:121-9
Stein, L A R; Clair, M; Lebeau, R et al. (2012) Facilitating grant proposal writing in health behaviors for university faculty: a descriptive study. Health Promot Pract 13:71-80

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