How do substance abuse and dependence in adolescents differ from related problems in adults? Can treatment principles that work with adults be adapted successfully to meet the special needs of teens? This volume reviews a range of empirically supported approaches to dealing with alcohol and other drug problems in this large and diverse clinical population. The focus is on motivationally based brief interventions that can be delivered in a variety of contexts, that address key developmental considerations, and that draw on the latest knowledge about the processes of addictive behavior change. Bringing together a multidisciplinary group of expert contributors, this is an essential resource for anyone working with or studying adolescents at risk.
Part I reviews current research on substance abuse in adolescents and young adults and outlines the basic principles of developmentally informed assessment and intervention. Contributors point out that admission to specialized treatment programs is relatively rare in today's health care climate, but there exist many opportunities for prevention, skills training, and harm reduction efforts. Emphasized are the benefits of working with young people on their "home turf" and reaching out to all individuals engaging in health-risk behavior, not just those seeking intensive treatment. Part II presents a range of specific interventions, including alcohol skills training; integrative behavioral and family therapy; motivational interviewing; interventions for dually diagnosed youth; Internet-based education, prevention, and treatment; and applications to HIV prevention. Chapters describe the goals and methods of these approaches, review available data on their efficacy, and offer case illustrations and clinical pointers. The volume concludes by outlining a broad agenda for future transdisciplinary investigation.
Forging new connections among theory, research, and practice, this book belongs on the desks of all mental health practitioners and social service providers working with adolescents, as well as researchers and students in psychology, psychiatry, social work, and public health. It serves as a timely and relevant text for graduate-level courses.
This volume reviews a range of empirically supported approaches to dealing with the growing problems of substance use and abuse among young people. While admission to specialized treatment programs is relatively rare in today's health care climate, there are many opportunities for brief interventions. Brief interventions also allow the clinician to work with the teen on his or her "home turf," emphasize autonomy and personal responsibility, and can be used across the full range of teens who are engaging in health-risk behavior. Bringing together a multidisciplinary group of experts, the volume reviews general principles of harm reduction and the stages of change, discusses developmental considerations, and outlines key components of assessment and intervention. Chapters then describe specific applications that can typically be implemented in one to five sessions, including alcohol skills training, integrative behavioral and family therapy, motivational interviewing, interventions for dually diagnosed youth, and use of the Internet for education, prevention, and treatment. The volume is extensively referenced and includes numerous clinical illustrations and vignettes.
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Peter M. Monti, PhD, is Professor of Medical Science and Director of the Center for Alcohol and Addiction Studies and the Clinical Psychology Training Consortium at Brown University. His research is supported by a Senior Research Scientist Award from the Department of Veterans Affairs and he holds research grants from the National Institute on Alcohol Abuse and Alcoholism (NIAAA), the National Institute on Drug Abuse (NIDA), and the Department of Veterans Affairs. Widely published, Dr. Monti is coauthor of Treating Alcohol Dependence: A Coping Skills Training Guide.
Suzanne M. Colby, PhD, is Assistant Professor of Psychiatry and Human Behavior at Brown University. Currently, she is Principal Investigator on a National Cancer Institute research grant designed to study teen smoking and quitting, and Co-Principal Investigator on two major research grants from NIAAA and NIDA that study motivational interventions with adolescents. Dr. Colby's recent publications have focused on nicotine dependence among youth, adolescent substance use prevalence and diagnosis, and innovative brief interventions.
Tracy A. O'Leary, PhD, is Assistant Professor of Psychiatry and Human Behavior at Brown University. She is currently studying college student drinking and is Project Director on a research grant from NIDA to test the efficacy of a brief, individual motivational interview for reducing rates and prevalence of adolescent smoking. Dr. O'Leary's recent publications have focused on anxiety and cocaine abuse, and predictors of motivation to change drinking in adolescents.
Introduction, Peter M. Monti, Suzanne M. Colby, and Tracy A. O'Leary
I. Background and Context: Theory, Developmental, and Measurement Considerations
1. Developmental Matters: Taking the Long View on Substance Abuse Etiology and Intervention during Adolescence, John Schulenberg, Jennifer L. Maggs, Kenneth J. Steinman, and Robert A. Zucker
2. The Harm Reduction Approach to the Secondary Prevention of Alcohol Problems in Adolescents and Young Adults: Considerations across a Developmental Spectrum, Elizabeth T. Miller, Aaron P. Turner, and G. Alan Marlatt
3. Assessing Adolescent Substance Use Problems and Other Areas of Functioning: State of the Art, Ken C. Winters
4. Personality and Learning Factors Combine to Create Risk for Adolescent Problem Drinking: A Model and Suggestions for Intervention, Gregory T. Smith and Kristen G. Anderson
II. Empirical Illustrations Linked to Part I/Clinical Applications and Brief Interventions
5. Motivational Enhancement for Alcohol-Involved Adolescents, Peter M. Monti, Nancy P. Barnett, Tracy A. O'Leary, and Suzanne M. Colby
6. Alcohol Skills Training for College Students, Elizabeth T. Miller, Jason R. Kilmer, Eleanor L. Kim, Kenneth R. Weingardt, and G. Alan Marlatt
7. Integrative Behavioral and Family Therapy for Adolescent Substance Abuse, Holly Barrett Waldron, Janet L. Brody, and Natasha Slesnick
8. Motivational Interviewing and the Prevention of HIV among Adolescents, Larry K. Brown and Kevin J. Lourie
9. Toward Brief Interventions for Adolescents with Substance Abuse and Comorbid Psychiatric Problems, Mark G. Myers, Sandra A. Brown, Susan Tate, Ana Abrantes, and Kristin Tomlinson
10. New Frontiers: Using the Internet to Engage Teens in Substance Abuse Prevention and Treatment, Harvey Skinner, Oonagh Maley, Louise Smith, Shawn Chirrey, and Meg Morrison
III. Future Directions
11. Transdisciplinary Research to Improve Brief Interventions for Addictive Behaviors, David B. Abrams and Richard R. Clayton
"This text does an excellent job of situating substance use assessment and treatment in a developmental framework. Each chapter is richly referenced and features easy-to-read tables that highlight developmentally appropriate tools and strategies. I have found this to be a good text for use in training graduate-level students in adolescent mental health and substance abuse counseling. It is also a useful resource for practicing clinicians who may be new to working with adolescent clients and their families."--Nancy A. Piotrowski, PhD, Harold Abel School of Psychology, Capella University
"Researchers and practitioners looking for better ways to study, prevent, and treat youth alcohol and substance abuse will find this volume invaluable. It presents cutting-edge research on brief interventions for health care, behavioral health, school, and community settings. It also provides fresh perspectives on how emerging transdisciplinary research paradigms and communication technologies can be used to improve the appeal, reach, and impact of treatments designed for adolescents." --C. Tracy Orleans, PhD, Senior Scientist, Robert Wood Johnson Foundation
"We finally have a book that recognizes the important differences between adolescent and adult substance abuse. Filling an important need, this is perhaps the best available work on understanding and intervening in the hazardous use of alcohol and other drugs by adolescents. The book is based on solid science and loaded with clinical insight. It is a 'must' read for clinicians and researchers in the field and an excellent background text for all who treat adolescents." --David C. Lewis, MD, Professor of Medicine and Community Health, Donald G. Millar Professor of Alcohol and Addiction Studies, Brown University
" This book covers its subject like no other in the field. With clarity, breadth, and depth, it illuminates the development of problems among teens, the social forces that surround them, and the reality of difficult clinical encounters. Many of the chapters in this volume amount to landmark reviews of their topics. The authors have provided a sourcebook that will be invaluable not just for students, but also for clinicians and researchers. To accomplish this with such sympathy toward the predicament of so many teens is a real achievement." --Stephen Rollnick, PhD., Department of General Practice, University of Wales College of Medicine, United Kingdom
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