Comparing the effectiveness of three substance use interventions for youth with and without homelessness experiences prior to treatment.

IF 5 1区心理学 Q1 PSYCHOLOGY, CLINICAL Journal of consulting and clinical psychology Pub Date : 2021-12-01 DOI:10.1037/ccp0000704

Graham T DiGuiseppi, Joan S Tucker, John J Prindle, Benjamin F Henwood, Stanley J Huey, Eric R Rice, Jordan P Davis

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引用次数: 2

Abstract

Objective: Many adolescents and young adults receiving substance use treatment have experienced or are at risk for homelessness. It is unknown whether specific treatment approaches are more or less effective for youth experiencing homelessness (YEH) compared to stably housed youth. The present study compared the effectiveness of the Adolescent Community Reinforcement Approach, Motivational Enhancement Therapy combined with Cognitive-Behavioral Therapy (MET/CBT), and Treatment as Usual (TAU) for these two groups. Further subgroup differences were investigated by age, sex, and sexual and gender minority status.

Method: YEH (n = 855) and a matched sample of stably housed youth (n = 855) were drawn from the Global Appraisal of Individual Needs, a nationwide substance use treatment data set. Multiple-group latent change score modeling was used to examine change in substance use frequency and related problems at baseline, 3-, 6-, and 12-month follow-ups.

Results: Results indicated significant declines in substance use frequency and problems during treatment for all intervention groups. The TAU group showed the greatest declines in substance use problems during treatment and the greatest declines in frequency post-treatment. Compared to stably housed youth, YEH entered treatment with greater substance use and problems, and had greater declines in substance use in the MET/CBT group only. Other differences were found by age and sex.

Conclusions: Overall, all three substance use interventions appear to be effective in reducing substance use and related problems. TAU and MET/CBT may be particularly effective for YEH in treatment settings. Implications for future research and practice are discussed. (PsycInfo Database Record (c) 2022 APA, all rights reserved).

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比较三种药物使用干预措施对治疗前有和没有无家可归经历的青年的有效性。

目的:许多接受药物使用治疗的青少年和年轻人都经历过无家可归或有无家可归的危险。目前尚不清楚具体的治疗方法对无家可归的青年(YEH)与稳定居住的青年相比是否更有效。本研究比较了青少年社区强化方法、动机增强疗法联合认知行为疗法(MET/CBT)和常规治疗(TAU)在这两组中的效果。进一步的亚组差异调查的年龄，性别，性和性别少数地位。方法:YEH (n = 855)和一个匹配的稳定居住青年样本(n = 855)来自个人需求全球评估，这是一个全国性的物质使用治疗数据集。使用多组潜在变化评分模型在基线、3个月、6个月和12个月的随访中检查物质使用频率和相关问题的变化。结果:结果表明，所有干预组在治疗期间的药物使用频率和问题均有显著下降。TAU组在治疗期间物质使用问题下降幅度最大，治疗后频率下降幅度最大。与稳定居住的青少年相比，YEH进入治疗时有更多的物质使用和问题，并且只有MET/CBT组的物质使用下降更大。年龄和性别也存在差异。结论:总体而言，所有三种物质使用干预措施似乎在减少物质使用和相关问题方面是有效的。在治疗环境中，TAU和MET/CBT可能对YEH特别有效。讨论了对未来研究和实践的启示。(PsycInfo Database Record (c) 2022 APA，版权所有)。

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来源期刊

Journal of consulting and clinical psychology PSYCHOLOGY, CLINICAL-

CiteScore

9.00

自引率

3.40%

发文量

期刊介绍： The Journal of Consulting and Clinical Psychology® (JCCP) publishes original contributions on the following topics: the development, validity, and use of techniques of diagnosis and treatment of disordered behaviorstudies of a variety of populations that have clinical interest, including but not limited to medical patients, ethnic minorities, persons with serious mental illness, and community samplesstudies that have a cross-cultural or demographic focus and are of interest for treating behavior disordersstudies of personality and of its assessment and development where these have a clear bearing on problems of clinical dysfunction and treatmentstudies of gender, ethnicity, or sexual orientation that have a clear bearing on diagnosis, assessment, and treatmentstudies of psychosocial aspects of health behaviors. Studies that focus on populations that fall anywhere within the lifespan are considered. JCCP welcomes submissions on treatment and prevention in all areas of clinical and clinical–health psychology and especially on topics that appeal to a broad clinical–scientist and practitioner audience. JCCP encourages the submission of theory–based interventions, studies that investigate mechanisms of change, and studies of the effectiveness of treatments in real-world settings. JCCP recommends that authors of clinical trials pre-register their studies with an appropriate clinical trial registry (e.g., ClinicalTrials.gov, ClinicalTrialsRegister.eu) though both registered and unregistered trials will continue to be considered at this time.