Treatment FAQ

how to work effectively with adolescents in substance use treatment

by Eldridge Corwin DVM Published 2 years ago Updated 1 year ago
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Working with parents and families can also improve treatment outcomes. All adolescents who present with substance use or SUDs need to be carefully assessed for co-occurring psychiatric disorders. Evidence-based psychosocial and pharmacotherapy approaches are used concurrently to treat psychiatric disorders when present.

Full Answer

What drugs are most frequently used by adolescents?

The Most Common Drugs Used By Adolescents

  • Marijuana Is Commonly Used by Teenagers. This is at the top of the list for drugs that most teens try at least once. ...
  • Prescription Medications. Prescription drugs that have been prescribed for the adolescent may have addictive properties, depending on what they are.
  • Inhalants. ...
  • Alcohol. ...

Which therapy is best for substance abuse treatment?

today announces that the Center for Drug Evaluation of China’s National Medical Products Administration (“NMPA”) has granted Breakthrough Therapy Designation (“BTD”) to HMPL-523 ...

What causes substance abuse in adolescents?

What causes adolescent substance abuse? There is no single cause of adolescent drug or alcohol problems. Substance abuse develops over time; it does not start as full-blown abuse or addiction. There are different pathways or routs to the development of a teen's substance abuse problem. Some of the factors that may place teens at risk for ...

How to detect substance abuse in teens?

These are other possible signs:

  • Evidence of drugs and/or drug paraphernalia.
  • Behavioral problems and poor grades in school.
  • Emotional distancing, isolation, depression, or fatigue.
  • Overly influenced by peers.
  • Hostility, irritability, or change in level of cooperation around the house.
  • Lying or increased evasiveness about after-school or weekend whereabouts.

More items...

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What is the most effective intervention for substance abuse?

CBT is often rated as the most effective approach to treatment with a drug and alcohol population.

What strategies are used to prevent substance use and abuse?

What are the Basic Prevention Strategies?Information Dissemination. ... Prevention Education. ... Alternatives. ... Problem Identification and Referral. ... Community-Based Process. ... Environmental Approach.

What are the 12 principles for effective drug treatment?

An effective treatment program will address all a person's needs, not just his/her addiction....Effective Treatment Programs Yield Beyond Successful ResultsStop drug and alcohol use and consumption.Remain completely free of drugs and alcohol.Thrive productively at work, in society, and with his/her family.

What are the effective practices that will help us in dealing with the issue of drugs?

Here are the top five ways to prevent substance abuse:Understand how substance abuse develops. ... Avoid Temptation and Peer Pressure. ... Seek help for mental illness. ... Examine the risk factors. ... Keep a well-balanced life.More items...•

What can you do as a student to help in the campaign against drug abuse?

Examples include:Help them understand that most teens don't vape or use other tobacco products, alcohol or other drugs.Encourage them to get involved in clubs or committees that promote being drug free.Help organize drug-free activities.Be proud of and talk about your own decision to be drug free.

How can we prevent drug abuse in youth?

Consider other strategies to prevent teen drug abuse:Know your teen's activities. Pay attention to your teen's whereabouts. ... Establish rules and consequences. ... Know your teen's friends. ... Keep track of prescription drugs. ... Provide support. ... Set a good example.

What are core principles of effective treatment?

To be effective, treatment must address the individual's drug abuse and any associated medical, psychological, social, vocational, and legal problems. It is also important that treatment be appropriate to the individual's age, gender, ethnicity, and culture.

What is principle of effective drug abuse treatment?

The Principles of Effective Addiction Treatment Treatment needs to be readily available – The urgency of illness of demands immediate attention. Effective treatment attends to multiple needs of the individual, not just his or her drug use – Address the whole individual's needs is essential for long-term recovery.

What are some examples of prevention programs?

Preventing Drug Use among Children and Adolescents (In Brief) Universal ProgramsCaring School Community Program (Formerly, Child Development Project). ... Classroom-Centered (CC) and Family-School Partnership (FSP) Intervention. ... Guiding Good Choices (GGC) (Formerly, Preparing for the Drug-Free Years).More items...

What is drug abuse prevention and Control?

Substance abuse prevention, also known as drug abuse prevention, is a process that attempts to prevent the onset of substance use or limit the development of problems associated with using psychoactive substances. Prevention efforts may focus on the individual or their surroundings.

Who is the director of the addiction treatment clinic for teens and young adults at Boston Medical Center?

Department of Health and Human Services, Office of Adolescent Health, in collaboration with the Interagency Working Group on Youth Programs and Boston University School of Medicine Assistant Professor of Medicine and Pediatrics and Medical Director of the addiction treatment clinic for teens and young adults at Boston Medical Center Sarah Bagley, developed a video about addressing substance use and addiction in adolescents and young adults and the most effective approaches to treating addiction, including opioid addiction.

When do people start using alcohol?

Adolescence and young adulthood is a time when many people begin experimenting with alcohol and/or drugs. Although this experimentation does not always lead to addiction, most adults who have a substance use disorder started using before age 18 and develop the disorder by age 20. ) for viewing individually or as a group.

What are the factors that affect the efficacy of adolescent treatment programs?

This review summarizes four factors surrounding the efficacy of current adolescent treatment programs: 1) adolescent-specific treatment services; 2) the variety of therapeutic modalities; 3) relapse and recovery rates; and 4) the need for evidence-based, quality assessments and research.

What is the purpose of comprehensive services for adolescents?

Comprehensive services to address the adolescent’s substance abuse problem as well as any medical, mental health, familial, or education problems. Family involvement. Parents’ involvement in their adolescent’s treatment and recovery increases the likelihood of a successful treatment experience.

What are the treatment variables?

Treatment variables include factors specific to the adolescent’s treatment experience, such as discharge status, counselor rapport, and aftercare attendance. One of the most powerful predictors of treatment outcome in the general addiction field is the quality of the alliance between therapist and client.

How long does an outpatient stay at home?

Intensive outpatient, in which adolescents attend treatment during the day (up to 20 h/wk) but live at home (ranging in length from 2 months–1 year).

What are the variables that are associated with relapse?

Such variables that have been shown to be associated with relapse include psychiatric comorbidity, lack of family involvement, continuing influence with drug-using peers, and poor coping skills [26, 35, 36].

When did the first treatment center for juveniles start?

Riverside Hospital in New York City opened the first treatment center for juvenile addicts in 1952, marking the birth of adolescent-specific treatment programs [11]. Although developmentally inappropriate, most adolescents were still treated at adult-based programs through the 1980s.

Is group therapy the most prevalent treatment modality?

Although both therapies are utilized in adolescent substance use treatment, group therapy is the most prevalent treatment modality [17]. They are grouped together in this description because in the field of adolescent substance use treatment, similar theoretical approaches are used within both modalities.

Why are adolescents less likely to seek treatment?

Adolescents are less likely to seek treatment due to their inability to distinguish casual substance use from addiction. Adolescents are also more likely to be referred to some form of therapy making their lack of motivation to change aconcern since they aren’t actively seeking treatment (Muck et al., 2001). According to Pallonen (1998), adolescents who smoke cigarettes are typically in the same stage when they are contemplating quitting and before making any commitment to change. Pallonen (1998) discusses the importance in creating an intervention that targets adolescents who are in the precontemplation stage which is when adolescents show more resistance and are less likely to admit their problematic substance use. Adolescents who are in the preparation stage are the ones who will typically participate in an intervention that will lead them to recovery. One of the counselors main goals is to make a note of what stage an adolescent is in which helps them decide which intervention is more beneficial for the adolescent.

How effective are 12-step programs?

Overall, programs such as the 12-step program, BSFT, MST, FFT, MDFT and TC have shown to be effective in adolescents that complete the program. Although there has been significant evidence that point to these programs being effective with adolescents, there are still limitations to how the programs were found to be effective and what they were compared to. According to (Muck et al., 2001) a limitation to the studies that were looked at is the level of substance use by the adolescent. If a study was conducted with adolescents who have low levels of substance abuse and it’s compared to a study where there is criterion, it makes less sense to compare the two and use them to show efficacy. According to Baldwin et al. (2012) “studies are limited in comparing the models side by side”. This makes it difficult to determine which model is most effective.

What is the primary treatment modality for youths with substance use problems?

Psychosocial or behavioral intervention is the primary treatment modality for youths with substance use problems. Pharmacotherapy should be reserved for patients who have not been able to achieve abstinence or improvements in functioning with primary behavioral interventions.

What is the best treatment for adolescent SUDs?

There is strong evidence for the efficacy of psychosocial or behavioral interventions in the treatment of adolescent SUDs. As such, evidence-based behavioral interventions should be used as the backbone or platform for treating adolescents with SUDs. Working with parents and families can also improve treatment outcomes.

What is evidence based psychosocial therapy?

Evidence-based psychosocial and pharmacotherapy approaches are used concurrently to treat psychiatric disorders when present. There also may be a role for adjunctive addiction pharmacotherapy for treating adolescents with SUDs who do not respond to behavioral intervention.

What is the primary treatment modality for adolescents with SUDs?

Psychosocial or behavioral interventions. The principal goal of treatment of SUDs in adolescents is achieving and maintaining abstinence and improving functioning. Psychosocial or behavioral interventions are the primary treatment modality for adolescents with SUDs. (For comprehensive reviews of behavioral interventions, ...

How are SUDs treated?

SUDs in adolescents have multifactorial etiologies and are treated using developmentally informed approaches that apply integrated and concurrent treatment for both substance use and any co-occurring psychiatric disorders. Table 1 presents 8 core principles for the clinical management of adolescents with SUDs.

What are the most common co-occurring disorders with SUDs?

4 The most common co-occurring psychiatric disorders with SUDs include conduct disorder, ADHD, depression, and stress-related disorders (eg, PTSD).

How many high school students have binge drinking?

Recent national surveys indicate that 18% and 21% of US high school students report binge drinking and smoking marijuana, respectively, in the past 30 days. 1. SIGNIFICANCE FOR THE PRACTICING PSYCHIATRIST.

How long after LST intervention did the student have a decrease in alcohol use?

Students who received LST were compared to controls six years after the intervention, and findings revealed a significant decrease in cigarette smoking, alcohol use (drunkenness), and concurrent tobacco, alcohol, and marijuana use in the LST group.

What is community based drug prevention?

Community-based drug abuse prevention programs include some combination of school, family, mass media, public policy, and community organization components. Community programs present that present a coordinated , comprehensive message across multiple delivery components are most effective in terms of changing behavior.

What effects did LST have on marijuana use?

In addition, LST was found to produce effects on violence and delinquency, normative beliefs about substance use, and substance use refusal skills.

How many times a week is LST-MS taught?

Optional violence prevention units are available for each year of the program. LST-MS can be taught one or more times a week until the program is complete.

Why are middle schoolers most often targeted in prevention efforts?

Middle or junior high school age students are most often targeted in prevention efforts because early adolescence is the time of life when substance use experimentation often begins to occur. A large body of research has examined the efficacy and effectiveness of prevention programs for adolescent substance abuse.

Can you become regular users of marijuana?

Some individuals become regular users and/or progress to marijuana, hallucinogens, and other illicit drugs in a fairly predictable pattern (5). However, many individuals discontinue use after a brief period of experimentation, or fail to progress to the use of other substances.

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