Background and Objectives
Substance use disorders among youth remain a serious public health problem. Although research has overwhelmingly supported the use of evidenced-based interventions, one of the primary limitations of the current evidence base is that for the vast majority of treatments, the developers of the treatments are also the ones conducting research on them, raising the possibility of allegiance bias.
Methods
The present study was an independently conducted randomized controlled trial (n =126) comparing an evidenced-based treatment for adolescent substance use, Adolescent-Community Reinforcement Approach (A-CRA), and assertive continuing care (ACC), to services as usual (SAU) provided by a juvenile probation department. Latent growth curve modeling was used to compare the treatments on change in substance use assessed by the Global Appraisal of Individual Needs (GAIN) at baseline and 3, 6, and 12 months following treatment entry.
Results
All youth evidenced a substantial reduction in substance use frequency and substance-related problems following treatment; however, youth treated with A-CRA/ACC evidenced a substantially greater decrease in substance-related problems.
Conclusions and Scientific Significance
Results are consistent with studies conducted by A-CRA/ACC model developers supporting the effectiveness of the clinical approach and, because the outcomes resulted from an independent replication, are encouraging for the transportation potential of A-CRA/ACC.
Postpartum depression is generally attributed to women after bearing children. However, several studies have indicated that men face a similar condition after the birth of a child. About 10% of men experience paternal postpartum depression. Although this percentage reflects Caucasian men’s experience, studies have found Mexican American men experiencing paternal postpartum depression (PPD), too. This conceptual article addresses critical cultural aspects to consider when counseling Mexican American men struggling with PPD by providing a case study with implications for a counselor to consider when counseling Mexican American men struggling with PPD. In this manuscript, Sandtray therapy was used as an intervention to facilitate the client’s understanding of self, the surroundings, and certain parts of reality.
The researchers conducted a revelatory case study of the alternative peer group model through an exploration of experiences of former clients of a recovery support group for youth. A phenomenological approach was employed, and 11 alumni who have maintained long-term sobriety since attending the program in the 1970s and 1980s were interviewed. Findings are presented on the lived experiences of the participants including the following themes that were identified: relationships, before and after sobriety, and resentments.
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