Adolescent Drug Abuse: Clinical Assessment and Therapeutic Interventions: NIDA Research Monograph 156

Rahdert, Elizabeth; Czechowicz, Dorynne

doi:10.1037/e495732006-001

Cited by 17 publications

(21 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…We examined global functioning using the Global Assessment of Functioning scale (DSM-III-R/-IV), self-rated physical health (4-item scale; α=0.50), life dissatisfaction (15-item adapted scale ([28]; α=0.89) using mean scores at T3 and T4. We assessed social adjustment over the past two weeks (54-item scale[29], 1976); α=.70) and risky sexual behavior in the past 12 months (9-item adapted scale[30]; α=.61) at T4. Mental health treatment was derived from diagnostic interviews and coded as any utilization from T2 (excluded) to T4 (included).…”

Section: Methodsmentioning

confidence: 99%

Adolescent Suicide Attempts and Adult Adjustment

et al. 2014

View full text Add to dashboard Cite

Background Adolescent suicide attempts are disproportionally prevalent and frequently of low severity, raising questions regarding their long-term prognostic implications. In this study, we examined whether adolescent attempts were associated with impairments related to suicidality, psychopathology, and psychosocial functioning in adulthood (objective 1) and whether these impairments were better accounted for by concurrent adolescent confounders (objective 2). Method 816 adolescents were assessed using interviews and questionnaires at four time points from adolescence to adulthood. We examined whether lifetime suicide attempts in adolescence (by T2, mean age 17) predicted adult outcomes (by T4, mean age 30) using linear and logistic regressions in unadjusted models (objective 1) and adjusting for sociodemographic background, adolescent psychopathology, and family risk factors (objective 2). Results In unadjusted analyses, adolescent suicide attempts predicted poorer adjustment on all outcomes, except those related to social role status. After adjustment, adolescent attempts remained predictive of axis I and II psychopathology (anxiety disorder, antisocial and borderline personality disorder symptoms), global and social adjustment, risky sex, and psychiatric treatment utilization. However, adolescent attempts no longer predicted most adult outcomes, notably suicide attempts and major depressive disorder. Secondary analyses indicated that associations did not differ by sex and attempt characteristics (intent, lethality, recurrence). Conclusions Adolescent suicide attempters are at high risk of protracted and wide-ranging impairments, regardless of the characteristics of their attempt. Although attempts specifically predict (and possibly influence) several outcomes, results suggest that most impairments reflect the confounding contributions of other individual and family problems or vulnerabilites in adolescent attempters.

show abstract

Section: Methodsmentioning

confidence: 99%

Adolescent Suicide Attempts and Adult Adjustment

et al. 2014

View full text Add to dashboard Cite

show abstract

“…Counselling can be useful for many users, and early childhood interventions and family therapy strategies have been found to be very effective in reducing drug use [26,27]. These strategies focus on identifying psychosocial indicators for drug use and working within vulnerable communities.…”

Section: Controlling Hiv Among Injecting Drug Users Using Harm Reductionmentioning

confidence: 99%

The role of harm reduction in controlling HIV among injecting drug users

Wodak

McLeod

2008

Aids

107

View full text Add to dashboard Cite

Injecting drug users (IDU) now account for one in 10 new HIV infections world wide. Yet it has been known since the early 1990s that HIV among IDU can be effectively, safely and cost-effectively controlled by the early and vigorous implementation of a comprehensive package of strategies known as ’harm reduction’. This concept means that decreasing drug-related harms is accorded an even higher priority than reduction of drug consumption. Strategies required involve: explicit and peer-based education about the risk of HIV from sharing injecting equipment; needle syringe programmes; drug treatment (including especially opiate substitution treatment) and community development. Many countries experiencing or threatened by an HIV epidemic among IDU have now adopted harm reduction but often implementation has been too little and too late. Although coverage is slowly improving in many countries, HIV is still spreading faster among IDU than harm reduction programmes while coverage in correctional centres lags far behind community settings. The scientific debate about harm reduction is now over. National and international support for harm reduction is growing while almost all the major UN organizations responsible for drug policy now support harm reduction. Only a small number of countries, led by the USA, are still vehemently opposed to harm reduction. Excessive reliance on drug law enforcement remains the major barrier to increased adoption of harm reduction. Sometimes zealous drug law enforcement undermines harm reduction. A more balanced approach to drug law enforcement is required with illicit drug use recognized primarily as a health and social problem.

show abstract

“…Successful approaches focusing on family preservation and informed by an ecological systems view (Bronfenbrenner, 1979) are being implemented in various parts of the U.S. (e.g., Rahdert & Czechowicz, 1995;Kumpfer & Alvarado, 1998;Szapocznik & Kurtines, 1989). For example, multisystemic therapy (MST) has been found successful in addressing the needs of juvenile offenders and their families (Henggeler & Borduin, 1990;Henggeler, Melton, Smith, Schoenwald, & Hanley, 1993;Henggeler, Schoenwald, Pickrel, Brondino, Borduin, & Hall, 1994).…”

Section: Journal Of Child and Adolescent Substance Abusementioning

confidence: 99%

The Correlates and Consequences of Drug Involvement Among Youths Entering a Juvenile Justice Diversion Program

Dembo

Wareham

Poythress

et al. 2006

Journal of Child & Adolescent Substance Abuse

View full text Add to dashboard Cite

We report the results of the relationship of lifetime and past year drug involvement to psychosocial functioning among youths entering a Juvenile Arbitration Program (a diversion program) in the 13th Judicial Circuit, who enrolled in a Center for Substance Abuse Treatment funded study. The project is a clinical trial evaluating an innovative intervention service providing sixteen weeks of intensive case management services to youths and their families. The present study examines baseline interview data for 165 youths who entered the Juvenile Arbitration Program between June 2002 and July 2003 and agreed to participate in the project. The results indicate that drug involvement is a significant issue among the youths we studied, and is related to functioning problems in a number of key areas of their lives. Indeed, the greater their drug involvement, the more psychosocial problems they report experiencing. These findings contradict public opinion that youths placed in diversion programs have relatively few problems. Policy implications based on these results are discussed.

show abstract

Adolescent Drug Abuse: Clinical Assessment and Therapeutic Interventions: NIDA Research Monograph 156

Cited by 17 publications

References 0 publications

Adolescent Suicide Attempts and Adult Adjustment

Adolescent Suicide Attempts and Adult Adjustment

The role of harm reduction in controlling HIV among injecting drug users

The Correlates and Consequences of Drug Involvement Among Youths Entering a Juvenile Justice Diversion Program

Contact Info

Product

Resources

About