Engaging Youth (Adolescents and Young Adults) to Change Frequent Marijuana Use: Motivational Enhancement Therapy (MET) in Primary Care

Kells, Meredith; Burke, Pamela; Parker, Sarah J.; Jonestrask, Cassandra; Shrier, Lydia A.

doi:10.1016/j.pedn.2019.08.011

Cited by 8 publications

(5 citation statements)

References 38 publications

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“…Evidence of the efficaciousness of SBIRT for substance use reduction, however, is mixed (Chambers et al, 2016), with some studies finding them effective (Aldridge et al, 2017; Bernstein, 2009) and others finding them ineffective (Haller et al, 2014; Kim et al, 2017). Motivational Interviewing (MI) and Motivational Enhancement Therapy are well suited to the primary care setting and have shown promise in helping youth reduce or abstain from marijuana use (Aldridge et al, 2017; D’Amico et al, 2018; Kells et al, 2019; Walker et al, 2011). The American Academy of Pediatrics has recommended that pediatricians increase their capacity in substance use detection, assessment, and intervention (AAP Committee on Substance Use and Prevention, 2016) and that substance use screening be a routine part of primary care visits (Hagan et al, 2017).…”

Section: Discussionmentioning

confidence: 99%

Contexts of Marijuana Use and Cessation among Frequently-Using Youth in Primary Care

2020

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Although increasing numbers of youth are seeking help to reduce or abstain from marijuana use, little research has investigated the contextual facilitators and barriers to doing so among urban youth utilizing primary care. We qualitatively investigated contextual facilitators and barriers to marijuana reduction/abstinence in an ethnically diverse primary care sample of youth who frequently use marijuana. We interviewed thirteen (Black/African American (69%), Hispanic (8%), White (8%) unknown (15%)) youth (eight females) aged 15–23 years (mean = 19.46). Data were analyzed using Interpretative Phenomenological Analysis. Participants’ motivations for marijuana reduction/abstinence included physical health, cognitive functioning, future goals, and money. Barriers to reduction/abstinence were psychological (e.g. stress and boredom), and sociocontextual (e.g. family, friends, and the neighborhood). Our findings suggest using a two-pronged approach to support marijuana reduction/abstinence in youth: individual-level interventions to address psychological factors that impede behavior change, and broader community-based interventions to address sociocontextual factors.

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Section: Discussionmentioning

confidence: 99%

Contexts of Marijuana Use and Cessation among Frequently-Using Youth in Primary Care

2020

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“…Thus, it is important for pediatricians to include electronic devices and cannabis in their screening questions about substance use and to provide patient education about their risks. Existing evidence-based frameworks, such as SBIRT, which have long been used for alcohol use, can be modified for patients endorsing e-cigarette 142 or cannabis use 143 . Substance use cessation should be encouraged at each clinical visit.…”

Section: Lifestyle Medicine: a Growing Disciplinementioning

confidence: 99%

“…Existing evidence-based frameworks, such as SBIRT, which have long been used for alcohol use, can be modified for patients endorsing e-cigarette 142 or cannabis use. 143 Substance use cessation should be encouraged at each clinical visit. An integrated behavioral health team that includes psychologists, care coordinators, and psychiatrists can help deliver collaborative care to teens with mental health and substance use disorders.…”

Section: Substance Use Cessationmentioning

confidence: 99%

Back to Basics: Lifestyle Interventions for Adolescent Depression

Benheim¹,

Dalal²,

Holcomb³

et al. 2022

Harv Rev Psychiatry

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Learning objectives: After completing this activity, practitioners will be better able to:• Discuss and better understand the recently adopted screening standards for adolescents with depression and the potential advantages of using "lifestyle medicine" • Set up a process for providing effective interventions for the increased number of patients with adolescent depression • Design or update their toolbox of treatment options for adolescents with depression based on the new literature and increased demand Abstract: Recently adopted quality standards recommend that pediatricians screen adolescents for depression and that they document follow-up plans for those who screen positive. As a result of these new recommendations, pediatricians and other pediatric providers, as well as psychiatrists and other mental health professionals, may face an increasing number of referrals and a growing need for effective interventions for adolescent depression. Given the widely acknowledged scarcity of traditional mental health resources, the current study reviewed the rapidly expanding array of evidence-based, but nontraditional, interventions applicable to outpatient pediatric and mental health care settings. Many of these interventions come from a lifestyle medicine framework. Lifestyle medicine interventions are congruent with the cultures of pediatrics and outpatient psychiatry, and offer additional evidence-based tools for providers managing adolescent depression. These interventions can be implemented individually or within group or community settings, and may be used in conjunction with more common interventions such as psychotherapy or psychotropic medications.

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“…Second, it is possible that individuals may have chosen not to disclose certain advantages they may perceive from engaging in suicidal behavior (i.e., secondary gains). However, any self-report measure is subject to social desirability and prior research examining social desirability in DBW responses has found little to no effect (see Collins et al., 2009; Elliott, Carey, & Scott-Sheldon, 2011; Henson, Pearson, & Carey, 2015; Horiuchi, Tsuda, Kobayashi, & Prochaska, 2012; Kells, Burke, Parker, Jonestrask, & Shrier, 2019). Third, the decisional balance exercise explored the advantages/disadvantages of all suicidal behavior as opposed to the current episode leading to the admission to the ED.…”

Section: Limitationsmentioning

confidence: 99%

Reports on the Perceived Advantages and Disadvantages of Suicidal Behavior by Patients With Depression

Alonzo

2021

Crisis

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Abstract. Background: Studies suggest there may be perceived secondary advantages to engaging in suicidal behavior that impact the help-seeking behavior of at-risk individuals. Aims: The aim of this study was to assess the views of patients with depression regarding the advantages and disadvantages of engaging in suicidal behavior using a decisional balance worksheet (DBW) to inform prevention and intervention efforts. Method: Participants were adults with depression between the ages of 18 and 75 presenting to the emergency department with suicidal ideation ( N = 42) who participated in a larger pilot study of a brief intervention aimed focused on treatment engagement. Using a content analysis approach, common themes were extracted. Results: Escaping from problems and negative thoughts, ending pain and suffering, and eliciting support and help were the most commonly cited advantages of engaging in suicidal behavior. Negatively impacting family, violating one's values, and missing out on the future were the most commonly reported disadvantages of suicidal behavior. Limitations: Results may not be generalizable to patients without depression who are experiencing suicidality. Conclusion: Results suggest intervention efforts focused on addressing decision-making and problem-solving skills and reinforcing the important role patients play in the lives of their significant others may help patients to resist the urge to act on suicidal thoughts.

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Engaging Youth (Adolescents and Young Adults) to Change Frequent Marijuana Use: Motivational Enhancement Therapy (MET) in Primary Care

Cited by 8 publications

References 38 publications

Contexts of Marijuana Use and Cessation among Frequently-Using Youth in Primary Care

Contexts of Marijuana Use and Cessation among Frequently-Using Youth in Primary Care

Back to Basics: Lifestyle Interventions for Adolescent Depression

Reports on the Perceived Advantages and Disadvantages of Suicidal Behavior by Patients With Depression

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