Ethnicity as a moderator of motivational interviewing for incarcerated adolescents after release

Clair, Mary; Stein, L. A. R.; Soenksen, Shayna; Martin, Rosemarie A.; Lebeau, Rebecca; Golembeske, Charles

doi:10.1016/j.jsat.2013.05.006

Cited by 32 publications

(24 citation statements)

References 39 publications

(57 reference statements)

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“…Despite emerging work evaluating health disparities in adolescent addiction treatment (Clair et al, 2013; Field, Cochran, & Caetano, 2013), we still lack critical information about the links between therapist behaviors and Hispanic ethnicity. We therefore sought to address this gap by exploring the relationships between therapist behaviors, youth ethnicity, and three-month treatment outcomes across two active treatments, MI and AME.…”

Section: Discussionmentioning

confidence: 99%

“…Yet, only a few have examined adolescent addiction treatment mechanisms and outcomes for Hispanic youth (e.g., Becker et al, 2012; Clair et al, 2013). This is important because while some argue that MI is ideally suited for Hispanic youth, it is equally possible that the approach of MI may be a poor fit (Feldstein Ewing, Wray, Mead, & Adams, 2012).…”

Section: Introductionmentioning

confidence: 99%

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Do therapist behaviors differ with Hispanic youth? A brief look at within-session therapist behaviors and youth treatment response.

Ewing¹,

Gaume²,

Ernst³

et al. 2015

Psychology of Addictive Behaviors

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Brief addiction treatments, including motivational interviewing (MI), have shown promise with youth. One under-examined factor in this equation is the role of therapist behaviors. We therefore sought to assess whether and how therapist behaviors differ for Hispanic versus non-Hispanic youth and how that may be related to treatment outcome. With 80 substance-using adolescents (M age = 16 years; 65% male; 59% Hispanic; 41% non-Hispanic) we examined the relationship between youth ethnicity and therapist behaviors across two brief treatments (MI and Alcohol/Marijuana Education; AME). We then explored relationships to youth three-month treatment response across four target outcomes: binge drinking days, alcohol-related problems, marijuana use days, and marijuana-related problems. In this study, therapists showed significantly more MI skills within the MI condition and more didactic skills in the AME condition. With respect to youth ethnicity, across both conditions (MI and AME), therapists used less MI skills with Hispanic youth. Contrary to expectations, therapists’ use of MI skills was not connected to poorer outcomes for Hispanic youth across the board (e.g., for binge drinking days, marijuana use days, or marijuana-related problems). Rather, for Hispanic youth, therapists’ use of lower MI skills was only related to poorer treatment outcomes in the context of alcohol-related problems. The observed relationships highlight the importance of investigating salient treatment interactions between therapist factors and youth ethnicity to guide improvements in youth treatment response.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Do therapist behaviors differ with Hispanic youth? A brief look at within-session therapist behaviors and youth treatment response.

Ewing¹,

Gaume²,

Ernst³

et al. 2015

Psychology of Addictive Behaviors

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“…143 By contrast with these studies, motivational interviewing did not improve outcomes in 3 studies. 48,75,128,129 In another study of adolescents with past year substance use, there was no difference in alcohol use between those randomized to motivational interviewing or relaxation therapy. 75 In women with a history of risky sexual behavior and hazardous alcohol use, there was no difference in most indicators of alcohol use between those randomized to motivational interviewing and a control group, and no difference in entry to alcohol treatment programs.…”

mentioning

confidence: 99%

“…48,75,128,129 In another study of adolescents with past year substance use, there was no difference in alcohol use between those randomized to motivational interviewing or relaxation therapy. 75 In women with a history of risky sexual behavior and hazardous alcohol use, there was no difference in most indicators of alcohol use between those randomized to motivational interviewing and a control group, and no difference in entry to alcohol treatment programs. 128,129 Adults who used drugs who were randomized to motivational interviewing delivered by workshop-trained correctional staff had the same drug and alcohol use as those adults randomized to the same intervention with additional supervision and coaching for the staff, and as those randomized to the control group.…”

mentioning

confidence: 99%

“…In 3 of these studies, outcomes were significantly worse for a primary outcome in the intervention group compared with a comparator group, in contrast to the study hypothesis. 41,109,113 Substance Abuse Motivational interviewing during imprisonment-Eight studies assessed the impact of motivational interviewing, 48,75,76,115,116,[127][128][129][130][131]143 and of these, 5 produced a positive result. 76,115,116,127,130,131,143 In adolescents with recent substance use, motivational interviewing was effective compared with relaxation training in reducing alcohol and marijuana use 130,131 and driving under the influence of alcohol, 127 but it did not reduce the frequency of driving under the influence of marijuana or being a passenger with a driver under the influence or alcohol or marijuana.…”

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confidence: 99%

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A Systematic Review of Randomized Controlled Trials of Interventions to Improve the Health of Persons During Imprisonment and in the Year After Release

et al. 2015

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We systematically reviewed randomized controlled trials of interventions to improve the health of people during imprisonment or in the year after release. We searched 14 biomedical and social science databases in 2014, and identified 95 studies.Most studies involved only men or a majority of men (70/83 studies in which gender was specified); only 16 studies focused on adolescents. Most studies were conducted in the United States (n = 57). The risk of bias for outcomes in almost all studies was unclear or high (n=91). In 59 studies, interventions led to improved mental health, substance use, infectious diseases, or health service utilization outcomes; in 42 of these studies, outcomes were measured in the community after release.Improving the health of people who experience imprisonment requires knowledge generation and knowledge translation, including implementation of effective interventions.Worldwide, more than 11 million people are imprisoned at any given time, and the prison population continues to grow at a rate faster than that of the general population. 1 Substantial evidence reveals that people who have experienced imprisonment have poor health compared with the general population, as indicated by the prevalence of mental illness, infectious diseases, chronic diseases, and mortality. 2 There are several reasons to focus on improving the health of people who experience imprisonment. 3 The burden of disease in this population affects the general population directly through increased health care costs and through the transmission of communicable diseases (e.g., HIV, HCV, and tuberculosis) after people are released from detention. Imprisonment has also been associated with worse health in family members of those who are detained, compared with the general population, including chronic diseases 4 and poor mental health 5,6 in adult relatives and mortality in male children. 7 At the community level, higher rates of incarceration have been associated with adverse health outcomes, such as sexually transmitted infections and teen pregnancies. 8 There is also evidence that poor health in persons who are released from detention, particularly those with inadequately treated mental illness and substance use disorders, 3 may affect public safety and reincarceration rates, 3 and that better access to health care is associated with less recidivism. 9,10 Finally, the right to health and health care is enshrined in international human rights documents, 11,12 and is a legislated responsibility of governments in many countries.Intervening during imprisonment and at the time of release could improve the health of people who experience imprisonment and public health overall. 13 To address this gap, we systematically reviewed randomized controlled trials of interventions to improve health in persons during imprisonment and in the year after release.We chose this population because we view imprisonment as a unique opportunity to deliver and to link with interventions for this population, and to highlight interventions t...

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Motivational interviewing for alcohol misuse in young adults

Foxcroft

Coombes

Wood

et al. 2014

Cochrane Database of Systematic Reviews

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The results of this review indicate that there are no substantive, meaningful benefits of MI interventions for the prevention of alcohol misuse. Although some significant effects were found, we interpret the effect sizes as being too small, given the measurement scales used in the studies included in the review, to be of relevance to policy or practice. Moreover, the statistically significant effects are not consistent for all misuse measures, heterogeneity was a problem in some analyses and bias cannot be discounted as a potential cause of these findings.

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Ethnicity as a moderator of motivational interviewing for incarcerated adolescents after release

Cited by 32 publications

References 39 publications

Do therapist behaviors differ with Hispanic youth? A brief look at within-session therapist behaviors and youth treatment response.

Do therapist behaviors differ with Hispanic youth? A brief look at within-session therapist behaviors and youth treatment response.

A Systematic Review of Randomized Controlled Trials of Interventions to Improve the Health of Persons During Imprisonment and in the Year After Release

Motivational interviewing for alcohol misuse in young adults

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