Effectiveness of a brief-intervention and continuity of care in enhancing attendance for treatment by adolescent substance users.
OBJECTIVE
To evaluate the effectiveness of a brief intervention enhanced by a consistent support person in facilitating attendance for substance use treatment following a hospital alcohol or other drug (AOD) presentation.


METHODS
We recruited 127 adolescents (aged 12-19 years) from hospital emergency departments, 57 were female. Sixty were randomly assigned to receive the intervention and 67 to receive standard hospital care. For the purpose of comparison, normative data were also collected (at baseline) from 122 non-AOD presenting adolescents.


METHODS
The brief intervention involved identifying impediments to treatment service attendance and facilitating attendance via a consistent support person.


RESULTS
At 4 months, a significantly greater proportion of the intervention group, both daily and "occasional" drug users, had attended treatment than the usual care group. Regardless of attendance at the treatment service the intervention group showed a greater improvement in GHQ-12 scores than the usual care group. Across groups, a greater proportion of those who attended treatment moved to "safer" drug use behaviour (non-hazardous alcohol consumption and/or non-injecting drug use (IDU)), and showed a greater decline on a composite total drug use score.


CONCLUSIONS
Adolescent attendance for treatment can be improved by brief intervention with harmful substance use behaviours reduced for both "occasional" and daily users. Improvements in psychosocial well-being is observed regardless of attendance at a treatment service.
Tait
Robert J
RJ
University School of Psychiatry & Clinical Neurosciences, Nedlands, WA 6009, Australia. rjtait@cyllene.uwa.edu.au
Hulse
Gary K
GK
Robertson
Suzanne I
SI
D000293:Adolescent; D016009:Chi-Square Distribution; D002648:Child; D003266:Continuity of Patient Care / Q000706:statistics & numerical data*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D010349:Patient Compliance / Q000523:psychology / Q000706:statistics & numerical data; D016320:Substance Abuse Treatment Centers / Q000706:statistics & numerical data*; D019966:Substance-Related Disorders / Q000453:epidemiology* / Q000523:psychology / Q000628:therapy*