title: Engaging resistant adolescents in drug abuse treatment.
abstract: In the first phase of a two-part treatment development study, families with a treatment-resistant drug-abusing adolescent (n = 42) were offered 12 sessions of Community Reinforcement and Family Training (CRAFT). This parent-focused intervention was designed to help parents facilitate their adolescents' entry into treatment, to support adolescents' subsequent behavior change, and to improve parent and family functioning. In the second phase, successfully engaged adolescents (n = 30) were offered 12 sessions of a multicomponent individual cognitive-behavioral therapy (CBT) targeting substance use and related problem behaviors. For parents and adolescents, measures were collected on pretreatment and posttreatment, with an additional follow-up assessment for parents at 3 months after treatment. Parents on CRAFT intervention experienced a significant reduction in negative symptoms, and 71% of parents were successful in engaging their resistant youths in treatment. The CBT intervention for engaged youths was associated with a statistically significant, but not clinically significant, reduction in marijuana use.
authors.affiliation: Center for Family and Adolescent Research, Oregon Research Institute, 2700 Yale SE, Suite 200, Albuquerque, NM 87106, USA.
authors.forename: Holly Barrett
authors.initials: HB
authors.lastname: Waldron
authors.forename: Sheryl
authors.initials: S
authors.lastname: Kern-Jones
authors.forename: Charles W
authors.initials: CW
authors.lastname: Turner
authors.forename: Thomas R
authors.initials: TR
authors.lastname: Peterson
authors.forename: Timothy J
authors.initials: TJ
authors.lastname: Ozechowski
mesh_terms: D000293:Adolescent; D000328:Adult; D015928:Cognitive Behavioral Therapy; D003131:Combined Modality Therapy; D003674:Defense Mechanisms; D004493:Education; D005196:Family Therapy; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D009042:Motivation; D010043:Outcome and Process Assessment, Health Care; D010287:Parent-Child Relations; D010342:Patient Acceptance of Health Care / Q000523:psychology*; D010349:Patient Compliance / Q000523:psychology; D019966:Substance-Related Disorders / Q000523:psychology / Q000534:rehabilitation*