title: One-year outcomes and mediators of a brief intervention for drug abusing adolescents.
abstract: Two manually guided brief interventions were evaluated with a randomized, controlled trial. Adolescents (aged 13-17 years) suspected of abusing alcohol and other drugs and their parent were randomly assigned to receive either a 2-session adolescent only (BI-A), 2-session adolescent and additional parent session (BI-AP), or assessment only control condition (CON). Adolescents were identified in a school setting, and the intervention was delivered by trained counselors. Outcome analyses (N = 284; 90% of those enrolled) of relative change (from intake to 12 months) and absolute status (at 12 months) revealed a general pattern of reductions in drug use behaviors, particularly with the cannabis outcome measures, in both active conditions (BI-A and BI-AP). Students in the control condition showed worse outcome compared with the BI-A and BI-AP groups. Among the 4 mediating variables measured at 6 months, use of additional services, motivation to change, and parenting practices had significant influences on 12-month outcome; problem-solving skills approached significance as a mediator. The potential value of a brief intervention for drug abusing adolescents is discussed.
authors: Department of Psychiatry, University of Minnesota Medical School.
authors: Ken C
authors: KC
authors: Winters
authors: Department of Psychiatry, University of Minnesota Medical School.
authors: Susanne
authors: S
authors: Lee
authors: Department of Psychiatry, University of Minnesota Medical School.
authors: Andria
authors: A
authors: Botzet
authors: Department of Psychiatry, University of Minnesota Medical School.
authors: Tamara
authors: T
authors: Fahnhorst
authors: Department of Psychiatry, University of Minnesota Medical School.
authors: Ali
authors: A
authors: Nicholson
mesh_terms: D000293:Adolescent; D000437:Alcoholism; D005195:Family Relations; D005260:Female; D006801:Humans; D008297:Male; D008385:Marijuana Smoking / Q000523:psychology / Q000628:therapy*; D009042:Motivation; D016487:Parenting; D010290:Parents; D011340:Problem Solving; D011614:Psychotherapy, Brief; D013334:Students; D019966:Substance-Related Disorders / Q000523:psychology / Q000628:therapy*; D016896:Treatment Outcome