CPDD 72nd Annual Meeting • Scottsdale, Arizona - The College on ...

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NATIONAL MONITORING OF ADOLESCENT PRESCRIPTION
STIMULANTS STUDY (N-MAPSS): STIMULANT MEDICATION
USE AMONG 10 TO 18 YEAR OLDS.
Linda B Cottler, A Ben Abdallah, S E Bradford, C L Striley; Psychiatry,
Washington University School of Medicine, St. Louis, MO
Aims: N-MAPSS is an innovative national study that estimates the prevalence of
use, misuse, abuse and diversion of prescription stimulants among youth 10 to
18 years old.
Methods: An entertainment venue intercept method was used to collect data
from teens in ten cities: Boston, Cincinnati, Denver, Houston, Los Angeles, New
York City, Philadelphia, Seattle, St. Louis and Tampa. Youth completed an
anonymous two-part survey covering demographics, ADD/ADHD diagnosis,
pill identification, risk behaviors, stimulant use, misuse and diversion, as well as
use of other prescription drugs, alcohol and illicit drugs. <strong>The</strong> survey assessed adolescent
experiences with using and reasons for taking prescription stimulants,
including whether or not they had ever been told by a doctor or parent to do so.
Results: Overall, 19% of youth reported stimulant use in their lifetime (any use,
not limited to misuse/abuse); of which half (~9%) reported any use in the last 30
days. Use increased with age and diagnosis of ADHD. Half of the past 30 day
users misused their stimulants. Among the youth with ADHD, those who misused
stimulants were more likely than those who did not misuse to report current
smoking, an alcohol binge in the last 30 days, and illegal drug use.
Conclusions: This study provides important information to address sociological,
demographic and behavioral factors associated with medical and non-medical
use of prescription stimulants which may aid in detecting misuse of stimulants
in the future.
Financial Support: N-MAPSS is implemented by Washington University in St.
Louis under contract from Pinney Associates, Inc., with funding provided by
Shire Pharmaceuticals.
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PREDICTORS OF TREATMENT COMPLETION AMONG
OFFENDERS ENROLLED IN A COMMUNITY-BASED
OUTPATIENT PROGRAM.
Donna M Coviello 1 , D A Zanis 1,2 , S A Wesnoski 1 , N R Palman 1 ,AErez 1 ;
1 University of Pennsylvania, Philadelphia, PA, 2 Temple University,
Philadelphia, PA
Aims: Despite the well established link between crime and substance abuse,
many offenders do not receive treatment, or once enrolled, do not complete
treatment. Research has consistently demonstrated that substance abusers who
stay in treatment longer have less subsequent drug use and commit fewer crimes.
<strong>The</strong> aim of the present study was to assess the predictors of treatment completion
among a sample of offenders attending a community-based drug-free outpatient
program.
Methods: Currently, the sample consists of 107 offenders enrolled in a study
assessing the effectiveness of a six month treatment protocol that integrates drug
and employment counseling. <strong>The</strong> offenders are under various levels of supervision
including county and state probation/parole, a treatment court and an alternative
disposition program. Research assessments are collected at baseline, every
other week during the six month treatment phase and at six, 12 and 18 months
post-treatment entry. Urine drug screens are collected weekly.
Results: <strong>The</strong> sample is predominately male (91%) and the majority are African
American (62%). <strong>The</strong> average age of subjects is 34 years and the average amount
of time participants spent incarcerated is nearly 3 1⁄ 2 years. One-third are dependent
on cannabis (33%), one-third are alcohol dependent (32%), 30% are
dependent on cocaine and one-fifth (20%) are opioid dependent. Preliminary
findings from logistic regression analyses indicate that those who are mandated
to treatment, such as treatment court or the alternative disposition program, are
six times more likely to complete treatment (OR=6.1,CI=1.2-32.1,p=.033),
whereas those who are opioid dependent are 3.7 times less likely to complete the
six month treatment protocol(OR=3.7,CI=1.1-12.6,p=.035).
Conclusions: Requiring offenders to attend treatment may be an effective way
to increase treatment compliance, and hence reduce drug use and recidivism.
However, offenders with an opioid dependence diagnosis may require medication
assisted therapy to experience positive treatment outcomes.
Financial Support: Supported by NIDA grant R01DA019600.
<strong>CPDD</strong> <strong>72nd</strong> <strong>Annual</strong> <strong>Meeting</strong> <strong>•</strong> <strong>Scottsdale</strong>, <strong>Arizona</strong>
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FRENCH SURVEY ABOUT STUDENTS’ HEALTH IN 5
UNIVERSITY HEALTH AND PREVENTION CENTERS.
Pascal Courty 1,2 , G Illes 2 , C Auclair 3 , A Perreve 2 , M Argillet 4 , B Poizat 5 ,M
Zorman 6 , S Blondel 7 , L Gerbaud 2,3 ; 1 CMP B, CSST SATIS, Clermont Ferrand
cedex 1, France, 2 University Health and Prevention Center, CLERMONT
FERRAND, France, 3 Department of Epidemiology and Public Health,
University Hospital Clermont Ferrand, CLERMONT FERRAND, France,
4 University Health and Prevention Center, SAVOIE, France, 5 University Health
and Prevention Center, Saint Etienne, France, 6 University Health and
Prevention Center, Grenoble, France, 7 University Health and Prevention
Center, Lyon, France
Aims: To describe students’ health and quality of life, evaluate psychoactive
drugs consumptions and motivations to come to the University Health and
Prevention Centers (UHPC) some of them being as dispensaries too
Methods: 1572 students were included during 5 weeks in 5 different sites
(Clermont Ferrand, Savoie, St Etienne, Lyon, Grenoble). Sociodemographic
data, SF 36(short version), EPICES Score (French deprivation index) alcohol,
tobacco and cannabis use as well as motives for consulting were analyzed in each
center whether they are only UHPC or dispensaries too. Logistic regressions were
processed to determine specific profiles of students
Results: Significant differences (p