Intervention Principles and Practice Guidelines for - Underage ...

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Exhibit V-i Risk Factors for Adolescent Substance Abuse Community/Neighborhood Domain • Low levels of bonding to neighborhood • Deteriorated neighborhoods • Neighborhoods with high population density • High adult crime rates • Neighborhoods with high rates of residential transience • Attitudes favorable to drug use among neighborhood residents • Cigarettes, alcohol, and other drugs are perceived to be readily available in the neighborhood Extreme poverty is present in the neighborhood School Domain • Academic failure, especially beginning in late elementary grades • Little commitment to school Family Domain • Severe or inconsistent punishment for negative behavior • Unclear behavioral expectations by parents • Poor behavior monitoring • High degree of family conflict • Family history of alcoholism • Parental attitudes favorable to the use of alcohol and other drugs Peer/Individual Domain • Rebelliousness – youth do not feel part of society, are not bound by rules, do not try to be successful or responsible • Early onset of antisocial behavior • Beginning drug use before age 15 • Holding values favorable to substance use • Association with peers who use alcohol and drugs • Belief that peers and friends approve and admire substance use • Engagement in risky and thrilling behavior • Impulsive actions • Feelings of rejection and dislike by peers Source: Arthur, Hawkins, Pollard, Catalano, & Baglioni, 2002. 48
After all data have been reviewed and analyzed, the substance abuse assessment professional must arrive at opinions about the extent and consequences of the individual’s substance abuse problem, possible contributing factors, strengths and supports available to the individual, and his or her readiness for intervention (see Practice Guideline 6 for a discussion on readiness to change among offenders). If alcohol use is significant, the substance abuse professional may diagnose alcohol abuse or alcohol dependence (see page [enter page number here] in Section 1 for the criteria for each), both of which would indicate the need for treatment. Alternatively, the substance abuse professional may identify other significant alcohol problems that do not meet these diagnostic criteria but do require intervention. Case Study: Jill Substance Abuse Assessment Jill’s initial alcohol screening indicated she could benefit from further assessment; therefore, she was referred to a substance abuse professional for a more comprehensive substance abuse assessment. Appropriate release forms were signed by Jill and her mother allowing the community corrections professional and the substance abuse professional to share information. Once completed, the community corrections professional provided the substance abuse professional with a summary of the results she had from interviews, the screening tool, and the risk and needs assessment instrument. The substance abuse assessment professional administers a more comprehensive substance abuse assessment on Jill and prepares a recommendation report using findings from the assessment tool, collateral information from the community corrections professional, and additional information gathered through his interviews with Jill and her mother. That report is sent to the community corrections professional. The report indicates that Jill is at high-risk for an alcohol or substance abuse problem. Factors such as the familial/genetic link to substance abuse, Jill’s pattern of drinking (drinking in isolation), and the connection between ADHD (which Jill has) and substance abuse all contribute to her high-risk status. Therefore, the substance abuse professional recommends that Jill be referred to an outpatient substance abuse treatment program, and that she be referred for family counseling with her mother. What should the community corrections professional’s next step with Jill be? 49
Page 2 and 3: Underage Drinking Intervention Prin
Page 4 and 5: Table of Contents, continued SECTIO
Page 6 and 7: Only in recent years has our societ
Page 8 and 9: section illustrates ways these prin
Page 10 and 11: • Research shows that the use of
Page 12 and 13: Other Health Problems Alcohol poiso
Page 14 and 15: Social and Emotional Consequences o
Page 16 and 17: SECTION II LEGAL ISSUES RELATED TO
Page 18 and 19: others, the right to freedom of spe
Page 20 and 21: Besides the two types of federal co
Page 22 and 23: SECTION III ASSUMPTIONS AND PRINCIP
Page 24 and 25: Preventing the onset of alcohol use
Page 26 and 27: the available resources in various
Page 28 and 29: Principle 6: Community corrections
Page 30 and 31: SECTION IV: CONTEXT FOR RESPONDING
Page 32 and 33: Exhibit IV-a Decisions in Underage
Page 34 and 35: Standards of Evidence-Based Practic
Page 36 and 37: SECTION V PRACTICE GUIDELINES FOR R
Page 38 and 39: Jack and Jill are both detained by
Page 40 and 41: Exhibit V-c ALCOHOL USE DISORDERS I
Page 42 and 43: Additional screening instruments th
Page 44 and 45: There are myriad risk and needs ass
Page 46 and 47: Exhibit V-f Community Assessment Te
Page 48 and 49: Exhibit V-g Search Institute’s Fr
Page 50 and 51: Assessment What did you think your
Page 54 and 55: Practice Guideline 5 Determine the
Page 56 and 57: Individual-Level Interventions Once
Page 58 and 59: Justice Institute, 2004). Cognitive
Page 60 and 61: Colleges and universities have a na
Page 62 and 63: develop social, academic, and vocat
Page 64 and 65: Case Study Jack Sample Case Plan Th
Page 66 and 67: Short-term goal 1: Begin outpatient
Page 68 and 69: Exhibit V-l Stages of Change Indica
Page 70 and 71: People are more likely to thrive an
Page 72 and 73: Exhibit V-m Elements of Effective A
Page 74 and 75: • Presence and severity of psycho
Page 76 and 77: Comprehensive, Integrated Treatment
Page 78 and 79: Because their reasons for using and
Page 80 and 81: The basic reality is that family me
Page 82 and 83: Probation officers, diversion staff
Page 84 and 85: Community corrections staff should
Page 86 and 87: may be sufficient just to determine
Page 88 and 89: Exhibit V-p Sanctions for Noncompli
Page 90 and 91: CONCLUSION In moving away from a on
Page 92 and 93: REFERENCES ACT for Youth (Upstate C
Page 94 and 95: Engs R. C., Diebold, B. A., & Hanse
Page 96 and 97: Mullins, T. G., & Toner, C. (2008).
Page 98 and 99: U.S. Department of Health and Human
Page 100 and 101: • Encouraging the state governmen
Page 102 and 103:
parking, destruction of property, a
Page 104 and 105:
Underage drinking is intertwined wi
Page 106 and 107:
Left Hemisphere Exhibit 3 Brain Str
Page 108 and 109:
Source: http://www.mindcreators.com
Page 110 and 111:
different neurons might be connecte
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