Intervention Principles and Practice Guidelines for - Underage ...

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Exhibit V-m Elements of Effective Adolescent Substance Abuse Treatment Compared to Evidence-Based Practices Elements of Effective Adolescent Substance Abuse Treatment • Assessment and Treatment Matching • Comprehensive, integrated treatment approach Justice System Evidence-Based Practice Principles • Assess actuarial risk • Target interventions – Responsivity principle, Risk principle, Need principle • Target Interventions – Treatment principle • Skill train with directed practice • Family involvement in treatment • Engage ongoing support in natural communities • Developmentally appropriate programs • Target Interventions – Responsivity principle • Strategies to engage and retain teens in treatment • Enhance Intrinsic Motivation • Treatment Principle – Dosage • Increase positive reinforcement • Qualified staff • Skill train with directed practice • Gender and cultural competence • Target Interventions – Responsivity principle • Continuing care • Target Interventions – Dosage • Measurement of treatment outcomes • Measure Relevant Processes and Practices • Provide Measurement Feedback Sources: Brannigan et al., (2004); Crime and Justice Institute (2004). 68
Assessment and Treatment Matching Assessment was discussed extensively under an earlier practice guideline where emphasis was given to the need to have qualified substance abuse treatment professionals conduct specific in-depth assessments of individuals who demonstrate significant alcohol problems when initial screening tools are administered. Professionals who conduct alcohol and other drug assessments on adolescents and young adults need to be knowledgeable about substance abuse and its course and ramifications in young people. As Brannigan and associates (2004, p. 699) note, “Prematurely labeling teens as abusers can be harmful and may actually promote their progression from use to abuse.” Further, they suggest that it may be appropriate to include a family assessment, as it may be important to identify and tailor treatment for youth and young adults with special circumstances, such as those who are children of alcoholics or those who are experiencing developmental delays because of their alcohol use. Assessment is the first step in determining the type of treatment approach to which a youth or young adult may respond most positively. The options available for alcohol treatment programs will vary depending on many local factors. Some communities may have only one or two resources while others will have a multitude of programs. When programs are limited, justice system professionals may have to work with existing programs to expand their options or promote the development of additional resources. Some factors that should be investigated for treatment programs include the following (Crowe & Reeves, 1994): • Program characteristics: What substances can be treated? What are the demographics of those in treatment, program cost and location, and eligibility criteria for admission to the program? • Program proficiency: Does the program deliver treatment in the intended manner, quantity, and intensity? Are there outcome data indicating positive results for the majority of clients? • Program strategies: Individuals in treatment are held accountable for attendance, punctuality, and abstinence. Programs use an array of possible consequences appropriate for the individual and the infraction, when needed. Referrals are made for participants’ other identified needs. • Staff competency and attitudes: The program employs sufficient staff for the number and needs of program participants. Staff are experienced and trained in providing the services for which they are responsible. Staff provide strong leadership but show compassion and model positive personal characteristics. Staff exhibit attitudes that require responsibility and accountability. • Willingness to coordinate with the justice system. Similarly, characteristics of individuals needing treatment should be evaluated to match them with treatment programs. The following areas should be considered (Crowe & Reeves, 1994): • Readiness and motivation for treatment: Individuals will have more successful treatment experiences if they are ready for and want to change their behavior. 69
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Underage Drinking Intervention Prin
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Table of Contents, continued SECTIO
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Only in recent years has our societ
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section illustrates ways these prin
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• Research shows that the use of
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Other Health Problems Alcohol poiso
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Social and Emotional Consequences o
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SECTION II LEGAL ISSUES RELATED TO
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others, the right to freedom of spe
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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 52 and 53: Exhibit V-i Risk Factors for Adoles
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 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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