Individual and Family Motivational Interviews for Substance Using Truant Teens
| Status: | Completed |
|---|---|
| Conditions: | Psychiatric |
| Therapuetic Areas: | Psychiatry / Psychology |
| Healthy: | No |
| Age Range: | 13 - 16 |
| Updated: | 5/27/2013 |
| Start Date: | August 2010 |
| End Date: | January 2013 |
| Contact: | Anthony Spirito, PhD |
| Email: | anthony_spirito@brown.edu |
| Phone: | 401-863-6623 |
This application will provide a test of one potential model for adding substance use
assessment and brief intervention into a truancy court program. The primary goal of this
study is to determine whether a motivational intervention will reduce substance use among
adolescents referred to truancy court for school attendance problems. In this treatment
development application, an open trial with 20 families referred by truancy court will first
be conducted. This trial will be used to adapt an existing motivational intervention to
include material relevant to school attendance and performance. Then 100 families
participating in the Rhode Island Truancy Court Program with adolescents between the ages of
13-16 years who report using substances will be randomly assigned to receive the
experimental intervention plus standard truancy court procedures or psychoeducation plus
standard truancy court procedures. The 2-session intervention protocol consists of an
individual motivational interview plus the Family Check-Up (Dishion & Kavanagh, 2003), a
family based motivational interview. The experimental protocol provides a thorough
assessment of both individual and family strengths and weaknesses with respect to substance
use prevention and school attendance/performance. Follow-up interviews will be conducted at
3 and 6 months.
Inclusion Criteria:
1. between the ages of 13-16 at the start of the project and living at home with at
least one parent/guardian,
2. t- score of 70 or above on one of the diagnostic-oriented scales (internalizing or
externalizing problems) on the Child Behavior Checklist (i.e. reach the clinical
cut-off),
3. the child must report 6 or more incidences of substance use in the last 90 days,
4. parental consent and child assent are obtained.
Exclusion Criteria:
1. adolescent meets diagnostic criteria for substance dependence suggesting need for
more intensive services,
2. the family is not able to speak and understand English or Spanish well enough to
complete study procedures.
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