Motivational and Skills for THC/ETOH+ Teens in Jail

This study will focus on treating substance abusing incarcerated teens using 2 individually
administered motivational interviewing sessions followed by 10 group sessions of cognitive
behavior therapy (CBT). Motivational Interviewing (MI)is conceptualized as preparation for
group CBT. The control group receives individualized relaxation training (RT)followed by
group treatment as usual(TU). In this propozed randomized trial a one way design (MI/CBT v.
RT/TU) will be used to determine whether MI/CBT enhances group therapy participation and
reduces substance use and related problems (e.g., crime, injuries) post discharge in
substance involved juvenile delinquents. RT/TU is based on the 12 step model and includes
psychoeducational components. Participants are followed during incarceration and for 6
months post incarceration. Primary outcome variables include alcohol and marijuana use, as
well as related behaviors (illegal activity, sex or injuries while drunk or high). It is
hypothesized that in comparison to teens in RT/TU youth receiving MI/CBT will participate
more in therapy (accroding to teen, facility staff, and counselor ratings) and will show
lower levels of substance use and related problems after discharge. Frequently substance
abuse treatment is unavailable to youths in the juvenile justice system and when treatment
is available it may be provided in group format using untested therapies. A
motivation/skills based intervention (delivered in group format) may prove efficacious in
enhancing motivation and in reducing substance abuse and related problems. This study
extends previous research by rigorously evaluating group treatment for incarcerated teens.
We will examine processes contributing to the efficacy of group MI/CBT and the influence of
race and ethnicity on treatment effects. The development of effective interventions for
substance using juvenile offenders has the potential to reduce substance abuse and crime in
this population.

Inclusion Criteria:

- In the year prior to incarceration used mj regularly (monthly) In the year prior to
incarceration drank regularly (monthly) or binged (>=5 boys; >=4 girls).

Used mj or drank in 4 weeks prior to offense for which they were incarcerated Used mj or
drank in 4 weeks before incarcerated 14-19 years of age 4-12 month sentence length

Exclusion Criteria:

-