Integrative Risk Reduction and Treatment for Teen Substance Use Problems and PTSD

See above.

Inclusion Criteria:

- 1) 13-18 years old;

- 2) Presenting to LCC/HH for evaluation or treatment;

- 3) Report having experienced IPV in their lifetime, including: CSA, defined as forced
or unwanted: (a) vaginal or anal penetration by an object, finger, or penis; (b) oral
sex; (c) touching of the respondent's breasts or genitalia; or (d) respondents'
touching of another person's genitalia; CPA, defined as having been (a) attacked or
threatened with a gun, knife, or some other weapon; (b) attacked by another person
with perceived intent to kill or seriously injure; (c) beaten and injured (i.e., "hurt
pretty badly") by another person; (d) spanked so forcefully that it resulted in
sustained welts or bruises or required medical care; or (e) cut, burned, or tied up by
a caregiver as a punitive consequence; Exposure to Domestic Violence; and being victim
of or bearing witness to Community Violence.

- 4) Have a memory of the incident(s);

- 5) Five or more DSM-IV PTSD symptoms;

- 6) Substance use, defined as alcohol or illicit drug use in the past 90 days per
self-report and/or urine drug screen or breathalyzer.

Exclusion Criteria:

- 1) Previously identified as having a Pervasive Developmental Disability or Moderate to
Severe Mental Retardation;

- 2) Actively suicidal or homicidal;

- 3) Reports active psychotic disorder