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Addiction Science & Clinical Practice
Published in: Addiction Science & Clinical Practice 1/2019

Open Access 01-12-2019 | Study Protocol

Implementing risk stratification to the treatment of adolescent substance use among youth involved in the juvenile justice system: protocol of a hybrid type I trial

Authors: Matthew C. Aalsma, Allyson L. Dir, Tamika C. B. Zapolski, Leslie A. Hulvershorn, Patrick O. Monahan, Lisa Saldana, Zachary W. Adams

Published in: Addiction Science & Clinical Practice | Issue 1/2019

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Abstract

Background

Youth involved in the juvenile justice system (YIJJ) have high rates of substance use problems; however, rates of YIJJ engagement in substance use services is low. Barriers to service engagement include lack of appropriate screening and connection to services by the juvenile justice system, as well as lack of resources for delivering evidence-based treatment in community-based settings. To address these barriers, this paper describes a protocol for a type 1 hybrid design to (1) implement universal substance use screening for YIJJ; (2) implement and evaluate the feasibility and effectiveness of a brief, three-session substance use interventions based in motivational interviewing for youth with mild/moderate substance use: Teen Intervene (an individual-based intervention); (3) implement ENCOMPASS, an evidence-based substance use intervention based in motivational enhancement and cognitive behavioral therapy for youth with severe substance use; and (4) evaluate facilitators and barriers to implementing these interventions for mild to severe substance use among YIJJ in community mental health centers (CMHC).

Methods/design

Using a hybrid type 1 clinical effectiveness-implementation design, we will collaborate with CMHCs and juvenile justice in two rural Indiana counties. Guided by the EPIS (exploration, preparation, implementation, sustainability) framework, we will measure factors that affect implementation of substance use screening in juvenile justice and implementation of substance use interventions in CMHCs utilizing self-reports and qualitative interviews with juvenile justice and CMHC staff pre- and post-implementation. YIJJ with mild/moderate substance use will receive a brief interventions and YIJJ with severe substance use will receive ENCOMPASS. We will measure the effectiveness of a brief and comprehensive intervention by assessing changes in substance use across treatment. We anticipate recruiting 160 YIJJ and their caregivers into the study. We will assess intervention outcomes utilizing baseline, 3-, and 6-month assessments.

Discussion

Findings have the potential to improve screening and intervention services for YIJJ.
Appendix
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Literature
1.
Kessler RC, Avenevoli S, Costello EJ, Georgiades K, Green JG, Gruber MJ, et al. Prevalence, persistence, and sociodemographic correlates of DSM-IV disorders in the National Comorbidity Survey Replication Adolescent Supplement. Arch Gen Psychiatry. 2012;69(4):372–80.PubMedCrossRef
2.
3.
Teplin LA, Abram KM, McClelland GM, Dulcan MK, Mericle AA. Psychiatric disorders in youth in juvenile detention. Arch Gen Psychiatry. 2002;59(12):1133–43.PubMedPubMedCentralCrossRef
4.
Vincent GM, Grisso T, Terry A, Banks S. Sex and race differences in mental health symptoms in juvenile justice: the MAYSI-2 national meta-analysis. J Am Acad Child Adolesc Psychiatry. 2008;47(3):282–90.PubMedCrossRef
5.
Wasserman GA, McReynolds LS, Schwalbe CS, Keating JM, Jones SA. Psychiatric disorder, comorbidity, and suicidal behavior in juvenile justice youth. Crim Just Behav. 2010;37(12):1361–76.CrossRef
6.
Aalsma MC, et al. Use of outpatient care by juvenile detainees upon community reentry: effects of mental health screening and referral. Psychiatr Serv. 2012;63(10):997–1003.PubMedCrossRef
7.
Fazel S, Doll H, Långström N. Mental disorders among adolescents in juvenile detention and correctional facilities: a systematic review and metaregression analysis of 25 surveys. J Am Acad Child Adolesc Psychiatry. 2008;47(9):1010–9.PubMed
8.
Abram KM, Zwecker NA, Welty LJ, Hershfield JA, Dulcan MK, Teplin LA. Comorbidity and continuity of psychiatric disorders in youth after detention: a prospective longitudinal study. JAMA Psychiatry. 2015;72(1):84–93.PubMedPubMedCentralCrossRef
9.
Hoeve M, McReynolds LS, Wasserman GA. Service referral for juvenile justice youths: associations with psychiatric disorder and recidivism. Admin Policy Ment Health Ment Health Serv Res. 2014;41(3):379–89.CrossRef
10.
Sickmund M, Puzzanchera C. Juvenile offenders and victims: 2014 national report. Pittsburgh: National Center for Juvenile Justice; 2014.
11.
Cuellar A, McReynolds LS, Wasserman GA. A cure for crime: can mental health treatment diversion reduce crime among youth? J Policy Anal Manag. 2006;25(1):197–214.CrossRef
12.
Dopp AR, Borduin CM, White II, Mark H, Kuppens S. Family-based treatments for serious juvenile offenders: a multilevel meta-analysis. J Consult Clin Psychol. 2017;85(4):335.PubMedCrossRef
13.
Foster EM, Qaseem A, Connor T. Can better mental health services reduce the risk of juvenile justice system involvement? Am J Public Health. 2004;94(5):859–65.PubMedPubMedCentralCrossRef
14.
Henggeler SW, Schoenwald SK. Evidence-based interventions for juvenile offenders and juvenile justice policies that support them. Social policy report, vol. 25. Washington: Society for Research in Child Development; 2011.
15.
Pullmann MD, VanHooser S, Hoffman C, Heflinger CA. Barriers to and supports of family participation in a rural system of care for children with serious emotional problems. Community Ment Health J. 2010;46(3):211–20.PubMedCrossRef
16.
Sexton T, Turner CW. The effectiveness of functional family therapy for youth with behavioral problems in a community practice setting. J Fam Psychol. 2010;24:339–48.PubMedPubMedCentralCrossRef
17.
Forgatch MS, Patterson GR. Parent management training—Oregon model: an intervention for antisocial behavior in children and adolescents. 2010.
18.
19.
Tubman JG, Gil AG, Wagner EF. Co-occurring substance use and delinquent behavior during early adolescence: emerging relations and implications for intervention strategies. Criminal Justice Behav. 2004;31(4):463–88.CrossRef
20.
Aalsma MC, Brown JR, Holloway ED, Ott MA. Connection to mental health care upon community reentry for detained youth: a qualitative study. BMC Public Health. 2014;14(1):117.PubMedPubMedCentralCrossRef
21.
Sweeny K. Crisis decision theory: decisions in the face of negative events. Psychol Bull. 2008;134(1):61.CrossRef
22.
Dauria EF, McWilliams MA, Tolou-Shams M. Substance use prevention and treatment interventions for court-involved, non-incarcerated youth. Brief Intervent Adolesc Alcohol Substance Abuse. 2018;16:213.
23.
Morse G, Salyers M, Rollins A, Monroe-DeVita M, Pfahler C. Burnout in mental health services: a review of the problem and its remediation. Admin Policy Ment Health Ment Health Serv Res. 2012;39(5):341–52.CrossRef
24.
Paris M Jr, Hoge MA. Burnout in the mental health workforce: a review. J Behav Health Serv Res. 2010;37(4):519–28.PubMedCrossRef
25.
Mee-Lee D, Shulman GD, Fishman MJ, Gastfriend DR, Miller MM. The ASAM criteria: treatment criteria for addictive, substance-related, and co-occurring conditions. Carson City: The Change Companies; 2013.
26.
Barnett ML, Lau AS, Miranda J. Lay health worker involvement in evidence-based treatment delivery: a conceptual model to address disparities in care. Ann Rev Clin Psychol. 2018;14:185–208.CrossRef
27.
Winters KC, Fahnhorst T, Botzet A, Lee S, Lalone B. Brief intervention for drug-abusing adolescents in a school setting: outcomes and mediating factors. J Subst Abuse Treat. 2012;42(3):279–88.PubMedCrossRef
28.
Winters KC, Lee S, Botzet A, Fahnhorst T, Nicholson A. One-year outcomes and mediators of a brief intervention for drug abusing adolescents. Psychol Addict Behav. 2014;28(2):464.PubMedPubMedCentralCrossRef
29.
Dembo R, Briones Robinson R, Schmeidler J, Wareham J, Ungaro R, Winters KC, Belenko S. Brief intervention impact on truant youths’ marijuana use: 18-month follow-up. J Child Adolesc Subst Abuse. 2014;23(5):318–33.PubMedPubMedCentralCrossRef
30.
Hogue A, Henderson CE, Becker SJ, Knight DK. Evidence base on outpatient behavioral treatments for adolescent substance use, 2014–2017: outcomes, treatment delivery, and promising horizons. J Clin Child Adolesc Psychol. 2018;4:1–28.
31.
Thurstone C, Riggs PD, Salomonsen-Sautel S, Mikulich-Gilbertson SK. Randomized, controlled trial of atomoxetine for attention-deficit/hyperactivity disorder in adolescents with substance use disorder. J Am Acad Child Adolesc Psychiatry. 2010;49(6):573–82.PubMedPubMedCentral
32.
Riggs PD, Mikulich-Gilbertson SK, Davies RD, Lohman M, Klein C, Stover SK. A randomized controlled trial of fluoxetine and cognitive behavioral therapy in adolescents with major depression, behavior problems, and substance use disorders. Arch Pediatr Adolesc Med. 2007;161(11):1026–34.PubMedCrossRef
33.
Riggs PD, Winhusen T, Davies RD, Leimberger JD, Mikulich-Gilbertson S, Klein C, Macdonald M, Lohman M, Bailey GL, Haynes L, Jaffee WB. Randomized controlled trial of osmotic-release methylphenidate with cognitive-behavioral therapy in adolescents with attention-deficit/hyperactivity disorder and substance use disorders. J Am Acad Child Adolesc Psychiatry. 2011;50(9):903–14.PubMedPubMedCentralCrossRef
34.
Feder KA, Krawczyk N, Saloner B. Medication-assisted treatment for adolescents in specialty treatment for opioid use disorder. J Adolesc Health. 2017;60(6):747–50.PubMedPubMedCentralCrossRef
35.
Committee OS. Medication-assisted treatment of adolescents with opioid use disorders. Pediatrics. 2016;138:3.CrossRef
36.
Fishman MJ, Winstanley EL, Curran E, Garrett S, Subramaniam G. Treatment of opioid dependence in adolescents and young adults with extended release naltrexone: preliminary case-series and feasibility. Addiction. 2010;105(9):1669–76.PubMedCrossRef
37.
Curran GM, Bauer M, Mittman B, Pyne JM, Stetler C. Effectiveness-implementation hybrid designs: combining elements of clinical effectiveness and implementation research to enhance public health impact. Med Care. 2012;50(3):217.PubMedPubMedCentralCrossRef
38.
Aarons GA, Hulbert M, Horwitz SM. Advancing a conceptual model of evidence-based practice implementation in public service sectors. Admin Policy Ment Health Serv Res. 2011;38(1):4–23.CrossRef
39.
Chamberlain P, Brown CH, Saldana L. Observational measure of implementation progress in community based settings: the stages of implementation completion (SIC). Implement Sci. 2011;6(1):116.PubMedPubMedCentralCrossRef
40.
41.
Saldana L, Chamberlain P, Wang W, Brown CH. Predicting program start-up using the stages of implementation measure. Admin Policy Ment Health Ment Health Serv Res. 2012;39(6):419–25.CrossRef
42.
Knight JR, Sherritt L, Harris SK, Gates EC, Chang G. Validity of brief alcohol screening tests among adolescents: a comparison of the AUDIT, POSIT, CAGE, and CRAFFT. Alcohol Clin Exp Res. 2003;27(1):67–73.PubMedCrossRef
43.
Sobell LC, Cunningham JA, Sobell MB, Agrawal S, Gavin DR, Leo GI, Singh KN. Fostering self-change among problem drinkers: a proactive community intervention. Addict Behav. 1996;21(6):817–33.PubMedCrossRef
44.
Slavet JD, Stein LA, Klein JL, Colby SM, Barnett NP, Monti PM. Piloting the family check-up with incarcerated adolescents and their parents. Psychol Serv. 2005;2(2):123.PubMedPubMedCentralCrossRef
45.
Julious SA. Sample size of 12 per group rule of thumb for a pilot study. Pharm Stat. 2005;4(4):287–91.CrossRef
46.
Charmaz K. Constructing grounded theory: a practical guide through qualitative analysis. London: Sage Publications; 2006.
47.
Lang JM, Connell CM. Measuring costs to community-based agencies for implementation of an evidence-based practice. J Behav Health Serv Res. 2017;44(1):122–34.PubMedCrossRef
48.
Ehrhart MG, Aarons GA, Farahnak LR. Going above and beyond for implementation: the development and validity testing of the Implementation Citizenship Behavior Scale (ICBS). Implement Sci. 2015;10(1):65.PubMedPubMedCentralCrossRef
49.
Ehrhart MG, Aarons GA, Farahnak LR. Assessing the organizational context for EBP implementation: the development and validity testing of the Implementation Climate Scale (ICS). Implement Sci. 2014;9(1):157.PubMedPubMedCentralCrossRef
50.
Aarons GA, Ehrhart MG, Farahnak LR. The implementation leadership scale (ILS): development of a brief measure of unit level implementation leadership. Implement Sci. 2014;9(1):45.PubMedPubMedCentralCrossRef
51.
Shea CM, Jacobs SR, Esserman DA, Bruce K, Weiner BJ. Organizational readiness for implementing change: a psychometric assessment of a new measure. Implement Sci. 2014;9(1):7.PubMedPubMedCentralCrossRef
52.
Athay MM, Bickman L. Development and psychometric evaluation of the youth and caregiver service satisfaction scale. Admin Policy Ment Health Ment Health Serv Res. 2012;39(1–2):71–7.CrossRef
53.
Kelly SM, Gryczynski J, Mitchell SG, Kirk A, O’Grady KE, Schwartz RP. Validity of brief screening instrument for adolescent tobacco, alcohol, and drug use. Pediatrics. 2014;25:126–56.
54.
Currie C, Molcho M, Boyce W, Holstein B, Torsheim T, Richter M. Researching health inequalities in adolescents: the development of the Health Behaviour in School-Aged Children (HBSC) family affluence scale. Soc Sci Med. 2008;66(6):1429–36.PubMedCrossRef
55.
Meneses-Gaya CD, Zuardi AW, Loureiro SR, Crippa JA. Alcohol Use Disorders Identification Test (AUDIT): an updated systematic review of psychometric properties. Psychol Neurosci. 2009;2(1):83–97.CrossRef
56.
Huebner AJ, Howell LW. Examining the relationship between adolescent sexual risk-taking and perceptions of monitoring, communication, and parenting styles. J Adolesc Health. 2003;33(2):71–8.PubMedCrossRef
57.
Victor SE, Klonsky ED. Validation of a brief version of the difficulties in emotion regulation scale (DERS-18) in five samples. J Psychopathol Behav Assess. 2016;38(4):582–9.CrossRef
58.
Scott BG, Lapré GE, Marsee MA, Weems CF. Aggressive behavior and its associations with posttraumatic stress and academic achievement following a natural disaster. J Clin Child Adolesc Psychol. 2014;43(1):43–50.PubMedCrossRef
59.
Lippman LH, Moore KA, McIntosh H. Positive indicators of child well-being: a conceptual framework, measures, and methodological issues. Appl Res Qual Life. 2011;6(4):425–49.CrossRef
Metadata
Title
Implementing risk stratification to the treatment of adolescent substance use among youth involved in the juvenile justice system: protocol of a hybrid type I trial
Authors
Matthew C. Aalsma
Allyson L. Dir
Tamika C. B. Zapolski
Leslie A. Hulvershorn
Patrick O. Monahan
Lisa Saldana
Zachary W. Adams
Publication date
01-12-2019
Publisher
BioMed Central
Published in
Addiction Science & Clinical Practice / Issue 1/2019
Electronic ISSN: 1940-0640
DOI
https://doi.org/10.1186/s13722-019-0161-5

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