This project involves two studies focusing on the engagement and treatment of adolescents
diagnosed with substance use disorders. Study 1 will evaluate a promising parent-based
engagement intervention, Community Reinforcement Training, designed to facilitate the entry
of resistant drug-abusing adolescents in treatment. The approach will be compared with an
Engagement As Usual intervention condition. Study 2 involves a controlled clinical trial
evaluating the efficacy of an HIV/AIDS prevention intervention embedded in family-based drug
abuse treatment for reducing HIV/AIDS risk behaviors and substance use. Adolescents who are
successfully engaged in treatment through Study 1 will be randomly assigned to receive
either family therapy alone or family therapy with the integrated HIV/AIDS prevention
intervention. Both studies are being conducted in Portland, Oregon.
- Parents have an adolescent in the ages of 15-20 years.
- Have had contact with the adolescent on at least 40% of the past 90 days.
- Have some knowledge or evidence that the adolescent would meet DSM-IV diagnostic
criteria for a substance abuse disorder.
- Adolescent has explicitly refused to attend any intake or therapy sessions.
- All parents' efforts to enter adolescent into treatment have failed, despite
- Residence in Portland vicinity.
- Sufficient residential stability to permit probable contact at follow-up. (e.g. not
homeless at time of intake)
- Evidence of psychotic or organic state of sufficient severity to interfere with
understanding of study instruments and procedures.
- Adolescent has received residential drug treatment longer than a 2-week period in the
past 90 days.