Project CHAT: A brief motivational substance abuse intervention for teens in primary care
Abstract Many adolescents use alcohol and drugs (AODs); however, most do not seek help because of stigma or confidentiality concerns. Providing services in settings that teens frequent may decrease barriers. We examined the feasibility of adapting a brief motivational intervention (MI) for high-risk...
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| Veröffentlicht in: | Journal of substance abuse treatment 2007-03, Vol.32 (2), p.153-165 |
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| container_end_page | 165 |
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| container_issue | 2 |
| container_start_page | 153 |
| container_title | Journal of substance abuse treatment |
| container_volume | 32 |
| creator | Stern, Stefanie A., M.A Meredith, Lisa S., Ph.D Gholson, Jessica, M.F.T Gore, Paul, Ph.D D'Amico, Elizabeth J., Ph.D |
| description | Abstract Many adolescents use alcohol and drugs (AODs); however, most do not seek help because of stigma or confidentiality concerns. Providing services in settings that teens frequent may decrease barriers. We examined the feasibility of adapting a brief motivational intervention (MI) for high-risk adolescents (age 12–18 years) in a primary care (PC) setting by conducting small feedback sessions with adolescents, parents, and clinic staff, and pilot testing the MI with adolescents. Findings from feedback sessions indicated that clinic staff thought teens would not talk about AOD use. In contrast, adolescents reported that they would talk about their AOD use; however, they were afraid of being judged. Parents were also concerned that the PC provider might be judgmental. Feedback from the MI pilot indicated that teens were willing to talk about their AOD use and indicated readiness to change. Findings suggest that providing a brief MI in a PC setting is a viable approach for working with high-risk youth. |
| doi_str_mv | 10.1016/j.jsat.2006.07.009 |
| format | Article |
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Providing services in settings that teens frequent may decrease barriers. We examined the feasibility of adapting a brief motivational intervention (MI) for high-risk adolescents (age 12–18 years) in a primary care (PC) setting by conducting small feedback sessions with adolescents, parents, and clinic staff, and pilot testing the MI with adolescents. Findings from feedback sessions indicated that clinic staff thought teens would not talk about AOD use. In contrast, adolescents reported that they would talk about their AOD use; however, they were afraid of being judged. Parents were also concerned that the PC provider might be judgmental. Feedback from the MI pilot indicated that teens were willing to talk about their AOD use and indicated readiness to change. Findings suggest that providing a brief MI in a PC setting is a viable approach for working with high-risk youth.</description><identifier>ISSN: 0740-5472</identifier><identifier>EISSN: 1873-6483</identifier><identifier>DOI: 10.1016/j.jsat.2006.07.009</identifier><identifier>PMID: 17306724</identifier><identifier>CODEN: JSATEG</identifier><language>eng</language><publisher>New York, NY: Elsevier Inc</publisher><subject>Addictive behaviors ; Adolescent ; Adolescents ; Adult and adolescent clinical studies ; Alcohol consumption ; Alcohol use ; Alcoholism - rehabilitation ; Biological and medical sciences ; Brief interventions ; California ; Confidentiality ; Desintoxication. Drug withdrawal ; Drug abuse ; Drug addiction ; Drug and alcohol use ; Drug use ; Early intervention ; Feedback, Psychological ; Female ; Health Services Accessibility ; Humans ; Intervention ; Interview, Psychological ; Male ; Medical sciences ; Miscellaneous ; Motivation ; Motivational intervention ; Patient Acceptance of Health Care - psychology ; Pilot Projects ; Primary care ; Primary Health Care ; Primary mental health care ; Psychiatry ; Psychology. Psychoanalysis. Psychiatry ; Psychopathology. Psychiatry ; Psychotherapy, Brief ; Public health. Hygiene ; Public health. Hygiene-occupational medicine ; Self Disclosure ; Substance Abuse ; Substance-Related Disorders - rehabilitation ; Teenagers ; Treatments ; Uncompensated Care</subject><ispartof>Journal of substance abuse treatment, 2007-03, Vol.32 (2), p.153-165</ispartof><rights>Elsevier Inc.</rights><rights>2007 Elsevier Inc.</rights><rights>2008 INIST-CNRS</rights><rights>Copyright Pergamon Press Inc. 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Providing services in settings that teens frequent may decrease barriers. We examined the feasibility of adapting a brief motivational intervention (MI) for high-risk adolescents (age 12–18 years) in a primary care (PC) setting by conducting small feedback sessions with adolescents, parents, and clinic staff, and pilot testing the MI with adolescents. Findings from feedback sessions indicated that clinic staff thought teens would not talk about AOD use. In contrast, adolescents reported that they would talk about their AOD use; however, they were afraid of being judged. Parents were also concerned that the PC provider might be judgmental. Feedback from the MI pilot indicated that teens were willing to talk about their AOD use and indicated readiness to change. Findings suggest that providing a brief MI in a PC setting is a viable approach for working with high-risk youth.</description><subject>Addictive behaviors</subject><subject>Adolescent</subject><subject>Adolescents</subject><subject>Adult and adolescent clinical studies</subject><subject>Alcohol consumption</subject><subject>Alcohol use</subject><subject>Alcoholism - rehabilitation</subject><subject>Biological and medical sciences</subject><subject>Brief interventions</subject><subject>California</subject><subject>Confidentiality</subject><subject>Desintoxication. Drug withdrawal</subject><subject>Drug abuse</subject><subject>Drug addiction</subject><subject>Drug and alcohol use</subject><subject>Drug use</subject><subject>Early intervention</subject><subject>Feedback, Psychological</subject><subject>Female</subject><subject>Health Services Accessibility</subject><subject>Humans</subject><subject>Intervention</subject><subject>Interview, Psychological</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Miscellaneous</subject><subject>Motivation</subject><subject>Motivational intervention</subject><subject>Patient Acceptance of Health Care - psychology</subject><subject>Pilot Projects</subject><subject>Primary care</subject><subject>Primary Health Care</subject><subject>Primary mental health care</subject><subject>Psychiatry</subject><subject>Psychology. Psychoanalysis. Psychiatry</subject><subject>Psychopathology. Psychiatry</subject><subject>Psychotherapy, Brief</subject><subject>Public health. Hygiene</subject><subject>Public health. Hygiene-occupational medicine</subject><subject>Self Disclosure</subject><subject>Substance Abuse</subject><subject>Substance-Related Disorders - rehabilitation</subject><subject>Teenagers</subject><subject>Treatments</subject><subject>Uncompensated Care</subject><issn>0740-5472</issn><issn>1873-6483</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2007</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><sourceid>BHHNA</sourceid><recordid>eNqFklGL1DAUhYMo7rj6B3yQIOhbx5ukSVoRYRh2XWFBwfXBp5CmN5DaadekHdh_b-oUF_ZBnwLJd0_OvecS8pLBlgFT77ptl-y05QBqC3oLUD8iG1ZpUaiyEo_JBnQJhSw1PyPPUuoAgHOonpIzpgUozcsN-fE1jh26ie6vdjfv6Y42MaCnh3EKRzuFcbA9TXOTJjs4pLaZE9IwTBiPOCzP1I-RTohDytf0NoaDjXfU2YjPyRNv-4Qv1vOcfL-8uNlfFddfPn3e764LJzWfCg_Cl4Iz3TpXSZRQobR1iy1KpcE1udEGXV3yVonSV9x7Wbu2ZBU64aVqxTl5e9K9jeOvGdNkDiE57Hs74Dgno1gJUov6v2C2A6KGBXz9AOzGOeZJJJN9CqYkVxniJ8jFMaWI3qzNGwZmicd0ZonHLPEY0Ab-KL9alefmgO19yZpHBt6sgE3O9j7msYd0z1WVrqsaMvfhxGGe7DFgNMkFzBG1IeY0TTuGf_v4-KDc9WEI-cefeIfpb7vMJG7AfFsWadkjUHmFSinFb5zXwjU</recordid><startdate>20070301</startdate><enddate>20070301</enddate><creator>Stern, Stefanie A., M.A</creator><creator>Meredith, Lisa S., Ph.D</creator><creator>Gholson, Jessica, M.F.T</creator><creator>Gore, Paul, Ph.D</creator><creator>D'Amico, Elizabeth J., Ph.D</creator><general>Elsevier Inc</general><general>Elsevier Science</general><general>Elsevier Limited</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QJ</scope><scope>K7.</scope><scope>K9.</scope><scope>7U3</scope><scope>BHHNA</scope></search><sort><creationdate>20070301</creationdate><title>Project CHAT: A brief motivational substance abuse intervention for teens in primary care</title><author>Stern, Stefanie A., M.A ; Meredith, Lisa S., Ph.D ; Gholson, Jessica, M.F.T ; Gore, Paul, Ph.D ; D'Amico, Elizabeth J., Ph.D</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c572t-f03f43217dcc85e508e5a9dede5670cb016bec942d634f82ff59cd418ec3f56d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2007</creationdate><topic>Addictive behaviors</topic><topic>Adolescent</topic><topic>Adolescents</topic><topic>Adult and adolescent clinical studies</topic><topic>Alcohol consumption</topic><topic>Alcohol use</topic><topic>Alcoholism - rehabilitation</topic><topic>Biological and medical sciences</topic><topic>Brief interventions</topic><topic>California</topic><topic>Confidentiality</topic><topic>Desintoxication. Drug withdrawal</topic><topic>Drug abuse</topic><topic>Drug addiction</topic><topic>Drug and alcohol use</topic><topic>Drug use</topic><topic>Early intervention</topic><topic>Feedback, Psychological</topic><topic>Female</topic><topic>Health Services Accessibility</topic><topic>Humans</topic><topic>Intervention</topic><topic>Interview, Psychological</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Miscellaneous</topic><topic>Motivation</topic><topic>Motivational intervention</topic><topic>Patient Acceptance of Health Care - psychology</topic><topic>Pilot Projects</topic><topic>Primary care</topic><topic>Primary Health Care</topic><topic>Primary mental health care</topic><topic>Psychiatry</topic><topic>Psychology. Psychoanalysis. Psychiatry</topic><topic>Psychopathology. Psychiatry</topic><topic>Psychotherapy, Brief</topic><topic>Public health. Hygiene</topic><topic>Public health. Hygiene-occupational medicine</topic><topic>Self Disclosure</topic><topic>Substance Abuse</topic><topic>Substance-Related Disorders - rehabilitation</topic><topic>Teenagers</topic><topic>Treatments</topic><topic>Uncompensated Care</topic><toplevel>online_resources</toplevel><creatorcontrib>Stern, Stefanie A., M.A</creatorcontrib><creatorcontrib>Meredith, Lisa S., Ph.D</creatorcontrib><creatorcontrib>Gholson, Jessica, M.F.T</creatorcontrib><creatorcontrib>Gore, Paul, Ph.D</creatorcontrib><creatorcontrib>D'Amico, Elizabeth J., Ph.D</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>ProQuest Criminal Justice (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Social Services Abstracts</collection><collection>Sociological Abstracts</collection><jtitle>Journal of substance abuse treatment</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Stern, Stefanie A., M.A</au><au>Meredith, Lisa S., Ph.D</au><au>Gholson, Jessica, M.F.T</au><au>Gore, Paul, Ph.D</au><au>D'Amico, Elizabeth J., Ph.D</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Project CHAT: A brief motivational substance abuse intervention for teens in primary care</atitle><jtitle>Journal of substance abuse treatment</jtitle><addtitle>J Subst Abuse Treat</addtitle><date>2007-03-01</date><risdate>2007</risdate><volume>32</volume><issue>2</issue><spage>153</spage><epage>165</epage><pages>153-165</pages><issn>0740-5472</issn><eissn>1873-6483</eissn><coden>JSATEG</coden><abstract>Abstract Many adolescents use alcohol and drugs (AODs); however, most do not seek help because of stigma or confidentiality concerns. Providing services in settings that teens frequent may decrease barriers. We examined the feasibility of adapting a brief motivational intervention (MI) for high-risk adolescents (age 12–18 years) in a primary care (PC) setting by conducting small feedback sessions with adolescents, parents, and clinic staff, and pilot testing the MI with adolescents. Findings from feedback sessions indicated that clinic staff thought teens would not talk about AOD use. In contrast, adolescents reported that they would talk about their AOD use; however, they were afraid of being judged. Parents were also concerned that the PC provider might be judgmental. Feedback from the MI pilot indicated that teens were willing to talk about their AOD use and indicated readiness to change. Findings suggest that providing a brief MI in a PC setting is a viable approach for working with high-risk youth.</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>17306724</pmid><doi>10.1016/j.jsat.2006.07.009</doi><tpages>13</tpages><oa>free_for_read</oa></addata></record> |
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| identifier | ISSN: 0740-5472 |
| ispartof | Journal of substance abuse treatment, 2007-03, Vol.32 (2), p.153-165 |
| issn | 0740-5472 1873-6483 |
| language | eng |
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| source | MEDLINE; Sociological Abstracts; Applied Social Sciences Index & Abstracts (ASSIA); Access via ScienceDirect (Elsevier) |
| subjects | Addictive behaviors Adolescent Adolescents Adult and adolescent clinical studies Alcohol consumption Alcohol use Alcoholism - rehabilitation Biological and medical sciences Brief interventions California Confidentiality Desintoxication. Drug withdrawal Drug abuse Drug addiction Drug and alcohol use Drug use Early intervention Feedback, Psychological Female Health Services Accessibility Humans Intervention Interview, Psychological Male Medical sciences Miscellaneous Motivation Motivational intervention Patient Acceptance of Health Care - psychology Pilot Projects Primary care Primary Health Care Primary mental health care Psychiatry Psychology. Psychoanalysis. Psychiatry Psychopathology. Psychiatry Psychotherapy, Brief Public health. Hygiene Public health. Hygiene-occupational medicine Self Disclosure Substance Abuse Substance-Related Disorders - rehabilitation Teenagers Treatments Uncompensated Care |
| title | Project CHAT: A brief motivational substance abuse intervention for teens in primary care |
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