READY or Not: Findings From a School-Based MI Intervention for Adolescent Substance Use

2016 ◽  
Vol 71 ◽  
pp. 23-29 ◽  
Author(s):  
David G. Stewart ◽  
Erin C. Siebert ◽  
Virginia K. Arlt ◽  
Claudine Moise-Campbell ◽  
Elizabeth Lehinger
Keyword(s):  
Substance Use ◽  
Adolescent Substance Use ◽  
Adolescent Substance ◽  
School Based

scholarly journals 3191 Adolescent Substance Use: School and Community Perspectives on School-Based Interventions

2019 ◽  
Vol 3 (s1) ◽  
pp. 82-83
Author(s):  
Sycarah Fisher
Keyword(s):  
Mental Health ◽  
Substance Use ◽  
School Counselors ◽  
School Psychologists ◽  
Early Identification ◽  
Health Personnel ◽  
Adolescent Substance Use ◽  
Adolescent Substance ◽  
School Based ◽  
School And Community

OBJECTIVES/SPECIFIC AIMS: Fifty percent of adolescents have tried an illicit drug and 70% have tried alcohol by the end of high school. Further, despite 7-9% of youth 12-17 meeting criteria for a substance use disorder only 1 in 10 actually receive it. Screening, Brief Intervention, and Referral to Treatment (SBIRT) is an evidence based process that facilitates early identification and treatment for adults and adolescents in community (primary care) facilities. Despite the documented effectiveness of SBIRT, no research has examined the implementation of SBIRT in school settings by school-based mental health personnel. The purpose of the present study was to identify facilitators and barriers to SBIRT implementation by school-based personnel in secondary schools. METHODS/STUDY POPULATION: Participants included 30 school and community service providers including: teachers, school counselors, school psychologists, school administrators (principals and central office staff), city council members, school board members, community mental health services providers as well as state level individuals from the department of Adolescent Substance Use and the Office of Drug Control Policy. Interview guides were developed using the Consolidated Framework for Implementation Research (CFIR) to identify facilitators and barriers regarding the following: inner setting, outer setting, individuals involved, and intervention (SBIRT). The six-phase framework of Thematic Analysis (TA) was employed to analyze the data. We specifically used the deductive method to analyze the data with a pre-determined theory in mind (CFIR) to move to hypothesis building, and coding the data. RESULTS/ANTICIPATED RESULTS: Contrary to research conducted outside of the schools under the auspices that schools do not have the time or interest in providing school-based substance use interventions, several themes emerged identifying a receptivity, willingness, and eagerness to provide these services. Specifically, school-based mental health professionals (i.e., school counselors, school psychologists) being aware of adolescent substance use in their schools, but not knowing how to appropriately handle such disclosures. Further, school-based mental health personnel indicated that they would want additional training on how to identify and provide services to adolescents with substance use needs. School-based administrators also indicated a receptivity to addressing substance use with an acknowledgement that schools would need to move from a punitive model for substance use infractions to a treatment model. Some identified barriers to implementation included lack of awareness of community treatment settings for referrals and anonymity or lack thereof of substance use screening. DISCUSSION/SIGNIFICANCE OF IMPACT: While the data analyzed come from a limited sample in one school district, the present study found that schools could be potential settings for the early identification and intervention of adolescent substance use. Findings from this study contribute to our understanding of school and community receptivity to school-based interventions. Future research should identify training needs of school-based mental health personnel to assist in the early identification and prevention of substance use disorders.

scholarly journals “Unplugged”: A school-based randomized control trial to prevent and reduce adolescent substance use in the Czech Republic

2012 ◽  
Vol 124 (1-2) ◽  
pp. 79-87 ◽  
Author(s):  
Roman Gabrhelik ◽  
Alexandra Duncan ◽  
Michal Miovsky ◽  
C. Debra M. Furr-Holden ◽  
Lenka Stastna ◽  
...  
Keyword(s):  
Substance Use ◽  
Czech Republic ◽  
Randomized Control Trial ◽  
Adolescent Substance Use ◽  
The Czech Republic ◽  
Adolescent Substance ◽  
School Based ◽  
Randomized Control

scholarly journals Early Adolescent Substance Use and Mental Health Problems and Service Utilisation in a School-based Sample

2018 ◽  
Vol 64 (2) ◽  
pp. 116-125 ◽  
Author(s):  
Elizabeth Brownlie ◽  
Joseph H. Beitchman ◽  
Gloria Chaim ◽  
David A. Wolfe ◽  
Brian Rush ◽  
...  
Keyword(s):  
Mental Health ◽  
Substance Use ◽  
Mental Health Problems ◽  
Health Problems ◽  
Adolescent Substance Use ◽  
Early Adolescent ◽  
Service Utilisation ◽  
Adolescent Substance ◽  
School Based ◽  
Externalising Problems

Objective: This paper reports on substance use, mental health problems, and mental health service utilisation in an early adolescent school-based sample. Method: Participants were 1,360 grade 7 and 8 students from 4 regions of Ontario, Canada. Students completed an in-class survey on mental health and substance use. The sampling strategy and survey items on demographics, substance use, service utilisation, and distress were adapted from the Ontario Student Drug Use and Health Survey. Internalising and externalising mental health problems were assessed using the Global Assessment of Individual Needs – Short Screener. Distress was defined as fair or poor self-rated mental health. Results: Rates of internalising and/or externalising problems above the threshold exceeded 30%; yet, fewer than half had received mental health services in the past 12 mo. Substance use was associated with increased odds of internalising and externalising problems above the threshold and distress. Youth using cannabis had 10-times the odds of exceeding the threshold for internalising or externalising problems. The use of substances other than alcohol or cannabis was associated with increased odds of fair or poor self-rated mental health among grade 8 students. Of the youth who confirmed at least a substance use problem, most also reported mental health problems; this association was stronger among girls than boys. Conclusions: Early adolescent substance use was associated with concurrent self-reported mental health problems in a non-clinical sample. The low levels of service utilisation reported highlight the need for improved access to early identification and intervention to prevent the development of concurrent disorders.

Adolescent substance use: Assessing the knowledge, attitudes, and practices of a school-based health center workforce

2017 ◽  
Vol 38 (2) ◽  
pp. 230-236 ◽  
Author(s):  
Mary M. Ramos ◽  
Rachel A. Sebastian ◽  
Mary Murphy ◽  
Kristin Oreskovich ◽  
Timothy P. Condon
Keyword(s):  
Substance Use ◽  
Health Center ◽  
Adolescent Substance Use ◽  
Adolescent Substance ◽  
Attitudes And Practices ◽  
School Based ◽  
Knowledge Attitudes And Practices

scholarly journals Differential intervention effectiveness of a universal school-based resilience intervention in reducing adolescent substance use within student subgroups: exploratory assessment within a cluster-randomised controlled trial

BMJ Open ◽  
2018 ◽  
Vol 8 (8) ◽  
pp. e021047
Author(s):  
Rebecca Kate Hodder ◽  
Megan Freund ◽  
Jenny Bowman ◽  
Luke Wolfenden ◽  
Elizabeth Campbell ◽  
...  
Keyword(s):  
Substance Use ◽  
Protective Factors ◽  
Protective Factor ◽  
Controlled Trial ◽  
Cluster Randomised Controlled Trial ◽  
Adolescent Substance Use ◽  
Intervention Effect ◽  
Adolescent Substance ◽  
School Based ◽  
Randomised Controlled

ObjectivesInterventions addressing the individual and environmental protective factors of adolescents are suggested to have potential for reducing adolescent substance use. While universally delivered school-based substance use prevention interventions are common, previous studies have suggested variable effectiveness by subgroups of students. An exploratory study was undertaken to examine the differential effectiveness of a universal school-based resilience intervention on adolescent substance use and protective factors according to their sociodemographic and previous substance use.DesignSecondary analysis of data from a cluster-randomised controlled trial.Setting32 Australian secondary schools.ParticipantsCohort of grade 7 students (n=3155) followed up in grade 10 (aged 15–16 years; 2014; n=2105).InterventionThree-year universal school-based intervention implemented by school staff that targeted a range of student resilience protective factors (2012–2014).MeasurementsPrimary outcomes included: tobacco (recent, number of cigarettes) and alcohol (recent, ‘risk’ and number of drinks) use, and secondary outcomes included: marijuana (recent) and other illicit substance (recent) use, and aggregate individual and environmental protective factor scores. Generalised and linear mixed models examined interactions between treatment and student subgroups (gender; socioeconomic disadvantage (low/high); geographic location (major city/inner regional/outer regional-remote); and previous substance use (non-user/user)) at follow-up (36 models).ResultsAnalysis of student follow-up data showed no differential intervention effect for any substance use or protective factor outcome for any subgroup, with the exception of one differential effect found by socioeconomic status for the outcome of mean number of cigarettes smoked by recent smokers (p=0.003). There was no evidence of an intervention effect within the low (mean difference (MD) −12.89, 95% CI −26.00 to 0.23) or high (MD 16.36, 95% CI −1.03 to 33.76) socioeconomic subgroups.ConclusionsNo evidence of an intervention effect on substance use and protective factors was found according to student subgroups defined by sociodemographic characteristics or previous substance use.Trial registration numberACTRN12611000606987.

Prevention Is Possible: A Brief History of the Origin and Dissemination of the Icelandic Prevention Model

2019 ◽  
Vol 21 (1) ◽  
pp. 58-61 ◽  
Author(s):  
Inga Dora Sigfusdottir ◽  
Humberto E. Soriano ◽  
Michael J. Mann ◽  
Alfgeir L. Kristjansson
Keyword(s):  
Substance Use ◽  
Adolescent Substance Use ◽  
Policy Makers ◽  
Adolescent Substance ◽  
Fully Integrated ◽  
School Based ◽  
Administrative Leaders ◽  
Prevention Model ◽  
History Of ◽  
Guiding Principles

In two decades, the Icelandic prevention model (IPM) has been employed to dramatically reduce rates of adolescent substance use in Iceland. Briefly, the IPM is a multisectoral, community-based, collaborative system where researchers, policy makers, administrative leaders, and practitioners join forces to reduce the odds of adolescent substance use over time. Comparatively, Iceland now ranks among the lowest in adolescent substance use in all of Europe. Since 2005, the IPM has garnered considerable international attention, and several countries or municipalities within them have adapted, or are presently adapting, the model to their needs. In this commentary, we first briefly review the history and formation of the IPM in Iceland from a school-based survey to a fully integrated prevention system. In the second part, we present a short overview of the national consensus building and institutional collaboration that led to the implementation of the model in Chile in Latin America, as a demonstrative example. In this volume of Health Promotion Practice, we also present a series of two practice-based articles that introduce the IPM. The first article, titled “Development and Guiding Principles of the Icelandic Model for Preventing Adolescent Substance Use,” introduces the theoretical origins of the model, five guiding principles, and evidence of effectiveness to date. In the second article, titled “Implementing the Icelandic Model for Preventing Adolescent Substance Use,” we outline 10 practice-based steps to guide model implementation in other countries. Both articles are available via open access, and both are also available online in Spanish.

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