TY - JOUR
T1 - Risk reduction therapy for adolescents
T2 - Targeting substance use and HIV/STI-Risk behaviors
AU - McCart, Michael R.
AU - Sheidow, Ashli J.
AU - Letourneau, Elizabeth J.
N1 - Funding Information:
The work reported in this publication was supported by the National Institute on Drug Abuse of the National Institutes of Health under award number R01DA025880 . The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health.
PY - 2014/5
Y1 - 2014/5
N2 - This paper describes a family-based intervention for addressing both substance use and unprotected sexual behavior in adolescents presenting for outpatient substance use treatment. The intervention combines contingency management (CM) for adolescent substance use, which is a behavioral intervention modeled on the Community Reinforcement Approach, with a sexual risk reduction protocol that mirrors aspects of the CM model. As a family-based intervention, caregivers attend every session and actively collaborate with the therapist to address their youth's behavior problems. The treatment is criterion-based with treatment duration determined by the youth's achievement of reduced substance use and unprotected sexual behavior goals. A case study describes the implementation of this treatment with an adolescent presenting a history of polysubstance use and unprotected sexual intercourse. Following the adolescent and caregiver's participation in weekly sessions, the adolescent demonstrated improvements in substance use, unprotected sexual behavior, and other behavior problems. Clinical summary data from two outpatient clinics reveal similar positive outcomes for youth receiving the intervention. This paper illustrates the potential utility of an integrated treatment approach targeting substance use and unprotected sexual behavior in an adolescent population.
AB - This paper describes a family-based intervention for addressing both substance use and unprotected sexual behavior in adolescents presenting for outpatient substance use treatment. The intervention combines contingency management (CM) for adolescent substance use, which is a behavioral intervention modeled on the Community Reinforcement Approach, with a sexual risk reduction protocol that mirrors aspects of the CM model. As a family-based intervention, caregivers attend every session and actively collaborate with the therapist to address their youth's behavior problems. The treatment is criterion-based with treatment duration determined by the youth's achievement of reduced substance use and unprotected sexual behavior goals. A case study describes the implementation of this treatment with an adolescent presenting a history of polysubstance use and unprotected sexual intercourse. Following the adolescent and caregiver's participation in weekly sessions, the adolescent demonstrated improvements in substance use, unprotected sexual behavior, and other behavior problems. Clinical summary data from two outpatient clinics reveal similar positive outcomes for youth receiving the intervention. This paper illustrates the potential utility of an integrated treatment approach targeting substance use and unprotected sexual behavior in an adolescent population.
KW - Adolescents
KW - HIV/STI prevention
KW - HIV/STI risk behavior
KW - Substance use
UR - http://www.scopus.com/inward/record.url?scp=84898596981&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84898596981&partnerID=8YFLogxK
U2 - 10.1016/j.cbpra.2013.10.001
DO - 10.1016/j.cbpra.2013.10.001
M3 - Article
C2 - 25419101
AN - SCOPUS:84898596981
SN - 1077-7229
VL - 21
SP - 161
EP - 175
JO - Cognitive and Behavioral Practice
JF - Cognitive and Behavioral Practice
IS - 2
ER -