The pupose of this study is to test the efficacy of individual MI and group CBT for reducing alcohol and marijuana-related harm as well as alcohol and maurjuana use in incarcerated youth.

Condition	Intervention	Phase
Alcohol Abuse Marijuana Abuse	Behavior: Behavior therapy	Phase II

Further study details as provided by Brown University:

Primary Outcomes: Timeline followback; Urine drug screen
Expected Total Enrollment:  200

This study will focus on treating substance abusing incarcerated teens using 2 individually administered motivational interviewing sessions followed by 10 group sessions of cognitive behavior therapy (CBT). Motivational Interviewing (MI)is conceptualized as preparation for group CBT. The control group receives individualized relaxation training (RT)followed by group treatment as usual(TU). In this propozed randomized trial a one way design (MI/CBT v. RT/TU) will be used to determine whether MI/CBT enhances group therapy participation and reduces substance use and related problems (e.g., crime, injuries) post discharge in substance involved juvenile delinquents. RT/TU is based on the 12 step model and includes psychoeducational components. Participants are followed during incarceration and for 6 months post incarceration. Primary outcome variables include alcohol and marijuana use, as well as related behaviors (illegal activity, sex or injuries while drunk or high). It is hypothesized that in comparison to teens in RT/TU youth receiving MI/CBT will participate more in therapy (accroding to teen, facility staff, and counselor ratings) and will show lower levels of substance use and related problems after discharge. Frequently substance abuse treatment is unavailable to youths in the juvenile justice system and when treatment is available it may be provided in group format using untested therapies. A motivation/skills based intervention (delivered in group format) may prove efficacious in enhancing motivation and in reducing substance abuse and related problems. This study extends previous research by rigorously evaluating group treatment for incarcerated teens. We will examine processes contributing to the efficacy of group MI/CBT and the influence of race and ethnicity on treatment effects. The development of effective interventions for substance using juvenile offenders has the potential to reduce substance abuse and crime in this population.

Ages Eligible for Study:  14 Years   -   19 Years,  Genders Eligible for Study:  Both

Accepts Healthy Volunteers

Criteria

Inclusion Criteria:

- In the year prior to incarceration used mj regularly (monthly) In the year prior to incarceration drank regularly (monthly) or binged (>=5 boys; >=4 girls).

Used mj or drank in 4 weeks prior to offense for which they were incarcerated Used mj or drank in 4 weeks before incarcerated 14-19 years of age 4-12 month sentence length

Exclusion Criteria:

-

Please refer to this study by ClinicalTrials.gov identifier  NCT00249028

Rhode Island
      Rhode Island Training School, Cranston,  Rhode Island,  02920,  United States

Study chairs or principal investigators

Lynda Stein, Ph.D.,  Principal Investigator,  Brown University   

Study ID Numbers:  DA18851
Last Updated:  December 8, 2005
Record first received:  November 4, 2005
ClinicalTrials.gov Identifier:  NCT00249028
Health Authority: United States: Institutional Review Board
ClinicalTrials.gov processed this record on 2006-01-10