Interventions for Alcohol and Drug Use Disorders in Young People: 10 Key Evidence-Based Approaches to Inform Service Delivery

AbstractPurpose of ReviewEffective treatment of alcohol and drug disorders in young people is critical to reducing substance-related harm; however, research examining treatment for young people often trails the adult literature. This review identifies 10 evidence-based treatment and service delivery principles that can be applied to treatment settings for young people.Recent FindingsScreening and brief intervention is effective across a range of settings. Incorporating peer networks in service delivery can improve treatment engagement and outcomes, and a harm reduction approach may be beneficial. Treatment outcomes are improved by family involvement, while motivational interviewing and cognitive behavioural therapies benefit older adolescents, and contingency management and pharmacotherapy can augment family or individual interventions. Addressing co-occurring mental health problems is essential. eHealth interventions hold promise as a means of complementing existing therapies.SummaryThere is now an established evidence base to inform treatment in young people, however, gaps in the literature remain. Ongoing challenges include integrating evidence into practice, and providing services that are both effective and welcoming to young people.
Source: Current Addiction Reports - Category: Addiction Source Type: research

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Newly updated evidence published in the Cochrane Library today compares Alcoholics Anonymous (AA) and clinically-related Twelve-Step Facilitation (TSF) programs with other treatments, such as cognitive behavioural therapy, to see if they help people who suffer from alcohol use disorders achieve sobriety or reduce the amount of alcohol that they consume.Alcohol use disorder (AUD) is a prevalent, world-wide problem, and in some countries it is accelerating. ‘Alcoholics Anonymous’ (or AA for short) has been a popular treatment for alcohol use disorder for decades, but much debate has persisted on whether AA &ndash...
Source: Cochrane News and Events - Category: Information Technology Authors: Source Type: news
Newly updated evidence published in the Cochrane Library today compares Alcoholics Anonymous (AA) and clinically-related Twelve-Step Facilitation (TSF) programs with other treatments, such as cognitive behavioural therapy, to see if they help people who suffer from alcohol use disorders achieve sobriety or reduce the amount of alcohol that they consume.Alcohol use disorder (AUD) is a prevalent, world-wide problem, and in some countries it is accelerating. ‘Alcoholics Anonymous’ (or AA for short) has been a popular treatment for alcohol use disorder for decades, but much debate has persisted on whether AA &ndash...
Source: Cochrane News and Events - Category: Information Technology Authors: Source Type: news
Conclusion: The DBT-ST was a feasible treatment for several addictive behaviors frequently reported by individuals with AUD. The improvements in emotion regulation and experiential avoidance were relevant therapeutic mechanisms involved in the treatment of these conditions. Future controlled trials and follow-up studies are recommended to support the efficacy of DBT-ST as a stand-alone intervention for the treatment of different classes of addictive behaviors. PMID: 31990583 [PubMed - as supplied by publisher]
Source: The American Journal of Drug and Alcohol Abuse - Category: Addiction Authors: Tags: Am J Drug Alcohol Abuse Source Type: research
You're reading Alcohol Use Disorder in Teenagers – Symptoms and Control, originally posted on Pick the Brain | Motivation and Self Improvement. If you're enjoying this, please visit our site for more inspirational articles. It’s the 21st century where smoking and drinking have become a symbol of social acceptance among a majority of teenagers. If you do not drink, then you are a dull person and no girl/boy would ever fall in love with you, boohoo. Snap out it. Look around you. Unlike popular opinion, alcohol consumption is not a necessity of society. Do I have your attention? Good. In this blog post, you and I ...
Source: PickTheBrain | Motivation and Self Improvement - Category: Consumer Health News Authors: Tags: health and fitness self improvement Source Type: blogs
Addiction is a chronic condition that leads to overdose and death. Addiction ruins lives, families and devastates communities. If you are suffering from addiction, it can be normal to ask yourself hard questions such as, “will I suffer from addiction forever? Is there a cure for addiction?” While there is no magic wand that can cure addiction, it is a treatable condition. When addiction is treated, people can go on to live normal, happy, healthy lives. While addiction may cause a lot of destruction and fractured relationships in its path, people can repair and move on from them as well. The Cure for Addiction:...
Source: Cliffside Malibu - Category: Addiction Authors: Tags: Addiction Addiction Recovery Complementary Therapies Comprehensive behavioral treatment Healthy Eating and Recovery Mental Health Sober Living and Aftercare Substance Abuse addicted to alcohol addiction help addiction recovery programs Source Type: blogs
In conclusion, treatment outcomes in different domains seem to be linked to the client’s motivation to attend treatment and the feeling of being coerced into therapy, regardless of mandate (2). It has been argued that there is, potentially, an element of coercion in every clinical encounter (80) and the perception of coercion has a variety of determinants, many of which are dependent on the quality of relationship with the service provider (45). Therefore, reducing feelings of coercion might improve treatment outcomes, prevent disengagement from services, and ameliorate therapeutic relationships (5). Facilitating the...
Source: Frontiers in Psychiatry - Category: Psychiatry Source Type: research
Conclusion It is clear that clinically, there is still much to be learnt about alexithymia and its relationship with a range of related phenomena. Firstly, is alexithymia a continuous and stable trait independent of psychological or somatic symptomology that is developed during childhood? Or is it instead a reactive state induced by trauma and distress at any age, which serves to defend against intense and upsetting emotions? This impacts on treatment options. For example, should we be focussing on early childhood interventions which target the child's emotional environment and parenting to encourage emotional exp...
Source: Frontiers in Psychiatry - Category: Psychiatry Source Type: research
CONCLUSION: Treatment of patients suffering from both bd and aud should always focus on both disorders, either simultaneously or separately. If this approach is successful it is vitally important that care is better organised and that there is cooperation between institutions involved in treating addiction disorders and departments that specialise in the care of bd. These improvements are likely to lead to further developments and to more research into new forms of integrated treatment. PMID: 29436699 [PubMed - in process]
Source: Tijdschrift voor Psychiatrie - Category: Psychiatry Authors: Tags: Tijdschr Psychiatr Source Type: research
This study aimed to assess AOE change following completion of CBT for AUD and its association with drinking behaviour. METHOD: One-hundred and seventy-five patients who completed a 12-week CBT program for AUD were administered the Drinking Expectancy Questionnaire (DEQ) at pre-treatment assessment and upon completion of treatment. Abstinence was achieved by 108 (61.7%) of completing patients. For patients who lapsed, the mean proportion of abstinent days was 93%. RESULTS: DEQ scales assessing expectations of positive alcohol effects on tension reduction, assertiveness, and cognitive enhancement were significantly...
Source: Addictive Behaviors - Category: Addiction Authors: Tags: Addict Behav Source Type: research
Obsessive Compulsive Disorder (OCD) is the fourth most common psychiatric disorder, after phobias, addiction to alcohol and drugs, and depressive disorders, with prevalence between 1.2 to 2.4% (Karno M et al., 1988; Robins et al., 1985; Ruscio et al., 2010). Recommended first-line treatment is based on cognitive behavioural therapy (CBT) combined with antidepressant treatments (primarily Serotonin Reuptake Inhibitors SRI antidepressants). However, 40 to 60% of OCD patients exhibit drug resistance, leaving them with a major handicap in everyday life (Jaafari et al., 2011).
Source: Psychiatry Research: Neuroimaging - Category: Psychiatry Authors: Source Type: research
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