Reliability and Validity of an Observational Measure of Client Decision-Making: The Client Language Assessment - Proximal/Distal (CLA-PD)

The Client Language Assessment – Proximal/Distal (CLA-PD) is a language rating system for measuring client decision-making in interventions that target a specified behavior change (e.g., alcohol or other drug use). In the CLA-PD, there are five dimensions of change language (Reason, Ability, Commitment, Taking Steps, Other) adapted from the client portion of the Motivational Interviewing Skill Code (MISC). For the CLA-PD, language codes are sub-divided to discriminate statements regarding the primary, or target behavior change (distal change) from the intermediate coping activities (proximal change) that are prescribed to facilitate that target behavior change.
Source: Journal of Substance Abuse Treatment - Category: Addiction Authors: Source Type: research

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Receipt of alcohol-related care for alcohol use is particularly low among those residing in the U.S.-Mexico border region. One reason for this disparity may be limited treatment accessibility, making it difficult for those who need it to access needed treatment. The current study assesses whether differences in treatment utilization are mediated by differences in treatment accessibility in cities within and outside of the border region.
Source: Journal of Substance Abuse Treatment - Category: Addiction Authors: Source Type: research
Authors: Tyler KA, Olson K, Ray CM Abstract We used short message service surveying (SMS) with 150 homeless youth to examine the time ordering of feeling depressed with drinking alcohol, using marijuana, and using substances with friends. Multilevel binary logistic regression results revealed that youth who were depressed earlier in the day were more likely to drink alcohol later that day. Among depressed youth, heterosexual youth were less likely to drink alcohol than lesbian, gay, and bisexual (LGB) youth. Depressed youth had increased odds of using marijuana by a factor of 1.6, while heterosexual youth, compared...
Source: Journal of Child and Adolescent Substance Abuse - Category: Addiction Tags: J Child Adolesc Subst Abuse Source Type: research
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Source: Journal of Ethnicity in Substance Abuse - Category: Addiction Authors: Source Type: research
Relatively little is known about the prognostic value of comorbid mental disorders in alcohol use disorder (AUD) treatment for older adults (OA).
Source: Journal of Substance Abuse Treatment - Category: Addiction Authors: Source Type: research
CONCLUSIONS: This study provides further knowledge about patients at risk for co-morbid substance abuse and poor treatment outcomes. Clinicians may consider targeting patients with schizophrenia and other psychoses, young males and those who are socially deprived in efforts to prevent emerging substance abuse and improve outcomes. PMID: 32945698 [PubMed - as supplied by publisher]
Source: Nordic Journal of Psychiatry - Category: Psychiatry Tags: Nord J Psychiatry Source Type: research
OBJECTIVES: (1) to learn to whom children disclose experiences of harm caused by their parents' or carers' substance abuse, (2) to show whether professionals enable children to disclose this harm, and (3) to highlight what kind of assistance they provide a...
Source: SafetyLit - Category: International Medicine & Public Health Tags: Age: Adolescents Source Type: news
The objective of this study was to estimate the prevalence of U.S. outpatient visits in which patients had a documented OUD or AUD and in what proportion of these visits the patient was receiving medication for OUD (MOUD) or AUD (MAUD), alone or in combination with behavioral therapy.
Source: Journal of Substance Abuse Treatment - Category: Addiction Authors: Source Type: research
The Substance Abuse and Mental Health Services Administration is seeking comments on an information collection regarding the National Survey on Drug Use and Health (NSDUH), which surveys people 12 and older about the use of alcohol, tobacco, and drugs. Updates relate to COVID-19 and telehealth utilization. Comments are due by November 17, 2020.
Source: Federal Register updates via the Rural Assistance Center - Category: Rural Health Source Type: news
Abstract Suicide is preventable. Nevertheless, each year 800,000 people die of suicide in the world. While there is evidence indicating that suicide rates de-crease during times of crises, they are expected to increase once the immediate crisis has passed. The COVID-19 pandemic affects risk and pro-tective factors for suicide at each level of the socio-ecological model. Economic downturn, augmented barriers to accessing health care, increased access to suicidal means, inappropriate media reporting at the societal level; deprioritization of mental health and preventive activities at the community level; interp...
Source: World Psychiatry - Category: Psychiatry Authors: Tags: World Psychiatry Source Type: research
CONCLUSIONS: These national data support the need for further efforts to increase screening rates and provide structured interventions to mitigate the consequences of substance abuse. IMPACT: These data provide the first national evidence of underutilization of drug and alcohol screening in pediatric and adolescent trauma patients, with substantial rates of positive screens among those tested.Cannabinoids were the most commonly detected substance, followed by alcohol and then opioids.These data should guide physicians' and policymakers' efforts to improve screening in this high-risk population, which will amplify the ...
Source: Pediatric Research - Category: Pediatrics Authors: Tags: Pediatr Res Source Type: research
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