Youth And Substance Use

This volume reviews a range of empirically supported approaches to prevention and treatment of adolescent substance use problems. The focus is on motivationally based brief interventions that can be delivered in a variety of contexts, that address key developmental considerations, and that draw on cutting-edge knowledge on addictive behavior change. From expert contributors, coverage encompasses alcohol skills training; integrative behavioral and family therapy; motivational interviewing; interventions for dually diagnosed youth; Internet-based education, prevention, and treatment; and applications to HIV prevention. The volume is extensively referenced and includes numerous clinical illustrations and vignettes.

Estimates indicate that as many as 1 in 4 Americans will experience a mental health problem or will misuse alcohol or drugs in their lifetimes. These disorders are among the most highly stigmatized health conditions in the United States, and they remain barriers to full participation in society in areas as basic as education, housing, and employment. Improving the lives of people with mental health and substance abuse disorders has been a priority in the United States for more than 50 years. The Community Mental Health Act of 1963 is considered a major turning point in America's efforts to improve behavioral healthcare. It ushered in an era of optimism and hope and laid the groundwork for the consumer movement and new models of recovery. The consumer movement gave voice to people with mental and substance use disorders and brought their perspectives and experience into national discussions about mental health. However over the same 50-year period, positive change in American public attitudes and beliefs about mental and substance use disorders has lagged behind these advances. Stigma is a complex social phenomenon based on a relationship between an attribute and a stereotype that assigns undesirable labels, qualities, and behaviors to a person with that attribute. Labeled individuals are then socially devalued, which leads to inequality and discrimination. This report contributes to national efforts to understand and change attitudes, beliefs and behaviors that can lead to stigma and discrimination. Changing stigma in a lasting way will require coordinated efforts, which are based on the best possible evidence, supported at the national level with multiyear funding, and planned and implemented by an effective coalition of representative stakeholders. Ending Discrimination Against People with Mental and Substance Use Disorders: The Evidence for Stigma Change explores stigma and discrimination faced by individuals with mental or substance use disorders and recommends effective strategies for reducing stigma and encouraging people to seek treatment and other supportive services. It offers a set of conclusions and recommendations about successful stigma change strategies and the research needed to inform and evaluate these efforts in the United States.

Multiple Problem Youth addresses the complex connections among drug abuse, delinquency, and mental health problems as they apply to adolescents and young adults. Interrelationships in this area exist in a vast variety of ways, further complicated by extraneous factors such as demographics, sex, and time. The authors incorporate these factors and analyze the correlations among substance use, delinquency, and mental health problems, as well as discussing developmental patterns and reviewing theories of deviant behavior.

All across the United States, individuals, families, communities, and health care systems are struggling to cope with substance use, misuse, and substance use disorders. Substance misuse and substance use disorders have devastating effects, disrupt the future plans of too many young people, and all too often, end lives prematurely and tragically. Substance misuse is a major public health challenge and a priority for our nation to address. The effects of substance use are cumulative and costly for our society, placing burdens on workplaces, the health care system, families, states, and communities. The Report discusses opportunities to bring substance use disorder treatment and mainstream health care systems into alignment so that they can address a person's overall health, rather than a substance misuse or a physical health condition alone or in isolation. It also provides suggestions and recommendations for action that everyone-individuals, families, community leaders, law enforcement, health care professionals, policymakers, and researchers-can take to prevent substance misuse and reduce its consequences.

Presents information on identifying, screening, and assessing adolescents who use substances. This report focuses on the most current procedures and instruments for detecting substance abuse among adolescents, conducting comprehensive assessments, and beginning treatment planning. Presents appropriate strategies and guidelines for screening and assessment. Explains legal issues concerning Federal and State confidentiality laws. Provides guidance for screening and assessing adolescents in juvenile justice settings. Summarizes instruments to screen and assess adolescents for substance and general functioning domains.

The second edition of this book incorporates the latest theory, research, and best practices for understanding, treating, and preventing substance abuse among adolescents. It updates the progress made in treatments for and prevention of the misuse of substances and adds new specific chapters on prescriptions, opiates, and methamphetamine abuse. The book discusses the effects of commonly abused substances, from tobacco and alcohol to stimulants and opioids, on the human brain and the various psychosocial routes to their misuse by adolescents. Chapters provide evidence-based guidelines for assessing adolescent treatment needs and review psychological, pharmacological, family, and self-help interventions. The book offers new paths in diverse directions, analyzes the core components of substance use prevention, critiques emerging school-based interventions, and introduces a nuanced reconceptualization of recovery. Topics featured in the book include: The effect of family and caregiver situations on adolescent substance abuse. A biological/genetic perspective on adolescent substance abuse. School-based preventions and the evolution of evidence-based strategies. The role of adolescent self-help in substance abuse interventions. Community-based interventions to reduce alcohol use and misuse. Adolescent Substance Abuse, Second Edition, is a must-have reference for researchers, clinicians/practitioners, and graduate students in the fields of child and school psychology, social work, public health, developmental psychology, child and adolescent psychiatry, and various interrelated mental health and social policy arenas.

CSAP identified four critical predictors from childhood for substance use that could be valuable targets for prevention of adolescent substance use management of and involvement with the child, and the child's social competence, and school achievement. This book shows how seven selected prevention programs address these.