None listed
Conditions
Brief summary
The trial is aimed at families where a young person aged 16-25 has mental health (depression / anxiety) and/or substance use problems. We intend to test the relative benefits for reducing parent and youth depressive symptoms, by comparing two psychological treatments. These include a family substance abuse education program (BEST), and a one-on-one youth intervention (SHADEY). A third group of families will receive both of these treatments, to determine if they are more effective when they are combined. We predict that all treatments will produce reductions in: (1) the youth self-reported rate of depressive and anxiety symptoms; (2) the level of youth substance use and risk of substance abuse; and (3) that the combined therapy will be more effective than either in isolation. We further predict (4) that the family program will result in greater reductions in parent and sibling mental health symptoms, and reduced youth substance use, than the one-on-one cognitive therapy (SHADEY), while (5) the SHADEY cognitive therapy will produce greater reductions in youth depressive symptoms.
Interventions
Behavioural Exchange Systems Training (BEST) Plus - Parents receive 16 hours of parent sessions in a group with other families. Siblings are invited to join the group for the final 4 sessions of BEST Plus. The BEST Plus program will run for 8 weeks in total. The program will be administered as 1 x 2hr session per week. The BEST Plus intervention will be administered by 2 clinical facilitators: either clinical masters students or clinical staff from youth services at JIGSAW or Drummond Street Rel
Behavioural Exchange Systems Training (BEST) Plus - Parents receive 16 hours of parent sessions in a group with other families. Siblings are invited to join the group for the final 4 sessions of BEST Plus. The BEST Plus program will run for 8 weeks in total. The program will be administered as 1 x 2hr session per week. The BEST Plus intervention will be administered by 2 clinical facilitators: either clinical masters students or clinical staff from youth services at JIGSAW or Drummond Street Relationships Center. All facilitators will receive specialist training and supervision in the BEST Plus model. Self Help for Alcohol/Other Drug Use and Depression for Young people (SHADEY)- The young person receives 10 individual sessions of a Cognitive Behavioural Therapy (CBT) based intervention. The program will run for a duration of 10 weeks. The SHADEY program will be administered in 1 x 90 minute sessions per week. The SHADEY program will be administered by trained clinical masters students or clinical staff from youth services at JIGSAW or Drummond Street Relationships Center. All SHADEY clinicians will receive specialist training and supervision in the SHADEY model. Combined SHADEY and BEST Plus- Following the BEST intervention for the family, the young person is invited to complete the SHADEY intervention. The total duration of the combined condition is 18 weeks. The parents receive 8 x 2hr, weekly sessions, and siblings are invited to join their parents for the final 4 x 2hr sessions. One week following the conclusion of the BEST Plus program the young person will be invited to complete 10 x 1.5hr weekly sessions. This order of administration cannot be reversed.
Sponsors
Associate Professor Andrew Lewis
Study design
Allocation
Randomised controlled trial
Intervention model
Parallel
Primary purpose
Treatment
Masking
Open (masking not used)
Eligibility
Sex/Gender
All
Age
12 Years to 25 Years
Healthy volunteers
No
Inclusion criteria
Using the Youth Self Report/Adult Self Report 1) a score in the clinical or subclinical range for Anxiety and/or Depression symptoms 2) a score in the clinical or subclinical range for Substance Misuse Have a parent or carer willing to enter the evaluation Parent/Carer and Youth must be able to speak and understand English (must not require an interpreter)
Exclusion criteria
Has an intellectual disability or autism Has parent/s who do not wish to participate Young person or parent has a severe mental illness requiring inpatient treatment There is insufficient address for follow-up or unwillingness to return for follow-up
Outcome results
None listed