Adolescent substance use Mental and Behavioural Disorders Adolescent substance use
Conditions
Interventions
Participants are randomised to one of two groups using a secure independent randomization service and occurs after completion of the baseline battery. Randomisation employs blocks of unequal size stra
to discuss substance use and risk taking behavior, to support behavior change and enhance motivation to change. Session 2 is a group intervention over a 4-hour period involving both psycho-education a
understanding substance use and harms, triggers associated with substance use, minimizing risk, risk diversion and distraction, sexual health. Session 3 is a group intervention over 4 hours and involv
communication strategies, assertiveness training, anger management, mindfulness, future planning strategies. Session 4 is an individual face to face session addressing barriers to change, managing exp
Sponsors
University of Kent
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1. Aged between 13 and 17 years inclusive 2. Involved with Youth Offending Team on a community order 3. Score of 2 or more on the substance use domain of the ASSET risk profile 4. Willing and able to provide informed consent
Exclusion criteria
Exclusion criteria: 1. Severity of substance use requiring immediate referral for clinical intervention for detoxification. 2. Criminal justice involvement that is likely to lead to incarceration within the follow-up period. 3. Currently on an order that requires substance use abstinence.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Percent days abstinent from substance use in the 28-days prior to the 12-month follow-up is measured using the Time-Line Follow Back 28 (TLFB28) method 12 months after randomization. | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Quantity and type of substances consumed, sexual activity (planned, unplanned and regretted) and incidences of self-harming behaviour in the 28 days prior to the 6 and 12-month follow-up derived from the Time Line Follow-up (TLFB28) method at baseline, 6 and 12 months 2. Mental health and wellbeing assessed using the Warwick-Edinburgh Mental Well-being scale (WEMWBS) at baseline, 6 and 12 months 3. Health, social care, criminal justice, education and employment related units of service utilisation over the 12-month trial period, assessed using a trial specific Client Receipt Service Inventory (CRSI) at baseline, 6 and 12 months 4. Health Utility assessed using the EQ5D-5L at baseline, 6 and 12 months 5. Process evaluation of the intervention will be assessed using the Therapeutic Alliance Scale for Children (TASC-r) measured after each intervention session and ratings of fidelity of motivational interviews assessed using the Behavioural Change Counselling Index (BECCI) 6. Prognostic analysis will include Demographics, Readiness to change using the RCQ-TV, Self-Efficacy using the Situational Confidence Scale (SCQ) measured at baseline only 7. Qualitative outcomes will involve group and individual interviews with participants, individual interviews with interventionists, criminal justice staff involved in the study and commissioners | — |
Countries
England, United Kingdom
Outcome results
None listed