HIV Infections
Conditions
Keywords
substance abuse, HIV risk, Behavior and Mental Disorders, HIV Seronegativity
Brief summary
This project involves two studies focusing on the engagement and treatment of adolescents diagnosed with substance use disorders. Study 1 will evaluate a promising parent-based engagement intervention, Community Reinforcement Training, designed to facilitate the entry of resistant drug-abusing adolescents in treatment. The approach will be compared with an Engagement As Usual intervention condition. Study 2 involves a controlled clinical trial evaluating the efficacy of an HIV/AIDS prevention intervention embedded in family-based drug abuse treatment for reducing HIV/AIDS risk behaviors and substance use. Adolescents who are successfully engaged in treatment through Study 1 will be randomly assigned to receive either family therapy alone or family therapy with the integrated HIV/AIDS prevention intervention. Both studies are being conducted in Portland, Oregon.
Interventions
BEHAVIORALIBFT /HIV prevention
Integrated Behavioral and Family Therapy (IBGT) with HIV prevention.
BEHAVIORALIBFT
Integrated Behavioral and Family Therapy (IBFT).
Sponsors
National Institute on Drug Abuse (NIDA)
Oregon Research Institute
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
15 Years to 20 Years
Healthy volunteers
Yes
Inclusion criteria
* Parents have an adolescent in the ages of 15-20 years. * Have had contact with the adolescent on at least 40% of the past 90 days. * Have some knowledge or evidence that the adolescent would meet DSM-IV diagnostic criteria for a substance abuse disorder. * Adolescent has explicitly refused to attend any intake or therapy sessions. * All parents' efforts to enter adolescent into treatment have failed, despite therapist's assistance. * Residence in Portland vicinity. * Sufficient residential stability to permit probable contact at follow-up. (e.g. not homeless at time of intake)
Exclusion criteria
* Evidence of psychotic or organic state of sufficient severity to interfere with understanding of study instruments and procedures. * Adolescent has received residential drug treatment longer than a 2-week period in the past 90 days.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Changes in adolescent's substance use. | 12 months |
Secondary
| Measure | Time frame |
|---|---|
| Changes in HIV risk behaviors. | 12 months |
Countries
United States
Outcome results
None listed