Substance Abuse, Traumatic Stress
Conditions
Keywords
Substance Abuse, Traumatic Stress
Brief summary
This study plans to develop an integrated treatment for comorbid post-traumatic stress disorder (PTSD) and substance abuse (SA) in adolescents. The investigators aim to develop a treatment approach that is community-friendly, well-tolerated, and deliverable by substance abuse counselors (SAC) in outpatient settings. The proposed Trauma-Focused Substance Abuse Treatment (TFSAT) aims to reduce PTSD symptoms and substance use and build coping skills. The investigators propose to adapt an evidence-based trauma program, Cognitive-Behavioral Intervention for Trauma in Schools (CBITS), for adolescent substance abusers (ASAbusers); to assess the acceptability and feasibility of the integrated approach; and to pilot test the new program against standard care. The investigators hypothesize that the intervention group, compared to the control group, will reduce substance use and symptoms for traumatic stress.
Interventions
BEHAVIORALTrauma-focused Substance Abuse Intervention
An integrated treatment approach to reduce substance use and PTSD symptoms. The intervention program includes: 1) 1-2 individual sessions during which youth talk about the trauma, during the course of the intervention program; 2) 16 group sessions for youth; 3) 2 conjoint sessions with parents to improve communication and problem-solving skills; and 4) 2 parent-education group sessions.
Sponsors
University of California, Los Angeles
Study design
Allocation
NON_RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
13 Years to 19 Years
Healthy volunteers
No
Inclusion criteria
Youth * Between ages of 13 & 19; * meeting DSM IV criteria for substance abuse/dependence and PTSD; * previously enrolled at recruitment site for at least 2 weeks; * parent/guardian provides permission for minors to participate.
Exclusion criteria
Youth * Not within the specified age range; * presence of organic brain damage; * inability to understand enrollment forms (e.g. Informed Assent/Consent Form) Inclusion Criteria: Parents/Guardians * Age 18 or above; * parents/guardians of youth who meets inclusion criteria.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Timeline Follow-back (TFLB) Assessment of Substance Use | Participants will be followed for an expected average of 12 weeks. | The TLFB uses a blank calendar form and a series of questions to cue recall of alcohol and drug (AOD) use. The investigators will use the TLFB interview technique to assess AOD use weekly. |
| Urine Toxicology Screen (UTS) | Participants will be followed for an expected average of 12 weeks. | Urine samples will be collected twice per week at the treatment site to ensure validity of self-reports. |
| Child PTSD Symptom Scale (CPSS) | Change from Baseline in Child PTSD Symptom Scale at 8 weeks and change from Baseline in Child PTSD Symptom Scale at 12 weeks. | The CPSS will assess for severity of traumatic stress symptoms. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Child Post-Trauma Attitudes Scale (C-PTAS) | Baseline & 8 weeks & 3 months | The C-PTAS will be used to assess trauma-related attitudes and beliefs. |
| Strengths & Difficulties Questionnaire (SDQ) | Baseline & 8 weeks & 3 months | The SDQ will be used to assess parent-report of behavioral problems. |
Countries
United States
Outcome results
None listed