Blog: Evidence-Based Practices

TRI Unveils Research Center for Parents of Teens with Substance Abuse Issues

adolescent-substance-abuse-treatment_TRI-logoThe Treatment Research Institute has just unveiled its Parents’ Translational Research Center, funded by the National Institute on Drug Abuse (NIDA). This first-of-its-kind Center represents a significant investment by NIDA in translational research directed toward parents and other caregivers contending with the spectrum of drug and alcohol issues of children they’re raising.
The unique new Center will fund original research, with the ultimate goal being that the findings can be translated and disseminated in the form of tools that help adults navigate the substance use and abuse that all too often present during the adolescent years -- sometimes with serious consequences. The Center’s projects may also impact parents who have adolescents involved with the juvenile justice system.  
The Center’s three research projects focus on different “need states” of parents:

19 Adolescent Substance Abuse Treatment Manuals for Download

adolescent-substance-abuse-treatment_stack-of-booksI just got back from the 2010 Joint Meeting on Adolescent Treatment Effectiveness (JMATE) in Baltimore. I, along with other guest bloggers, will be passing on what was shared in the coming weeks. To start off, here's something Dr. Michael Dennis reminded me of while I was at the conference: Chestnut Health Systems has posted a ton of evidence-based, tested clinical protocols for treating adolescent substance abuse, all available for free download. 
Most treatment providers are aware of the Cannabis Youth Treatment (CYT) manuals:

  • MET/CBT-5
  • MET/CBT-7
  • Family Support Network (FSN)
  • Adolescent Community Reinforcement Approach (ACRA)
  • Multi-Dimensional Family Therapy (MDFT) for Cannabis Users

>>Download them here.
Fewer are aware of the "Adolescent Treatment Models" research funded by the Substance Abuse and Mental Health Services Administration (SAMHSA) that followed on the heels of the CYT research. The basic idea was to see whether home-grown programs (vs. models created external to a specific agency) were more effective than "treatment as usual."

Center for Juvenile Justice Reform: Improving the Effectiveness of Juvenile Justice Programs

juvenile-justice-reform_improving-effectiveness-report-coverAnyone who wants to see fewer youth return to the juvenile justice system wants to provide them with effective services. There's plenty of evidence about what works, but the problem has been implementing proven programs at scale. 
So a new publication from the Center for Juvenile Justice Reform (CJJR) at Georgetown University couldn't come at a better time. Titled, "Improving the Effectiveness of Juvenile Justice Programs: A New Perspective on Evidence-Based Practice," it was authored by Mark W. Lipsey, James C. Howell, Marion R. Kelly, Gabrielle Chapman, and Darin Carver. 
It includes a quick overview of the evidence base on what works in juvenile justice, and a review of Mark Lipsey's gigantic meta-analysis of 548 evaluation studies (1958 - 2002) from which are drawn general guidelines on effective practice

Roundup: Systems of Care in the Juvenile Justice System

  • juvenile-justice-system_old-TV-newsHelping Teens in Recovery Starts with a Simple Phone Call. The Science and Management of Addictions (SAMA) Foundation in Seattle is piloting a mentor-by-phone program that now supports 50 teens in recovery after completing substance abuse treatment. The pilot program, "The Recover2gether Project," offers weekly phone calls to teens and two other services. It's funded by the Substance Abuse and Mental Health Services Administration (SAMHSA). 
  • Also For Teens in Recovery: "Laughter Yoga." The idea is that laughter -- even fake laughter -- changes your breathing and mood in positive ways. Follow the link to watch teens in a sober high school in Oklahoma trying it out on video.   (Hat tip to the Association of Recovery Schools.)

Bringing Evidence to Practice in Juvenile Justice: Mark Lipsey

Do you have to have a brand-name evidence-based program like FFT or MST to effectively reduce recidivism in your juvenile justice system? Or can a home-grown version be just as effective, if it's based on general principles about what works? 
Researcher Mark Lipsey, of Vanderbilt University, tackled those questions as part of a recent congressional briefing hosted by The Center for Evidence-Based Crime Policy at George Mason University. You can see parts 1 and 2 of his presentation here:

Juvenile Justice System: How Much are Evidence-Based Practices Worth?

juvenile-justice-system_piggy-bankUsing evidence-based practices in the juvenile justice system reduces delinquency and avoids costs. Those of us in the field hear this regularly – but it can be hard to see their impact on a day-to-day basis. 
How do we know they work? Let's start at the beginning. What we commonly refer to as "evidence-based practices" in the juvenile justice field are based on over 40 years of research regarding what works to reduce juvenile crime. Unlike studies that look at single programs, this research looked at over a hundred studies and found what consistently worked to reduce crime versus what consistently made crime worse. [1]

Implementing Evidence-Based Treatment - a Webinar from the ATTC Network

adolescent-substance-abuse-treatment_change-book-coveradolescent-substance-abuse-treatment_laurie-kromResearchers have learned a great deal about what works in addiction treatment in the last ten years. But many organizations still have trouble translating research into practice -- so-called "technology transfer." 
So there couldn't be a better time for a webinar about the Addiction Technology Transfer Center (ATTC) Network's Technology Transfer Model, laid out in its Change Book.
Hosted by the ATTC Network's Director, Laurie Krom, M.S. (shown here), it'll be held October 21, 2010, 2pm - 3:30 pm EST. >>Register here.

Effective Practice in Juvenile Justice - and More: Roundup

Teens in Lockup - a Documentary and a Photo Project about Juveniles in the Justice System

  • juvenile-justice-reform_screenshot-from-JuviesClick on the screen shot at right to check out four short clips from "Juvies," an award-winning documentary from 2004 focusing on youth in California's juvenile justice system who were tried as adults and received extremely harsh sentences (photo at right is of "Sandra). You might also be interested in the "syllabus" assembled by the filmmakers in response to frequent requests for additional classroom resources to supplement the film. 


How to Get Teens to Engage in Treatment, and More: Bonus Roundup

Last week, I received too many links and resources to put in last week's roundup of links related to the juvenile justice system and adolescent substance abuse treatment.
So here's a bonus roundup - there's something here for everyone!
Mentoring At-Risk Teens

A National Juvenile Justice Evaluation Center? OJJDP Funds Available for Data and Evaluation Projects

juvenile-justice-system_Smarties-with-money-logoThe Office of Juvenile Justice and Delinquency Prevention (OJJDP) has released additional funding opportunities for 2010 -- this time, focused on different aspects of data and evaluation.  
You can apply to: 

  • Evaluate what works in addressing girls' delinquency. (There's a dearth of evidence now, so you have a chance to be a pioneer.) Amount: $200,000 to $400,000 for a project period of up to three years. Deadline: July 8, 2010. 
  • Propose a research project to evaluate what works in responding to juvenile delinquency. Amount: $200,000 to $500,000 for project period of up to three years. Deadline: June 29, 2010. 
  • Help OJJDP compile and disseminate statistics relevant to the juvenile justice field. Amount: up to $2.4 million, total, for three years. Deadline: July 6, 2010. 
  • Establish a National Juvenile Justice Evaluation Center to assist OJJDP grantees (and communities in general) in building local capacity to effectively design and implement evaluations of juvenile justice interventions. Amount: up to $1.5 million for three years. Deadline: July 9, 2010. 

Implementing an Evidence-Based Practice? Here's What Works

adolescent-substance-abuse-treatment_implementation-research-report-coverFor those of you in the adolescent substance abuse treatment field or the juvenile justice system who are trying to implement an evidence-based practice (EBP), here's a synthesis of EBP implementation research from the National Implementation Research Network (NIRN). It covers stages of implementation, research on core implementation components ... and more.
What's more, NIRN has also posted presentations on implementation research and online guides to different aspects of what works in implementing innovative evidence-based programming.
And be sure to check out these related posts:

(Hat tip to Paul Savery, Adolescent Substance Abuse Treatment Co-ordinator at the North Carolina Division of Mental Health, Developmental Disabilities and Substance Abuse Services.)

NIATx Adolescent Treatment Pilot Project in Wisconsin

adolescent-substance-abuse-treatment-Teen-Intervene-publicationNIATx is working with selected adolescent treatment providers in Wisconsin to identify and remove barriers to the implementation of Teen Intervene. This evidence-based practice has not yet been used in Wisconsin. It is designed for use with teens that are experimenting with drugs and/or alcohol, but who are not “dependent”—a population that generally receives no services. 

Juvenile Drug Courts: Evidence-Based Practices

Got a juvenile drug court? Considering starting one?
The MacArthur Foundation's juvenile justice reform initiative, Models for Change, recently released a set of evidence-based practice recommendations for juvenile drug courts.
Developed in a statewide project in Louisiana, the recommendations focus on

  1. screening and assessment;
  2. improving alcohol and drug treatment (along with treatment for co-occurring disorders); and
  3. outcome monitoring.

(Hat tip to Christa Myers of the  Reclaiming Futures initiative in Hocking County, Ohio.)
Related Post:

Introducing an Evidence-Based, Time- and Cost-Efficient Assessment for Adolescents: CHAT

To help organizations seeking a time- and cost-efficient assessment for adolescents, Inflexxion developed the Comprehensive Health Assessment for Teens, or CHAT, which has been found to be both valid and reliable in research funded by the National Institute on Drug Abuse (NIDA).
The CHAT format is based on the ASI-MV Connect, a self-administered, multimedia version of the Addiction Severity Index (ASI) developed by Dr. A. Thomas McLellan. A number of treatment centers, such as the Center for Drug-Free Living in Orlando, Florida, are using the ASI-MV Connect as part of the NIATx campaign to streamline their assessment procedures [PDF].

8 Great Resources for Improving Adolescent Substance Abuse Treatment

adolescent-substance-abuse-8-resources-top-of-the-pops-album-coverWant help improving adolescent substance abuse treatment in your community? We've published a lot of excellent resources since we launched this blog a year ago. 
(Yes, we're still celebrating this blog's birthday. Missed our earlier celebration? Check out the list of our top 10 most popular stories on juvenile justice and adolescent substance abuse.)
Here's eight more great posts from our archives, aimed at helping you with teen treatment:

Roundup: Reclaiming Futures in Action; California Mulls Legalizing (and Taxing) Marijuana; and More

juvenile-justice-reform-adolescent-substance-abuse-treatment-news-TVJuvenile Justice Reform Stories

Roundup: Half of all U.S. Kids are Assaulted Each Year; Pitting Pre-Schoolers Against Teens in Budget Fights Is Bad Policy; and More

Adolescent Substance Abuse Treatment - Implementing EBPs

adolescent-substance-abuse-treatment-TAP31-coverWant help implementing evidence-based practices in your adolescent substance abuse treatment system?
1.  Check out The Change Book (available free from the ATTC); and
2.  Get a copy of Implementing Change in Substance Abuse Treatment Programs, a new free publication from the Substance Abuse and Mental Health Services Administration (SAMHSA).

Can Puppets Keep Kids Out of the Juvenile Justice System?

keep-kids-out-of-the-juvenile-justice-system-with-puppets-video-stillCan puppets keep kids out of the juvenile justice system? Surprisingly, the answer is "yes."
Because “early onset aggression in children as young as age 3 is the single most-important predictor of later delinquency, substance abuse and violence," Professor Carolyn Webster-Stratton at the University of Washington developed the curriculum, "The Incredible Years," part of which involves using puppets to communicate with young, at-risk children.

Better Treatment Outcomes for Teens - Training, Monitoring, and Supervision are the Key

Randy Muck headshotRecently, I visited a community where approximately 30-40 adolescents and their caregivers had shown up just to tell me what they thought of an adolescent substance abuse treatment program funded by the agency I represent, the Center for Substance Abuse Treatment (CSAT). They’d been invited, true, but I was still nervous, since folks tend to show up for town hall meetings and the like only when they have something to complain about.