Parents as interventionists: Addressing adolescent substance use

• Published in: Journal of substance abuse treatment Vol. 99; pp. 124 - 133
• Main Authors: Botzet, Andria M., Dittel, Christine, Birkeland, Robyn, Lee, Susanne, Grabowski, John, Winters, Ken C.
• Format: Journal Article
• Language: English
• Published: United States Elsevier Inc 01.04.2019; Elsevier Limited
• Subjects: Access; Adolescent; Adolescents; Alcohol; Alcohol related disorders; Alcohol use; Alcoholism; Brief interventions; Child abuse & neglect; Children; Drug abuse; Drug use; Drugs; Extremes; Family; Family cohesion; Family therapy; Feasibility; Happiness; Home based; Intervention; Interviews; Marijuana; Medical treatment; Motivation; Motivational interviewing; Parenthood education; Parents; Parents & parenting; Quasi-experimental methods; Research design; Severity; Substance abuse; Substance use; Substance use disorder; Teenagers; Tobacco; United States > US; Minneapolis-St Paul Minnesota; Substance use; Intervention; Family; Parents; Adolescent
• ISSN: 0740-5472; 1873-6483
• DOI: 10.1016/j.jsat.2019.01.015

Much research and attention has focused on addressing the extremes of the adolescent substance use spectrum: either the prevention of substance use prior to its onset or the treatment of those with a substance use disorder (SUD). Little research has looked at adolescents who fall mid-continuum. Adolescents who use substances in this mild-to-moderate range may be efficiently and cost-effectively treated using brief interventions based on cognitive-behavioral (CB) and motivational interviewing (MI) strategies. Accessibility and feasibility of providing interventions may also be enhanced by training parents in application of CB and MI principles. An innovative home-based brief intervention for parents whose children engaged in mild to moderate drug abuse was developed and evaluated using a quasi-experimental design. Participants were parents and their adolescent child from the 7-county metro area of Minneapolis-St. Paul, Minnesota. Decreased substance use and increased family cohesion were the predicted outcomes of the Home Base intervention. Results suggest decreased adolescent marijuana use frequency, decreased alcohol use disorder symptomology, and increased parental happiness with their adolescent child. Alcohol and tobacco use frequency were statistically unchanged. Baseline levels of drug use severity moderated the relation between intervention and outcomes. These findings support the potential utility of this approach and also indicate the need to further develop accessible and efficient interventions for mild to moderate SUD. •This BI addresses a gap in service options for adolescent drug interventions.•Results indicate improvement in parental relationship with teen.•Data show a reduction in adolescent marijuana use frequency at 3-month follow-up.•Alcohol and tobacco use frequency were statistically unchanged.•Baseline drug use severity served as a moderator between intervention and outcome.