YOUTH ADDICTIONS E-THERAPY PROGRAM SPONSORED BY FEDERAL GRANT Strengthening Teens Empowering Parents 09/24/08 AOCMHP Meeting Slide 1 What is STEP? Alcohol and/or drug education, prevention and intervention program for: Adolescents aged 13 to 18. Residing in Wasco, Sherman, or Hood River County. 09/24/08 AOCMHP Meeting Slide 2 1
STEP uses: The evidence based practices of Motivational Enhancement Therapy (MET) and Cognitive Behavioral Therapy (CBT). MET focuses on factors that motivate change. CBT focuses on teaching and practicing the skills necessary for change. 09/24/08 AOCMHP Meeting Slide 3 MET/CBT 5- Prevention/Early Intervention Includes two individual therapy sessions and 3 group therapy sessions. Main topics to be covered; Motivation building Goal setting Alcohol/drug l/d refusal skills Enhancing support network & increasing pleasant activities Planning for emergencies & coping with relapse 09/24/08 AOCMHP Meeting Slide 4 2
MET/CBT 12 Intervention/Treatment Includes an additional seven group therapy sessions covering; Problem solving Anger awareness Anger management Effective communication Coping with cravings and urges to use Depression management and Managing thoughts about alcohol/drugs 09/24/08 AOCMHP Meeting Slide 5 Family Support Network Services Includes MET/CBT 12 for the adolescent and for the parent/s, simultaneously; Six Parent Education sessions and Four family-therapy home visit sessions 09/24/08 AOCMHP Meeting Slide 6 3
272 participants Demographic 60% males, 40% female The race/ethnicity: 64% White 24.8% Hispanic/Latino 6.4% Native American 4.8% Other 09/24/08 AOCMHP Meeting Slide 7 Funded: Program Staff 1 masters level therapist 2 Alcohol and Drug Counselors 2 Care Coordinators Note: Actually have 2 master level therapists, 2 care coordinators (CADC) & clinical supervisor 09/24/08 AOCMHP Meeting Slide 8 4
Community Partnerships Community partners needed to be sold on the model Lots of direct face to face contact: Educating community partners about the nature of adolescent substance abuse & how to talk to teens regarding use Collaborating with partners on forums and community presentations Attending events put on by community partners 09/24/08 AOCMHP Meeting Slide 9 Program Outcome Data from 2 years 272 teens served 250 surveyed at intake, discharge, 3 months, and 6 months. Government Performance and Results Act (GPRA) tool on 250 teens and the Global Assessment of Individualized Need (GAIN) on 100 teens. 09/24/08 AOCMHP Meeting Slide 10 5
Referrals and Outcomes Juvenile Dept, local residential and alternative school programs, schools Outcome measures (GPRA) past 30 days use Clients on probation and/or in residential program for over 30 days - does not tell accurate picture of drug and alcohol use history- effects rate of change data 09/24/08 AOCMHP Meeting Slide 11 Alcohol and Drug Use Patterns- in the past 30 days (250=N) Alcohol and Drug Use Alcohol Of those who drank and had 5+ Drinks in One Sitting Of those who drank and had Alcohol to Intoxication- 4 or fewer drinks Illegal Drugs Both Alcohol and Drug on same day Percentage 30.4% 61% 34% 34.4% 58.8% Number of Teens 76 46 26 86 36 Average Number of Uses 3 3 2 12 3 09/24/08 AOCMHP Meeting Slide 12 6
Alcohol and Drug Use Patterns- in the past 30 days Drug Use Marijuana Other Illegal Drugs Oxycontin/ Oxycodone Meth Inhalants Cocaine/ Crack Hallucinogen Percentage 28.8% 7.4% 4.8% 1.2% 0.8% 0.8% 0.4% Number of Teens 72 21 12 3 2 1 1 Average Number of Uses 8 19 2 1 2 13 1 09/24/08 AOCMHP Meeting Slide 13 Baseline to 6 months post discharge (N=250): 6 month rate of change 6 month Rate of Change All Males Hispanic Males White Males Females Hispanic Females White Females Abstinence 18.6 11.3 42.9-2.6 27.4 37.5 31 Are Employed or in School 5 7.5 13.3 4.9 1.5 23.1-2 No Health/ Behavioral/ Social Consequences Related to AOD Use 9.9 8.1 8.8 10.1 12.1 14.3 14.9 Were Socially Connected -12.9-14.6-28.1 0.2-12.8-18.2-8.5 09/24/08 AOCMHP Meeting Slide 14 7
Other Outcomes Increased Community Education and Awareness Tripled the number of youth served Implementation Evidenced Based Practices Program addresses both addictions and mental health challenges of youth 09/24/08 AOCMHP Meeting Slide 15 STEP Online Same curriculum: Face to Face Assessment 2 Individual face to face session (may move on line) On-line (website fully encrypted) Groups facilitated by a counselor Blog Education and Information Interactive games and quizzes Referrals 09/24/08 AOCMHP Meeting Slide 16 8
On-line therapy- what s the evidence? New but promising England pilot program decreased drinking Web based brief intervention for college students decreased drinking Combined computer based program and face to face treatment e t reduced drinking substantially more than those who did only the face to face treatment Successful smoking cessation (QuitNet) 09/24/08 AOCMHP Meeting Slide 17 On-line therapy? Adolescents use the internet Reduces some obstacles that make treatment hard to access: Stigma of AOD treatment is reduced Provides a service for those with social fears Overcomes geographic obstacles 09/24/08 AOCMHP Meeting Slide 18 9
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09/24/08 AOCMHP Meeting Slide 27 Thank You! Website is: www.stepprogram.net Presented AOCMHP meeting 09/2008 by Sharon Guidera M.A., Executive Director, MCCFL (541-296-5452) sharon_guidera@class.oregonvos.net Program Contact: t Paul Sorenson, MSW, LCSW 541-386-2620, Program Director 09/24/08 AOCMHP Meeting Slide 28 14