Effectiveness of A-CRA/ACC in Treating Adolescents with Cannabis-Use Disorders
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An evidence-based treatment for adolescent cannabis users, Adolescent Community Reinforcement Approach with Assertive Continuing Care, was implemented in a rural county and small city in the USA. A total of 147 adolescents, ages 12–18, were enrolled and assessed at baseline and three time points: 3, 6, and 12 months using the Global Appraisal of Individual Needs and related measures. Program effectiveness was confirmed. The treatment was equally effective for youth from the city versus the county. More than two-thirds (68.7 %) of the adolescents reported quitting use of cannabis by 12 months. The days of cannabis use in the last 90 days decreased significantly from the first follow-up, controlling for age (p value < .01), and shows consistent decline until the end of the treatment. In addition to reduction in substance use, the average number of days missing school and expelled from school decreased significantly from baseline to the end of the treatment.
KeywordsAdolescents Substance abuse Treatment A-CRA/ACC SAMHSA Community mental health
- APA, American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders (DSM-IV-TR) (4th rev ed.). Washington, DC: American Psychiatric Association.Google Scholar
- Dennis, M. L., Titus, J. C., White, M. K., Unsicker, J., & Hodgkins, D. (2003). Global Appraisal of Individual Needs (GAIN): Administration guide for the GAIN and related measures. Version 5. Bloomington, IL: Chestnut Health Systems.Google Scholar
- Friedman, A. S., Glickman, N. W., & Morrissey, M. R. (1986). Prediction to successful treatment outcome by client characteristics and retention in treatment in adolescent drug treatment programs: A large scale cross validation study. Journal of Drug Education, 16, 149–165.PubMedCrossRefGoogle Scholar
- Garner, B. R., Godley, S. H., Funk, R. R., Dennis, M. L., Smith, J. E., & Godley, M. D. (2009). Exposure to adolescent community reinforcement approach treatment procedures as a mediator of the relationship between adolescent substance abuse treatment retention and outcome. Journal of Substance Abuse Treatment, 36, 252–264.PubMedCentralPubMedCrossRefGoogle Scholar
- Godley, S. H., Myers, R. J. Smith, J. E., Godley, M. D., Titus, J. C., Karvinen, R. D., et al. (2001). Cannabis youth treatment series volume 4: The adolescent community reinforcement approach (DHHS Publication No. (SMA) 01-3489). Rockville, MD: Center for Substance Abuse Treatment, Substance Abuse and Mental health Services Administration.Google Scholar
- Godley, S. H., Risberg, R. A., Adams, L., & Sodetz, A. (2003). Chestnut health systems’ bloomington outpatient and intensive outpatient treatment model. Bloomington, Il: Chestnut Health Systems.Google Scholar
- Hardin, J. W., & Hilbe, J. (2003). Generalized estimation equations. Boca Raton, FL: Chapman & Hall/CRC.Google Scholar
- Healthy People 2020 Objectives. (2010). http://www.healthypeople.gov/2020/topicsobjectives2020/overview.aspx?topicid=40. Accessed 27 Dec 2010.
- Martino, S. C., Ellickson, P. L., & McCaffrey, D. F. (2008). Developmental trajectories of substance use from early to late adolescent: A comparison of rural and urban youth. Journal of Studies on Alcohol and Drugs, 69, 340–440.Google Scholar
- Myers, R., & Smith, J. E. (1995). Clinical guide to alcohol treatment: The community reinforcement approach. New York: Guilford Press.Google Scholar
- NIDA (National Institute on Drug Abuse). (2011). Topics in Brief: Marijuana-December 2011. http://www.drugabuse.gov/drugs-abuse/marijuana. Accessed 30 Sep 2012, 1 Oct 2012.
- Rigter, H., Pelc, I., Tossmann, P., Phan, O., Grichting, E., Hendriks, V., et al. (2010). INCANT: A transnational randomized trial of multidimensional family therapy versus treatment as usual for adolescents with cannabis use disorder. BMC Psychiatry, 10, 28.PubMedCentralPubMedCrossRefGoogle Scholar
- SAMHSA (Substance Abuse and Mental Health Services Administration). (2011). http://www.samhsa.gov/.