Family-Based Drug Services for Young Disaster Victims

NCT01859000 | Completed

• 2 other identifiers: 20057675R01DA021887
• Study Type: interventional
• Target: 80
• Locations: 1 country
• Sites: 2

Brief Summary

This protocol seizes this rare scientific opportunity to test an integrative family based model to address youths' coexisting substance abuse and trauma in the wake of Hurricane Katrina. The study would address a number of gaps in the current evidence base related to understanding and treating comorbid teen drug abuse and trauma that may be initiated or exacerbated in the wake of disasters such as Hurricane Katrina. This study would compare two promising interventions for youth with comorbid trauma and substance abuse, family-based treatment and group Cognitive Behavioral Therapy (CBT), potentially yielding new and vital information about effective treatment for substance abusing youth following traumatic events.

Conditions

Substance Abuse; Families; Trauma

Keywords

Adolescents; Hurricane Katrina; Family-based treatment; Multidimensional Family Therapy; Group CBT

Outcome Measures

Primary Outcomes (1)

• Substance use

  The Timeline Follow-Back Method, Personal Experiences Inventory and Urinalyses will be used to measure substance use.

  Intake through the 12-month follow-up

Secondary Outcomes (3)

• Delinquency

  One year prior to intake through the 12-month follow-up

• Trauma Symptoms

  Screening through the 12-month follow-up

• School Problems

  One year prior to intake through the 12-month follow-up

Study Arms (2)

Multidimensional Family Therapy

EXPERIMENTAL

MDFT is a multi-systems family-based approach (Liddle, 2002a) designed to address the multiple developmental disruptions and symptoms that result from interacting individual, family, peer, and community risk factors (Liddle, 2002a). MDFT assesses and intervenes at multiple levels and in multiple domains of the adolescent's life -- individual, familial and extrafamilial.

Other: Multidimensional Family Therapy

Group CBT

OTHER

The group treatment employed in the proposed study is a state-of-the-art peer group-based CBT model. The treatment will be based on established guidelines for CBT therapy for teen substance abuse (CSAT, 1999; Waldron \& Kaminer, 2004) as well as trauma (La Greca \& Silverman, in press). The treatment adopts a risk and protective factor framework, seeking to reduce substance use both by targeting cognitions about use directly and by focusing on accompanying problem behaviors such as poor academic performance and limited social skills (Hawkins et al, 1992).

Other: Group CBT

Interventions

Multidimensional Family Therapy OTHER

MDFT assesses and intervenes in four domains to address comorbid substance abuse and trauma symptoms: 1) adolescent, 2) parent, 3) family, and 4) external systems. MDFT therapists will address trauma symptoms among both teens and parents, aiming to improve coping and reduce the impact of stress on the family. Consistent with a multidimensional approach, MDFT trauma-focused interventions address the needs of both youth and their parents, and MDFT therapists seek collaboration and advocacy from school and court personnel.

Also known as: MDFT

Multidimensional Family Therapy

Group CBT OTHER

Trauma symptoms will be addressed using techniques designed to reduce cognitions that maintain anxiety and depressive symptoms and improve coping, such as cognitive restructuring, gradual exposure, and helping teens to understand and accept reminders of the event and ongoing stressors (Pynoos et al, 1998).

Group CBT

Eligibility Criteria

• Age: 13 Years - 17 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Child (0-17)

You may qualify if:

• Between ages of 13 and 17
• Meet ASAM criteria for outpatient substance abuse treatment
• At least mild trauma symptoms on PTSD-Reaction Index
• Not receiving any other behavioral treatment
• Parent/guardian willing to participate in the study/treatment
• Parent informed consent and youth informed assent to participate in the study

You may not qualify if:

• Mental retardation or pervasive developmental disorders
• Psychotic disorder as indicated by record review
• current suicidality as indicated by verbalization of ideation + intent + plan in interview

Sponsors & Collaborators

• University of Miami: lead
• National Institute on Drug Abuse (NIDA): collaborator

Study Sites (2)

University of Miami Miller School of Medicine

Miami, Florida, 33136, United States

Location

The Center for Family and Youth Services

Luling, Louisiana, 70070, United States

Location

Related Publications (1)

• Rowe CL, La Greca AM, Alexandersson A. Family and individual factors associated with substance involvement and PTS symptoms among adolescents in greater New Orleans after Hurricane Katrina. J Consult Clin Psychol. 2010 Dec;78(6):806-817. doi: 10.1037/a0020808.

  PMID: 20919759 BACKGROUND

MeSH Terms

Conditions

Substance-Related Disorders; Wounds and Injuries

Condition Hierarchy (Ancestors)

Chemically-Induced Disorders; Mental Disorders

Study Officials

• Cynthia Rowe, Ph.D.

  University of Miami

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Purpose: TREATMENT
• Intervention Model: FACTORIAL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Research Associate Professor

Study Record Dates

• First Submitted: May 14, 2013
• First Posted: May 21, 2013
• Study Start: January 1, 2007
• Primary Completion: April 1, 2010
• Study Completion: April 1, 2010
• Last Updated: May 21, 2013

Record last verified: 2013-05

Locations

US (2)