Abstract
The past two decades have witnessed a dramatic increase in adolescent treatment research. Notable is the development and testing of family-based, motivational, cognitive behavioral, and contingency management therapies. Various levels of evidence support these interventions, with family therapy, cognitive behavioral therapy (CBT), and the Adolescent Community Reinforcement Approach (A-CRA) having the strongest empirical verification. Additionally, 12-step oriented programs, accompanied by attendance at mutual aid meetings, have been studied. This chapter highlights the use of different therapies in treating adolescent substance use and provides an in-depth description of the A-CRA, a therapy that includes family and motivational/CBT strategies. Despite these advancements, relapse during this vulnerable age group remains a challenge, and there have been recent calls for treatment providers to keep patients engaged in recovery by finding ways to increase pleasurable activities and recovery capital. Research is recommended to better assess recovery capital domains and study the relationship of improved recovery capital to preventing relapse and improving long-term clinical outcomes.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Tanner-Smith EE, Wilson SJ, Lipsey MW. The comparative effectiveness of outpatient treatment for adolescent substance abuse: a meta-analysis. J Subst Abus Treat. 2013;44(2):145–58.
Waldron HB, Turner CW. Evidence-based psychosocial treatments for adolescent substance abuse. J Clin Child Adolesc Psychol. 2008;37(1):238–61.
Bukstein OG, Bernet W, Arnold V, Beitchman J, Shaw J, Benson RS, Kinlan J, McClellan J, Stock S, Ptakowski KK, Work Group on Quality Issues. Practice parameter for the assessment and treatment of children and adolescents with substance use disorders. J Am Acad Child Adolesc Psychiatry. 2005;44(6):609–21.
Kelly JF, Kaminer Y, Kahler CW, Hoeppner B, Yeterian J, Cristello JV, Timko C. A pilot randomized clinical trial testing integrated 12-step facilitation (iTSF) treatment for adolescent substance use disorder. Addiction. 2017;112(12):2155–66.
Best D, Honor S, Karpusheff J, Loudon L, Hall R, Groshkova T, White W. Well-being and recovery functioning among substance users engaged in post-treatment recovery support groups. Alcohol Treat Q. 2012;30:397–406.
White W, Cloud W. Recovery capital: a primer for addictions professionals. Counselor. 2008;9(5):22–7.
Cloud W, Granfield R. Conceptualizing recovery capital: expansion of a theoretical construct. Subst Use Misuse. 2008;43(12–13):1971–86.
Granfield R, Cloud W. Coming clean: overcoming addiction without treatment. New York: New York University Press; 1999.
Laudet AB, White WL. Recovery capital as prospective predictor of sustained recovery, life satisfaction, and stress among former poly-substance users. Subst Use Misuse. 2008;43(1):27–54.
Best D, Savic M, Beckwith M, Honor S, Karpusheff J, Lubman DI. The role of abstinence and activity in the quality of life of drug users engaged in treatment. J Subst Abus Treat. 2013;45:273–9.
Godley SH, Smith JE, Meyers RJ, Godley MD. The adolescent community reinforcement approach: a clinical guide for treating substance use disorders. Normal: Chestnut Health Systems; 2016.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2019 Springer Nature Switzerland AG
About this chapter
Cite this chapter
Godley, M.D., Passetti, L.L. (2019). Behavioral Interventions for Substance Use and Relapse Prevention. In: Welsh, J., Hadland, S. (eds) Treating Adolescent Substance Use. Springer, Cham. https://doi.org/10.1007/978-3-030-01893-1_6
Download citation
DOI: https://doi.org/10.1007/978-3-030-01893-1_6
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-030-01892-4
Online ISBN: 978-3-030-01893-1
eBook Packages: MedicineMedicine (R0)