Behavioral Interventions for Substance Use and Relapse Prevention
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.
KeywordsBehavioral interventions Adolescents Relapse Substance use treatment, Recovery capital Adolescent community reinforcement approach Prosocial activities
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