|
Intervention study
|
| Characteristics |
MST |
IT |
FBT |
CBT |
EBFT |
SS |
Comparison group
|
SAU
|
CBT
|
ICPS
|
PET
|
SAU
|
SAU
|
|
| Sample size |
118 |
32 |
56 |
88 |
124 |
33 |
| Gender (%) |
|
|
|
|
|
|
| Male |
79 |
61.5 |
82 |
70 |
59 |
0 |
| Female |
21 |
38.5 |
18 |
30 |
41 |
100 |
| Race/ethnicity (%) |
|
|
|
|
|
|
| Hispanic |
1 |
0 |
16 |
0 |
42 |
|
| Black |
50 |
0 |
2 |
0 |
7 |
|
| White |
47 |
90 |
79 |
90 |
37 |
|
| Others |
2 |
10 |
3 |
10 |
14 |
|
| Age range |
12–17 |
13–18 |
12–17 |
13–18 |
12–17 |
|
| Mean |
15.7 |
15.9 |
15.4 |
15.4 |
14.9 |
|
| Diagnosis (% comorbid) |
SUD (72% comorbid) |
SUD and MH (100% comorbid) |
SUD and MH (100% comorbid) |
Psychoactive SUD; (predominantly comorbid) |
SUD and MH diagnosis (SUD 74.2% comorbid) |
SUD and PTSD (100% comorbid) |
| Attrition rate |
2% tx retention in MST group |
50% IT, 50% CBT |
56/88 completed eight of 15 sessions |
Tx completion rate: 86%, 3-month follow-up: 80%; 9-month follow-up: 65% |
EBFT: 45% completed all 15 sessions and 77% completed five or more sessions |
Research attrition— intake: 18 SS/15 SAU, Post: 14 SS/12 SAU, follow-up: 11 SS/9 SAU |
| Delivery of treatment |
MST: at home, SAU outpatient |
Outpatient aftercare |
Outpatient |
Outpatient |
SAU = shelter services, EBFT = outpatient |
Outpatient |
| Data collection |
Pre-tx, post-tx, 6 months |
Pre-tx, 3 months post-tx |
Pre-tx, post-tx, 6-month follow-up |
Pre-tx, post-tx, 3-month follow-up, 9-month follow-up |
Pre-tx, post-tx, 6-month follow-up, 12-month follow-up |
Pre-tx, post-tx, 3-month follow-up |
| Outcomes: substance use |
MST significantly reduced alcohol and drug use |
CBT better at reducing substance use than IT at 3 months; both showed improvement at 15 months |
FBT and ICPS equally effective in reducing alcohol and drug problems; both groups showed significant reduction in illicit drug use pre to post and maintained at follow-up |
CBT lower relapse rates than PET at 3 months; similar relapse rates between groups at 9 months |
EBFT showed greater reduction in substance abuse than SAU |
SS showed significantly better improvements in substance use, cognitions related to SUD than SAU but few gains maintained at follow-up |
Outcomes: related problems
|
MST reduced number of days in out-of-home placement and criminal activity
|
CBT showed more improvement in family functioning than IT at 3 month; both showed equal improvement at 15 months
|
FBT and ICPS = effective in reducing CD; both groups significantly improved conduct; mood improved significantly in both groups
|
|
EBFT and SAU show significant and equal improvement in psychological functioning, family functioning, and HIV knowledge
|
SS showed significantly better improvements, PTSD cognitions, and other psychopathology subscales than SAU
|