The Adolescent Community Reinforcement Approach

There are some barriers or weaknesses common to most interventions that target addictive behaviors in the community. Heterogeneity in the population and cultural barriers has contributed to the lack of knowledge regarding substance use and its effects. Issues related to taboo, denial and loss of face mask understanding of the extent of the problem. Institutional barriers and lack of community infrastructure make treatment efforts difficult in serving a diverse population (Ja, 1993). In addition to the psychological barriers, other physical problems also exist. Most primary care physicians do not feel competent to treat alcohol and drug related disorders. Physicians generally do not like to work with patients with these disorders and do not find treating them rewarding. There is substantial evidence that physicians fail even to identify a large percentage of patients with these disorders (Miller, Sheppard, Colenda, & Magen, 2001). Financial barriers include inability to access treatment services by addicted individuals as indicated in various studies. There is also a competition for resources that has to be considered. Local governments allocate some part of their funding for specific issues and there is a competition among several stakeholders to ensure that their cause is represented. Research shows that prevention programs in the community on the issues of substance abuse, risky sexual behavior, school failure, juvenile delinquency and violence have to be

Not every addict should be treated the same. The regimen should address all of the aspects of an individual's life, including medical and mental health and follow up options. Behavioral Treatments help patients modify their attitudes and behaviors and increase healthy lifestyle skills and options. They can enhance the effectiveness of medication and help addicts stay committed to the treatment process. Cognitive Behavioral Therapy is a behavioral treatment with the goal of helping the user recognize, avoid, and cope with anything and everything involving their drug use and recovery (Davison, 2007). Therapeutic communities can also be extremely effective, especially for those who are severely addicted. They are highly structured programs that often involve residency for up to 12 months. It is important to recognize that no single treatment is appropriate for all individuals addicted to drugs (National, 2005).

More importantly, newer research has investigated the importance of family-based therapy for adolescents who practice drug abuse. Research by Liddle et al. suggests that multidimensional family therapy reduces substance abuse, delinquency, risks for future problems, and encourages the protective processes more than group treatments over the course of one year (21-22). Although previous research on family-based

The need for a substance abuse recovery home in Starke County, Indiana is a need that is unmistakable in the county based on the hefty number of individuals that suffer from substance abuse and dependency in the county which is clearly displayed by the recent number of crimes that are related to or involve illicit and prescription drugs. In attempt to meet this need and create an opportunity for individuals suffering from substance abuse and dependency to receive local substance abuse treatment in a recovery home the proposal will be presented to several stakeholders within the Starke County community. The term stakeholder “refers to those people who are affected, or could be affected, by the service” (Canadian Career Development Foundation, n.d.) that is being proposed. The proposal for the creation of a substance abuse recovery home will be presented to five key stakeholders including Ms. Becky Anspach the director of Community Services of Starke County, Starke County Community Corrections director of operations Mr. Robert Hinojosa, Ms. Dee Lynch the director of the Indiana Department of Child Services of Starke County, Porter Starke Services facilitator of intensive outpatient program treatment (IOP), and Ms. Rhonda Adcock the director of Starke County CASA.

There are types of approaches to help an individual with recovering from drug and substance abuse. The approaches that are being looked at to help someone recover is Cognitive Behavioral Therapy (CBT), Motivational Enhancement Therapy (MET), Medication Management, Community Reinforcement Approach (CRA), and Community Reinforcement and Family Training Approach (CRAFT).

Persistent substance abuse among youth is often accompanied by an array of problems, including academic difficulties, health-related consequences, poor peer relationships, mental health issues, and involvement with the juvenile justice system. There are also significant consequences for family members, the community, and society in

The program that will be discussed is call the Residential Substance Abuse Treatment but I will refer to it as RSAT for short. RSAT is a program that last at least six months but no more than twelve months if needed. The treatment program will be provided in treatment facilities set apart-in a completely separate facility or even better yet a dedicated housing unit in a facility exclusively used only by RSAT participants, keeping them separated from the general correctional population. RSAT will be focus on the substance abuse problems of the individual inmate. The program will help develop the inmate's, behavioral, cognitive, vocational, social skills, and other techniques used to help solve the substance abuse problems. Within the program they will begin or continue require proven reliable forms of drug and alcohol testing, including urinalysis for program participants and former participants while they remain in the custody of the state or local government. To decrease the chance of recidivism due to drug use or related crimes, RSAT should be limited to inmates with 6 to 12 months remaining in their time behind bars, this way they can just be

This in-person interview was made final April 7, 2011 with the interviewee, Mae Parnell, who is employed as a case manager at Haymarket Center, located as 120 So. Sangamon St., Chicago, IL. Mae Parnell’s primary job description at Haymarket Center is to coordinator the approach to the delivery of substances abuse and social and health services. She will also provide each client with connections to seek the appropriate organizations that will be able to assist and devote to the care of his or hers unique circumstances and to help him or her attain goals for him or

*** was founded with a mission to be an alternative to incarceration. The organization is a private, free-standing, non-profit agency which is accessible to all, regardless of economic, ethnic or religious backgrounds. Since 1971, ***. has provided a highly successful, comprehensive, continuum of behavioral health services. Our formal treatment services have helped over 20,000 young people and their families. Under the *** umbrella, broad arrays of evidence-based prevention services have also been implemented in the treatment of substance use and co-occurring disorders. With their focus on identifying risk and protective factors, these programs have helped to educate and support

The article presents a study over the perceptions that youth have regarding relapse that are involved in treatment. A major prevention and treatment issue in the United States includes youth substance abuse for those under the age of 25 (Gonzales, Anglin, Beattie, Ong, & Glik, 2012). Statistics reveal 70% of youth mortality such as homicide, suicide or unintended injuries are attributed to substance use behavior (Gonzales, Anglin, Beattie, Ong, & Glik, 2012). The goals regarding youth substance use has been to interrupt the drug use in treatment settings, however the treatment diminish over time creating a large concern for relapse. Negative emotional

I am writing to you today in regard to your request that I develop a program to decrease substance abuse in low-income teenagers at Glenville High School in Cleveland, Ohio. This memorandum will discuss the program I recommend and the reasons why I believe it will help reduce substance abuse in this population.

There have been over 180 studies conducted on program participants and their outcomes. Information gained from over 100,000 participants has been evaluated. Outcomes have been positive in terms of relapse prevention, and in improved personality and social functioning, treatment compliance, and treatment retention. MRT has been the recipient of several recognitions from the University of Maryland researchers, the National Drug Court Institute, SAMHSA, Citizens' Crime Commission of Portland, North Carolina Department of Correction, United Nations Program Network Institutes, the Koch Crime Institute, and the Oregon Office of Alcohol and Drug Abuse

Kelsie, the formative evaluation you used would excellent in determining if the program has been effective for the youth of Riverton. Also, I define "substance abuse" in the same way you are explaining it because with four years of criminal justice, my brain just automatically goes to that certain meaning. Great Job.

The effective approach of long-term treatment is the basis of the study. A major piece of the adolescent substance and psychiatric disorders reduction could be attributed to residential treatment. The collaborating variables in the study are based on demographic and the extension of the severity of the substance abuse and scale of the disorders.

Scientific research shows that treatment can help many drug using offenders change their attitudes, beliefs, and behaviors; avoid relapse; and successfully remove themselves from a life of substance use and crime. Treatment can cut drug use in half, decrease criminal activity, and reduce arrests. It is true that legal pressure might be needed to get a person into treatment and help them stay there. Once in a treatment program, however, even those who are not initially motivated to change can become engaged in a continuing treatment process. In fact, research suggests that mandated treatment can be just as effective as voluntary admission to rehab centers.