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“Drawing on authoritative scholars and clinicians from a variety of disciplines, this book provides valuable insight into the application of brief motivational-based strategies for adolescents struggling with alcohol and other substance use problems….The strategies described in this book provide…professionals with valuable tools for working with a population that has historically been deemed difficult and with treatment results that are often less than stellar.”

—Addiction


“This is an excellent, comprehensive, and timely review of brief treatment interventions for both alcohol- and drug-involved youth….This book should be required reading in any social work, psychology, or psychiatry program where there is a focus or coursework provided on alcoholism and substance abuse. The book can also be an invaluable library addition for anyone interested in working in this field.”

—Child and Family Behavior Therapy


“This compelling, authoritative volume provides a strong, cogent, and empirically based case for adopting a public health perspective on substance use disorders that emphasizes harm reduction, pragmatism, and individual responsibility for behavior change. The editors are to be applauded for synthesizing diverse contributions into a readable, accessible volume for professionals and graduate students alike.”

—Scott W. Henggeler, PhD, Department of Psychiatry and Behavioral Sciences (retired), Medical University of South Carolina


“A terrific author lineup, with content that is spot-on! The book presents treatment approaches that reflect an understanding of the important developmental differences between adolescents and adults. Chapters cover the major formats that clinicians actually use with this population, including prevention programs, brief interactions, and medication-assisted therapy. The authors show how to deliver evidence-based interventions with a variety of at-risk groups, including youth in the foster care system, gender-minority youth, and justice-involved youth. A book like this is critical in light of current research findings on the best ways to help adolescent substance users.”

—Scott T. Walters, PhD, Regents Professor, School of Public Health, University of North Texas Health Science Center; member, Motivational Interviewing Network of Trainers (MINT)


“With its unique integration of theory, research, and practice, this book will appeal to clinicians, academicians, and public health officials. It provides up-to-date information on adolescent substance abuse, including advances in neurosciences and opiate addiction. The summary of future directions is comprehensive. Instructors teaching courses in adolescent substance abuse must consider this text, which has a rich blend of research and clinical applications.”

—Sylvie Naar, PhD, Director, Division of Behavioral Sciences, Department of Family Medicine and Public Health Sciences, Wayne State University


“This timely gem of a book, edited and written by leaders in the field, is a much-needed guide to evidence-based brief substance use interventions with youth. Based on leveraging the 'teachable moment' to enhance motivation for change, the chapters provide clear recommendations to guide clinical practice and demonstrate techniques used by master clinicians. Chapters cover the developmental context of youth substance use and address specific challenges in delivering individual and group brief interventions in diverse settings. Informative and useful, this is an essential resource for clinicians and graduate trainees.”

—Tammy A. Chung, PhD, Department of Psychiatry, University of Pittsburgh School of Medicine

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Table of Contents

Introduction, Peter M. Monti, Suzanne M. Colby, & Tracy A. O’Leary Tevyaw

I. Etiology and Developmental Context

1. Development Matters: Taking the Long View on Substance Use during Adolescence and the Transition to Adulthood, John Schulenberg, Julie Maslowsky, Jennifer L. Maggs, & Robert A. Zucker

2. The Neurocognitive Impact of Alcohol and Marijuana Use on the Developing Adolescent and Young Adult Brain, Krista M. Lisdahl, Skyler Shollenbarger, Kelly A. Sagar, & Staci A. Gruber

3. Assessing Adolescent Substance Use Problems and Other Areas of Functioning: State of the Art, Ken C. Winters, Andria M. Botzet, & Susanne Lee

4. Transactions among Personality and Psychosocial Learning Risk Factors for Adolescent Addictive Behavior: The Acquired Preparedness Model of Risk, Heather A. Davis, Elizabeth N. Riley, & Gregory T. Smith

5. Expanding the Reach of Brief Interventions to Address Unmet Treatment Needs: SBIRT-A (Screening, Brief Intervention, and Referral to Treatment for Adolescents), Sara J. Becker, Timothy J. Ozechowski, & Aaron Hogue

II. Clinical Guide: Application of Brief Interventions in Diverse Settings and Populations

6. Motivational Enhancement in Medical Settings for Adolescent Substance Use, Tracy O’Leary Tevyaw, Anthony Spirito, Suzanne M. Colby, & Peter M. Monti

7. Brief Interventions for Adolescents with Substance Abuse and Comorbid Psychiatric Problems, Christianne Esposito-Smythers, Bethany Rallis, Kyla Machell, Caitlin Williams, & Sarah Fisher

8. Substance Use Prevention and Treatment Interventions for Court-Involved, Nonincarcerated Youth, Emily F. Dauria, Melissa A. McWilliams, & Marina Tolou-Shams

9. Engaging Adolescents in Unstable Environments: Interventions with Foster Youth, Jordan M. Braciszewski & Judy Havlicek

10. Latino Youth, Acculturation, and Parenting, Lynn Hernandez & Oswaldo Moreno

11. Cultural Considerations and Recommendations for Implementing Brief Interventions with American Indian Adolescents, Nichea S. Spillane & Kamilla Venner

12. Understanding and Addressing Alcohol and Substance Use in Sexual- and Gender-Minority Youth, Ethan H. Mereish, Kristi E. Gamarel, & Don Operario

13. Pharmacotherapy for Adolescent Substance Misuse, Robert Miranda Jr. & Hayley Treloar

14. Group-Based Interventions for Youth, Elizabeth D’Amico & Sarah W. Feldstein Ewing

15. Integrated 12-Step Facilitation to Promote Adolescent Mutual-Help Involvement, John F. Kelly, Julie Cristello, & Brandon Bergman

16. Brief Interventions to Reduce College Student Drinking, Nadine R. Mastroleo

III. Future Directions

17. Future Research Opportunities for Screening and Brief Alcohol Interventions with Adolescents, Ralph Hingson & Aaron White

Index

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About the Editors

Peter M. Monti, PhD, is Donald G. Millar Distinguished Professor of Alcohol and Addiction Studies and Director of the Center for Alcohol and Addiction Studies at Brown University, where he also serves as Professor of Behavioral and Social Sciences and of Psychiatry and Human Behavior. He is a past president of the Research Society on Alcoholism (RSA) and a recipient of the Marlatt Mentorship Award and Distinguished Researcher Award from the RSA, the Lifetime Achievement Award from the Addictive Behaviors Special Interest Group of the Association for Behavioral and Cognitive Therapies, and the Distinguished Career Contributions to Education and Training Award from Division 50 (Society of Addiction Psychology) of the American Psychological Association. Dr. Monti is a recognized leader in understanding the biobehavioral mechanisms that underlie addictive behavior and its prevention and treatment. He has published several books and approximately 400 papers and chapters.

Suzanne M. Colby, PhD, is Professor of Psychiatry and Human Behavior and Associate Director of the Center for Alcohol and Addiction Studies at Brown University. She is a senior editor of the journal Addiction and a Fellow of Divisions 28 (Psychopharmacology and Substance Abuse) and 50 (Society of Addiction Psychology) of the American Psychological Association. She is president-elect of the Society for Research on Nicotine & Tobacco (SRNT) and Chair of SRNT's Adolescent Research Network. Dr. Colby's research focuses on the development of innovative brief alcohol and other substance use interventions, particularly for underserved adolescents and young adults. She has conducted numerous randomized controlled trials of brief motivational interventions for adolescent smoking cessation, along with a series of laboratory-based studies of adolescent nicotine dependence and withdrawal.

Tracy O’Leary Tevyaw, PhD, is Clinical Associate Professor of Psychiatry and Human Behavior at Brown University and Chief Psychologist and Director of Psychology Training at Providence VA Medical Center. She leads the Providence VA’s Primary Care Behavioral Health program and is a primary supervisor in the Brown University Clinical Psychology Training Consortium. Dr. Tevyaw has served as principal investigator/co-investigator of randomized clinical trials examining brief interventions for reducing substance use in adolescents and college students. Her research areas include brief interventions, substance use disorders, anxiety disorders, integrated primary care, and shared medical appointments.

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Contributors

Sara J. Becker, PhD, Center for Alcohol and Addiction Studies, Brown University School of Public Health, Providence, Rhode Island

Brandon Bergman, PhD, Recovery Research Institute, Boston, Massachusetts

Andria M. Botzet, MA, Department of Psychiatry, University of Minnesota, Minneapolis, Minnesota

Jordan M. Braciszewski, PhD, Center for Health Policy and Health Services Research, Henry Ford Health System, Detroit, Michigan

Suzanne M. Colby, PhD, Center for Alcohol and Addiction Studies and Department of Psychiatry and Human Behavior, Brown University, Providence, Rhode Island

Julie Cristello, BS, Recovery Research Institute, Boston, Massachusetts

Elizabeth J. D’Amico, PhD, RAND, Santa Monica, California

Emily F. Dauria, PhD, MPH, Department of Psychiatry and Weill Institute for Neurosciences, University of California, San Francisco, San Francisco, California

Heather A. Davis, MS, Department of Psychology, University of Kentucky, Lexington, Kentucky

Christianne Esposito-Smythers, PhD, Department of Psychology, George Mason University, Fairfax, Virginia

Sarah W. Feldstein Ewing, PhD, Division of Child and Adolescent Psychiatry, and Adolescent Behavioral Health Clinic, Oregon Health and Science University, Portland, Oregon

Sarah Fischer, PhD, Department of Psychology, George Mason University, Fairfax, Virginia

Kristi E. Gamarel, PhD, EdM, Department of Health Behavior and Health Education, University of Michigan School of Public Health, Ann Arbor, Michigan

Staci A. Gruber, PhD, Cognitive and Clinical Neuroimaging Core and MIND Program, McLean Hospital, Belmont, Massachusetts

Judy Havlicek, PhD, MSW, School of Social Work, University of Illinois at Urbana–Champaign, Urbana, Illinois

Lynn Hernandez, PhD, Center for Alcohol and Addiction Studies and Department of Behavioral and Social Sciences, Brown University, Providence, Rhode Island

Ralph Hingson, ScD, MPH, Division of Epidemiology and Prevention Research, National Institute on Alcohol Abuse and Alcoholism, National Institutes of Health, Bethesda, Maryland

Aaron Hogue, PhD, The National Center on Addiction and Substance Abuse, New York, New York

John F. Kelly, PhD, Department of Psychiatry, Harvard Medical School, and Center for Addiction Medicine, Boston, Massachusetts

Susanne Lee, PhD, Department of Psychiatry, University of Minnesota, Minneapolis, Minnesota

Krista M. Lisdahl, PhD, Department of Psychology, University of Wisconsin–Milwaukee, Milwaukee, Wisconsin

Kyla Machell, PhD, Department of Psychiatry and Behavioral Sciences, Duke University, Durham, North Carolina

Jennifer L. Maggs, PhD, Department of Human Development and Family Studies, The Pennsylvania State University, University Park, Pennsylvania

Julie Maslowsky, PhD, Department of Kinesiology and Health Education, University of Texas at Austin, Austin, Texas

Nadine R. Mastroleo, PhD, College of Community and Public Affairs, Binghamton University, Binghamton, New York

Melissa A. McWilliams, MA, School of Education, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina

Ethan H. Mereish, PhD, Department of Health Studies, American University, Washington, DC

Robert Miranda Jr., PhD, Center for Alcohol and Addiction Studies and Department of Psychiatry and Human Behavior, Brown University, Providence, Rhode Island

Peter M. Monti, PhD, Center for Alcohol and Addiction Studies and Departments of Behavioral and Social Sciences and Psychiatry and Human Behavior, Brown University, Providence, Rhode Island

Oswaldo Moreno, PhD, Counseling Psychology Program, VCU iCubed, Virginia Commonwealth University, Richmond, Virginia

Don Operario, PhD, Center for Alcohol and Addiction Studies, Brown University School of Public Health, Providence, Rhode Island

Timothy J. Ozechowski, PhD, Oregon Research Institute, Eugene, Oregon

Bethany Rallis, PhD, Department of Counseling and Psychological Services, The Pennsylvania State University, University Park, Pennsylvania

Elizabeth N. Riley, MS, Department of Psychology, University of Kentucky, Lexington, Kentucky

Kelly A. Sagar, MS, Department of Psychiatry, McLean Hospital, Belmont, Massachusetts

John Schulenberg, PhD, Institute for Social Research and Department of Psychology, University of Michigan, Ann Arbor, Michigan

Skyler Shollenbarger, PhD, Department of Neuropsychology, Henry Ford Health System, Detroit, Michigan

Gregory T. Smith, PhD, Department of Psychology, University of Kentucky, Lexington, Kentucky

Nichea S. Spillane, PhD, Department of Psychology, University of Rhode Island, Kingston, Rhode Island

Anthony Spirito, PhD, Center for Alcohol and Addiction Studies and Department of Psychiatry and Human Behavior, Brown University, Providence, Rhode Island

Tracy O’Leary Tevyaw, PhD, Center for Alcohol and Addiction Studies and Department of Psychiatry and Human Behavior, Brown University, and Providence Veterans Affairs Medical Center, Providence, Rhode Island

Marina Tolou-Shams, PhD, Department of Psychiatry and Weill Institute for Neurosciences, University of California, San Francisco, San Francisco, California

Hayley Treloar, PhD, Center for Alcohol and Addiction Studies and Department of Psychiatry and Human Behavior, Brown University, Providence, Rhode Island

Kamilla Venner, PhD, Department of Psychology, Center on Alcoholism, Substance Abuse, and Addictions, University of New Mexico, Albuquerque, New Mexico

Aaron White, PhD, Office of the Director, National Institute on Alcohol Abuse and Alcoholism, National Institutes of Health, Bethesda, Maryland

Caitlin Williams, MA, Department of Psychology, George Mason University, Fairfax, Virginia

Ken C. Winters, PhD, Oregon Research Institute, Eugene, Oregon

Robert A. Zucker, PhD, Department of Psychiatry and Addiction Research Center, University of Michigan, Ann Arbor, Michigan

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Audience

Clinical psychologists, social workers, psychiatrists, substance abuse and mental health counselors, and psychiatric nurses working with adolescents.

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Course Use

May serve as a supplemental text in graduate-level courses.