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This study plans to develop an integrated treatment for comorbid post-traumatic stress disorder (PTSD) and substance abuse (SA) in adolescents. The investigators aim to develop a treatment approach that is community-friendly, well-tolerated, and deliverable by substance abuse counselors (SAC) in outpatient settings. The proposed Trauma-Focused Substance Abuse Treatment (TFSAT) aims to reduce PTSD symptoms and substance use and build coping skills. The investigators propose to adapt an evidence-based trauma program, Cognitive-Behavioral Intervention for Trauma in Schools (CBITS), for adolescent substance abusers (ASAbusers); to assess the acceptability and feasibility of the integrated approach; and to pilot test the new program against standard care.
The investigators hypothesize that the intervention group, compared to the control group, will reduce substance use and symptoms for traumatic stress.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Standard of Care | No Intervention | The Standard of Care condition includes: 1) an individual session with the counselor, once per week; 2) a treatment group with the counselor, twice per week; and 3) parents of youth are invited to attend parent-only educational sessions weekly. | |
| Trauma-focused Substance Abuse Intervention | Experimental | See Intervention Arm description. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Trauma-focused Substance Abuse Intervention | Behavioral | An integrated treatment approach to reduce substance use and PTSD symptoms. The intervention program includes: 1) 1-2 individual sessions during which youth talk about the trauma, during the course of the intervention program; 2) 16 group sessions for youth; 3) 2 conjoint sessions with parents to improve communication and problem-solving skills; and 4) 2 parent-education group sessions. |
| Measure | Description | Time Frame |
|---|---|---|
| Timeline Follow-back (TFLB) Assessment of Substance Use | The TLFB uses a blank calendar form and a series of questions to cue recall of alcohol and drug (AOD) use. The investigators will use the TLFB interview technique to assess AOD use weekly. | Participants will be followed for an expected average of 12 weeks. |
| Urine Toxicology Screen (UTS) | Urine samples will be collected twice per week at the treatment site to ensure validity of self-reports. | Participants will be followed for an expected average of 12 weeks. |
| Child PTSD Symptom Scale (CPSS) | The CPSS will assess for severity of traumatic stress symptoms. | Change from Baseline in Child PTSD Symptom Scale at 8 weeks and change from Baseline in Child PTSD Symptom Scale at 12 weeks. |
| Measure | Description | Time Frame |
|---|---|---|
| Child Post-Trauma Attitudes Scale (C-PTAS) | The C-PTAS will be used to assess trauma-related attitudes and beliefs. | Baseline & 8 weeks & 3 months |
| Strengths & Difficulties Questionnaire (SDQ) |
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Inclusion Criteria: Youth
Exclusion Criteria: Youth
Inclusion Criteria: Parents/Guardians
Exclusion Criteria: Parents/Guardians
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| Name | Affiliation | Role |
|---|---|---|
| Nancy S Wu, MD | University of California, Los Angeles | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Behavioral Health Services | Los Angeles | California | 90032 | United States |
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| ID | Term |
|---|---|
| D019966 | Substance-Related Disorders |
| ID | Term |
|---|---|
| D064419 | Chemically-Induced Disorders |
| D001523 | Mental Disorders |
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The SDQ will be used to assess parent-report of behavioral problems.
| Baseline & 8 weeks & 3 months |