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Author |
Henderson, Craig E.; Rowe, Cindy L.; Hawes, Sam W.; Liddle, Howard A. |
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Title |
Parenting practices as mediators of treatment effects in an early-intervention trial of multidimensional family therapy |
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Journal Article |
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Year |
2009 |
Publication |
The American Journal of Drug and alcohol Abuse |
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35 |
Issue  |
4 |
Pages |
220-226 |
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Keywords |
adolescent; AOD abuse; family therapy; peer; mediation |
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Abstract |
Background: Contemporary intervention models use research about the determinants of adolescent problems and their course of symptom development to design targeted interventions. Because developmental detours begin frequently during early-mid adolescence, specialized interventions that target known risk and protective factors in this period are needed. Methods: This study (n = 83) examined parenting practices as mediators of treatment effects in an early-intervention trial comparing Multidimensional Family Therapy (MDFT), and a peer group intervention. Participants were clinically referred, low-income, predominantly ethnic minority adolescents (average age 14). Assessments were conducted at intake, and six weeks after intake, discharge, and at 6 and 12 months following intake. Results: Previous studies demonstrated that MDFT was more effective than active treatments as well as services as usual in decreasing substance use and improving abstinence rates. The current study demonstrated that MDFT improves parental monitoring—a fundamental treatment target—to a greater extent than group therapy, and these improvements occur during the period of active intervention, satisfying state-ofthe- science criteria for assessing mediation in randomized clinical trials. Conclusions and Scientific Significance: Findings indicate that change in MDFT occurs through improvements in parenting practices. These results set the foundation for examining family factors as mediators in other samples. |
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1097-9891 (electronic); 0095-2990 (paper) |
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Call Number |
50-11752 |
Serial |
59928 |
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Author |
Gantner, Andreas; Spohr, Birgit; Bobbink, A. Jeanine; Becker, Harvey |
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Title |
Pendeldiplomatie im Quadrat : Multidimensionale Familientherapie (MDFT): ein systemischer Therapieansatz für Jugendliche mit Drogenproblemen und Verhaltensauffälligkeiten, deren Eltern und Bezugspersonen |
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Journal Article |
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Year |
2007 |
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Wiener Zeitschrift für Suchtforschung |
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30 |
Issue |
4 |
Pages |
13-26 |
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Keywords |
family therapy; adolescent; cannabis; parent; counseling; study; Europe; journal article |
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Abstract |
Angesichts des europaweit steigenden Behandlungsbedarfs für jugendliche Cannabisklienten und der wissenschaftlich belegten Effektivität der Multidimensionalen Familientherapie für jugendliche Drogenklienten wird im Rahmen der europäischen INCANT Studie die in den USA entwickelte Multidimensionale Familientherapie (MDFT) eingeführt und in fünf europäischen Ländern wissenschaftlich evaluiert. Die gleichzeitige Arbeit mit den Jugendlichen, den Eltern, der Familie und anderen relevanten Personen im sozialen Kontext der jugendlichen Klienten ist ein Schwerpunkt des systemischen multidimensionalen Therapieansatzes, der in diesem Beitrag vorgestellt und anhand beispielhafter Therapieverläufe nachvollziehbar gemacht wird. Erste klinische Erfahrungen aus der Studie lassen eine Bestätigung der hohen Wirksamkeit von MDFT erwarten. MDFT is a family based systemic treatment model for adolescent drug abuse and related behavior problems. The model has been tested in several U.S. RCT studies and is developed by Howard Liddle and colleagues at the “Center for Treatment Research on Adolescent Drug Abuse” (CTRADA), University of Miami Medical School. Since 2006 MDFT is being tested in an international multi-site randomized controlled trial (INCANT) in Europe. The work with family members and the extra familiar system in different settings are core pieces of the treat-ment, which will be demonstrated by examples of clinical cases. First experiences with MDFT from the German INCANT site show promising outcomes regarding the effectiveness of MDFT Treatment. |
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German |
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50-11750 |
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59927 |
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Author |
Kuendig, Hervé; Hasselberg, Marie; Gmel, Gerhard; Daeppen, Jean-Bernard; Laflamme, Lucie |
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Title |
Acute and usual drinking among emergency trauma patients: a study on alcohol consumption and injury patterns |
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Journal Article |
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2009 |
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Injury prevention |
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15 |
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4 |
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270-274 |
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addiction; AOD use, abuse, and dependence; chemical addiction; alcohol; AOD consumption; AOD effects and consequences; injury; risk factors; study; Switzerland; Lausanne |
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Objective: To investigate the relationship between usual and acute alcohol consumption among injured patients and, when combined, how they covary with other injury attributes. Methods: Data from a randomised sample of 486 injured patients interviewed in an emergency department (Lausanne University Hospital, Switzerland) were analysed using the χ2 test for independence and cluster analysis. Results: Acute alcohol consumption (24.7%) was associated with usual drinking and particularly with high volumes of consumption. Six injury clusters were identified. Over-representations of acute consumption were found in a cluster typical of injuries sustained through interpersonal violence and in another formed by miscellaneous circumstances. A third cluster, typical of sports injuries, was linked to a group of frequent heavy episodic drinkers (without acute consumption). Conclusions: Among injured patients, acute alcohol consumption is common and associated with usual drinking. Acute and/or usual consumption form part of some, but not all, injury clusters. |
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1475-5785 |
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Call Number |
50-11638 |
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59918 |
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Author |
Nordt, Carlos; Stohler, Rudolf |
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Estimating heroin epidemics with data of patients in methadone maintenance treatment, collected during a single treatment day |
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Journal Article |
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Year |
2008 |
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Addiction |
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103 |
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4 |
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591-597 |
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heroin; incidence; methadone; treatment and maintenance; prevalence; study; statistical data; Zurich (canton); Switzerland |
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AIMS: Effects of differing drug policies are difficult to evaluate, because time trends in the spread of heroin use, the most problematic illicit drug world-wide, are unknown in almost all countries. We aimed to develop a simple method to estimate these dynamics with data that can be gathered from patients in substitution treatment within a single day. DESIGN: We tested the assumption that being in substitution treatment on any day depends solely upon individual time since onset of regular heroin use (following a ’general inclusion function’). We used data from the case register for substitution treatments in the canton of Zurich (1992–2004), comprising 9518 patients, to model a ’general inclusion function’. Applying this function, we calculated 30 incidence curves for heroin dependence, each with data of one of 30 randomly chosen treatment days between 1992 and 2004. FINDINGS: Incidence modelling led to 30 similar curves, and therefore our hypothesis was corroborated. Additionally, our approach also revealed a restricted access to substitution treatment in the early 1990s and a decline in demand due to the introduction of heroin-assisted treatment from 1994 onwards. CONCLUSIONS: In the canton of Zurich, the probability of being in substitution treatment can be described by a ’general inclusion function’, and therefore dynamics of heroin epidemics can be estimated based on data of a single treatment day. Adaptation of our function to areas with a more restricted access to substitution treatment may permit these estimations also in other regions or countries. Thus, our approach facilitates the urgently needed assessment of the effects of different drug policies. |
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0965-2140 |
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50-06044 |
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59850 |
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Author |
Fitzgerald, John L. |
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Title |
MDMA and Harm |
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Journal Article |
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1991 |
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International journal of drug policy |
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2 |
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4 |
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22-24 |
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addiction; AOD dependence; chemical addiction; ecstasy |
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50-03286 |
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59829 |
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Author |
Spreyermann, Christine |
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Title |
Qualität mit Selbstevaluation entwickeln |
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1996 |
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Drogenmagazin |
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22 |
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4 |
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3-6 |
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quality control |
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German |
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50-03051 |
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59796 |
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Broadhead, Robert S.; Heckathorn, Douglas D.; Grund, Jean-Paul C.; Synn Stern, L.; Anthony, Denise L. |
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Title |
Drug Users Versus Outreach Workers in Combating AIDS. Part II: Preliminary Results of a Peer-Driven Intervention |
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1995 |
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International journal of drug policy |
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6 |
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4 |
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274-288 |
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target group |
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0955-3959 (Print); 1873-4758 (Electronic) |
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50-02997 |
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59790 |
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Somaini, Bertino; Wang, Jen; Perozo, Malile; Kuhn, Fredy; Meili, Daniel; Grob, Peter; Flepp, Markus |
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A continuing concern : HIV and hepatitis testing and prevalence among drug users in substitution programs in Zurich, Switzerland |
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2000 |
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AIDS Care |
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12 |
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4 |
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449-460 |
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health promotion |
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Phase I of the Zurich Prometheus Study is a cross-sectional study focusing on an up-to-date serology for HIV and hepatitis B/C and associated risk factors for all clients in four participating clinics offering opiate substitution in Zurich, Switzerland. The mean age of the 603 respondents is 30.7 years (SD=6.2), and 38% of them are women. Seventy-five percent of the respondents have a history of injecting drug use (IDU), and over half have injected within the past six months. Lab-confirmed seroprevalence for HBV (50%) and HCV (57%) is twice that of HIV (24%). There is an 80% risk reduction for all three viral infections among those starting IDU after 1991—when harm reduction efforts were in full swing—compared to those who began before 1988—before clean needles were widely available. These findings suggest a strongly protective effective of harm reduction measures. But while a stabilization in HIV prevalence at 15% can be seen among drug users who started injecting after 1991, prevalence rates for HBV and HCV still remain several times higher. The prevalence data in this study support data showing continued high incidence rates for HBV and HCV, even among new injectors in the harm reduction era. |
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50-02834 |
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59759 |
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Wryobeck, John M.; Chermack, Stephen T.; Closser, Mary H.; Blow, Frederick C. |
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Using the addiction severity index to predict mental and medical health service utilization |
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2006 |
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Journal of addictive diseases |
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25 |
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4 |
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1-14 |
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Aod; AOD dependence; AOD use, abuse, and dependence; AOD user; AODR mental disorder; addiction; outpatient care; health care utilization; health care administration; mental health; statistical data; study; journal article |
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50-00621 |
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59650 |
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Wettach, Ralph H.U.; Dobler-Mikola, Anja |
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Title |
Zur Bedeutung der lebensgeschichtlichen Ressourcen für den Rehabilitationserfolg von Drogenabhängigen nach einem stationären Therapieaufenthalt |
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1994 |
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Suchtprobleme & Sozialarbeit : Fachblatt des Schweizerischen Verbandes von Fachleuten für Alkoholgefährdeten- und Suchtkrankenhilfe (VSFA) |
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1994 |
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4 |
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148-157 |
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treatment and maintenance; inpatient care; treatment outcome; Switzerland |
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1420-3065 |
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50-00529 |
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59644 |
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