Tailoring opioid use prevention content for juvenile diversion programs with adolescents and their caregivers.

Autor: Helseth SA; Center for Dissemination and Implementation Science, Northwestern University Feinberg School of Medicine, United States of America; Dept. of Behavioral and Social Sciences, Brown University School of Public Health, United States of America. Electronic address: sarah.helseth@northwestern.edu., Micalizzi L; Dept. of Behavioral and Social Sciences, Brown University School of Public Health, United States of America., Piper K; Center for Dissemination and Implementation Science, Northwestern University Feinberg School of Medicine, United States of America., Gomez A; Joseph M. Katz Graduate School of Business, University of Pittsburgh, United States of America., Elwy AR; Dept. of Psychiatry and Human Behavior, Alpert Medical School of Brown University, United States of America; Center for Healthcare Organization and Implementation Research, VA Bedford Healthcare System, United States of America., Becker SJ; Center for Dissemination and Implementation Science, Northwestern University Feinberg School of Medicine, United States of America; Dept. of Behavioral and Social Sciences, Brown University School of Public Health, United States of America., Kemp K; Dept. of Psychiatry and Human Behavior, Alpert Medical School of Brown University, United States of America; Rhode Island Hospital, United States of America., Spirito A; Dept. of Psychiatry and Human Behavior, Alpert Medical School of Brown University, United States of America.
Jazyk: angličtina
Zdroj: Journal of substance use and addiction treatment [J Subst Use Addict Treat] 2024 Oct; Vol. 165, pp. 209470. Date of Electronic Publication: 2024 Jul 31.
DOI: 10.1016/j.josat.2024.209470
Abstrakt: Introduction: Opioid use (OU) skyrockets as youth transition into young adulthood, indicating adolescence is a critical time for prevention. The juvenile legal system (JLS) presents an ideal setting for OU prevention, as it is the single largest referral source for youth outpatient OU treatment, after self-referral. However, no OU prevention programs have been developed for youth in JLS diversion programs or their families. The current formative study established specific OU prevention needs and preferences of families in JLS programs, to guide future tailored prevention efforts.
Methods: We interviewed 21 adolescents with substance use and 20 of their caregivers referred by a JLS diversion program in the northeastern United States to explore their OU-related knowledge, personal experiences, motivations, and behavioral skills. We used a deductive qualitative analysis approach wherein data were analyzed using an a priori coding framework based on the Information Motivation Behavioral Skills model.
Results: Caregivers knew more about OU than youth, several of whom misidentified both opiates and non-opiates. Few participants reported a history of personal OU, though many knew of others' OU. Participants perceived several potential motivations for OU: mental health problems, relationships, life stressors, difficulty accessing preferred substances, and experimentation. Though often unfamiliar with the symptoms, participants were eager to learn skills to identify and manage a suspected overdose.
Conclusions: Youth involved in a JLS diversion program and their caregivers were open to and eager for tailored opioid use prevention content to help them reduce risks. We discuss implications for OU prevention and intervention program development.
Competing Interests: Declaration of competing interest The authors have nothing to declare.
(Copyright © 2024 The Author(s). Published by Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
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