School-based Intervention Successfully Lowers Drinking Rates in At Risk Children
Washington, DC, 30 August 2010 – The coming weeks mark the return to school for many of our youngest citizens. Sadly the satisfaction of making new friends and obtaining good test scores may be overshadowed by the prospect of substance abuse for some school-aged adolescents. The previous decade has witnessed a two-fold increase in both alcohol consumption and intoxication by adolescents age 12 to 17.1,2 In an effort to combat these startling findings, researchers at King’s College London’s Institute of Psychiatry describe a successful personality-based intervention for substance abuse delivered by teachers in the September 2010 issue of the Journal of the American Academy of Child and Adolescent Psychiatry. 3
In the article titled ”Personality-Targeted Interventions Delay Uptake of Drinking and Decrease Risk of Alcohol-Related Problems When Delivered by Teachers,” Principal Investigator Dr. Patricia Conrod and colleagues evaluated 2,506 adolescents, with a mean age of 13.7, using the Substance Use Risk Profile scale; a 23-item questionnaire which assesses personality risk for substance abuse along four dimensions including sensation-seeking, impulsivity, anxiety-sensitivity, and hopelessness.
Of the 1,159 students identified by researchers as being at high risk for substance abuse, 624 received intervention as part of the Adventure Trial and a matched high risk group of 384 received no intervention. School based interventions consisted of two 90 minute group sessions conducted by a trained educational professional. In order to adequately evaluate the students, the teachers attended a 3-day rigorous workshop, followed by 4 hour supervision and feedback session. An 18 point checklist was used to determine whether the teachers demonstrated a good understanding of the aims and components of the programs.
Although the trial is designed to evaluate mental health symptoms, academic achievement, and substance use uptake over a 2 year period, the authors have focused their findings on the six month outcomes of drinking and binge-drinking rates, quantity by frequency of alcohol use, and drinking-related problems.
Reporting on the efficacy of the intervention at six months, author and Trial Coordinator Maeve O’Leary-Barrett writes, “Receiving an intervention significantly decreased the likelihood of reporting drinking alcohol at follow-up, with the control group 1.7 times more likely to report alcohol use than the intervention group (odds ratio, 0.6).” Furthermore, receiving an intervention also predicted significantly lower binge-drinking rates in students who reported alcohol use at baseline (odds ratio, 0.45), indicating a 55% decreased risk of binge-drinking in this group compared with controls. In addition, high-risk intervention-school students reported lower quantity by frequency of alcohol use and drinking-related problems compared with the non-treatment group at follow-up.
The Adventure Trial is the first to evaluate the success of the personality-targeted interventions as delivered by teachers. The findings at six months suggest that this approach may provide a sustainable school-base prevention program for youth at risk for substance abuse.
In the JAACAP article, Principal Investigator Dr. Patricia Conrod and colleagues comment on the success of their program by stating, “In-house personality-targeted interventions allow schools to implement early prevention strategies with youth most at risk for developing future alcohol-related problems and provide the potential for follow-up of the neediest individuals.”
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Notes to Editors
This investigation was supported by a research grant and fellowship (2003-2008) from Action on Addiction (registered charity number 1007308).
The findings in this article were part of a registered clinical trial: Personality-Targeted Interventions for Adolescent Alcohol Misuse at http://www.clinicaltrials.gov, unique identifier NCT00344474.
The study is published in the Journal of the American Academy of Child and Adolescent Psychiatry and online at www.jaacap.com.
A press briefing to highlight the findings of this article will be held Science Media Centre, London, UK on August 24, 2010. Additional information may be found at http://www.sciencemediacentre.org/pages/index.html
To reach the author you may contact: Louise Pratt in the Institute of Psychiatry, King’s College London press office at 020 7848 5378 or by email at firstname.lastname@example.org.
For further information, please contact Rebecca Jensen, Managing Editor, JAACAP, email@example.com or 202.966.7300 x 112.
This Release References:
1. Office of National Statistics. Drug Use, Smoking and Drinking Among Young People in England in 2007. NHS Health and Social Care Information Centre; 2008.
2. Crome IB, Ghodse H, Gilvarry E, et al, eds. Young People and Substance Misuse. London: Royal College of Psychiatrists; 2004.
3. O’Leary-Barrett M, Mackie CJ, Castellanos-Ryan N, Al-Khudhairy N, Conrod PJ. Personality-Targeted Interventions Delay Uptake of Drinking and Decrease Risk of Alcohol-Related Problems When Delivered by Teachers. J. Am. Acad. Child Adolesc.Psychiatry, 2010;49(9):954 –963.
About Journal of the American Academy of Child and Adolescent Psychiatry
The Journal of the American Academy of Child and Adolescent Psychiatry (JAACAP) is the official publication of the American Academy of Child and Adolescent Psychiatry. JAACAP is the leading journal focusing exclusively on today's psychiatric research and treatment of the child and adolescent. Published twelve times per year, each issue is committed to its mission of advancing the science of pediatric mental health and promoting the care of youth and their families.
The Journal's purpose is to advance research, clinical practice, and theory in child and adolescent psychiatry. It is interested in manuscripts from diverse viewpoints, including genetic, epidemiological, neurobiological, cognitive, behavioral, psychodynamic, social, cultural, and economic. Studies of diagnostic reliability and validity, psychotherapeutic and psychopharmacological treatment efficacy, and mental health services effectiveness are encouraged. The Journal also seeks to promote the well-being of children and families by publishing scholarly papers on such subjects as health policy, legislation, advocacy, culture and society, and service provision as they pertain to the mental health of children and families.
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