Evaluación de un componente de inducción al tratamiento con adolescentes usuarios de alcohol del Distrito Federal / Evaluation of an induction component in the treatment of alcohol use among Mexico City adolescents
Salud ment
;
32(6): 469-477, nov.-dic. 2009. graf, tab
Article
Dans Espagnol
|
LILACS-Express
| LILACS
| ID: lil-632662
ABSTRACT
There are two main problems reported in the intervention programs addressing teenage substance users 1) limited admission to treatment, 2) high drop out rates. Institutions in other countries working with teenage substance users report a dropout rate between 50 and 70% after the first session at early treatment stages. In Mexico, a study on dropout rates in a brief intervention program found rates of 53%, with teenagers dropping out between the first and second session. In the addictive behavior field, there is a factor involved in the lack of acceptance for treatment and the dropout rate during treatment. This factor is the perception of addiction treatment programs and teenagers' readiness for change their consumption. Particularly, it was proposed that the lack of agreement over the actions that the therapist and the user develop, jointly and individually, affects the admission to and permanence of users in treatment programs. In addition, Yahne & Miller consider that most of the people can be admitted to the program without any willingness or with a limited willingness to change their consumption. This suggests the need for strategies that increase teenagers' interest in modifying their substance consumption. That is why this study reports the results of an evaluation of an induction to treatment session as a part of the <<Brief Intervention Program for Adolescents that Begin Alcohol and Drug Use>> [BIPA]. This induction to treatment session uses some of the strategies from motivational interviewing that also includes the change stages of Prochaska and DiClemente. These strategies are based on four steps:
a) give teenagers feedback on the impact of alcohol use on their lives according to the results of a previous evaluation, b) give direct counseling about the importance of change, c) suggest alternatives to achieve this change, d) describe the BIPA characteristics and clarify the therapist's and teenagers' role in the treatment. If they follow these steps, teenagers increase their readiness to change. In addition, this induction to treatment session may help to clarify the perception about the activities that both therapist and the teenager must develop during the intervention program. The objectives of the current study are 1) Evaluate the impact of the induction to treatment session on the therapist and teenagers' perception, 2) Evaluate the impact of the induction to treatment session on the stage of teenagers' readiness willingness to change, and 3) Determine the effects of the induction to treatment session on teenage alcohol users' acceptance and permanence. In this study, a pre-post test design without a control group was used in a sample of 28 volunteer teenage students from Mexico City. The sample was non probabilistic and included volunteer participants meeting the following criteria a) teenage alcohol users drinking more than 4 drinks on more than 5 occasions in the last 6 months; b) reports on alcohol-related problems without physical symptoms of alcohol dependence according to DSM-IV-TR; c) being aged between 14 to 18 years old; d) being a student. This study took place at the <RESUMEN
Entre los programas de intervención dirigidos a los adolescentes que abusan del alcohol y otras drogas se han reportado dos grandes problemas 1. la escasa aceptación para ingresar a tratamiento y 2. las altas tasas de abandono. Instituciones de otros países que trabajan con adolescentes usuarios de sustancias, reportan una tasa de deserción después de un primer contacto de entre el 50% y el 70% en fases tempranas del tratamiento. En México, un estudio sobre la deserción de los adolescentes participantes en un programa de intervención breve determinó que el porcentaje de deserción fue del 53% y la deserción se presentó entre la primera y la segunda visita al terapeuta. Algunos de los factores implicados en la falta de aceptación del tratamiento y la deserción durante el tratamiento en el campo de las adicciones, son la etapa de disposición a cambiar su consumo en la que se encuentran los sujetos y su percepción acerca de los tratamientos de las adicciones. En este sentido, en este trabajo se reporta la evaluación de una sesión de inducción al tratamiento como parte del <
Texte intégral:
Disponible
Indice:
LILAS (Amériques)
Pays comme sujet:
Mexico
langue:
Espagnol
Texte intégral:
Salud ment
Thème du journal:
Psychiatrie
Année:
2009
Type:
Article
Pays d'affiliation:
Mexique
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