The mentor-youth alliance: the role of mentoring relationships in promoting youth competence.

Mentoring programs hold great promise for fostering competency in disadvantaged youth. Although considerable theoretical work has been conducted to explain the role of mentoring relationships in promoting positive youth outcomes, very little empirical research has directly investigated this alliance. The present study developed and validated a tool to assess mentees' perceptions of their relationships with their mentors and to investigate the relationship between this alliance and youth competency. Based on pilot data from four cross-national mentoring programs (N=276), a 10-item, two-factor Mentor-Youth Alliance Scale (MYAS) was created. Subsequent confirmatory factor analyses conducted on national evaluation data from a multi-site study of mentoring programs (N=219), generated a 10-item, one-factor solution. The one-factor MYAS significantly predicted youths' scores in four competency domains: Family Bonding, Relationships with Adults, School Bonding, and Life Skills, at 8-months post-intake. Higher competency youth were more likely to be female, younger on average, and have a higher quality of relationships with their mentors than were lower competency youth. Implications for the development of the mentor-protégé relationship are discussed.

Adolescents with co-occurring mental health and substance use disorders in primary care.

Co-occurring mental and substance use disorders (COD) among children and adolescents present special challenges for family members and primary care clinicians. A broad understanding of prevalence rates, etiology, risk and protective factors, and intervention strategies is important in promoting evidence-based practices. The authors present a synopsis of important issues in this area and provide support for integrating behavioral health into primary care practice.

Co-occurring disorders of adolescents in primary care: closing the gaps.

The increasing prevalence of co-occurring mental health and substance use disorders in adolescents is a serious challenge for the primary care system. The needs of these youth continue to be underrecognized, poorly diagnosed, and inappropriately treated in primary care settings, which are often the first point of contact with the health provider system. This article highlights the need for changes at the clinical, organizational, and policy levels to create a system of care that can effectively identify, refer, treat, and coordinate the care for these adolescents and their families.

Structuring a multi-site evaluation for youth mentoring programs to prevent teen alcohol and drug use.

Despite mentoring's rapidly increasing popularity as an intervention for the prevention of teen alcohol and drug abuse and associated problems, there is little research consensus on its overall effectiveness or on the core principles and components that define effective mentoring. To advance knowledge concerning this important prevention intervention, the Center for Substance Abuse Prevention has designed and funded a multi-site cooperative agreement involving seven mentoring programs. The programs are designed to provide a rigorous outcome evaluation that allows comparisons of differing approaches to organizing and delivering mentoring services to adolescents at high risk for substance abuse. The cooperative agreement guidelines set service parameters and options that focus on issues that are grounded in past research on mentoring prevention interventions. The cooperative agreement includes a quasi-experimental, longitudinal multi-site evaluation that provides evidence-based recommendations to advance the effective use of mentoring as a prevention strategy.