Abstract
Objective: The feasibility and acceptability of CHOICES-TEEN—a three-session intervention to reduce overlapping risks of alcohol-exposed pregnancy (AEP), tobacco-exposed pregnancy (TEP), and HIV—was assessed among females in the juvenile justice system. Method: Females aged 14–17 years on community probation in Houston, TX, were eligible if presenting with aforementioned health risks. Outcome measures—obtained at 1- and 3-months postbaseline—included the Timeline Followback, Client Satisfaction Questionnaire-8, session completion/checklists, Working Alliance Inventory–Short, and open-ended questions. Twenty-two participants enrolled (82% Hispanic/Latina; mean age = 16). Results: The results suggest strong acceptability and feasibility with high client satisfaction and client/therapist ratings, 91% session completion, and positive open-ended responses. All youth were at risk at baseline, with the following proportions at reduced risk at follow-up: AEP (90% at 1 month, 71.4% at 3 months), TEP (77% of smokers [n = 17] at reduced risk at 1 month, 50% at 3 months), and HIV (52.4% at 1 month, 28.6% at 3 months).
| Original language | English |
|---|---|
| Pages (from-to) | 618-627 |
| Number of pages | 10 |
| Journal | Research on Social Work Practice |
| Volume | 29 |
| Issue number | 6 |
| DOIs | |
| State | Published - Sep 1 2019 |
Bibliographical note
Publisher Copyright:© The Author(s) 2018.
Funding
Harris County Juvenile Probation provided essential support of this project by facilitating essential partnerships and space in the field. Robin Harris provided coordination of the project in the field, and Barbie Atkinson, Matiko Bivens and Lisa Connelly were the CHOICES-TEEN counselors. Rebecca Beyda, M.D. and Laura Grubb M.D., provided the Adolescent Medicine risk reduction counseling sessions. Alicia Kowalchuk, M.D. provided Motivational Interviewing training for the Adolescent Medicine Fellows, and Nanette Stephens provided fidelity monitoring and training for the CHOICES-TEEN counselors. Ralph DiClemente, Ph.D. and Carrie Randall, Ph.D. provided consultation to support the implementation of this project. The authors disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: This study was funded by Grant Number 1R03DA034099 from the National Institute of Drug Abuse, National Institutes of Health.
| Funders | Funder number |
|---|---|
| National Institutes of Health (NIH) | |
| Author National Institute on Drug Abuse DA031791 Mark J Ferris National Institute on Drug Abuse DA006634 Mark J Ferris National Institute on Alcohol Abuse and Alcoholism AA026117 Mark J Ferris National Institute on Alcohol Abuse and Alcoholism AA028162 Elizabeth G Pitts National Institute of General Medical Sciences GM102773 Elizabeth G Pitts Peter McManus Charitable Trust Mark J Ferris National Institute on Drug Abuse |
Keywords
- adolescent
- alcohol
- HIV infections
- juvenile justice
- substance-exposed pregnancy
ASJC Scopus subject areas
- Social Sciences (miscellaneous)
- Sociology and Political Science
- General Psychology
