Cited by 65Homelessness and Social IssuesSubstance Abuse Treatment and OutcomesHIV, Drug Use, Sexual Risk

A Comparison of Three Interventions for Homeless Youth Evidencing Substance Use Disorders: Results of a Randomized Clinical Trial

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Slesnick, Natasha, Guo, Xiamei, Brakenhoff, Brittany, Bantchevska, Denitza·2015·Journal of Substance Abuse Treatment

Abstract

While research on homeless adolescents and young adults evidencing substance use disorder is increasing, there is a dearth of information regarding effective interventions, and more research is needed to guide those who serve this population. The current study builds upon prior research showing promising findings of the community reinforcement approach (CRA) (Slesnick, Prestopnik, Meyers, & Glassman, 2007). Homeless adolescents and young adults between the ages of 14 to 20 years were randomized to one of three theoretically distinct interventions: (1) CRA (n = 93), (2) motivational enhancement therapy (MET, n = 86), or (3) case management (CM, n = 91). The relative effectiveness of these interventions was evaluated at 3, 6, and 12 months post-baseline. Findings indicated that substance use and associated problems were significantly reduced in all three interventions across time. Several moderating effects were found, especially for sex and history of childhood abuse. Findings show little evidence of superiority or inferiority of the three interventions and suggest that drop-in centers have choices for addressing the range of problems that these adolescents and young adults face.

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  1. Robertson M Toro P Fosburg L Dennis D Homeless youth: Research, intervention, and policy Practical lessons: The 1998 National Symposium on Homelessness Research 1999 3 32 U.S. Department of Housing and Urban Development Washington DC

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Authors
Slesnick, N., Guo, X., Brakenhoff, B., & Bantchevska, D.
Affiliations
The Ohio State University (US)
Corresponding author
Slesnick, Natasha
Venue
Journal of Substance Abuse Treatment
Publisher
Elsevier BV
Published
2015-07
Volume
54
Pages
1-13
ISSN
0740-5472 (ISSN-L)
OpenAlex
W1970437682
Cited by
65
References
96
Citations by year
2026: 6 · 2025: 4 · 2024: 7 · 2023: 8 · 2022: 2 · 2021: 9 · 2020: 6 · 2019: 5 · 2018: 5 · 2017: 5 · 2016: 8
FWCI
10.94
Type
journal article
Language
en
Open access
Locations
  • Journal of Substance Abuse Treatment (publishedVersion)
  • PubMed (publishedVersion)
  • Europe PMC (PubMed Central) (acceptedVersion)
  • PubMed Central (acceptedVersion)
Funders
National Institute on Drug Abuse (R01DA013549, R01 DA13549)
Topics
  • Health Sciences › Health Professions › General Health Professions › Homelessness and Social Issues
  • Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
  • Health Sciences › Medicine › Epidemiology › HIV, Drug Use, Sexual Risk
Keywords
homeless youth, substance use disorders, community reinforcement approach, motivational enhancement therapy, case management, intervention effectiveness, childhood abuse, sex differences, drop-in centers, adolescents and young adults
MeSH terms
Adolescent, Age Factors, Child, Child Abuse, Ethnicity, Female, Humans, Male, Motivation, Patient Participation, Sexual Behavior, Sex Factors, Treatment Outcome, Homeless Youth, Case Management, Substance-Related Disorders, Young Adult, Motivational Interviewing

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