Winters Ken C, Leitten Willa, Wagner Eric, O'Leary Tevyaw Tracy
Department of Psychiatry, University of Minnesota, F282/2A West, 2450 Riverside Ave, Minneapolis, MN 55454, USA.
J Sch Health. 2007 Apr;77(4):196-206. doi: 10.1111/j.1746-1561.2007.00191.x.
Promising and encouraging results have been recently reported on the use of briefer interventions for adolescent drug abusers. Because middle- and high-school-based drug abuse intervention programs have grown in popularity over the past several decades, the use of brief interventions (BIs) in school settings merits consideration.
We review several clinical and school contextual issues pertaining to the scientific efficacy, feasibility, and application of BIs for students who are abusing drugs.
Several advantages for employing BIs in a school setting are identified, including the relatively high base rate of students with mild-to-moderate drug involvement and the likelihood that school counselors can readily learn BI techniques. Caveats of implementing BIs include practical, systemic, and clinical barriers.
Despite concerns, schools are a viable setting in which to screen youth for drug abuse problems and to conduct a BI.
最近有报道称,针对青少年药物滥用者采用更简短的干预措施取得了有前景且令人鼓舞的成果。由于在过去几十年中,以初中和高中为基础的药物滥用干预项目越来越受欢迎,因此在学校环境中使用简短干预措施值得考虑。
我们回顾了与针对药物滥用学生的简短干预措施的科学有效性、可行性和应用相关的几个临床和学校背景问题。
确定了在学校环境中采用简短干预措施的几个优点,包括轻度至中度药物涉入学生的相对高基数以及学校辅导员能够轻松学习简短干预技术的可能性。实施简短干预措施的注意事项包括实际、系统和临床障碍。
尽管存在担忧,但学校是筛查青少年药物滥用问题并进行简短干预的可行场所。