A tailored cognitive behavioral program for juvenile justice-referred females at risk of substance use and delinquency: A pilot quasi-experimental trial

Autoři: Sarah C. Walker aff001;  Mylien Duong aff001;  Christopher Hayes aff002;  Lucy Berliner aff003;  Leslie D. Leve aff004;  David C. Atkins aff001;  Jerald R. Herting aff005;  Asia S. Bishop aff006;  Esteban Valencia aff001
Působiště autorů: Department of Psychiatry and Behavioral Sciences, University of Washington, Seattle, Washington, United States of America aff001;  Snohomish County Juvenile Court, Everett, Washington, United States of America aff002;  Harborview Center for Sexual Assault and Trauma, Seattle, Washington, United States of America aff003;  College of Education, University of Oregon, Eugene, Oregon, United States of America aff004;  Department of Sociology, University of Washington, Seattle, Washington, United States of America aff005;  Department of Social Work, University of Washington, Seattle, Washington, United States of America aff006
Vyšlo v časopise: PLoS ONE 14(11)
Kategorie: Research Article
doi: 10.1371/journal.pone.0224363


This pilot quasi-experimental trial tested a gender-responsive cognitive behavioral group intervention with 87 court-involved female adolescents (5 juvenile courts) who were at indicated risk for substance use disorder. Participants in the intervention (n = 57) received twice weekly group sessions for 10 weeks (20 sessions) focused on building emotional, thought and behavior regulation skills and generalizing these skills to relationally-based scenarios (GOAL: Girls Only Active Learning). Youth in the control condition (n = 30) received services as usual, which included non-gender-specific aggression management training, individual counseling and no services. The GOAL program was found to be acceptable to youth and parents and feasible to implement within a juvenile court setting using skilled facilitators. Compared to services as usual, the program significantly and meaningfully reduced self-reported delinquent behavior (β = 0.84, p < 0.05) over 6 months, and exhibited trend level effects for reduced substance use (β = 0.40, p = 0.07). The program had mixed or no effects on family conflict and emotion regulation skills. These findings are discussed in light of treatment mechanisms and gender-responsive services.

Klíčová slova:

Behavior – Behavioral and social aspects of health – Cognition – Emotions – Learning – Pilot studies – Surveys – Delinquency


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