AdolescentsandTreatmentofAlcoholUseDisorders.ppt

Adolescents and Treatment of Alcohol Use Disorders NIAAA Social Work Education Module 10A (revised 3/04) Outline Prevalence Criteria issues Risk factors Assessment Treatment prevention concerns 51.7% have tried alcohol 43.1% have had an alcoholic drink in past year 25.1% have been drunk 15.2% report 1 or more binge drinking episodes 40.5% have tried cigarettes 3.3% smoke ? pack or more of cigarettes/day 26.8% have tried at least one illicit drug 1.4% report using marijuana daily for at least one month at some point in their life Prevalence (continued) Lifetime prevalence 8.30% Point prevalence 2.34% Annual incidence rate 4.00% Criteria Limitations of DSM-IV Alcohol Use Disorders (AUDs) Criteria with Adolescents… Little is known about the validity of criteria Several symptoms are atypical of adolescent problem drinkers Some symptoms have low specificity Source: Martin Winters, 1998 Criteria (continued) Criteria (continued) Criteria (continued) Nonuser Experimenter Recreational User Regular User Abuser Dependent User Risk Factors A risk factor is defined as: Occurring before the criterion behavior (temporally precedes it) Statistically associated with increased probability of the criterion behavior occurring Risk factors are not necessarily: “Causes” or determinants of the behavior/problem Specific or unique to the behavior/problem Always associated with the behavior/problem Risk Factor Typology Risk Factors: Individual Physiological factors Genetic predisposition Alcohol sensitivity Neurochemistry Prenatal environment Cognitive impairment, learning difficulties, school failure Temperament/personality Negative mood states Irritability Tantrums Social withdrawal Aggressiveness Emotional distress Extraversion and sociability Tendencies toward risk taking and thrill seeking Risk Factors: Individual (continued) Risk Factors: Individual (continued) Risk Factors: Social/Interpe