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Presentations
Best
Practices for Drug Abuse and
Suicide Risk Prevention Proceedings
Portland,
Oregon -- October 25-26, 2001
The
conference focused on the co-occurring problems of depression,
suicide risk behaviors and substance use among youth and
young adults. Nationally recognized experts conducted
workshops with a specific focus on screening high-risk
individuals, systematic assessment, and best practices
for preventive interventions. Workshops provided "hands-on"
experience with essential components of selected best
practices in prevention. Strategies for program implementation
in diverse community settings were provided. Brief descriptions
of the workshops and presentations offered are provided
below; more can be learned from the related website links.
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CAST:
An Empirically Supported
School-based Suicide Prevention Program
Leona L. Eggert, PhD, RN, FAAN, Elaine
A. Thompson, PhD, RN and
Brooke P. Randell, DNSc, RN, CS
Participants
learned about Coping and Support Training (CAST), a 12-session
peer-group intervention. This indicated preventive intervention
has demonstrated effectiveness with students "at-risk"
of high school drop out who screen in as suicide vulnerable.
This workshop provided participants with (1) a description
of the essential program elements and outcomes; (2) demonstrations
and practice of selected intervention components, and
(3) opportunities for discussion. Following this workshop
participants were able to (1) describe key components
of the CAST program approach for reducing suicide risk,
emotional distress and drug involvement, (2) value the
small-group approach to prevention and life skills training,
(3) identify risk factors evident in youth for whom this
program is designed, and (4) understand the empirical
support for CAST.
Related
website:
Reconnecting
Youth Prevention Research Program: www.son.washington.edu/departments/pch/ry/
Community
Approaches to Prevention:
Crisis Response Services for Adolescents
Carol A. Barber, MSW
PParticipants learned about models of community response
to youth in crisis, based on the collaborative program
of the Seattle Children's Home. The workshop described
organization of crisis response at the community level
including crisis outreach and assessment, crisis de-escalation
and stabilization, emergency referral for mental health
treatment, and a brief intensive case management strategy.
Related
website:
Seattle
Children's Home:
http://www.seattlechildrenshome.org/
Cultural Issues in Adapting Prevention Programs
Rose Alvarado, PhD
In
this presentation, principles for adapting prevention
programs for different ethnic and cultural groups
were discussed. In making cultural modifications
to a program, both personnel and program content
are important focal areas. Principles of cultural
modifications include development of relationships
with cultural leaders and informants, hiring culturally
competent staff, and development of a cultural adaptation
team. Promotion of ethnic identity and cultural
pride is important, as is the use of experiential
teaching methods, including storytelling, practice,
and ethnically matched visual graphics. Examples
of successfully adapted programs were presented.
Related websites:
Strengthening America's Families:
Effective Family Programs for Prevention of Delinquency:
http://www.strengtheningfamilies.org/
Strengthening
Families Program:
www.preventionnet.com/files/strfam.cfm
Dialectical
Cognitive Behavior Therapy: Treating Suicidal Behavior
Among Individuals with Borderline Personality
Disorder
Marsha Linehan, PhD, ABPP
Professor, Psychology, University of Washington
Participants
learned about this cognitive behavioral program
for treating suicidal behaviors and drug abuse
among young adults at risk for mental health disorders.
This program has a long history of demonstrated
effectiveness for preventing repeated suicide
attempts. The workshop provided participants with
an overview of the theoretical basis for the interventions;
a description of the essential program elements;
and demonstration of selected components of key
theory based-strategies. Participants practiced
aspects of the intervention. Upon completion of
this workshop participants were able to (1) identify
the theoretical principles underlying intervention
approaches; (2) describe components of the intervention;
and (3) demonstrate implementation of selected
components
Related
website:
Identifying
Adolescents & Young Adults at Risk for
Suicide and/or Substance Abuse in Primary Care Settings
Elizabeth McCauley, PhD, John Baer, PhD
Participants
learned about identifying adolescents and young adults
(15-24) at risk for suicide and/or substance abuse
in the general medical practice context. The focus
was on identification and screening of youth, young
adults and their families in the emergency department,
and on methods for successful referral to treatment
based on a tested protocol. The role of the primary
care clinician in identification, referral, treatment,
and follow-up care for youth was presented.
Preventing
Substance Use in Adolescent Sport:
The ATLAS and ATHENA Programs
Linn Goldberg, MD and Diane Elliot, MD
ATLAS and ATHENA programs: This interactive workshop
demonstrated major aspects of the national award
winning, adolescent male health promotion and
drug prevention program, ATLAS, and its counterpart
ATHENA, designed to decrease drug and disordered
eating among adolescent female athletes. Both
programs, developed with grants from the National
Institute on Drug Abuse, use a team-centered,
coach facilitated, gender specific approach. Participants
learned how ATLAS and ATHENA work, and how young
athletes can develop resistance to use of alcohol
and illicit drugs, and practice healthy lifestyles.
Related websites:
Athletes Training & Learning to Avoid Steroids
(ATLAS):
www.ohsu.edu/som-hpsm/atlas.html
Athletes
Targeting Healthy Exercise and Nutrition Alternatives
(ATHENA):
www.ohsu.edu/som-hpsm/athena.html
Oregon
Health & Science University Division of Health
Promotion and Sports Medicine:
www.ohsu.edu/som-hpsm/index.html
Preventing
Suicide Risk Behaviors Among High-Risk Youth:
The CARE Program
Brooke P. Randell, DNSc, RN, CS, Leona
L. Eggert, PhD, RN, FAAN and
Elaine A. Thompson, PhD, RN
Counselors-CARE (C-CARE), based on a computer-assisted
interview, is a brief, crisis intervention
approach to youth suicide prevention. It has
demonstrated effectiveness with students "at-risk"
of high school drop out who screen in as suicide
vulnerable. This workshop provided participants
with an overview of the theoretical basis
for the intervention; a description of the
essential elements; and a demonstration of
selected components of the intervention. The
computer-assisted MAPS interview was demonstrated.
Participants practiced aspects of the intervention.
Upon completion of this workshop participants
were able to identify the theoretical principles
underlying the intervention; describe key
components of intervention; and demonstrate
implementation of selected intervention components.
Related
website:
Reconnecting Youth Prevention Research Program:
www.son.washington.edu/departments/pch/ry
School-Based
Procedures to Identify Youth
at Risk For Suicidal Behaviors
William Reynolds, PhD, James
J. Mazza, PhD and Elaine A. Thompson,
PhD, RN
Intended for school and community professionals,
focus will be on proactive procedures for
identifying youth who manifest depression
and suicidal ideation and behaviors. Measures
and procedures with demonstrated reliability
and validity-along with guidelines for their
use with adolescents-will be described. School-based
screening for suicidal risk will be presented
as an efficacious method for identifying at-risk
youth. Participants will gain knowledge of
individual assessment measures of suicidality
in adolescents, and learn procedures for implementing
a school-based system-including both group
and individual assessment procedures-for early
identification. Procedures for using measures
in community and mental health settings will
be examined. Participants will gain understanding
of ethical concerns of both implementing and
not implementing procedures to identify suicidal
adolescents.
Related
website:
Washington
State Youth Suicide Prevention Program (YSP)
Strategic
Planning for Program Implementation and Evaluation
Kristen Reed Gabrielsen, MPH, CPS
CSAP's Western Center for the Application of Prevention
Technologies (CAPT) is one of six regional centers
funded by the Center for Substance Abuse Prevention
and includes Alaska, Washington, Oregon, Idaho,
California, Arizona, Nevada, Montana, Wyoming,
Utah, Hawaii, Guam, American Samoa, Commonwealth
of the Northern Mariana Islands, Federated States
of Micronesia, Marshall Islands, and Palau. The
purpose of CSAP's Western CAPT is to assist states,
jurisdictions, and community-based prevention
programs in the Western Region to apply scientifically-defensible
strategies in their efforts to prevent substance
abuse. CSAP's Western CAPT is organized to provide
useful, efficient, cost-effective, and culturally
sensitive prevention application services through
a comprehensive system that matches services to
the technological capabilities and capacity of
local community-based prevention programs. To
accomplish these goals, Prevention Application
Management Coordinators work with Single State
Agencies and local, community-based prevention
programs to develop plans designed to assist programs
in applying scientifically-defensible prevention
strategies. A network of local and regional technical
assistance experts, skill development activities,
innovative uses of electronic media, a resource
repository, and production services will be available
to support the plans.
Related
websites:
Building
a Successful Prevention Program Western Center
for the Application of Prevention Technologies:
http://www.open.org/~westcapt/
CSAP's
Western Center for the Application of Prevention
Technologies (Western CAPT): www.unr.edu/westcapt/
SAMHSA
(Substance Abuse and Mental Health Services Administration):
http://www.samhsa.gov/centers/csap/csap.html
The
Adolescent Coping with Depression Course
Paul Rohde, PhD
Participants learned fundamental epidemiological information
concerning adolescent depression and suicidality. An overview
of the theoretical rationale for the Adolescent Coping
with Depression Course (CWD-A) developed by the presenter
was provided. Specific treatment components, possible
modifications of the intervention (e.g., school prevention
intervention, use in juvenile justice system), and process
issues were also described.
Related
websites:
Oregon
Research Institute:
www.ori.org
The
Adolescent Coping With Depression (CWD-A) Course:
www.kpchr.org/acwd/acwd.html
Treating
Adult Depression:
Coping with Depression Course
Terry Michael McClanahan, PsyD
Depression
is one of the most prevalent disorders of young adulthood
and a key predictor of suicide risk. From community studies,
participants learned about the prevalence, risk factors,
and consequences of depression, suicidal behavior and
drug involvement among young adults. Cognitive-behavioral
interventions for depression were described, with special
emphasis on the Coping with Depression Course, a 12-session
cognitive behavioral group intervention designed to increase
pleasant events, social skills, relaxation, control negative
and irrational thoughts, and to improve communication
and problem-solving skills. An overview of the theoretical
basis for the course was provided, along with supporting
empirical evidence.
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