A brief alcohol use and sexual behavior risk-reduction program for inpatient adolescent girls: Stage I development
Griffin, Melissa Joy
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Adolescence is a period of significant vulnerability for risky behavior. These behaviors often cluster together, creating a condition of aggregated risk, which disproportionately affects adolescent girls. Alcohol use, risky sex, and sexual victimization are among these risks, often with presence of one augmenting the risk for another. Adolescents who are admitted for acute psychiatric hospitalization are at even greater risk for problem alcohol use and risky sexual behavior. The context of hospitalization also provides an ideal setting for intervening on risk behavior. The current project aimed to develop and pilot an intervention program targeting alcohol use and risky sexual behavior for adolescent girls admitted for acute psychiatric hospitalization. The project consisted of two studies that built on one another and were consistent with Stage I research of the Stage Model of Behavior Therapies (Rounsaville, Carroll, & Onken, 2001). The aim of Study 1 was to develop the intervention program based on established guidelines, data about the target population and intervention environment, theoretical models of behavior change, and the intervention literature. The aim of Study 2 was to pilot the developed intervention program to determine program feasibility, preliminary efficacy, and fidelity of program delivery. Results from this project first supported the feasibility of developing and implementing a brief intervention with inpatient adolescent girls. Second, preliminary outcome data suggest that the developed intervention program can be delivered with fidelity and can generate improvement in risk knowledge, motivation, and behavioral skills for alcohol use, sexual behavior, and sexual victimization.