Family-Focused
Interventions to
Prevent Substance Use
Disorders in Adolescence
__________
Megan Snair, Rapporteur
Board on Children, Youth, and
Families
Division of Behavioral and Social
Sciences and Education
Proceedings of a Workshop
THE NATIONAL ACADEMIES PRESS 500 Fifth Street, NW Washington, DC 20001
This activity was supported by contracts between the National Academy of Sciences and the Foundation for Opioid Response Efforts (unnumbered). Any opinions, findings, conclusions, or recommendations expressed in this publication do not necessarily reflect the views of any organization or agency that provided support for the project.
International Standard Book Number-13: 978-0-309-69193-2
International Standard Book Number-10: 0-309-69193-1
Digital Object Identifier: https://doi.org/10.17226/26662
This publication is available from the National Academies Press, 500 Fifth Street, NW, Keck 360, Washington, DC 20001; (800) 624-6242 or (202) 334-3313; http://www.nap.edu.
Copyright 2022 by the National Academy of Sciences. National Academies of Sciences, Engineering, and Medicine and National Academies Press and the graphical logos for each are all trademarks of the National Academy of Sciences. All rights reserved.
Printed in the United States of America.
Suggested citation: National Academies of Sciences, Engineering, and Medicine. 2022. Family-Focused Interventions to Prevent Substance Use Disorders in Adolescence: Proceedings of a Workshop. Washington, DC: The National Academies Press. https://doi.org/10.17226/26662.
The National Academy of Sciences was established in 1863 by an Act of Congress, signed by President Lincoln, as a private, nongovernmental institution to advise the nation on issues related to science and technology. Members are elected by their peers for outstanding contributions to research. Dr. Marcia McNutt is president.
The National Academy of Engineering was established in 1964 under the charter of the National Academy of Sciences to bring the practices of engineering to advising the nation. Members are elected by their peers for extraordinary contributions to engineering. Dr. John L. Anderson is president.
The National Academy of Medicine (formerly the Institute of Medicine) was established in 1970 under the charter of the National Academy of Sciences to advise the nation on medical and health issues. Members are elected by their peers for distinguished contributions to medicine and health. Dr. Victor J. Dzau is president.
The three Academies work together as the National Academies of Sciences, Engineering, and Medicine to provide independent, objective analysis and advice to the nation and conduct other activities to solve complex problems and inform public policy decisions. The National Academies also encourage education and research, recognize outstanding contributions to knowledge, and increase public understanding in matters of science, engineering, and medicine.
Learn more about the National Academies of Sciences, Engineering, and Medicine at www.nationalacademies.org.
Consensus Study Reports published by the National Academies of Sciences, Engineering, and Medicine document the evidence-based consensus on the study’s statement of task by an authoring committee of experts. Reports typically include findings, conclusions, and recommendations based on information gathered by the committee and the committee’s deliberations. Each report has been subjected to a rigorous and independent peer-review process and it represents the position of the National Academies on the statement of task.
Proceedings published by the National Academies of Sciences, Engineering, and Medicine chronicle the presentations and discussions at a workshop, symposium, or other event convened by the National Academies. The statements and opinions contained in proceedings are those of the participants and are not endorsed by other participants, the planning committee, or the National Academies.
Rapid Expert Consultations published by the National Academies of Sciences, Engineering, and Medicine are authored by subject-matter experts on narrowly focused topics that can be supported by a body of evidence. The discussions contained in rapid expert consultations are considered those of the authors and do not contain policy recommendations. Rapid expert consultations are reviewed by the institution before release.
For information about other products and activities of the National Academies, please visit www.nationalacademies.org/about/whatwedo.
PLANNING COMMITTEE FOR FAMILY-FOCUSED INTERVENTIONS TO PREVENT SUBSTANCE USE DISORDERS IN ADOLESCENCE: A WORKSHOP
LESLIE R. WALKER-HARDING (Chair), Seattle Children’s Hospital
VINCENT GUILAMO-RAMOS, Duke University School of Nursing
AARON HOGUE, Partnership to End Addiction
MARGARET KUKLINSKI, University of Washington School of Social Work
ERIN MCKNIGHT, Nationwide Children’s Hospital
TERRINIEKA POWELL, Johns Hopkins Bloomberg School of Public Health
ERIN FOX, Program Officer (until July 29, 2022)
AMANDA GRIGG, Program Officer (as of August 1, 2022)
SUNIA YOUNG, Senior Program Assistant
BOARD ON CHILDREN, YOUTH, AND FAMILIES
DAVID V.B. BRITT (Chair), Sesame Workshop (retired)
HAROLYN BELCHER, Kennedy Krieger Institute; Johns Hopkins University School of Medicine
RICHARD F. CATALANO, University of Washington; Social Development Research Group
TAMMY CHANG, University of Michigan
DIMITRI CHRISTAKIS, Seattle Children’s Research Institute; University of Washington
GREG DUNCAN, University of California, Irvine
NANCY E. HILL, Harvard University
STEPHANIE J. MONROE, The Wrenwood Group, LLC
JAMES M. PERRIN, Harvard Medical School; Mass General Hospital for Children
NISHA SACHDEV, Milken Institute of Public Health, George Washington University
MARTIN H. TEICHER, McLean Hospital; Harvard Medical School
JONATHAN TODRES, Georgia State University College of Law
JOANNA LEE WILLIAMS, Rutgers University
NATACHA BLAIN, Director
Acknowledgments
This Proceedings of a Workshop was reviewed in draft form by individuals chosen for their diverse perspectives and technical expertise. The purpose of this independent review is to provide candid and critical comments that will assist the National Academies of Sciences, Engineering, and Medicine in making each published proceedings as sound as possible and to ensure that it meets the institutional standards for quality, objectivity, evidence, and responsiveness to the charge. The review comments and draft manuscript remain confidential to protect the integrity of the process.
We thank Nataki MacMurray, Office of National Drug Control Policy, for her review of this proceedings. We also thank staff member Jennifer Cohen for reading and providing helpful comments on this manuscript.
Although the reviewers listed above provided many constructive comments and suggestions, they were not asked to endorse the content of the proceedings, nor did they see the final draft before its release. The review of this proceedings was overseen by Patrick H. DeLeon, F. Edward Hébert School of Medicine and the Graduate School of Nursing, as well as Uniformed Services University of the Health Sciences. He was responsible for making certain that an independent examination of this proceedings was carried out in accordance with standards of the National Academies and that all review comments were carefully considered. Responsibility for the final content rests entirely with the rapporteurs and the National Academies.
This page intentionally left blank.
Contents
2 FAMILY-FOCUSED INTERVENTIONS IN HEALTH CARE SETTINGS
Making the Case for Interventions
Leveraging Supportive Policies
3 BARRIERS TO AND OPPORTUNITIES FOR PROGRAM IMPLEMENTATION AND WIDESPREAD SCALE-UP
Barriers to and Opportunities for Program Implementation
Barriers to and Opportunities for Widespread Scale-Up
Administration for Children and Families
National Institute on Drug Abuse
Substance Abuse and Mental Health Services Administration
Discussion Session with Panelists and Workshop Attendees