Interventions for Alcohol and Drug Use Disorders in Young People: 10 Key Evidence-Based Approaches to Inform Service Delivery

Abstract

Effective treatment of alcohol and drug disorders in young people is critical to reducing substance-related harm; however, research examining treatment for young people often trails the adult literature. This review identifies 10 evidence-based treatment and service delivery principles that can be applied to treatment settings for young people. Screening and brief intervention is effective across a range of settings. Incorporating peer networks in service delivery can improve treatment engagement and outcomes, and a harm reduction approach may be beneficial. Treatment outcomes are improved by family involvement, while motivational interviewing and cognitive behavioural therapies benefit older adolescents, and contingency management and pharmacotherapy can augment family or individual interventions. Addressing co-occurring mental health problems is essential. eHealth interventions hold promise as a means of complementing existing therapies. There is now an established evidence base to inform treatment in young people, however, gaps in the literature remain. Ongoing challenges include integrating evidence into practice, and providing services that are both effective and welcoming to young people.