Central to many theories of deviance and delinquency (differential association, social learning, and social bond) are peer and familial influences on deviant behavior. A conceptual framework that incorporated both peer and familial influence to address the role of cross-sex peers on female deviance was built based on a review of the literature. Using substance use as an indicator of deviance, the effects of having three forms of male associates (male friends, romantic partners, and sexual partners) on female substance use were examined. Focus was on the effects of different types of male peer relationships, how those effects differed from the effects of female peer relationships, and how parental control might be greater for girls with only female peers. The conceptual model incorporated three measures of parental control—parentally granted autonomy, parental presence at home, and time spent in shared activities with parents—that were used to test the effects of male associates on female substance use. Analyzing data from the National Longitudinal Study of Adolescent Health (Add Health), one combined measure for male associates was regressed on female substance use while controlling for parental control measures to determine if the effects of male associates on female substance use were mediated by parental control. Results indicated that while each type of male associate increased the likelihood of female substance use, effects were stronger for romantic and sexual partners than for male friends. Female friends also increased the likelihood of substance use. While the effects of male friends did not significantly differ from the effects of female friends, the effects of romantic and sexual partners did. The effects of male associates were significant even with the inclusion of parental control measures. Though both relationships with male associates and parents significantly affected female substance use, results did not provide support for the conceptual model. With results providing greater support for theories of peer influence than parental influence, future research should continue to examine peer relationship influences on deviance, how these influences vary by type of association, and how gender effects peer influence processes.

After reviewing currently available diagnostic assessment instruments for substance use disorders this paper describes the format and structure of the Munich-Composite International Diagnostic Interview (M-CIDI) substance disorder section. In addition, the test-retest reliability of diagnoses and criteria for nicotine, alcohol, illegal and prescription drugs, is reported. Findings obtained in community sample of adolescents and young adults indicate that the substance section is acceptable for almost all types of respondents, efficient in terms of time and ease of administration as well as reliable in terms of consistency of findings over time. The test-retest reliability over a period of an average of 1 month, as examined by two independent interviewers indicates good-to-excellent kappa values for all substance disorders assessed, with significant kappa values ranging between 0.55 for drug abuse and 0.83 for alcohol abuse. There was also fairly consistently high agreement for the assessment of single DSM-IV diagnostic criteria for abuse and dependence as well as the M-CIDI quantity-frequency and time-related questions. To conclude, although – unlike previous studies – this study was conducted in a community sample and not in patients and used considerably longer time intervals of more than a month between investigations, our M-CIDI reliability findings are at least as high as those from previous studies.

This investigation assessed the effectiveness of an adolescent substance abuse treatment program that incorporated "Rites of Passage." Named Gender Based Treatment (GBT), the treatment program sought to address the adolescents' developmental needs through the use of rituals, myth and story telling, and rites of initiation. Employing quantitative and qualitative analysis, this investigation assessed and described the GBT program over a nine month period. The quantitative data analysis revealed a change in the positive direction after the treatment for most of the subjects. Of the subjects who met the Follow-up Structured Interview criteria, six out of eight reported being alcohol and drug free 30 days following treatment. Two subjects reported relapses and one subject reported a minor incident with the legal system. The qualitative data collected raised concerns regarding (a) the "common vision" of the staff; (b) the awareness level of the staff regarding the cultural assumptions and the moral/political implications of the GBT; (c) the contradictory messages being sent regarding smoking, gender relations, power, and sexism; and (d) the interest, engagement, and impact of the GBT on the subjects. This investigation revealed the accuracy in which the GBT matched the recommendations made in the substance abuse literature. It is speculated that an interaction effect between the traditional form of treatment and the new GBT, positively influenced subjects' abstinence and relapse rate, illegal behavior, self-esteem and coping behaviors. Further speculation regarding the theoretical implications for this study point to Social Learning Theory, or modeling as a potent variable. It is hypothesized that the staff members' involvement in the planning and implementing this new form of treatment had a positive influence on the staff as a whole and thereby positively influenced the adolescents in treatment. / Graduation date: 1993

Research has shown that social pressure is related to treatment motivation and plays an important role in treatment engagement in adults with problematic substance use. Despite the shifts in autonomy and decision-making in emerging adulthood, the factors affecting treatment motivation (e.g., readiness to comply with treatment) and motivation to change (e.g., problem recognition and taking steps towards change) during this period have been largely ignored. In this study, 134 youth presenting to an outpatient substance abuse program completed questionnaires investigating substance use history, mental health, social pressure to reduce use and enter treatment, and motivation. Results indicated that peer pressure accounted for significant variance in internal positive and internal negative treatment motivation. Family pressure was related only to external treatment motivation. Neither social network source had a significant impact on motivation to change. Limitations, directions for future research and treatment implications are discussed.

Research has shown that social pressure is related to treatment motivation and plays an important role in treatment engagement in adults with problematic substance use. Despite the shifts in autonomy and decision-making in emerging adulthood, the factors affecting treatment motivation (e.g., readiness to comply with treatment) and motivation to change (e.g., problem recognition and taking steps towards change) during this period have been largely ignored. In this study, 134 youth presenting to an outpatient substance abuse program completed questionnaires investigating substance use history, mental health, social pressure to reduce use and enter treatment, and motivation. Results indicated that peer pressure accounted for significant variance in internal positive and internal negative treatment motivation. Family pressure was related only to external treatment motivation. Neither social network source had a significant impact on motivation to change. Limitations, directions for future research and treatment implications are discussed.

Research has demonstrated that problem gambling is associated with substance and alcohol abuse (Petry, Stinson, & Grant, 2005), participation in criminal activities (McCorkle, 2002; Meyer & Stadler, 1999), and involvement in the criminal justice system (NORC, 1999). This study assessed problem gambling and its relation to crime and substance use within a population in which these risk factors are compounded: Adults mandated to participate in drug and DUI courts. Results indicate that the prevalence and severity of problem gambling may be higher within this population than any other. Furthermore, the results of qualitative and quantitative analyses converged to highlight that gambling, crime and substance use are interrelated behaviors, as each may lead to and/or reinforce the other. These findings suggest that problem gambling is a salient issue among substance-abusing offenders and that resources should be dedicated to screening those involved with the criminal justice system for problem gambling, establishing evidence based best practices in the prevention and treatment of problem gambling within this population, and that such practices may incorporate components addressing gambling, crime, and substance use.

Research has demonstrated that problem gambling is associated with substance and alcohol abuse (Petry, Stinson, & Grant, 2005), participation in criminal activities (McCorkle, 2002; Meyer & Stadler, 1999), and involvement in the criminal justice system (NORC, 1999). This study assessed problem gambling and its relation to crime and substance use within a population in which these risk factors are compounded: Adults mandated to participate in drug and DUI courts. Results indicate that the prevalence and severity of problem gambling may be higher within this population than any other. Furthermore, the results of qualitative and quantitative analyses converged to highlight that gambling, crime and substance use are interrelated behaviors, as each may lead to and/or reinforce the other. These findings suggest that problem gambling is a salient issue among substance-abusing offenders and that resources should be dedicated to screening those involved with the criminal justice system for problem gambling, establishing evidence based best practices in the prevention and treatment of problem gambling within this population, and that such practices may incorporate components addressing gambling, crime, and substance use.

Alcohol and drug abuse are strong predictors of suicide. While screening methods have proven effective at identifying and treating substance abuse in non-treatment-seeking users (e.g., screening and brief intervention [SBI]), less attention has been given to the co-occurrence of suicidality among this population, including its correlates and etiology. The current study addresses this gap by presenting data from early adult emergency department (ED) patients (mean age = 27; N = 505), screened for substance abuse and suicidal ideation. Prevalence of past year ideation was high (15%). Results demonstrated a significant and positive indirect effect of cocaine use severity on likelihood of suicidal ideation, mediated through family support. The implications for SBI practices in the ED and suicide etiology among non-treatment-seeking substance abusers are discussed.

Although day laborers are highly visible, as they seek employment, in public street corners or storefronts, their life struggles, including their mental health and social service needs, remain largely unknown to local officials or service providers. This is one of the first studies to directly examine the risk and protective factors impacting Latino Day Laborers’ (LDLs) well-being and substance use and abuse. The study utilized a mixed methods (qualitative and quantitative) design. Specifically, this study used risk and protective variables identified by LDLs in the initial qualitative phase of the study to quantitatively examine the impact on these factors on LDLs’ well-being and substance use and abuse. Based on a sample of 147 LDLs, the quantitative results indicate that risk factors for well-being include psychological distress, social isolation, and older age; while factors protective of well-being include higher levels of religiosity and sending remittances to family members. In addition, psychological distress was found to be a risk factor for substance abuse. A member checking focus group was conducted to contextualize and validate the quantitative findings with the lived experiences of LDLs. Implications for practice and policy are discussed. / text

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