Feasibility and impact of implementing motivational enhancement therapy-cognitive behavioral therapy as a substance use treatment intervention in school-based settings.

The expansion of behavioral health services to school-based health centers under the Affordable Care Act (Public Law 111-148) presents an opportunity to improve access to substance use disorders treatment for youth and reduce their substance use, and emotional, health, and school problems. We explore the feasibility of implementing five to seven sessions of motivational enhancement therapy-cognitive behavioral therapy (MET/CBT) in school settings relative to a matched cohort in community settings. Results indicate that MET/CBT in school settings is feasible, effective, and cost-effective. Moreover, it reaches youth earlier after the onset of substance use and has the possibility to reduce existing health disparities for girls and ethnic minorities.

The GAIN Short Screener (GSS) as a Predictor of Future Arrest or Incarceration Among Youth Presenting to Substance Use Disorder (SUD) Treatment.

The National Institutes of Health (NIH) data harmonization project on existing measures (www.phenx.org) has recommended the Global Appraisal of Individual Needs (GAIN)-Short Screener (GSS) as one of the most reliable, valid, efficient, and inexpensive general behavioral health screeners to quickly identify people with internalizing and externalizing mental health disorders, substance use disorders, and crime/violence problems. The present study examined how well the four GSS screeners and their sum predict future arrest or incarceration among individuals entering treatment for a substance use disorder. Using a cross-validation design, a diverse sample of 6,815 youth with substance use disorders was split into a development sample and a validation sample. Overall, results found the GSS's crime and violence screener (CVScr) and the substance disorder screener (SDScr) to be the two best predictors of arrest/incarceration within the 12 months following treatment intake. Additionally, we found that these screeners could be used to categorize individuals into three groups (low risk, moderate risk, high risk) and this simplified classification had good predictive validity (Area Under the Curve = 0.601). In sum, the GSS's predictive validity was similar to other instruments that have been developed to predict risk for recidivism; however, the GSS takes only a fraction of the time to collect (ie, approximately 2-3 minutes for just these two screeners).

Ethnic differences in endorsement of the Protestant work ethic: the role of ethnic identity and perceptions of social class.

The authors examined ethnic differences in endorsement of the Protestant work ethic (PWE; M. Weber, 1905) among Black (n = 96) and White (n = 149) college students and tested whether differences in ethnic identity and perceptions of social class mediated the relationship between ethnicity and the endorsement of PWE values. Blacks were higher in levels of ethnic identity, more likely to see themselves as working or middle class, and less likely to endorse the PWE. Only perceptions of social class partially mediated the relationship between ethnicity and PWE values. The authors concluded that perception of social class is an important construct that might influence the cultural psychology of different ethnic groups. The authors recommended further research involving PWE and other cultural variables.