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  • 13 - Engaging Young Probation-Referred Marijuana-Abusing Individuals in Treatment

  • from Part III - Interventions with Cannabis-Dependent Adolescents and Young Adults
  • Edited by Roger Roffman, University of Washington, Robert S. Stephens, Virginia College of Technology
  • Foreword by G. Alan Marlatt, University of Washington
  • Book:
    Cannabis Dependence
    Published online:
    29 October 2009
    Print publication:
    23 February 2006, pp 297-312

  • Summary

    This chapter describes the rationale for and results from a preliminary study of the efficacy of strategies to engage probation-referred marijuana-abusing young adults in substance abuse treatment. Frequent marijuana use in young adults is associated with greater delinquency and involvement with the legal system, and early involvement with the legal system is a predictor of further problematic substance use and legal involvement. One factor that may be related to the paucity of efficacy data on motivational enhancement therapy (MET) with drug abusers is the complexity of the issues around implementing this approach with comparatively severe, treatment-seeking drug users. A notable recent finding in the drug abuse field is the effectiveness of the contingency management (CM) approach. In MET, the therapeutic stance is one in which empathy is expressed, resistance and argumentation are avoided, and self-efficacy is supported.