The increase consumption of alcohol and drugs by adolescences is not just a problem for the United States it is a multicultural national problem. Separating by race, Native American teens had the highest level of drug use, with nearly 48 percent reporting having used substances in the last year. That group is followed by 39 percent of white teens, almost 37 percent of Hispanics, 36 percent of multi-racial adolescents, 32 percent of blacks and nearly 24 percent of Asians. "There is certainly still a myth out there that black kids are more likely to have problems with drugs than white kids, and this documents as clearly as any study we're aware of that the rate of substance-related disorders among African American youths is significantly lower," ( Dan Blazer from Duke's Department of Psychiatry, a senior author of the study, told the Raleigh News & Observer).
Adolescents reported using marijuana more than any other drug, with 13 percent of those surveyed reporting marijuana use in the last year, followed by 7 percent reported having used prescription pain killers (Teen Drug and Alcohol use Lowest Among Blacks, Asians). A lack of cultural competence is identified as a major gap, as insensitivity to cultural differences can limit the ability to treat and retain minority adolescents, the researchers write in their report. Put together, these findings call for efforts to identify and expand prevention, assessment and treatment measures that are culturally effective and address the quality and acceptability of treatment for adolescents with substance use problems. A separate report released in June supported previous research that early substance use affects the likelihood of abuse in adulthood. The study, by the National Center on Addiction and Substance Abuse at Columbia University showed that 90 percent of Americans who are current substance abusers started using drugs or alcohol before they turned 18( Teen Drug And Alcohol Use Lowest Among Blacks, Asians
Adolescent Community Reinforcement Approach (A-CRA) is a behavioral treatment for youth (12 to 18 years old) with substance use disorders that seeks to replace environmental enablers with activities supportive of recovery. It has been used with adolescents from different cultural and racial backgrounds, the majority of whom are receiving treatment for the first time (Meyers & Squires, 2001). A-CRA is based on the theory that negative behavior has been learned and can, thus, be unlearned. Substance abuse is not seen as an isolated behavior, making the context in which substances are used important to observe (Meyers & Squires, 2001). This is furthered by accounting for all problem areas, with the belief that other issues are often related to the substance use. Sessions are held with the adolescent alone, caregivers alone, and with the two together with the purpose of helping the adolescent create a more rewarding sober lifestyle (Meyers &...