%0 Journal Article %J J Adolesc %D 2013 %T Multidimensional characterization of sexual minority adolescents' sexual safety strategies. %A Masters, N Tatiana %A Beadnell, Blair %A Morrison, Diane M %A Hoppe, Marilyn J %A Wells, Elizabeth A %K Adolescent %K Bisexuality %K Female %K Homosexuality, Female %K Homosexuality, Male %K Humans %K Male %K Minority Groups %K Safe Sex %K Sexual Behavior %K Sexually Transmitted Diseases %K Surveys and Questionnaires %K Transgender Persons %X

Young adults have high rates of sexually transmitted infections (STIs). Sexual minority youths' risk for STIs, including HIV, is as high as or higher than sexual majority peers'. Sexual safety, while often treated as a single behavior such as condom use, can be best conceptualized as the result of multiple factors. We used latent class analysis to identify profiles based on ever-used sexual safety strategies and lifetime number of partners among 425 self-identified LGBTQ youth aged 14-19. Data collection took place anonymously online. We identified four specific subgroup profiles for males and three for females, with each subgroup representing a different level and type of sexual safety. Profiles differed from each other in terms of age and outness for males, and in outness, personal homonegativity, and amount of education received about sexual/romantic relationships for females. Youths' sexual safety profiles have practice implications for sexuality educators, health care professionals, and parents.

%B J Adolesc %V 36 %P 953-61 %8 2013 Oct %G eng %N 5 %R 10.1016/j.adolescence.2013.07.008 %0 Journal Article %J Soc Work Public Health %D 2013 %T Social workers and delivery of evidence-based psychosocial treatments for substance use disorders. %A Wells, Elizabeth A %A Kristman-Valente, Allison N %A Peavy, K Michelle %A Jackson, T Ron %K Behavior Therapy %K Cognitive Therapy %K Evidence-Based Practice %K Family Therapy %K Humans %K Psychology %K Psychotherapy %K Secondary Prevention %K Social Work %K Substance Abuse Treatment Centers %K Substance-Related Disorders %K Therapeutic Community %X

Social workers encounter individuals with substance use disorders (SUDs) in a variety of settings. With changes in health care policy and a movement toward integration of health and behavioral health services, social workers will play an increased role vis-รก-vis SUD. As direct service providers, administrators, care managers, and policy makers, they will select, deliver, or advocate for delivery of evidence-based SUD treatment practices. This article provides an overview of effective psychosocial SUD treatment approaches. In addition to describing the treatments, the article discusses empirical support, populations for whom the treatments are known to be efficacious, and implementation issues.

%B Soc Work Public Health %V 28 %P 279-301 %8 2013 %G eng %N 3-4 %R 10.1080/19371918.2013.759033 %0 Journal Article %J Addiction %D 2012 %T Primary outcome indices in illicit drug dependence treatment research: systematic approach to selection and measurement of drug use end-points in clinical trials. %A Donovan, Dennis M %A Bigelow, George E %A Brigham, Gregory S %A Carroll, Kathleen M %A Cohen, Allan J %A Gardin, John G %A Hamilton, John A %A Huestis, Marilyn A %A Hughes, John R %A Lindblad, Robert %A Marlatt, G Alan %A Preston, Kenzie L %A Selzer, Jeffrey A %A Somoza, Eugene C %A Wakim, Paul G %A Wells, Elizabeth A %K Alcoholism %K Biomedical Research %K Clinical Trials as Topic %K Consensus %K Endpoint Determination %K Humans %K Self Report %K Street Drugs %K Substance Abuse Detection %K Substance Withdrawal Syndrome %K Substance-Related Disorders %K Tobacco Use Disorder %K Treatment Outcome %X

AIMS: Clinical trials test the safety and efficacy of behavioral and pharmacological interventions in drug-dependent individuals. However, there is no consensus about the most appropriate outcome(s) to consider in determining treatment efficacy or on the most appropriate methods for assessing selected outcome(s). We summarize the discussion and recommendations of treatment and research experts, convened by the US National Institute on Drug Abuse, to select appropriate primary outcomes for drug dependence treatment clinical trials, and in particular the feasibility of selecting a common outcome to be included in all or most trials.

METHODS: A brief history of outcomes employed in prior drug dependence treatment research, incorporating perspectives from tobacco and alcohol research, is included. The relative merits and limitations of focusing on drug-taking behavior, as measured by self-report and qualitative or quantitative biological markers, are evaluated.

RESULTS: Drug-taking behavior, measured ideally by a combination of self-report and biological indicators, is seen as the most appropriate proximal primary outcome in drug dependence treatment clinical trials.

CONCLUSIONS: We conclude that the most appropriate outcome will vary as a function of salient variables inherent in the clinical trial, such as the type of intervention, its target, treatment goals (e.g. abstinence or reduction of use) and the perspective being taken (e.g. researcher, clinical program, patient, society). It is recommended that a decision process, based on such trial variables, be developed to guide the selection of primary and secondary outcomes as well as the methods to assess them.

%B Addiction %V 107 %P 694-708 %8 2012 Apr %G eng %N 4 %R 10.1111/j.1360-0443.2011.03473.x