5.4 SWK 656 Apply Evaluation Findings.edited

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1 5.4 Assignment: Apply Evaluation Findings Tangala Parker Indiana Wesleyan University SWK 656: Advance Practice with Families and Groups Dr. Karen Robbins February 1, 2024

2 The article discusses peer support and motivational intervention for adolescents who are struggling with substance misuse. Peer support involves bringing together individuals with firsthand experience with the same issue and providing education and support. This intervention typically includes regular gatherings where members can share their experiences and challenges under the guidance of a facilitator. On the other hand, motivational interviewing aims to empower clients by fostering communication and motivation for change. The article expresses the importance of peer support, considering the number of clients involved in the study. This therapy intervention has shown positive outcomes, contributing to the growing field of positive psychology. There has been a surge in the popularity of peer support recently. The study aims to provide an in-depth explanation and exploration of the relationship between peer therapy and supporting adolescents who misuse substances. The article thoroughly examines various databases using keywords such as group therapy, adolescent, and substance use. Additionally, it discusses the effectiveness of group therapy and presents the findings through tables and diagrams. The majority of the information gathered suggests that peer therapy is a viable option for addressing adolescent substance misuse. The article draws information from eleven studies involving adolescents aged twelve to eighteen. These studies compare peer group therapy with peer group therapy, peer group therapy with family therapy, peer group therapy with a control group, and peer group therapy with no control group. Peer group is a viable and acceptable option for addressing adolescent substance misuse. However, further research is needed to determine the effectiveness of motivational interviewing and psychoeducational strategies. Adolescent substance use, including cannabis, tobacco, illicit drugs, and alcohol, is a growing problem in our society. Binge drinking is also every day among

3 adolescents, who often conceal their symptoms of substance use and withdrawal. The article also highlights that adolescents are more likely to continue using substances despite the negative consequences. Using peer groups and motivational interviewing has proven to be beneficial for adolescents. This approach provides a safe environment for psychosocial development during a crucial period of identity formation. It allows adolescents to explore their place in the world and within their family and peer group. Peer therapy allows clients to focus on themselves and provides an opportunity to interact and support other teens facing similar challenges. Furthermore, it is worth noting that peer therapy in a group setting is cost-effective. It enables a group of adolescents to receive therapy under the guidance of a single facilitator. Peer therapy and motivational interviewing empower clients to assist the facilitator by offering support and encouragement. The rest of the group members can also exchange their experiences, strategies, and temptations. Additional research is required to understand the effectiveness of this intervention fully. The article highlights the gaps in peer therapy's effectiveness, but it analyzes and discusses the current studies available. These studies demonstrate that peer therapy is a recognized method for addressing substance misuse among adolescents. I found the information provided in the article to be intriguing. I have a keen interest in reading about therapies for substance use treatment. Additionally, I firmly believe that focusing on our youth is the key to preventing substance abuse. By helping adolescents with their current substance abuse issues, we can increase their chances of avoiding it as adults. Substance abuse tends to be a cycle, and if a child or adolescent sees their parent or guardian engaging in it, they are more likely to participate as well. What caught my attention the most was the use of change talk within peer groups, as discussed in the article. Change talk refers to statements made by

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4 clients that demonstrate their consideration, motivation, and commitment to change. Typically, change talk is used in conjunction with motivational interviewing, where the facilitator guides the client toward expressing their desire for change. I initially doubted whether adolescents would accept or understand the concept of change talk, given that their hormones and emotions often drive them. Adolescents are still in the process of understanding themselves and their emotions. This is why the idea of change talk within a peer group fascinated me. However, I have limited experience working with adolescents in a professional setting. One aspect that intrigued me was the need for studies on this topic. While reading the article, I noticed multiple references for further research. Yet, it also mentioned that peer therapy is an appropriate approach for addressing adolescent substance misuse. If this intervention is recommended, then why is there a lack of studies or a need for further research? I would have expected more studies to have been conducted before this article. However, therapy was considered taboo in our society until recently. Yes, I would utilize both peer therapy and motivational interviewing as interventions. Motivational interviewing is an extremely valuable intervention for the facilitator and the clients involved in the group. When combined with change talk, motivational interviewing becomes an even more powerful tool for facilitators. It empowers clients to take control of their therapy, set their own goals, and actively participate in their treatment. Peer therapy and motivational interviewing are versatile techniques that can be effectively utilized in various group therapy settings. Presently, I actively contribute to an adult addiction group every Monday, where peer therapy is already being implemented. Within this group, clients actively support each other's skill development, provide mutual support, and assist

5 one another in managing cravings and setbacks. Additionally, motivational interviewing is seamlessly integrated into these group therapy sessions. Clients actively contribute to shaping the session's topics and educational content while also playing a vital role in goal setting and active participation throughout the therapy session. Peer therapy and motivational interviewing have the potential to be adapted in order to cater to the specific requirements of the clients. This adaptation can be achieved through open discussions and setting goals collaboratively between the client and the facilitator. A fundamental principle in motivational interviewing is encouraging the client to participate in the conversation actively. Similarly, peer therapy also follows a similar approach. It is crucial to emphasize that both methods can and should be adjusted to address the client's or group's unique needs.

6 Reference 7ReferenceFrancesca, D. G. (2023). Peer Group Therapy for Adolescent Substance Misuse Treatment: A Scoping Review. Deep Blue (University of Michigan). https://doi.org/10.7302/8131 Madsen, W. C. (2007). Collaborative Therapy with Multi-Stressed Families.https://openlibrary.org/books/OL8874739M/Collaborative_Therapy_with_Multi -Stressed_Families_Second_Edition_(Guilford_Family_Therapy_Series) Yalom, I., & Leszcz, M. (2020). The Theory and Practice of Group Psychotherapy (6th ed.). Basic Books

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