Study Aims: We propose a pilot study with following specific study aims:
Aim 1: To develop and pilot test the feasibility and acceptability of an integrated, theory-supported remote therapy intervention (SafERteens BI + Remote Health Coach) with at-risk youth (14-20 years old) seeking Emergency Department care and screening positive for recent alcohol use and violent behaviors.
Aim #2: To expand on our prior brief intervention work to develop and pilot test the feasibility and acceptability of an 8-session smartphone based remote therapy intervention that combines motivational interviewing, cognitive behavioral therapy and care management with youth (14-24 years old) seeking Emergency Department care and screening positive for an assault injury and drug use.
With alarming rates of substance use and violence among socio-economically disadvantaged youth with disparities in access to services, the public health impact of this multiple pilot study testing two versions of remote therapy interventions among at-risk and indicated high-risk assault-injured youth populations is significant. It also focuses within the area of youth violence, a key topic area for the U-M Injury Center. It is innovative as developing and pilot testing prototype state-of-the-art, evidenced-based, remote therapy interventions will provide critical data for large-scale efficacy testing and has the potential to advance the current field of violence prevention toward remote smartphone-based therapy that empowers youth to receive assistance during their daily interactions in low-resource, high-crime communities. Pilot data collected as part of this study will be used to support future resubmissions of a NIAAA R01 proposal and another NIDA R01 proposal currently under review.