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 youth with differences 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.