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> CHS Home > Services > Research & Training > CYT

Cannabis Youth Treatment - Study Forms and Products

The following list includes manuals and materials, some of which have been changed as a result of continuous testing during the treatment phase (extending through the winter of 2000). If you have questions about them or would like permission to use them contact the person identified below.


Study Forms

 

Research: Intake Interview

Instrument Name/AcronymFilenameDate on
Bottom
Participant Screening Form (PSF)PSF0199.pdf1/31
Global Appraisal of Individual Needs (GAIN-I, GI)GI0799.pdf7/31
Supplemental Assessment Form (SAFI)SAF0299.pdf2/26
Collateral Assessment Form (CAFI)CAFI0599.pdf5/31
Child Behavior Checklist (CBCL) (Link to CBLC web site)(purchased)NA
Follow-up Locator Form - Participant (FLF-P)FLFP0598.pdf*5/30
Follow-up Locator Form - Collateral (FLF-C)FLFC0598.pdf*5/30
File Status Sheet (FSS)FSS1098.pdf10/30
*Specific file names are tailored to each site.

 

Research: Follow-Up Interviews

Instrument Name/AcronymFilenameDate on
Bottom
Global Appraisal of Individual Needs (GAIN-M90, GMF)GM0799.pdf7/31
Supplemental Assessment Form (SAFF-includes Discharge Q.)SAFF0998.pdf9/30
Collateral Assessment Form (CAFF-includes Discharge Q.)CAFF0299.pdf2/26

 

Treatment

Instrument Name/AcronymFilenameDate on
Bottom
Personal Feedback Report (PFR)* (this is a report used in groups)PFR-RA and Therapists Versions (MS Word Doc)Modified 7/22/98
Service Contact Logs(6 versions, various names, pdf format)11/13-20
Therapist Skillfulness Scale TSS0499.pdf4/19
Laboratory Test Log (LTL)LTL0598.pdf5/26
Working Alliance Inventory-Participant#WAIP0898.pdf11/30
Working Alliance Inventory-Therapist#WAIT0898.pdf11/30
Working Alliance Inventory-Collateral#WAIC0998.pdf11/30
Working Alliance Inventory-Therapist/Collateral#WAITC1198.pdf11/30
Discharge Questionnaire - Therapist+DQT1098.pdf11/30
[tx-specific rating forms][see tx manuals]--

* There are two versions of the PFR - one for Research Assistants and one for Therapists. Both versions are included in the single computer file.

# There are three versions of the WAI - one for the therapists to complete, one for the participants to complete, and one for the collaterals to complete. Therapists, participants, and collaterals complete the WAI once or twice during treatment, depending on the treatment condition. Not all treatment conditions are using the WAI for collaterals.

+ There are three versions of the Discharge Questionnaire - one for therapists (as mentioned above), one for participants, and one for collaterals. The participant’s version is part of the SAFF and completed at the three month follow-up, and the collateral’s version is part of the CAFF and completed at the three month follow-up.

 

Service Contact Logs - Detailed Listing

Instrument Name/AcronymFilenameDate on
Bottom
Service Contact Log Instructions SCL0499.pdf4/1
Quality Assurance ReportQAREPORT2.pdf11/14
MET/CBT/FSN Group Log MCBTGROUP4.pdf1/28
MET/CBT/FSN Individual Log MCBTIND5.pdf1/28
ACRA Individual Log ACRAIND3.pdf11/13
ACRA Group LogacraGROUP3.pdf11/13
MDFT Group Log MDFTGROUP3.pdf11/13
MDFT Individual Log MDFTIND3.pdf11/13

 

Other Forms

Instrument Name/AcronymFilenameDate on
Bottom
Staff Background Form (SBF)SBF0199.pdf1/31
Pull-Out Calendar
(April 1998- March 2000)
calendar 0498_0300.pdf 
Pull-Out Calendar
(July 1998- June 2000)
calendar 0798_0600.pdf 
Pull-Out Calendar
(October 1998- September 2000)
calendar 1098_0900.pdf 
Pull-Out Calendar
(January 1999- December 2000)
calendar 0199_1200.pdf 
Pull-Out Calendar
(April 1999- March 2001)
calendar 0499_0301.pdf 
Pull-Out Calendar
(July 1999- June 2001)
calendar 0799_0601.pdf 
Pull-Out Calendar
(October 1999- September 2001)
calendar 1099_0901.pdf 
Pull-Out Calendar
(January 2000- December 2001)
calendar 0100_1201.pdf 
Pull-Out Calendar
(April 2000 - March 2002)
calendar 0400_0301.pdf 
Pull-Out Calendar
(July 2000- June 2002)
calendar 0700_0602.pdf 
Pull-Out Calendar
(October 2000 - September 2002)
calendar 1000_0902.pdf 
Pull-Out Calendar
(January 2001 - December 2002)
calendar 0101_1202.pdf 

 

Research Design

Dennis, M. L., Babor, T. F., Diamond, G., Donaldson, J., Godley, S. H., Titus, J. C. et al. (2000). Cooperative Agreement for a Multisite Study of the Effectiveness of Treatment for Cannabis (Marijuana) Dependent Youth. Rockville, MD:  Center for Substance Abuse Treatment. Please direct questions about it or permission to use it for other projects to:

  • Michael L. Dennis, Ph.D. (Chair & CC PI), Chestnut Health Systems, 720 West Chestnut, Bloomington, IL 61701, Phone: 309-827-6026, Fax: 309-829-4661, E-mail: MDennis@Chestnut.org.
  • Jean Donaldson, M.A. (CSAT GPO), Center for Substance Abuse Treatment, Rockwall II, Suite 740, 5600 Fishers Lane, Rockville, MD 20852, Phone: 301-443-6259, Fax: 301-480-3045 E-mail: JDonalds@SAMHSA.gov.

 

Treatment Manuals

While supplies last, hard copies of the CYT treatment manuals are available for free from the National Clearinghouse for Alcohol and Drug Information ( NCADI) at www.health.org, or by calling 1-800-729-6686 or 1-800-487-4889 (TDD) .  Please refer to the DHHS Publication No. when ordering.

Sampl, S., & Kadden, R. (2001).
Motivational Enhancement Therapy and Cognitive Behavioral Therapy for Adolescent Cannabis Users: 5 Sessions, (DHHS Publication No. (SMA) 01-3486, Cannabis Youth Treatment (CYT) Series, Volume 1). Center for Substance Abuse Treatment (CSAT), Rockville, MD.

Please direct questions about it or permission to use it for other projects to:

  • Susan Sampl, Ph.D., University of Connecticut Health Center, Alcohol Research Center, 263 Farmington Ave., Farmington CT, 06030-2103. Phone: 860-679-4715, Fax: 860-679-1316, E-mail:sampl@psychiatry.uchc.edu.
  • Ronald Kadden, Ph. D., University of Connecticut, Department of Psychiatry, 263 Farmington Ave., Farmington, CT 06030-1410. Phone: 860-679-4249, Fax: 860-679-1316, E-mail: Kadden@psychiatry.uchc.edu

Webb, C., Scudder, M., Kaminer, Y. & Kadden, R. (2002). The Motivational Enhancement Therapy and Cognitive Behavioral Therapy Supplement: 7 Sessions of Cognitive Behavioral Therapy for Adolescent Cannabis Users, (DHHS Publication No. (SMA) 02-3659, Cannabis Youth Treatment (CYT) Series, Volume 2). Center for Substance Abuse Treatment (CSAT), Rockville, MD.

Please direct questions about it or permission to use it for other projects to:

  • Meleny Scudder, University of Connecticut Health Center, Connecticut Youth Team/MC 1320, 263 Farmington Ave., Farmington, CT 06030, Phone: 860-679-4841, Fax: 860-679-8090, E-mail: Scudder@psychiatry.uchc.edu
  • Charles Webb, Ph.D., University of Connecticut Health Center, Connecticut Youth Team/MC 1320, 263 Farmington Ave., Farmington, CT 06030, Phone: 860-679-8076, Fax: 860-679-8090, E-mail: Cwebb1960@aol.com

Hamilton, N.L., Brantley, L.B., Tims, F.M., Angelovich, N., & McDougall, B. (2001).
Family Support Network for Adolescent Cannabis Users, (DHHS Publication No. (SMA) 01-3488, Cannabis Youth Treatment (CYT) Series, Volume 3). Center for Substance Abuse Treatment (CSAT), Rockville, MD.

Please direct questions about it or permission to use it for other projects to:

  • Frank Tims, Ph.D. (PAR PI), Operation PAR, Inc, Shirley-Coletti Academy, 6720 54th Ave. North, St. Petersburg, FL 33709, Phone: 727-547-4508, Fax: 727-549-6171, E-Mail: FTims@aol.com.

Godley, S.H., Meyers, R.J., Smith, J.E.., Karvinen, T., Titus, J.C., Godley, M.D, Dent, G., Passetti, L. & Kelberg, P. (2001).
The Adolescent Community Reinforcement Approach for Adolescent Cannabis Users, (DHHS Publication No. (SMA) 01-3489, Cannabis Youth Treatment (CYT) Series, Volume 4). Center for Substance Abuse Treatment (CSAT), Rockville, MD.

Please direct questions about it or permission to use it for other projects to:

  • Susan H. Godley, Rh.D. (CHS MC PI), Chestnut Health Systems, Chestnut Health Systems, 720 West Chestnut, Bloomington, IL 61701, Phone: 309-827-6026, Fax: 309-829-4661, E-mail: Sgodley@Chestnut.org.

Liddle, H. A. (2002). Multidimensional Family Therapy for Adolescent Cannabis Users, (DHHS Publication No. (SMA) 02-3660, Cannabis Youth Treatment (CYT) Series, Volume 5). Center for Substance Abuse Treatment (CSAT), Rockville, MD.

Please direct questions about it or permission to use it for other projects to:

  • Howard Liddle, Ed.D. Center for Treatment Research on Adolescent Drug Abuse, Department of Psychiatry and Behavioral Sciences, University of Miami School of Medicine, 1425 N.W. 10th Ave.. Miami, FL 33136, Phone: 305-243-4592, Fax: 305-243-5577, E-mail: HLiddle@med.miami.edu

Bibliographies

Chestnut Health Systems, Adolescent Substance Use Bibliography (Last Revised June 6, 2002)

A bibliography on adolescent substance use developed by the staff of Chestnut Health Systems and several other organizations across several projects. If you have additions, revisions or comments, please contact:

  • Michelle White, Chestnut Health Systems, 720 West Chestnut St., Bloomington, IL 61701, Phone: 309-827-6026, Fax: 309-829-4661, E-mail: mwhite@chestnut.org