Michelle K White

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Vocally disruptive behavior (VDB) is intelligible or unintelligible noise making that may be goal-directed or purposeless. VDB can be conceptualized as a cyclic phenomenon. VDB has been linked to cognitive impairment, poor sleep, requiring assistance with ADLs, and being at high risk for falling. General nursing interventions for VDB include remaining calm,(More)
Studies of adolescents in the general population show that most high school students are employed and that there is a positive linear relationship between hours worked and increases in alcohol and other drug use. Mixed methods are used to examine the relationship of employment for adolescents who are in outpatient substance abuse treatment to their use,(More)
Reconciling urine results and self-reports is a classic challenge in substance abuse treatment research in general. For adolescents, the problems are compounded by the facts that they are more likely to use marijuana (which takes longer to metabolize) and to be coerced into treatment (which may increase lying). This article examines the construct and(More)
This exploratory study used in-depth interviews with 12 adolescent participants and four parents to describe their perceptions of outpatient substance abuse treatment. Adolescents found treatment to be different than they had expected, expressed preferences for different session formats (group, individual, family), and defined treatment success in different(More)
This article describes the Strengthening Communities for Youth (SCY) initiative using data from 1,297 adolescents in eight U.S. cities (Oakland, CA; Tucson, AZ; Iowa City, IA; Bloomington, IL; St. Louis, MO; Cleveland, OH; Louisville, KY, New York, NY) to better understand the pattern of services they received, how these services varied by need, and how(More)
The purpose of this study was to evaluate the impact of an assessment training and certification program on the quality of data collected from clients entering substance abuse treatment. Data were obtained from 15,858 adult and adolescent clients entering 122 treatment sites across the United States using the Global Appraisal of Individual Needs-Initial(More)
Similar to implementing an evidence-based practice (EPB), implementing an evidence-based assessment (EBA) is a long, complex process that can take several years to complete. Between 2002 and 2007, the state of Missouri first piloted the Global Appraisal of Individual Needs-Initial (GAIN-I; Dennis et al. 2006) assessment at one state-contracted adolescent(More)
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