Adaptive Treatment for Adolescent Cannabis Use Disorders

The study will address the current contrasts in youth response to treatment, the problem of
poor response to treatment and the prevention of relapse. Results from the study may support
Adaptive Treatment as an efficacious approach for youth with Cannabis Use Disorder who are
poor responders to treatment.

Poor responders fall into two categories, those who failed to achieve a negative drug
urinalysis during the last session of the initial MET/CBT-7 treatment they attended, and
those who either dropped out or were administratively discharged at any time during the
initial MET/CBT-7 treatment.

Inclusion Criteria:

- 13-18 years of age at the time of intake assessment

- Current diagnosis of DSM-IV Cannabis Abuse or Dependence

- Able to read and comprehend English at a 5th grade level

- Residence within 45 minutes drive from the UCHC Farmington treatment site

- Participant and a parent/legal guardian responsible for providing collateral
information agree to sign an IRB approved consent form

- Participant and a parent/legal guardian responsible for providing collateral
information agree to provide locator information

- The family is not planning to move from the area during the next six months

Exclusion Criteria:

- Meet criteria for dependence of any other substance of abuse other than nicotine or
alcohol

- Report suicidal ideation with a plan, suicidal behavior, a plan to hurt oneself or
other, or a history of self-injurious behavior all occurring in the last 30 days

- Meet a lifetime diagnosis of schizophrenia

- Has any current health (i.e. medical, psychiatric) condition that will compromise the
participant's ability to regularly attend treatment

- Demonstrate an inability or unwillingness to provide locator information