Send to

Choose Destination
Child Abuse Negl. 2018 Mar;77:211-221. doi: 10.1016/j.chiabu.2018.01.013.

Developing a tailored substance use intervention for youth exiting foster care.

Author information

Henry Ford Health System, Detroit, MI, United States. Electronic address:
University of Michigan, Ann Arbor, MI, United States.
Prevention Research Center, Pacific Institute for Research and Evaluation, Oakland, CA, United States.
Rhode Island Hospital, Providence, RI, United States.
The Miriam Hospital, Providence, RI, United States.
Decision Sciences Institute, Pacific Institute for Research and Evaluation, Pawtucket, RI, United States.
Oregon Social Learning Center, Eugene, OR, United States.


Youth who are aging out of the foster care system face significant barriers to accessing substance use treatment. Mobile interventions have shown efficacy for several mental and physical health issues and may be helpful in overcoming barriers facing foster youth with substance use problems. A program (iHeLP) for substance use reduction was developed that used a computerized screening and brief intervention (SBI) followed by six months of dynamically-tailored text messages. The program was shown to focus groups of youth (N = 24) ages 18-19 who recently left foster care and had moderate to severe substance use risk. Focus group feedback was used to modify iHeLP prior to delivery in an open trial (N = 16). Both study phases included assessments of feasibility and acceptability; the open trial also included assessments of substance use outcomes at 3 and 6 months. Focus groups indicated a high level of acceptability for the proposed intervention components. Of those screened for the open trial, 43% were eligible and 74% of those eligible enrolled, indicating good feasibility. Retention through the final follow-up was 59%, and drop out was associated with involvement in the criminal justice system. Participant ratings for liking, ease of working with, interest in and respectfulness of the SBI were high. Satisfaction ratings for the texting component were also high. A computerized brief screening intervention for substance use risk reduction together with tailored text messaging is both feasible and highly acceptable among youth who have recently aged-out of foster care.


Brief intervention; Foster care; Mobile health; Substance use; Tailored intervention

[Available on 2019-03-01]

Supplemental Content

Full text links

Icon for Elsevier Science
Loading ...
Support Center