Motivational Network Intervention to Reduce Substance Use and Increase Supportive Connections for Emerging Adults in...

Area of Science:

• Social Work
• Public Health
• Psychology

Background:

• Transition-aged youth experiencing homelessness (TAYEH) often have high-risk social networks.
• These networks can contribute to substance use and hinder prosocial connections.

Purpose of the Study:

• To evaluate the acceptability and feasibility of a motivational network intervention (MNI) for TAYEH transitioning to housing.
• To assess the fidelity of case managers delivering the MNI.

Main Methods:

• A four-session MNI was integrated into usual case management for 36 TAYEH.
• Intervention acceptability, feasibility, and motivational interviewing fidelity were assessed.

Main Results:

• Nearly all participants recommended the MNI and reported positive life changes.
• Case managers demonstrated high fidelity in delivering the intervention.
• COVID-19 disruptions limited sample size and session delivery, impacting power for outcome analysis.

Conclusions:

• Case managers can effectively deliver the MNI to TAYEH.
• Adaptations are necessary to address the instability faced by TAYEH entering housing, improving MNI feasibility.