Daniel Santisteban - Academia.edu (original) (raw)

Papers by Daniel Santisteban

Routledge eBooks, Nov 12, 2012

ABSTRACT There is great significance to improving our understanding of predictors of treatment ut... more ABSTRACT There is great significance to improving our understanding of predictors of treatment utilization among Hispanic substance abusing youth. One hundred and ten Hispanic substance abusing adolescents and their parents participated in a study of treatment utilization. Analyses showed that adolescents with lower numbers of externalizing disorders (χ = 4.18, df = 1, p < .05) and parents with better parenting strategies (χ = 8.73, df = 2, p < .05), predicted overall treatment utilization (residential + outpatient). Better parenting practices and higher parental years in the U.S. predicted more utilization of outpatient services and lower parenting stress predicted more utilization of residential services. Without specialized engagement strategies, adolescents and families most in need may be the least likely to engage in recommended treatment.

41st Biennial Convention (29 October - 2 November 2011), 2011

Journal of Dual Diagnosis, Jun 29, 2017

Objectives: The comorbidity of psychiatric disorders and substance abuse disorders among adolesce... more Objectives: The comorbidity of psychiatric disorders and substance abuse disorders among adolescents and adults is well-documented in the literature (Colder et al., 2013). The current study investigates the relationship between psychiatric and substance use disorders in a sample of treatment-seeking Hispanic adolescents. Methods: The study uses baseline data (N = 190) from a randomized control trial testing the effectiveness of a family-based treatment for Hispanic adolescents with substance abuse disorder to examine the relationship between psychiatric disorders and substance use patterns at baseline, including types of substances used (both lifetime use and past month use) and age of onset of substance use controlling for age and gender. Results: Linear regression models were used to examine predictors of age of onset while logistic regression models examined predictors of lifetime substance use. Significant findings predicting age of onset for marijuana and alcohol are discussed. Additionally, psychiatric profiles were differentially associated with lifetime sedative, stimulant, and hallucinogens, but not alcohol and marijuana. Conclusions: Findings from this study can be used to help inform the treatment of adolescents seeking mental health and substance use services.

International Nursing Review, Feb 11, 2014

Background-Young Chilean women between 18 and 24 years of age are at high risk of contracting sex... more Background-Young Chilean women between 18 and 24 years of age are at high risk of contracting sexually transmitted infection (STI) and human immunodeficiency virus (HIV). The literature shows a shortage of STI-HIV prevention interventions focused on this specific high-risk population and a unique set of barriers to receiving prevention messages. Internet-based interventions are promising for delivering STI-HIV prevention interventions and avoiding barriers to services. Aims-The study aimed to develop a culturally informed Internet-based STI-HIV prevention intervention for Chilean women between 18 and 24 years of age, to investigate its feasibility and acceptability, and to compile recommendations on what would make the intervention more acceptable and feasible for these women. Methods-The development of the Internet intervention was facilitated by a process that featured consultation with content and technology experts. A pre-post test design was used to test

Sigma Theta Tau International's 24th International Nursing Research Congress, Oct 22, 2013

Development and Pilot-Testing of an Internet Based STI and HIV Prevention Intervention (I-STIPI) ... more Development and Pilot-Testing of an Internet Based STI and HIV Prevention Intervention (I-STIPI) among Chilean Young Women Purpose The purpose of this study was to develop and pilot-test an internet based STI and HIV prevention intervention for Chilean women between 18 and 24 years old. Methods Stage I. Development of the I-STIPI Stage II. Piloting the I-STIPI I-STIPI based on the adaptation of MM-Mujer intervention Meetings with Panels of experts for the development of the I-STIPI (n=6) Young Chilean women who Participated in the pilot testing of the I-STIPI (n=40). Methods Phase I. Development of the I-STIPI FINAL PRODUCT: the I-STIPI ready for the Pilot Phase 3. Creation of the I-STIPI Website Meetings with the Chilean experts in technology in order to oversee the development of the website.

International Nursing Review, 2014

Family Process

Rigorous randomized trials that test promising culturally centered treatments for Latino youth an... more Rigorous randomized trials that test promising culturally centered treatments for Latino youth and families are needed. This study adds to the knowledge base by comparing the efficacy of Culturally Informed and Flexible Family Treatment for Adolescents (CIFFTA) to an Individually Oriented Treatment-As-Usual (ITAU) in its ability to retain Latino youth and families in treatment, reduce internalizing and externalizing child symptoms, and improve family functioning. CIFFTA uses an adaptive/flexible approach to deliver individual therapy, family therapy, and psycho-educational modules tailored to each family's unique clinical and cultural characteristics. Two hundred Latino adolescents 11-14 years of age completed a baseline assessment, were randomly assigned to CIFFTA or ITAU, then were assessed again after 16 weeks of intervention. Results show that CIFFTA had significantly higher retention (83%) than ITAU (71%), OR = 2.05, p = .036. Youth in both conditions showed significant reductions in youth and parent reported externalizing and internalizing behaviors, and there were no differences in change between conditions. Parents in CIFFTA reported significantly greater reductions in family conflict, d = 0.38, p = .025 than in ITAU. In CIFFTA, children of less acculturated Latino parents showed more improvement than the children of more acculturated parents. In ITAU, the reverse was true, children of more acculturated parents reported more improvement. This evidence of CIFFTA's impact on retention, family conflict, and differential effect depending on cultural values and behaviors, has important implications for the field of Latino psychology and family treatment.

Portland State University supports equal opportunity in admissions, education, employment, and th... more Portland State University supports equal opportunity in admissions, education, employment, and the use of facilities by prohibiting discrimination in those areas based on race, color, creed or religion, sex, national origin, age, disability, sexual orientation, or veteran status. This policy implements state and federal law (including Title IX). Please update your contact information! Help us keep our lists up to date by letting us know about any changes. You can also add your email to the rtcUpdates email list to receive information on the latest developments in family support and children's mental health.

International Journal of Intercultural Relations, 2016

Forty-seven percent of the adolescent sample was female (M age = 14.5 years), and 70% of the pare... more Forty-seven percent of the adolescent sample was female (M age = 14.5 years), and 70% of the parents were mothers (M age = 41.10 years). Parents completed measures of acculturation, perceived discrimination, negative context of reception, familism values, and parenting. Youth completed measures regarding their smoking and symptoms of depression. Structural equation modeling suggested that parents' collectivistic values (Time 1) and perceived discrimination (Time 1) predicted higher parental familism (Time 2), which in turn, predicted higher levels of positive/involved parenting (Time 3). Positive/involved parenting (Time 3), in turn, inversely predicted youth smoking (Time 4). These findings indicate that parents' cultural experiences play important roles in their parenting, which in turn appears to influence Latino/a youth smoking. This study highlights the need for preventive interventions to attend to parents' cultural experiences in the family (collectivistic values, familism values, and parenting) and the community (perceived discrimination).

Family psychology: Science-based interventions.

Abstract 1. This chapter provides an overview of the subspecialty within family psychology of fam... more Abstract 1. This chapter provides an overview of the subspecialty within family psychology of family psychology intervention science and proposes areas of future study and expansion. The authors conclude that further work is required to develop reliable and valid measures that can be applied to the diversity of families as well as methodologies that can consider the variety of family structures and relationship patterns. The development of ways to successfully recruit and retain participants in longitudinal studies, particularly those from ...

Psychotherapy: Theory, Research, Practice, Training, 2003

With the growing acceptance of the borderline personality disorder diagnosis for adolescents has ... more With the growing acceptance of the borderline personality disorder diagnosis for adolescents has come a need for specialized treatments for this challenging population. Further, because of the prominence of the family system during early and later adolescence, family treatments are particularly needed. The purpose of this article is to present the integrative borderline adolescent family therapy (I-BAFT) model that emerged from a National Institute on Drug Abuse-funded (Stage 1) treatment development and enhancement effort. I-BAFT integrates (a) key interventions from the family treatment of adolescent drug abuse (D. A. Santisteban et al., 2003; J. Szapocznik & W. Kurtines, 1989), (b) skills training shown effective with adults with borderline personality disorder (M. Linehan, 1993a) and adapted for adolescents, and (c) individual treatment interventions that promote motivation for treatment and enhance the integration of the 3 treatment components. The diagnosis of borderline personality disorder (BPD) has become more widely used with adolescents (Egan, 1988; Kernberg, 1990; Mc-Manus, Brickman, Alessi, & Grapentine, 1984), despite concerns that the instability of adolescent behavior patterns might preclude its use with this population (T. Shapiro, 1990). Increasingly, clinicians working with adolescents agree with Kernberg's (1990) observation that "children can show traits in individualized combinations which endure over time and situations and are expressed in maladaptive, inflexible ways" (p. 478). Currently, the Diagnostic and Statistical Manual of Mental Disorders (4th ed.; American Psychiatric Association, 1994) diagnostic criteria are adjusted for adolescents by requiring a 1-year duration for key symptoms (e.g., unstable and intense personal relationships, impulsivity, suicidal behavior, and affective instability). The clinical and research work reported in this article is based on the identification of adolescents with co-occurring disorders, in this case adolescents who meet criteria for drug abuse and who demonstrate a stable pattern of borderline symptomatology, meeting criteria for BPD. An unfortunate consequence of the reluctance to use the BPD diagnosis with adolescents is the shortage of specialized treatments for adolescents with BPD and, more broadly, for the treatment of co-occurring disorders. Particularly lacking has been a treatment model with a

Psychotherapy Research, 2002

Abstract 1. This book presents a thorough and concise historical overview of the emerging science... more Abstract 1. This book presents a thorough and concise historical overview of the emerging science of family intervention, which is considered the applied branch of family psychology. Leading experts in the field present therapy techniques, procedures, and research strategies that are empirically based. Contributors stress the need to link research and practice so that questions targeted by researchers are those confronted by clinicians and results can directly influence the practice of family therapy. Also emphasized is the need to identify specific ...

Journal of Social Work Practice in the Addictions, 2005

There is great significance to improving our understanding of predictors of treatment utilization... more There is great significance to improving our understanding of predictors of treatment utilization among Hispanic substance abusing youth. One hundred and ten Hispanic substance abusing adolescents and their parents participated in a study of treatment utilization. Analyses showed that adolescents with lower numbers of externalizing disorders (χ 2 = 4.18, df = 1, p < .05) and parents with better parenting strategies (χ 2 = 8.73, df = 2, p < .05), predicted overall treatment utilization (residential + outpatient). Better parenting practices and higher parental years in the U.S. predicted more utilization of outpatient services and lower parenting stress predicted more utilization of residential services. Without specialized engagement strategies, adolescents and families most in need may be the least likely to engage in recommended treatment.

European Psychiatry, 2013

An RCT was conducted to test Culturally Informed and Flexible Family Treatment for Adolescents (C... more An RCT was conducted to test Culturally Informed and Flexible Family Treatment for Adolescents (CIFFTA) to an individuallyoriented treatment (TAU) in modifying Internalizing and Externalizing symptoms, and family conflict. CIFFTA integrates individual, family, and psycho-educational interventions using an adaptive approach to tailor the treatment to unique client characteristics. One hundred-thirty Hispanic adolescents 11–14 years of age were randomly assigned to 16 weeks of treatment. A pre-post design (4 month post baseline) was used. Parent reports are highlighted here. Adolescents showed similar change. Retention in Treatment: Participants in CIFFTA had about twice the odds of being retained as those in TAU, χ2 (1, N = 169) = 4.02, p = .045, OR = 2.15. Change in Family Conflict: There were significant Time, F(1, 131) = 140.43, p < .001, and Time × Condition, F(1, 131) = 4.12, p = .042, effects. Parents reported reductions in both conditions but effects were greater in CIFFTA. Change in Externalizing Symptoms: There was a significant Time effect, F(1, 135) = 109.83, p < .001, but no Time × Condition effect, F(1, 135) = 0.42, p = .518. Parents reported moderate-to-large decreases in externalizing problems in both conditions. Change in Internalizing Symptoms: There were significant Time, F(1, 135) = 110.08, p < .001, and Time × Condition effects, F(1, 135) = 5.12, p = .025. Parents reported moderate-to-large decreases in depression in both conditions but were larger for TAU. The clinical and research implications of this research will be presented along with some preliminary results of tests of mediation.