A Manualized Behavioral Therapy Intervention for Youth with Autism Spectrum Disorder and Substance Use Disorder

Table 1

Protocol content of youth modules for youth with autism spectrum disorder (ASD) and substance use disorder (SUD).

Module	Content	Exercises
1	Introduction and goals	Happiness scale
		Goals of counseling form
		Making a safety box worksheet
		Making a crisis plan worksheet
2	Psychoeducation	Review diagnostic criteria of ASD and SUD
3	Emotion identification	Assessing emotion identification questionnaire
		Sorting your thoughts, emotions, and behaviors worksheet
		Identify triggers worksheet
4	Functional analysis of substance use behavior	Functional analysis of substance use behavior form
5	Changing use	Early warning system
		Refusal training
		Cognitive restructuring
6	Functional analysis of healthy activities	Functional analysis of healthy activities
		Review healthy activities
7	Sobriety sampling	Set goal for abstinence trial
		Discuss plan to remain abstinent
		Develop a back-up plan
8	Social and communication skills	Role play exchanges
		Thinking about your current relationships worksheet
		Increasing the relationships in your life worksheet
9	Problem solving	How can I solve this problem worksheet
10	Emotion regulation	Mindfulness practice
		Distracting skills worksheet
		Grounding techniques
11	Anxiety management	Sorting out your thoughts, emotions, and behaviors grid
		Unhelpful thinking styles sheet
12	Treatment closure	Reflect on skills learned
		Discuss what was most useful
		Discuss next steps/aftercare