The effectiveness of the Minnesota Model for treating adolescent drug abusers

University of Minnesota Duluth, Duluth, Minnesota, United States
Addiction (Impact Factor: 4.6). 05/2000; 95(4):601-12. DOI: 10.1046/j.1360-0443.2000.95460111.x
Source: PubMed

ABSTRACT The treatment outcome of drug-abusing adolescents treated with a 12-Step approach.
The study compares drug use outcome data at 6 and 12 months post-treatment among three groups of adolescents: those who completed treatment, those who did not and those on a waiting list. Also, among treatment completers, residential and outpatient samples were compared on outcome.
The treatment site is located in the Minneapolis/St Paul area of Minnesota.
Two hundred and forty-five drug clinic-referred adolescents (12-18 years old), all of whom met at least one DSM-III-R substance dependence disorder. One hundred and seventy-nine subjects received either complete or incomplete 12-Step, Minnesota Model treatment and 66 were waiting list subjects.
In addition to demographics and clinical background variables, measures included treatment involvement, treatment setting and drug use frequency at intake and follow-up.
Absolute and relative outcome analyses indicated that completing treatment was associated with far superior outcome compared to those who did not complete treatment or receive any at all. The percentage of treatment completers who reported either abstinence or a minor lapse for the 12 months following treatment was 53%, compared to 15 and 28% for the incompleter and waiting list groups, respectively.
Favorable treatment outcome for drug abuse was about two to three times more likely if treatment was completed. Also, there were no outcome differences between residential and outpatient groups. Alcohol was the most common drug used during the follow-up period, despite cannabis being the preferred drug at intake.

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    • "Research to-date on AOD outcomes for adolescents suggests that participation in 12-step groups is associated with improved outcomes, similar to adults (Kelly and Meyers, 2007; Sussman, 2010; Winters et al., 2000). Kelly and Myers reviewed eight empirical studies on adolescent participation in 12-step programs (Kelly and Meyers, 2007) and found that greater 12-step participation was related to abstinence. "
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    Drug and alcohol dependence 05/2012; 126(1-2):124-30. DOI:10.1016/j.drugalcdep.2012.05.002 · 3.28 Impact Factor
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    • "There are several features of adolescence that are thought to increase susceptibility to abuse drugs, such as heightened stress reactivity (Chung and Maisto 2006; Lopez et al. 2005; Rao et al. 1999; Spear 2009), increased proclivity to seek natural rewards (Casey et al. 2008; Spencer et al. 2007), and poor inhibitory control (Casey et al. 2008; Spencer et al. 2007). These factors may converge to enhance drug abuse vulnerability and may explain why adolescents, compared to adults, are more likely to initiate and maintain drug use, are more likely to binge and relapse (Winters and Lee 2008), and are more resistant to treatment (Dennis et al. 2004; Perepletchikova et al. 2008; Winters et al. 2000). Sex differences also exist in drug abuse. "
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    • "months (57% ''since discharge'' with varying follow-up), aftercare (60% attended)and AA/NA (44% attended) predicted outcome 18. Winters, Stinchfield, Latiner, and Lee, 2007; Winters, Stinchfield, Latiner, and Stone, 2008; Winters, et al. 2000 "
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