Characterizing substance abuse programs that treat adolescents

Department of Research and Policy, Thomson/Medstat, Washington, DC 20008, USA.
Journal of Substance Abuse Treatment (Impact Factor: 3.14). 08/2006; 31(1):59-65. DOI: 10.1016/j.jsat.2006.03.017
Source: PubMed


Few systematic studies have examined the characteristics of substance abuse treatment programs serving adolescents. An expert panel recently identified nine key elements of effective adolescent substance abuse treatment. We measured the percentage of treatment programs in the United States with at least 10 adolescent clients on a given day that reported these elements using data from the 2003 National Survey of Substance Abuse Treatment Services. This first look into the characteristics of facilities serving significant numbers of adolescents indicates that many facilities may be lacking in components considered important. The most significant measured potential areas for improvement occurred in the areas of including mental health as well as medical issues in comprehensive assessments and developing curricula to meet the developmental and cultural needs of clients. On a more encouraging note, many facilities were conducting discharge planning and providing aftercare, although the specifics of these services were not determined.

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Available from: Tami L Mark, Oct 09, 2015
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    • "Race, ethnicity, sexual orientation, and language are also significant considerations in adolescent treatment design and delivery (Nissen, 2006; Mark et al., 2006). While matching race and ethnicity of youth and counselors improves treatment retention and success (Flicker, Waldron, Turner, Brody, & Hops, 2008), low wages, along with poor and complicated funding for substance abuse treatment deters this matching possibility for every program (McCarty & Rieckmann, in press). "
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    ABSTRACT: Substance abuse treatment agencies serving youth face unique barriers to providing quality care. Interviews with 17 adolescent programs found that family engagement, community involvement, and gender and diversity issues impacted treatment delivery. Programs report organizational change efforts with implications for future process improvement initiatives.
    Journal of Addictions and Offender Counseling 04/2011; 31(2):80-93. DOI:10.1002/j.2161-1874.2011.tb00069.x
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    • "Henderson et al. (2008) used Rasch modeling to derive a continuous, intervally-scaled measure of EBP adoption weighting the use of specific practices by the frequency that programs were using them, which we incorporate in the current study as our measure of EBP use. The specific EBPs comprising this measure consist of: (1) specific treatment orientations that have been successful (e.g., cognitive-behavioral, therapeutic community, and family-based treatments); (2) effective re-entry services designed to build upon initial treatment gains as well as integrated services provided by the justice and treatment systems; (3) the use of sanctions and incentives to improve program retention; (4) interventions to engage the offender in treatment services and motivate him/her for change; (5) treatment of sufficient duration and intensity to produce change (typically defined as 90 days or longer, Simpson et al., 1999); (6) quality review designed to monitor treatment progress and outcomes; (7) family involvement in treatment; (8) assessment practices, particularly the use of standardized substance abuse screening tools; (9) comprehensive services that address co-occurring medical and psychiatric disorders; and (10) qualified staff delivering treatment (Brannigan et al., 2004; Knudsen and Roman, 2004; Landenberger and Lipsey, 2006; Mark et al., 2006; National Institute on Drug Abuse, 2006; Taxman, 1998). See Henderson et al. (2008) for more information on this measure and the advantages of using IRT to develop it. "
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    ABSTRACT: This study applied latent class analysis (LCA) to examine heterogeneity in criminal justice administrators' attitudes toward the importance of substance abuse treatment relative to other programs and services commonly offered in criminal justice settings. The study used data collected from wardens, probation and/or parole administrators, and other justice administrators as part of the National Criminal Justice Treatment Practices survey (NCJTP), and includes both adult criminal and juvenile justice samples. Results of the LCA suggested that administrators fell into four different latent classes: (1) those who place a high importance on substance abuse treatment relative to other programs and services, (2) those who place equal importance on substance abuse treatment and other programs and services, (3) those who value other programs and services moderately more than substance abuse treatment, and (4) those who value other programs and services much more than substance abuse treatment. Latent class membership was in turn associated with the extent to which evidence-based substance abuse treatment practices were being used in the facilities, the region of the country in which the administrator worked, and attitudes toward rehabilitating drug-using offenders. The findings have implications for future research focused on the impact that administrators' attitudes have on service provision as well as the effectiveness of knowledge dissemination and diffusion models.
    Drug and alcohol dependence 08/2009; 103 Suppl 1:S7-16. DOI:10.1016/j.drugalcdep.2008.10.001 · 3.42 Impact Factor
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    • "This study was not intended to directly replicate the design of that survey. Similar to the approach taken by Mark et al. (2006), Brannigan et al.'s nine domains were used as a framework for organizing a large number of items into conceptual dimensions. Despite these differences in measurement, these data are quite similar to Brannigan et al.'s survey of 144 " highly regarded " adolescent treatment programs. "
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    ABSTRACT: There are few studies of the availability and quality of adolescent-only treatment programs. Drawing upon existing samples of publicly and privately funded treatment programs, this research considers whether organizational characteristics are associated with the availability of adolescent-only programming and measures components of quality within these programs. Significant organizational correlates of adolescent-only services included organizational size, location within a hospital setting, center accreditation, adherence to a 12-step treatment model, and reliance on public sources of funding. In-depth interviews were then conducted with 154 managers of adolescent-only treatment programs regarding levels of care offered and service quality. The most prevalent levels of care were standard outpatient and intensive outpatient. Analysis of nine domains of treatment quality revealed a medium level of quality. Treatment quality was significantly greater in programs offering more intensive levels of care. These results are largely consistent with other recent research and suggest a need for continued quality improvement efforts in this treatment sector.
    Journal of substance abuse treatment 12/2008; 36(2):195-204. DOI:10.1016/j.jsat.2008.06.002 · 2.90 Impact Factor
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