The effectiveness of the Minnesota Model for treating adolescent drug abusers
University of Minnesota Duluth, Duluth, Minnesota, United States Addiction
(Impact Factor: 4.74).
05/2000; 95(4):601-12. DOI: 10.1046/j.1360-0443.2000.95460111.x
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.
Available from: Joanna E Bettmann Schaefer
- "However, the motivation to change theory poses a problem for WT programs that treat often involuntary clients (Becker 2010). Assessing motivation to change was based on studies that suggest that most adolescents who enter treatment are unmotivated and are in treatment due to coercion by parents or other authorities (Winters et al. 2000). Several studies suggest that coercion into treatment is a significant barrier to change (De Leon et al. 1994, 1997; Melnick et al. 1997). "
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ABSTRACT: Previous research has demonstrated that wilderness therapy is effective, yet very few studies have attempted to discern quantitative factors responsible for change that occur during wilderness therapy. This study aimed to tease apart specific factors that impact client progress and outcome. A sample of 189 adolescent clients in a wilderness therapy program completed the Youth Outcome Questionnaire Self-Report, the University of Rhode Island Change Assessment (URICA), and the Adolescent Relapse Coping Questionnaire (ARCQ) at pre-treatment, post-treatment, and follow-up intervals. Analysis of the complete data sets of 41 adolescents indicated that client Y-OQ scores improved significantly at post and follow-up assessments. URICA scores were not significantly related to such changes, while the ARCQ subscale of abstinence-focused coping strategies accounted for a significant proportion of the variance in Y-OQ change. These results indicate that clients in wilderness therapy do not necessarily need to want to change in order to do so. Furthermore, helping adolescents in wilderness therapy settings gain abstinence-focused coping strategies may be the most effective tool to improve treatment outcomes.
Available from: Andrea L Paiva
- "Another study by Winters et al46 investigated the treatment outcomes for drug-abusing adolescents who were attending 12-step facilitation. In this sample of 245 adolescents with at least one current dependence disorder on a psychoactive substance, the majority of participants were white (85%) and male (56%), with 28% having previously received substance abuse treatment, 52% being currently involved in the legal/juvenile justice system, 82% having a comorbid psychiatric disorder (eg, AD/HD, ODD/CD, and major depressive disorder were the most prevalent), and 66% having at least one parent with a history of substance use. "
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ABSTRACT: Considerable evidence from the literature on treatment outcomes indicates that substance abuse treatment among adolescents with conduct problems varies widely. Treatments commonly used among this population are cognitive-behavioral therapy (CBT), 12-step facilitation, multisystemic therapy (MST), psychoeducation (PE), and motivational interviewing (MI). This manuscript thoroughly and systematically reviews the available literature to determine which treatment is optimal for substance-abusing adolescents with conduct problems. Results suggest that although there are several evidence-based and empirically supported treatments, those that incorporate family-based intervention consistently provide the most positive treatment outcomes. In particular, this review further reveals that although many interventions have gained empirical support over the years, only one holds the prize as being the optimal treatment of choice for substance abuse treatment among adolescents with conduct problems.
Available from: Ping Yao
- "These results tie the scale to the social support literature and thus to social learning theory. From that theoretical perspective, the three peer focused factors: positive versus negative social behavior, drug use and post treatment peer association are consistent with Mason’s  discussion of the five network characteristics that are associated with adolescent substance use or non-use. This analysis expands Mason’s work in that it behaviorally defines those network characteristics and further demonstrates those behaviors association with adolescent substance use or non-use. "
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ABSTRACT: The literature indicates that peer relations are an important aspect of the treatment and recovery of adolescents with substance use disorder (SUD). Unfortunately, no standard measure of peer relations exists. The objective of this research is to use exploratory factor analysis to examine the underlying factor structure of a 14-item peer relations scale for use in this treatment population.
Participants are 509 adolescents discharged from primary substance abuse treatment from 2003-2010. The data are from research conducted between six and twelve months post discharge via a 230-item questionnaire that included the 14-item peer relations scale. The scale has questions that assess the degree to which the adolescent's social contacts conform to norms of positive behavior and therefore foster non-use and recovery. The response rate was 62%.
The scale was decomposed by principal component factor analysis. When the matrix was rotated by varimax a three factor solution explaining 99.99% of the common variance emerged. The first factor yielded ten items that measure association with peers who engage in positive versus delinquent social behavior (positive versus negative social behavior). The three items in the second factor specify association with peers who use versus those who don't use drugs, and thereby encourage recovery and discourage drug use (drug use). The third and factor contained two items measuring the degree to which the recovering adolescent associates with new or previous friends (post treatment peer association).
This scale is useful as a standard measure in that it begins to identify the measurable dimensions of peer relations that influence sustaining post treatment recovery.
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