Treatment Processes and Outcomes Among Adolescents With a History of Abuse Who Are in Drug Treatment

This study reports on the effects of having a history of physical and/or sexual abuse on treatment processes and posttreatment abstinence among adolescents (N=803) in a multisite study of drug treatment outcomes. A history of physical and/or sexual abuse was reported by 59% of the girls and 39% of t...

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Bibliographic Details
Published in:Child maltreatment 2003-02, Vol.8 (1), p.7-18
Main Authors: Grella, Christine E., Joshi, Vandana
Format: Article
Language:English
Subjects:
Abstinence
Adolescent
Adolescent Behavior
Adolescents
Analysis of Variance
Child Abuse
Child abuse & neglect
Child Abuse - psychology
Child Abuse, Sexual - psychology
Childhood sexual abuse
Clinical outcomes
Directive Counseling
Drug Abuse
Female
Humans
Male
Outcome and Process Assessment (Health Care)
Parent Participation
Sexual Abuse
Substance abuse treatment
Substance Abuse Treatment Centers
Substance-Related Disorders - psychology
Substance-Related Disorders - therapy
Teenagers
Temperance
Treatment
Treatment Outcomes
Treatment Programs
United States
USA
Young people
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Summary:This study reports on the effects of having a history of physical and/or sexual abuse on treatment processes and posttreatment abstinence among adolescents (N=803) in a multisite study of drug treatment outcomes. A history of physical and/or sexual abuse was reported by 59% of the girls and 39% of the boys and was related to being White and having higher levels of comorbidity, exposure to other traumatic events, dependence on alcohol and marijuana, problem recognition, and negative peer or family influence. Abused adolescents had more service needs at treatment admission and there was some variation in treatment processes related to gender and abuse status. Youths with a history of physical abuse had a lower likelihood of posttreatment abstinence, except among those who had better rapport with their counselors. Attention to treatment processes and engagement strategies is crucial for treating youths in drug treatment who have a history of abuse.
ISSN:1077-5595
1552-6119
DOI:10.1177/1077559502239610