Does age at first treatment episode make a difference in outcomes over 11 years?

Abstract This study examines the associations between age at first substance use treatment entry and trajectory of outcomes over 11 years. We found significant differences in individual and treatment characteristics between adult intakes first treated during young adulthood (25 years or younger) and...

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Bibliographic Details
Published in:Journal of substance abuse treatment 2014-04, Vol.46 (4), p.482-490
Main Authors: Chi, Felicia W., M.P.H, Weisner, Constance, Dr.P.H., M.S.W, Grella, Christine E., Ph.D, Hser, Yih-Ing, Ph.D, Moore, Charles, M.D, Mertens, Jennifer, Ph.D
Format: Article
Language:English
Subjects:
Addictive behaviors
Adolescent
Adult
Adult and adolescent clinical studies
Age differences
Age Factors
Age of Onset
Aging
Alcoholism - rehabilitation
Biological and medical sciences
Comparative analysis
Continuing care
Correlation analysis
Demographics
Desintoxication. Drug withdrawal
Drug addiction
Female
Follow-Up Studies
Humans
Life course
Male
Medical sciences
Middle Aged
Miscellaneous
Outcome trajectories
Patient Compliance - statistics & numerical data
Psychiatry
Psychology. Psychoanalysis. Psychiatry
Psychopathology. Psychiatry
Public health. Hygiene
Public health. Hygiene-occupational medicine
Self-Help Groups
Substance abuse
Substance abuse treatment
Substance use treatment
Substance-Related Disorders - rehabilitation
Time Factors
Treatment
Treatment Outcome
Treatments
Twelve step model
Young Adult
Young adulthood
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Summary:Abstract This study examines the associations between age at first substance use treatment entry and trajectory of outcomes over 11 years. We found significant differences in individual and treatment characteristics between adult intakes first treated during young adulthood (25 years or younger) and those first treated at an older age. Compared to their first treated older age counterparts matched on demographics and dependence type, those who entered first treatment during young adulthood had on average an earlier onset for substance use but a shorter duration between first substance use and first treatment entry; they also had worse alcohol and other drug outcomes 11 years post treatment entry. While subsequent substance use treatment and 12-step meeting attendance are important for both age groups in maintaining positive outcomes, relationships varied by age group. Findings underline the importance of different continuing care management strategies for those entering first treatment at different developmental stages.
ISSN:0740-5472
1873-6483
DOI:10.1016/j.jsat.2013.12.003