Recovery among adolescents: Models for post-treatment gains in drug abuse treatments

Abstract Recovery among adolescents undergoing substance abuse treatment was modeled in terms of pre-treatment motivation, therapeutic relationships, psychological functioning, treatment retention, legal pressures, DSM diagnoses, and client demographics. To address between program differences, a wit...

Full description

Saved in:
Bibliographic Details
Published in:Journal of substance abuse treatment 2014-03, Vol.46 (3), p.362-373
Main Authors: Joe, George W., Ed.D, Kalling Knight, Danica, Ph.D, Becan, Jennifer E., Ph.D, Flynn, Patrick M., Ph.D
Format: Article
Language:English
Subjects:
Addictive behaviors
Adolescent
Adolescents
Adult and adolescent clinical studies
Biological and medical sciences
Condoms
Counseling
Demographics
Desintoxication. Drug withdrawal
Drug abuse
Drug addiction
Female
Follow-up outcomes
Follow-Up Studies
Humans
Male
Medical sciences
Miscellaneous
Motivation
Psychiatry
Psychology. Psychoanalysis. Psychiatry
Psychopathology. Psychiatry
Public health. Hygiene
Public health. Hygiene-occupational medicine
Recovery
Retention
Substance abuse
Substance abuse treatment
Substance-Related Disorders - psychology
Substance-Related Disorders - therapy
Teenagers
Therapeutic alliances
Therapeutic relationships
Treatment process
Treatments
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Abstract Recovery among adolescents undergoing substance abuse treatment was modeled in terms of pre-treatment motivation, therapeutic relationships, psychological functioning, treatment retention, legal pressures, DSM diagnoses, and client demographics. To address between program differences, a within-covariance matrix, based on 547 youth, was used. Applicability of the results across treatment modalities was also examined. The data were from the NIDA-sponsored DATOS Adolescent study. Results from structural equation models (estimated using Mplus) indicated that higher pre-treatment motivation predicted stronger counselor and in-treatment peer relationships, better counselor relationships and retention predicted less illegal drug use at follow-up, and DSM diagnosis was important in the treatment process. Overall, illegal drug use at follow-up was associated with post-treatment alcohol consumption, cigarette use, condom nonuse, psychological distress, criminality, and school non-attendance. The results document the importance of motivation and therapeutic relationships on recovery, even when taking into account the relative effects of legal pressures, DSM diagnoses, and demographics.
ISSN:0740-5472
1873-6483
DOI:10.1016/j.jsat.2013.10.007