Although patient retention was the largest barrier to success, a subset of opioid-dependent adolescents and young adults achieved long-term sobriety in our specific clinic program with continued outpatient BUP/NAL therapy. Retention correlated with UDS negative for opioids, negative for tetrahydrocannabinol, and positive for BUP/NAL.

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Adolescent females are disproportionately represented among reported cases of sexual victimization. Because sexual victimization is associated with an array of negative sequelae (e.g., depression, alcohol abuse), psychometrically sound instruments are urgently needed to assess sexual victimization or coercion. The investigation conducts a preliminary analysis of the reliability and validity of the Sexual Experiences Survey (SES) for a sample drawn from a high-risk population-African American adolescent females. Our analyses indicate good internal consistency for the SES with this sample. Convergent validity is demonstrated. Specifically, scores on the SES are associated with significantly lower levels of self-esteem and mastery, higher levels of depression, lower levels of family cohesion, higher levels of family conflict, and higher levels of using alcohol and being a smoker. Preliminary support for discriminant validity is also obtained. This study is a stepping stone for future investigations into the psychometric evaluation of the SES.

Although rates of insurance increased for all young adults, a significant rural/urban difference persisted in 2014. Meaningful increases in MH and AOD treatment may require targeted efforts to reduce noninsurance barriers to treatment.

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Cutaneous alternariosis is a rare infection typically observed only in immunocompromised adults, but we report here that the infection can occur in apparently healthy adolescents. We saw a clinically healthy adolescent boy who presented with cutaneous alternariosis 6 weeks after suffering a laceration to his right ankle. Treatment with itraconazole resulted in significant improvement after 1 month.

We examined levels of sexual victimization among a sample of 249 14- to 19-year-old African American adolescent women. Victimization was common: 32.1% reported having been raped, 33.7% had experienced sexual coercion, and 10.8% reported an attempted rape. Only 23.4% had never been victimized. We investigated whether levels of psychological health and family dysfunction varied as a function of the type of sexual victimization. Girls who had been raped had lower levels of self-esteem and mastery and higher levels of depression compared to girls who reported no sexual victimization. Significantly higher levels of family cohesion and significantly lower levels of family support were reported by girls who had been raped versus girls who reported no sexual victimization. These findings are a starting point for future studies by providing evidence that levels of mental health and family dysfunction vary by the type of sexual victimization experienced.