Adolescent Substance-use Treatment: Service Delivery, Research on Effectiveness, and Emerging Treatment Alternatives

Russell, Keith

doi:10.1080/15560350802081264

Cited by 26 publications

(26 citation statements)

References 39 publications

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“…Previous studies showed the effectiveness of specific private pay WT programs (Bandoroff 1992;Clark et al 2004;Davis-Berman and Berman 1989;Eikenoes et al 2006;Harper 2009;Harper and Russell 2008;Harper et al 2007;Pawlowski et al 1993;Ronalds and Allen-Craig 2008;Russell 2003Russell , 2005Russell , 2007, but no meta-analyses to date have drawn definitive conclusions about the treatment type as a whole for private pay clients.…”

Section: Implications For Practicementioning

confidence: 99%

A Meta-analysis of Wilderness Therapy Outcomes for Private Pay Clients

et al. 2016

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Wilderness therapy is becoming a more widely used intervention for adolescents, but there have not been any meta-analyses focused solely on its clinical effectiveness for private pay clients. This study's objective was to conduct outcome-based meta-analyses of private-pay wilderness therapy programs, benchmark primary features of this approach, and educate the clinical community as to its effectiveness. The authors conducted a review of all available databases, as well as manual searches. Searches resulted in a meta-analysis based on 36 studies, totaling 2399 participants receiving wilderness therapy. Our metaanalyses found medium effect sizes for all six constructs assessed: self-esteem (g = 0.49), locus of control (g = 0.55), behavioral observations (g = 0.75), personal effectiveness (g = 0.46), clinical measures (g = 0.50) and interpersonal measures (g = 0.54). Subgroup analyses included age of participants, duration of program, open or closed model, presence of a mental health practitioner, and publication year.

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Section: Implications For Practicementioning

confidence: 99%

A Meta-analysis of Wilderness Therapy Outcomes for Private Pay Clients

et al. 2016

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“…Further, this novel approach is focused on delivering therapeutic services to a high-risk population, young adults with SUDs. While some studies of wilderness therapy have explored reductions in substance abuse and dependence as an outcome of treatment (Bettmann, Russell, & Parry, 2014;Russell, 2007), this author is unaware of any prior investigation of therapeutic effectiveness of S-OBH specifically, in which participants with primary SUDs engage in treatment which includes components of both OBH and residential substance abuse treatment (i.e., drug and alcohol rehabilitation programming) and when recovery from substance dependence is the primary outcome of interest.…”

Section: Jtsp • 109mentioning

confidence: 99%

A Novel Investigation of Substance Use Outcomes in Substance-Specific Outdoor Behavioral Healthcare Programs

Lewis¹

2018

JTSP

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Substance Use Disorders (SUDs) are one of the greatest public health burdens to date. Available evidence suggests that despite the availability of evidencebased therapeutic interventions, successful recovery from alcohol and drug dependence is hard to achieve and much harder to maintain over time. Further, young adults present with unique risk factors and tend to have a less optimal response to treatment. Consequently, a novel treatment has been developed in an effort to improve outcomes for young adults with SUDs. Substance-specific outdoor behavioral healthcare (S-OBH; term developed by the author for clarity herein) may be more appealing to young adults who have resisted or responded poorly to inpatient drug and alcohol treatment, which is identified as the standard of care. The current study sought to investigate whether S-OBH interventions are equivalent to the standard of care, using a non-inferiority design. The sample was 256 young adults (Mage = 25.8) presenting for treatment at one of two experimental treatment sites or the active comparison site, residential treatment for SUDs. Primary study hypotheses were that S-OBH treatment would be associated with similar symptomatic improvements, relative to the comparison condition, particularly relevant to symptoms of SUDs and overall quality of life. Secondly, S-OBH would be associated with the maintenance of the hypothesized treatment gains during the 12-month follow-up period. Findings were consistent with hypotheses, suggesting that participants evidenced significant symptomatic reductions and maintained these improvements over a 12-month follow-up period, regardless of treatment condition. Results are discussed in terms of better understanding factors associated with a positive response to SUD interventions.

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“…Positive physiological outcomes have also been found (DeMille et al 2014). In addition, OBH appears to be effective for a variety of populations and problems, including adolescents in the Juvenile Justice system (Jones et al 2004;Russell 2005a;Wright 1983), adolescent sex offenders (Gillis and Gass 2010;Lambie et al 2000), and adolescents with various diagnosable disorders (Clark et al 2004;Russell 2006, Russell 2008). …”

Section: Outdoor Behavioral Healthcarementioning

confidence: 99%

Integrating Narrative Family Therapy in an Outdoor Behavioral Healthcare Program: A Case Study

DeMille

Montgomery

2015

Contemp Fam Ther

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Adolescent mental health is a significant societal concern in the United States. Diagnosable mental health disorders have been reported at rates of 10-20 % among children and adolescents and this does not include adolescents experiencing personal and interpersonal distress not meeting diagnostic criteria. Adolescents who do not respond to traditional mental health services are often placed in residential treatment centers or other out-of-home treatment programs. Outdoor Behavioral Healthcare (OBH) is growing as a viable treatment option for adolescents who struggle with emotional, behavioral or substance related problems; however, questions have been raised about how to integrate the family into an OBH treatment setting. This article describes a case study illustrating how techniques from Narrative Family Therapy can be used to accomplish this integration, and offers a view of using Narrative Family Therapy to further involve families in the treatment and post-treatment process in an OBH program.

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Adolescent Substance-use Treatment: Service Delivery, Research on Effectiveness, and Emerging Treatment Alternatives

Cited by 26 publications

References 39 publications

A Meta-analysis of Wilderness Therapy Outcomes for Private Pay Clients

A Meta-analysis of Wilderness Therapy Outcomes for Private Pay Clients

A Novel Investigation of Substance Use Outcomes in Substance-Specific Outdoor Behavioral Healthcare Programs

Integrating Narrative Family Therapy in an Outdoor Behavioral Healthcare Program: A Case Study

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