An Overview of Outpatient Treatment of Adolescent Substance Abuse

Galanter, Marc; Glickman, Linda; Singer, David

doi:10.1300/j465v28n02_07

Cited by 16 publications

(8 citation statements)

References 36 publications

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“…1 However, recently interest has emerged regarding the suitability of referral of youthful substance abusers to this fellowship. 2,3 In this exploratory study, we have evaluated a sample of community-based longstanding youth AA members, independent of their being followedup from prior treatment. The purpose of this study was to obtain basic information on prior substance use, treatment experience, and duration of abstinence, which has not been generally available for community-based long-term AA samples.…”

mentioning

confidence: 99%

Young People in Alcoholics Anonymous: The Role of Spiritual Orientation and AA Member Affiliation

Galanter

Dermatis

Santucci

2012

Journal of Addictive Diseases

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Empirical findings characterizing long-term, committed Alcoholics Anonymous (AA) members are limited, particularly among younger members. The authors studied a sample of 266 highly committed attendees (mean age, 27 years) at an annual conference of Young People in Alcoholics Anonymous (YPAA), whose first encounter with AA was 6 years previously. Most (72%) had abused drugs and alcohol, and 36% had never received substance abuse treatment. They now reported a mean duration of abstinence of 44 months and had attended an average of 233 AA meetings in the previous year; 66% had served as AA sponsors, and 92% reported experiencing an AA "spiritual awakening," itself associated with a decreased likelihood of alcohol craving. Scores on AA beliefs, affiliation to other members, and the experience of spiritual awakening were associated with lower depression scores. These findings are discussed to clarify the nature of long-term AA membership.

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confidence: 99%

Young People in Alcoholics Anonymous: The Role of Spiritual Orientation and AA Member Affiliation

Galanter

Dermatis

Santucci

2012

Journal of Addictive Diseases

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“…Observing the correlation between CD and alcohol consumption patterns in adolescence is an important first step in understanding the environmental and genetic contributions to early alcohol abuse, and a prerequisite to future efforts to clinically address substance use in this population. Current behavioral interventions and pharmacotherapy for substance abuse have been largely ineffective and inadequately studied in the adolescent population (Chung et al, 2004 , 2005 ; Liddle and Rowe, 2006 ; Galanter et al, 2007 ). Ideally, environmental CD could be corrected by changing work or school schedules, but since this is rarely an option, future studies will aim to identify potential targets in these pathways for therapeutics to treat AUD during CD.…”

Section: Discussionmentioning

confidence: 99%

“…Treatments for teens are largely ineffective, as behavioral interventions have dropout rates as high as 50% and rates of relapse remain well over 50% (Chung et al, 2004 , 2005 ). Most pharmacotherapy consists of drugs that treat adult alcoholism, and the efficacy and adverse effects of these drugs have not been adequately addressed in adolescents (Liddle and Rowe, 2006 ; Galanter et al, 2007 ).…”

Section: Introductionmentioning

confidence: 99%

Alcohol Intake Increases in Adolescent C57BL/6J Mice during Intermittent Cycles of Phase-Delayed, Long-Light Conditions

Gamsby

Pribish

Stevanovic

et al. 2017

Front. Behav. Neurosci.

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Adolescents naturally go to bed and awaken late, but are forced to awaken early for school and work. This leads to “social jetlag”, a state of circadian desynchrony (CD), in which internal biological rhythms are out of sync with behavioral rhythms. CD is associated with increased alcohol intake in adults, but has been less well-studied in adolescents. The goal of this study was to model adolescent alcohol intake during similar CD conditions in male C57BL/6J mice. Free access alcohol intake, water intake and wheel-running activity were measured during a normal 12HR photoperiod or during alternating photoperiod (Experiment 1: 12 h light for 4 days followed by 18 h light for 3 days, with dark (activity onset) delayed 9 h during the 18HR photoperiod; Experiment 2: 12 h light for 4 days followed by 6 h light for 3 days, with dark onset delayed 3 h during the 6HR photoperiod). In Experiment 1, CD produced a small but significant increase in the total alcohol intake per day as well as in intake in bouts, with the greatest increase over controls in the hours following the 6HR dark period. Additionally, the pattern of alcohol intake in bouts shifted to increase alcohol intake during the shorter dark period. In Experiment 2, the opposite effect occurred—the longer dark cycle led to lower alcohol drinking in the second half of the dark period. However, in Experiment 2, CD produced no significant changes in either total alcohol intake or alcohol intake in bouts. Conclusion: shifts in the light cycle that disrupt the regular pattern of day and night, and increase the length of the night phase, are sufficient to increase both drinking in bouts and restricted drinking in adolescent mice, modeling increased alcohol intake in adolescents during CD.

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“…There are limited data on safety and effectiveness of opioids agonist medications for treatment of opioids use disorder among children and adolescents (11)(12)(13). A few international studies provided data on medication-assisted opioid withdrawal (14)(15)(16) and opioid maintenance treatment (16)(17)(18)(19) of opioids use disorder among adolescents and youths.…”

Section: Introductionmentioning

confidence: 99%

Inpatient Buprenorphine-Assisted Withdrawal for Treatment of Vulnerable Adolescents with Opioids Use Disorder in Zahedan, Iran: An Observational Study

Moghadam

Hashemian

Hajebi

et al. 2018

Int J High Risk Behav Addict

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Background: There are limited data supporting the effectiveness of buprenorphine treatment for opioid use disorder among adolescents. Objectives: The aim of this study was to investigate the outcomes of using buprenorphine for inpatient medically assisted withdrawal of vulnerable adolescents with opioid use disorder. Methods: Twelve consecutive vulnerable adolescents due to working or living in streets were admitted to the Child and Adolescent Psychiatric Ward of Ali Ibn-e-Abi Talib Hospital for treatment of opioid use disorder using buprenorphine-assisted withdrawal. The clinical chart abstraction of patients' files was made to provide the baseline situation of the patients, as well as treatment progress at discharge and one and three months post-discharge. Results: All the complaints of pain and other withdrawal signs and symptoms decreased dramatically within the first four days of treatment. At one-month follow-up, all study participants were still in the foster care and the urine tests for morphine and methamphetamine were negative. At the three-month follow-up, the older sister of the only one 15-year-old adolescent took the responsibility of his guardianship. The urine tests of all study participants were negative in month 3. Conclusions: Medically managed opioid withdrawal must be considered only as a part of a comprehensive psychosocial program providing a stable living environment, adolescent welfare, and custody services. The treatment program also proved its safety and effectiveness for the management of pain and other opioid withdrawal signs and symptoms among adolescents.

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An Overview of Outpatient Treatment of Adolescent Substance Abuse

Cited by 16 publications

References 36 publications

Young People in Alcoholics Anonymous: The Role of Spiritual Orientation and AA Member Affiliation

Young People in Alcoholics Anonymous: The Role of Spiritual Orientation and AA Member Affiliation

Alcohol Intake Increases in Adolescent C57BL/6J Mice during Intermittent Cycles of Phase-Delayed, Long-Light Conditions

Inpatient Buprenorphine-Assisted Withdrawal for Treatment of Vulnerable Adolescents with Opioids Use Disorder in Zahedan, Iran: An Observational Study

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