Effectiveness of Community-Based Treatment for Substance-Abusing Adolescents: 12-Month Outcomes of Youths Entering Phoenix Academy or Alternative Probation Dispositions.

Morral, Andrew R.; McCaffrey, Daniel F.; Ridgeway, Greg

doi:10.1037/0893-164x.18.3.257

Cited by 100 publications

(85 citation statements)

References 39 publications

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“…Therefore, participants include only the treatment-seeking population, which represents only one out of ten adolescents who need treatment. Adolescent AOD treatment can be efficacious and effective (McLellan et al, 2000;Morral et al, 2004); however, the low rate of treatment utilization limits the potential benefits.…”

Section: Adolescent Factors Associated With Access To Treatmentmentioning

confidence: 99%

The association of self-reported neighborhood disorganization and social capital with adolescent alcohol and drug use, dependence, and access to treatment

Winstanley

Steinwachs

Ensminger

et al. 2008

Drug and Alcohol Dependence

153

102

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Aims-This research examines adolescent perceptions of neighborhood disorganization and social capital to determine if they are associated with adolescent alcohol or drug (AOD) use, AOD dependence, and access to AOD treatment.Design-This is a secondary analysis of data from the 1999 and 2000 National Survey on Drug Use and Health (NSDUH). The NSDUH is a cross-sectional survey of a random sample of the noninstitutionalized United States population and is conducted in respondents' homes.Participants-Youth between the ages of 12 and 17, yielding a sample size of 38,115 respondents. Measurements-Neighborhood disorganization was self-reported by youth in response to eight items; ten items measured social capital. AOD use was also self-reported. AOD dependence was assessed by a series of questions regarding symptoms and impairment that is consistent with the criteria specified in the DSM-IV.Results-A little more than half of the youth reported never using alcohol or drugs (54.3%), 41.1% reported lifetime AOD use, and 4.6% were AOD dependent. Two percent reported receiving AOD treatment. Medium and high levels of social capital were negatively associated with AOD use and Conflict of Interest. All authors declare that they have no conflicts of interest.Publisher's Disclaimer: This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting proof before it is published in its final citable form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain. NIH Public Access

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Section: Adolescent Factors Associated With Access To Treatmentmentioning

confidence: 99%

The association of self-reported neighborhood disorganization and social capital with adolescent alcohol and drug use, dependence, and access to treatment

Winstanley

Steinwachs

Ensminger

et al. 2008

Drug and Alcohol Dependence

153

102

View full text Add to dashboard Cite

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“…Se excluyeron otros cinco estudios debido a que la asignación no fue aleatoria en los grupos (23,24) , por tener diseños de cohorte retrospectiva (25) o de caso control (26,27) (Tabla 3).…”

Section: Prendergast Et Al 2004unclassified

Eficacia de las comunidades terapéuticas en el tratamiento de problemas por uso de sustancias psicoactivas: una revisión sistemática

Fiestas¹,

Ponce²

2012

Rev Peru Med Exp Salud Publica

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Objetivos. Extender la revisión hecha por Smith et al. el 2006 y resumir la evidencia disponible actualmente respecto a la eficacia de las comunidades terapéuticas (CT) en disminuir el consumo de sustancias o sus consecuencias en personas con trastornos por uso de sustancias. Materiales y métodos. Se consultaron las bases de MEDLINE, EMBASE, Web of Science, Scielo, LILACS, y otras, buscando estudios experimentales controlados aleatorizados con grupos paralelos, publicados entre marzo de 2004 a mayo de 2011. Resultados. Se ubicaron cinco publicaciones de cuatro ensayos controlados. Todos los estudios tuvieron serias limitaciones metodológicas de acuerdo al CONSORT. La heterogeneidad de los estudios no permitió agrupamientos en el análisis. En los análisis primarios, modelos específicos de CT en prisión mostraron superioridad marginal frente a otros tipos de tratamiento respecto a niveles de consumo de alcohol, días de encarcelamiento y tasa de rencarcelamiento. Respecto al modelo de CT ambulatorio basado en la comunidad, no hubo evidencia de superioridad de este frente a otro tratamiento ambulatorio, tanto en reducir el nivel de consumo de sustancias, como en la ocurrencia de crimen y desempleo a los doce meses de seguimiento. Conclusiones. No hay suficiente evidencia científica que apoye una superioridad de la metodología de CT respecto a otras formas de tratamiento menos costosos. Sin embargo, en el contexto carcelario, las comunidades terapéuticas podrían ser más beneficiosas que otros modelos. Son necesarios ensayos clínicos con metodología rigurosa para resolver las controversias respecto a la eficacia de este tipo de tratamiento de trastornos por uso de drogas. Palabras clave: Comunidad terapéutica; Trastornos relacionados con el uso de sustancias psicoactivas; Abuso de drogas (fuente: DeCS BIREME). EFFICACY OF THE THERAPEUTIC COMMUNITY MODEL IN THE TREATMENT OF DRUG USE-RELATED PROBLEMS: A SYSTEMATIC REVIEW ABSTRACTObjective: To summarize the scientific evidence about the efficacy of therapeutic communities (TC) to reduce substance use and related problems among people with substance use disorders. Methods: This systematic review builds from the work performed by Smith et al. (2006). We searched MEDLINE, EMBASE, Web of Science, Scielo, and LILACS for randomized trials that compare a TC with no treatment, a different type of treatment or another type of TC published from March 2004 to May 2011. Results: 5 publications from 4 randomized trials were identified. All the studies had serious methodological limitations according to the CONSORT. The heterogeneity among studies did not allow for metaanalytic analysis to calculate pooled estimates. The primary analysis showed that, in prison, certain models of TC might be marginally superior to other types of treatments regarding levels of alcohol use, days in prison and re-incarceration rates. Also, evidence from a community setting (i.e., not in-prison) suggests that a community-based TC is not superior to an outpatient treatment model regarding levels of substanc...

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“…The mean duration of treatment for all youth sent to Phoenix Academy was 162 days (Morral et al, 2004). At intake, 61% of the boys reported that marijuana was the drug that they liked to use the most, followed by amphetamines (11%) and cocaine or crack cocaine (10%).…”

Section: Participantsmentioning

confidence: 99%

Seven Years Later: Developmental Transitions and Delinquent Behavior for Male Adolescents Who Received Long-Term Substance Treatment

D’Amico¹,

Ramchand²,

Miles³

2009

J. Stud. Alcohol Drugs

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ABSTRACT. Objective:Few studies have applied the "life course perspective" to the study of drug use, a noticeable omission in the fi eld. The current study addresses this gap by examining patterns of interpersonal crime, substance use, and emotional problems over 7 years for a sample of 196 high-risk males as they transition from adolescence to young adulthood, with a specifi c focus on the role of transitions (living alone, employment, marrying or cohabiting with a romantic partner, graduating from high school or acquiring a General Equivalency Diploma, and becoming a parent) on these patterns. Method: We surveyed youth who were adjudicated as delinquent in Los Angeles between February 1999 and May 2000 and referred by probation offi cials to Phoenix Academy, a long-term residential substance-treatment provider for adolescent probationers. Males ages 13-17 (N = 196) were given face-to-face interviews at study entry and at 3, 6, 12, 24, 30, 72, and 87 months. Results: Living independently and cohabiting were associated with decreased substance problems. Living with children was associated with increased interpersonal crime. Living away from parents was associated with an increase in substance problems following the transition and then a subsequent decrease in problems over time. No effects were found for receiving a diploma or having employment. Conclusions: It is crucial to begin to understand how developmental transitions may affect highrisk adolescents' involvement in criminal behavior, substance use, and emotional problems. The current study suggests that several transitions were associated with a reduction in problems as these youth transitioned into young adulthood. (J. Stud. Alcohol

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Effectiveness of Community-Based Treatment for Substance-Abusing Adolescents: 12-Month Outcomes of Youths Entering Phoenix Academy or Alternative Probation Dispositions.

Cited by 100 publications

References 39 publications

The association of self-reported neighborhood disorganization and social capital with adolescent alcohol and drug use, dependence, and access to treatment

The association of self-reported neighborhood disorganization and social capital with adolescent alcohol and drug use, dependence, and access to treatment

Eficacia de las comunidades terapéuticas en el tratamiento de problemas por uso de sustancias psicoactivas: una revisión sistemática

Seven Years Later: Developmental Transitions and Delinquent Behavior for Male Adolescents Who Received Long-Term Substance Treatment

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