The effect of assertive continuing care on continuing care linkage, adherence and abstinence following residential treatment for adolescents with substance use disorders

Godley, Mark D.; Godley, Susan H.; Dennis, Michael L.; Funk, Rodney R.; Passetti, Lora L.

doi:10.1111/j.1360-0443.2006.01648.x

Cited by 169 publications

(206 citation statements)

References 43 publications

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“…There is a growing body of scientific evidence that suggests that posttreatment monitoring (recovery check-ups) and support can elevate recovery outcomes for adults [82,88,89] and adolescents [90][91][92]. Assertive approaches to continuing care are a hallmark of the RM model.…”

Section: Posttreatment Monitoring Support and Early Reinterventionmentioning

confidence: 99%

Recovery Management: What If We Really Believed That Addiction Was a Chronic Disorder?

White

Kelly²

2010

Addiction Recovery Management

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Severe alcohol and other drug problems typically take a chronic course and often require multiple episodes of intervention before stable recovery is achieved. The conceptualization of addiction as a chronic disorder has critical implications for the design, delivery, evaluation, and funding of addiction treatment. Yet, despite widespread acknowledgement that the nature and long-term course of addiction is similar to other chronic illnesses, such as hypertension and diabetes, it is still treated almost universally as an acute condition. This acute care model has been shaped by a number of influences, including the commercialization of addiction treatment and a system of managed behavioral health care, which have forced treatment into discrete, and ever-briefer, episodes of care. In this chapter, we address the shortfalls of the acute care model and contrast it with a model of sustained recovery management, which aims to remedy the mismatch between the chronic nature of addiction and the approaches designed to treat it. The nature of Recovery Management as a philosophy of organizing addiction treatment and recovery support services to enhance early prerecovery engagement, recovery initiation, long-term recovery maintenance, and the quality of personal/family life in long-term recovery is described. The shift to a model of sustained recovery management includes changes in treatment practices related to the timing of service initiation, service access and engagement, assessment and service planning, service menu, service relationship, locus of service delivery, assertive linkage to indigenous recovery support resources, and the duration of posttreatment monitoring and support.

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Section: Posttreatment Monitoring Support and Early Reinterventionmentioning

confidence: 99%

Recovery Management: What If We Really Believed That Addiction Was a Chronic Disorder?

White

Kelly²

2010

Addiction Recovery Management

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“…Sixteen primary studies were included with young people aged 12-19 years. 81,105,[107][108][109][110][111][112][113][114][115][116][117][118][119][120] The studies included various interventions including BI, cognitive-behavioural therapy (CBT) and multidimensional family therapy 81,85,121,122 No information was given on the nature of the interventions; however, the number of sessions ranged from one to four. The age range included in the studies was 12-23 years.…”

Section: Primary and Secondary Prevention Interventions For Risky Drimentioning

confidence: 99%

A pilot feasibility cluster randomised controlled trial of screening and brief alcohol intervention to prevent hazardous drinking in young people aged 14–15 years in a high school setting (SIPS JR-HIGH)

Newbury‐Birch

Scott

O’Donnell

et al. 2014

Public Health Research

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A pilot feasibility cluster randomised controlled trial of screening and brief alcohol intervention to prevent hazardous drinking in young people aged 14-15 years in a high school setting (SIPS JR-HIGH) This journal is a member of and subscribes to the principles of the Committee on Publication Ethics (COPE) (www.publicationethics.org/).Editorial contact: nihredit@southampton.ac.ukThe full PHR archive is freely available to view online at www.journalslibrary.nihr.ac.uk/phr. Print-on-demand copies can be purchased from the report pages of the NIHR Journals Library website: www.journalslibrary.nihr.ac.uk Criteria for inclusion in the Public Health Research journalReports are published in Public Health Research (PHR) if (1) they have resulted from work for the PHR programme, and (2) they are of a sufficiently high scientific quality as assessed by the reviewers and editors.Reviews in Public Health Research are termed 'systematic' when the account of the search appraisal and synthesis methods (to minimise biases and random errors) would, in theory, permit the replication of the review by others. PHR programmeThe Public Health Research (PHR) programme, part of the National Institute for Health Research (NIHR), evaluates public health interventions, providing new knowledge on the benefits, costs, acceptability and wider impacts of non-NHS interventions intended to improve the health of the public and reduce inequalities in health. The scope of the programme is multi-disciplinary and broad, covering a range of interventions that improve public health. The Public Health Research programme also complements the NIHR Health Technology Assessment programme which has a growing portfolio evaluating NHS public health interventions.For more information about the PHR programme please visit the website: http://www.nets.nihr.ac.uk/programmes/phr This reportThe research reported in this issue of the journal was funded by the PHR programme as project number 10/3002/07. The contractual start date was in October 2011. The final report began editorial review in September 2013 and was accepted for publication in June 2014. The authors have been wholly responsible for all data collection, analysis and interpretation, and for writing up their work. The PHR editors and production house have tried to ensure the accuracy of the authors' report and would like to thank the reviewers for their constructive comments on the final report document. However, they do not accept liability for damages or losses arising from material published in this report.This report presents independent research funded by the National Institute for Health Research (NIHR). The views and opinions expressed by authors in this publication are those of the authors and do not necessarily reflect those of the NHS, the NIHR, NETSCC, the PHR programme or the Department of Health. If there are verbatim quotations included in this publication the views and opinions expressed by the interviewees are those of the interviewees and do not necessarily reflect those of the authors,...

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“…The Cannabis Youth Treatment study (Dennis et al, 2004) tested treatment conditions across multiple settings (a combination of motivational enhancement and cognitive behavioral treatment compared with a family support network model), found similar results across the three conditions, and concluded that outcomes may have been driven more by general helping factors beyond the specific treatment approaches tested. Godley et al (2006) examined the critical role that aftercare plays in transitioning adolescents from brief intensive therapeutic settings to home environments in evaluating the effects of the assertive continuing care (ACC) program, and noted that ACC predicted superior early abstinence for adolescents with diagnosed substance use disorders. Despite these results suggesting successful research therapy implementation, challenges to providers still exist, leading to many promising interventions not being used by practitioners.…”

Section: Research On Adolescent Substance-abuse Treatment Outcomementioning

confidence: 99%

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

Russell

2008

Journal of Groups in Addiction & Recovery

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Adolescent substance use remains a persistent and serious problem in society despite use patterns showing consistent declines in alcohol and other illicit drug use since 2000. This paper provides an overview of the somewhat confusing landscape of substance-use treatment options available to families and professionals seeking treatment services. A case study is presented illustrating one treatment option, termed outdoor behavioral healthcare, to highlight one example of alternative treatment and educational program that has developed in recent years to meet increased demand for services. Conclusions developed from a review of treatment service availability and research conducted on the effectiveness of treatment suggest that alternative treatments for adolescents should continue to be identified, developed and evaluated using suggestions put forth by researchers in the area of substance-abuse treatment research to increase the likelihood that adolescents who need treatment services are getting those services in a timely, effective, and safe manner.

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The effect of assertive continuing care on continuing care linkage, adherence and abstinence following residential treatment for adolescents with substance use disorders

Cited by 169 publications

References 43 publications

Recovery Management: What If We Really Believed That Addiction Was a Chronic Disorder?

Recovery Management: What If We Really Believed That Addiction Was a Chronic Disorder?

A pilot feasibility cluster randomised controlled trial of screening and brief alcohol intervention to prevent hazardous drinking in young people aged 14–15 years in a high school setting (SIPS JR-HIGH)

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

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