Treating Adolescent Drug Abuse: A Comparison of Family Systems Therapy, Group Therapy, and Family Drug Education

Joanning, Harvey; Quinn, William H.; Thomas, Frank N.; Mullen, Robert

doi:10.1111/j.1752-0606.1992.tb00948.x

Cited by 142 publications

(93 citation statements)

References 8 publications

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“…Similarly, treatment completion rates for youths in therapeutic communities have ranged from 10% to 18%, with approximately one-third of the youths leaving treatment within the first month (Pompi, 1994). Reported peer group treatment dropout rates have been as high as 49% (Liddle & Dakof, 1995) and 56% (Joanning, Quinn, Thomas, & Mullen, 1992). Ogborne (1995) reported that 33% (194 cases) of those aged 12 to 25 who presented to eight outpatient programs for substance abuse treatment dropped out before their assessment was completed.…”

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confidence: 99%

Variables Associated with Therapy Attendance in Runaway Substance Abusing Youth: Preliminary Findings

Slesnick

2001

The American Journal of Family Therapy

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Service providers and researchers note that youth with substance abuse problems are difficult to engage in treatment and, when engaged, often drop out early. Estimates of the alcohol and drug abuse rate of runaway youth range from 70% to 95%. This study evaluated predictors of therapy attendance in a sample of substance abusing youth recruited through two southwestern runaway shelters. Runaway youth and their families (N = 36) were engaged into a 15-session ecologically-based family therapy (EBFT) intervention. Fewer days between the pretreatment assessment and the first therapy session, as well as less perceived parental care, predicted more therapy sessions attended. No relationship was found between level of substance use and treatment attendance. The findings highlight the importance of engaging families in therapy soon after the youth's arrival to the shelter, as treatment motivation may decrease as the crisis lessens.

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confidence: 99%

Variables Associated with Therapy Attendance in Runaway Substance Abusing Youth: Preliminary Findings

Slesnick

2001

The American Journal of Family Therapy

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“…Many studies document high treatment drop out rates among substance abusing adolescents (3)(4)(5)(6). These early drop-out rates are most often associated with a lack of motivation for change (2) and comorbid diagnosis (7)(8)(9).…”

Section: Introductionmentioning

confidence: 99%

Treatment Attendance among Homeless Youth: The Impact of Childhood Abuse and Prior Suicide Attempts

2008

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Treatment engagement and retention is a significant challenge for those who serve adolescent substance abusers. Homeless youth are considered especially challenging to engage and maintain in intervention efforts given their lack of residence and range of associated problems. This study examined predictors of treatment attendance and its impact on substance use outcome among a sample of substance abusing homeless youth (n = 133). Stepwise regression results indicated that a history of sexual abuse and suicide attempts were the two strongest predictors of the treatment attendance rate, higher attendance among those with these histories. Youths who attended greater than 6 treatment sessions showed a significant reduction in alcohol use at post-treatment, but attendance rates did not impact other substance use. Identifying predictors of treatment attendance among this subgroup of adolescents is vital given that much research suggests that treatment attendance alone is associated with better short and long term outcomes.

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“…By contrast, the involvement of families in the treatment of drug-addicted children is viewed as essential by international bodies such as the American Academy of Child and Adolescent Psychiatry [11]. A number of studies have demonstrated the superiority of family therapy approaches over other treatments when dealing with child and adolescent drug users [12,13]. Consequently, services in Dublin dealing with increasing numbers of children have had to create new treatment programs for this age group, developing new skills to meet the rapidly evolving problem [6].…”

Section: Discussionmentioning

confidence: 99%

Children Attending Addiction Treatment Services in Dublin, 1990–1999

Smyth

O’Brien²

2004

Eur Addict Res

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In Europe, adolescent substance misuse increased during the 1990s. Ireland has among the highest rates of substance misuse among schoolchildren in Europe. We sought to describe the socio-demographic and drug misuse profile of children presenting to addiction treatment services in Dublin during the 1990s. Of the 9,874 individuals who sought addiction treatment, 1,953 (20%) were aged less than 18 years. There was a sharp increase in the number of children after 1993. The main drug of abuse was an opiate in 48% of cases. Compared to adults, the children were more likely to be female and less likely to inject. As the decade progressed the proportion of girls increased, injecting was reported more frequently and there was a dramatic rise in heroin misuse. Child heroin users were more likely to be female and to be homeless compared to their adult counterparts. This study highlights the need for a dedicated service for child drug users in Dublin.

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Treating Adolescent Drug Abuse: A Comparison of Family Systems Therapy, Group Therapy, and Family Drug Education

Cited by 142 publications

References 8 publications

Variables Associated with Therapy Attendance in Runaway Substance Abusing Youth: Preliminary Findings

Variables Associated with Therapy Attendance in Runaway Substance Abusing Youth: Preliminary Findings

Treatment Attendance among Homeless Youth: The Impact of Childhood Abuse and Prior Suicide Attempts

Children Attending Addiction Treatment Services in Dublin, 1990–1999

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