Treatment for Adolescent Substance Use Disorders: What Works?
|
|
- Lorraine Wilkinson
- 8 years ago
- Views:
Transcription
1 Treatment for Adolescent Substance Use Disorders: What Works? Mark W. Lipsey Emily E. Tanner-Smith Sandra J. Wilson Peabody Research Institute, Vanderbilt University Addiction Health Services Research Meeting -- George Mason University October, 2011
2 Acknowledgements This study was supported by funding from the Center for Substance Abuse Treatment (CSAT) and the National Institute on Alcohol Abuse and Alcoholism (NIAAA). Opinions expressed in this report are those of the authors and do not necessarily reflect the opinions or policies of CSAT, NIAAA, their staff, or employees. Valuable assistance was provided by Chestnut Health Systems and Michael Dennis.
3 Questions that Motivated this Project What does the available research tell us about the effectiveness of different outpatient treatments for adolescents with substance use disorders? Are there specific characteristics of the adolescent participants and the treatments that are related to the magnitude of treatment effects on substance use outcomes? How do the substance use outcomes reported in research studies compare with those from everyday treatment programs?
4 The Meta-Analysis Analysis of the findings of research studies on the effects of adolescent substance abuse treatment: Outpatient programs for youth age exhibiting clinical levels of abuse or dependence on alcohol, marijuana, or other substances (excluding tobacco and caffeine) Controlled studies (randomized experiments or strong quasi-experiments) that measured substance use outcomes Published in English between 1980 and 2008 Analysis of aggregate data from the GAIN interview reported to Chestnut Health Systems by treatment providers
5 The Research Studies 48 experimental or quasi-experimental studies that reported 77 comparisons of treatment conditions Treatment conditions compared on 256 substance use outcome measures (effect sizes) 40% alcohol [n=103] 16% marijuana/cannabis [n=41] 33% mixed substances [n=84] 11% other specific substances (e.g., cocaine) [n=28]
6 Study Characteristics Study Characteristic Mean Minimum Maximum Publication year Conducted in U.S. 97% Journal publication 68% Randomized control trial 82% Pre post interval (weeks)
7 Participant & General Treatment Characteristics Participant Characteristic Mean Minimum Maximum Proportion of males in sample 72% 0 90 Proportion of Whites in sample 59% Average age (years) Clinically comorbid participants (yes/no) 58% Delinquency level (1 to 5 scale) Treatment Characteristic Some arrested none Treatment duration (weeks) Frequency of treatment contact 1 2/wk once daily all
8 Treatment Conditions Family therapy (k=24, n=84) Multidimensional Family Therapy (k=7, n=20) Functional Family Therapy (k=3, n=11) Multisystemic Therapy (k=5, n=26) Family Support Network (k=2, n=4) Generic family therapy programs (k=7, n=23) Individual counseling (k=5, n=26) Generic counseling programs Mixed counseling (k=6, n=12) Chestnut Health Systems outpatient (k=4, n=4) 7 Challenges (k=1, n=2) Generic mixed counseling (k=1, n=6) k = number of treatment-comparison combinations; n = number of effect sizes.
9 Treatment Conditions (continued) Cognitive behavioral therapy (CBT) (k=13, n=39) Generic CBT programs Motivational interviewing/enhancement therapy (MET) (k=16, n=62) Motivational enhancement therapy (k=10, n=36) Motivational interviewing (k=6, n=26) MET + CBT (MET/CBT) (k=12, n=23) MET/CBT-12 (k=1, n=2) MET/CBT-7 (k=5, n=5) MET/CBT-5 (k=3, n=6) Generic MET/CBT (k=3, n=10) k = number of treatment-comparison combinations; n = number of effect sizes.
10 Treatment Conditions (continued) Behavioral therapy (k=4, n=11) ACRA (k=3, n=10) Generic behavioral (k=1, n=1) Psychoeducational therapy (PET) (k=19, n=55) Generic psychoeducational curriculum (k=7, n=17) Other generic educational programs (k=12, n=38) Skills training (k=6, n=10) Social, anger management, interpersonal skills Pharmacological therapy (k=7, n=13) Seven drugs, one study each k = number of treatment-comparison combinations; n = number of effect sizes.
11 Treatment Conditions (continued) Other treatments (k=7, n=37) Miscellaneous treatment modalities appearing in too few studies to analyze separately Practice as usual (k=9, n=41) Standard practice, e.g., general community treatment, case management No treatment (k=14, n=71) No treatment, assessment only, and delayed treatment control groups k = number of treatment-comparison combinations; n = number of effect sizes.
12 Complications Comparing Treatment Effectiveness Only a few treatment conditions are compared with no treatment controls; studies mostly compare one treatment with another treatment, so get only relative effects. Response: Examine all comparisons and identify the treatments that most often outperform their comparison treatments.
13 Complications Comparing Treatment Effectiveness Different studies use different participant samples are different outcomes because one treatment is more effective or because the adolescents in those studies are more responsive? Response: Use statistical controls for sample characteristics to estimate effects for similar samples across studies. Different studies use different substance use outcome measures are different outcomes because one treatment is more effective or because that study used more sensitive outcome measures? Response: Include all substance use outcome measures but analyze them with statistical controls for the different substances and their measurement characteristics.
14 N of Studies for Each Comparison of Treatment Conditions Fam Ind C Mix C CBT MET MET/C BT Behav PET Skills Pharm Other PAU No Tx Family Indiv Cons Mixed Cons CBT MET MET/CBT Behavioral PET Skills Trng Pharm 7 Other Prac Usual No Tx
15 N of Studies for Each Comparison of Treatment Conditions Fam Ind C Mix C CBT MET MET/C BT Behav PET Skills Pharm Other PAU No Tx Family Indiv Cons Mixed Cons X CBT 3 X MET X 1 X X MET/CBT X 1 1 Behavioral 1 X X 1 X 1 1 PET 5 X X X 3 2 Skills Trng 2 X X X 1 X X 3 Pharm X X X X X X X X X 7 Other 1 X X 1 X X X X X X 1 1 Prac Usual 3 X X 1 1 X 1 X X X 3 No Tx X X X 2 9 X X 2 X 7 1 X
16 N of Studies for Each Comparison of Treatment Conditions Fam Ind C Mix C CBT MET MET/C BT Behav PET Skills Pharm Other PAU No Tx Family Indiv Cons Mixed Cons CBT MET MET/CBT Behavioral PET Skills Trng Pharm 7 Other Prac Usual No Tx
17 Effect Size for Comparing Outcomes of Different Treatment Conditions Substance Use Posttest Effect Size [Δ/sd p ] Before (pretest) After (posttest)
18 Comparative Effectiveness of Different Treatments
19 Comparative Effectiveness of Different Treatments
20 Summary: Comparative Effectiveness Categories Better outcomes than (almost) any comparison condition Family therapy (p<.05) MET (p<.05, often compared with no treatment ) CBT (n.s.) Pharmacological (n.s., only compared with placebos) Better outcomes than some comparison conditions, worse than others MET/CBT (n.s.) Mixed counseling (n.s.) Behavioral therapy (n.s.) Worse outcomes than most conditions, but may be better than nothing PET (n.s.) Skills training (p<.05) Individual counseling (p<.05) Practice as usual (n.s.) Actually or presumptively ineffective All other treatments (p<.05) Placebo control (n.s., for pharmacological Tx only) No treatment (p<.05)
21 Effect Sizes for the More Effective Treatments Treatment k n Mean ES vs PET k n Mean ES vs. Practice as Usual k n Mean ES vs. All a Available Family therapy MET CBT b Note: Effect sizes adjusted for method and participant characteristics. k = number of studies; n = number of effect sizes. a Excluding no treatment comparison conditions when used. b Large number of unfavorable comparisons with family therapy.
22 Another Approach: Pre-Post Change in Each Treatment Arm Substance Use Before (pretest) After (posttest)
23 Effect Size for Comparing Outcomes of Different Treatment Conditions Substance Use Pre-Post Effect Size [(p 2 -p 1 )/sd p ] Before (pretest) After (posttest)
24 Effect Size for Comparing Outcomes of Different Treatment Conditions Substance Use Pre-Post Effect Size [(p 2 -p 1 )/sd p ] Before (pretest) After (posttest)
25 The Treatment Conditions with Pre-Post Arms The original 48 experimental or quasi-experimental treatment comparison studies provided 98 pre-post arms for treatment or control conditions. Change (improvement) in substance use is represented by 311 pre-post effect sizes 45% alcohol (n=139) 13% marijuana/cannabis (n=40) 34% mixed substances (n=105) 9% other specific substances (e.g., cocaine; n=27)
26 Adjusted Mean Pre-Post Effect Sizes by Treatment Condition Treatment Condition Mean Effect Size and 95% Confidence Interval Estimates adjusted for drug outcome type, method, and participant characteristics.
27 Differential Improvement for Different Substances Substance Use Outcome k n All substances combined Mean Effect Size Mixed substances Marijuana Alcohol Other substances Effects on alcohol and other drugs significantly smaller than effects on mixed substances and marijuana Across all treatment conditions, there is less improvement after treatment for use of alcohol and other drugs than for use of marijuana.
28 Adolescent Characteristics Associated with Improvement Characteristics of Adolescent Participant Sample Regression Coefficient* % males in sample.13 % white participants in sample -.10 Average age -.10 Clinically comorbid participants (yes/no).01 Delinquency level (low to high) -.23 None of these relationships are statistically significant Baseline substance severity (low to high) -.10 * Standardized regression coefficient with controls for type of drug use outcome and method characteristics. Improvements in substance use were not related to any of the characteristics of the adolescent participants that could be examined.
29 General Treatment Characteristics Associated with Improvement Treatment Characteristics Regression Coefficient* Frequency of treatment contact.20 Treatment duration (weeks) -.31 p <.05 Implementation scale (low to high) -.01 * Standardized regression coefficient with controls for type of drug use outcome, participant characteristics, and method characteristics. Among these few dose and implementation variables, longer treatment duration was associated with less improvement.
30 The GAIN Data 103 outpatient treatment programs serving over 9,000 adolescents (27 of these programs are represented in the previous analyses). Predominantly male clients (average 73% male across programs). Mixed race/ethnicity: 48% White, 22% Hispanic, 15% African American, and 15% other minority. Average age at intake was 16.
31 Substance Use Histories Multiple substances used: 82% presented with alcohol use, 90% with marijuana use, and 59% with illicit drugs other than alcohol or marijuana. Adolescents primary substance was predominantly marijuana (61%). Significant proportions had antisocial/delinquent and/or mental health histories: 45% with court or probation contact 63% with co-occurring mental health symptoms
32 Treatment Conditions Treatment Number of programs Number of youth ACRA Family Programs FSN MDFT MST 2 71 MET/CBT & CBT MET/CBT MET/CBT MET/CBT CBT 2 185
33 Treatment Conditions (continued) Treatment Number of programs Number of youth Other Treatment Challenges Chestnut Health model Thunder Rd. IOP 1 16 EMPACT Generic family therapy 2 57 Group therapy Motivational interviewing Student Assistance 3 83 Case management Outpatient unspecified 4 208
34 Substance Use Outcomes Composite variable indexing substance issues, abuse, dependence, and problems, frequency of use, and abstinence. Not drug-specific 6-month post-intake outcomes used in analysis providing that it occurred after treatment and had less than 50% attrition. Treatment outcomes analyzed as reductions in substance use problems from intake to posttest. Across all treatments, substance use problems were significantly lower (better) at posttest than at intake.
35 Adolescent Characteristics Associated with Improvement Treatments with larger proportions of males exhibited smaller reductions in substance use problems (β =.19*). Treatments with larger proportions of youth with mental health histories exhibited smaller reductions in substance use problems (β =.37*). Treatments with higher proportions of clients with alcohol use problems exhibited smaller reductions in substance use problems (β =.21*). Note: regression coefficients are standardized; *p <.05.
36 Treatment Characteristics Associated with Improvement Treatment length and treatment completion rate were not significantly associated with outcomes. For the four categories of treatment types: The group of other treatments showed significantly larger reductions in substance use problems than ACRA, MET/CBT & CBT, and the specific family programs. ACRA, MET/CBT & CBT, and specific family program groups each showed reductions in substance use problems but were not significantly different from each other.
37 Post-treatment Reductions in Substance Use Problems for the Broad Treatment Groups Treatment Group Mean Reduction and 95% Confidence Interval
38 Overall Highlights Many studies of treatment for adolescent substance use disorders have been conducted, but they mainly compare different treatments with each other. The body of controlled studies clearly shows that some treatments work, i.e., reduce substance use for youth with clinical levels of abuse or dependence. Family therapy, MET, CBT, & MET/CBT treatment modalities showed the largest and most consistent relative effects; generic individual counseling, skill training, and PET showed the smallest.
39 Overall Highlights (continued) Longer treatment duration was associated with somewhat smaller effects but, overall, specific treatment characteristics had little influence on outcomes. Treatment had smaller effects on alcohol and other drug use than on marijuana use. Adolescents demographic and risk characteristics had no relationship to treatment effects in the research studies but, in the GAIN provider data, client groups with more mental health history and more males showed smaller effects.
40 That s it for now!
Comparative Effectiveness of Substance Abuse Treatment Programs for Adolescents: Results from Three Meta-analyses
Comparative Effectiveness of Substance Abuse Treatment Programs for Adolescents: Results from Three Meta-analyses Emily E. Tanner-Smith Mark W. Lipsey Sandra J. Wilson Peabody Research Institute Vanderbilt
More informationMST and Drug Court. Family Services Research Center Medical University of South Carolina Funded by NIDA and NIAAA
MST and Drug Court Family Services Research Center Medical University of South Carolina Funded by NIDA and NIAAA Project Staff Scott Henggeler Jeff Randall Phillippe Cunningham Colleen Halliday-Boykins
More informationAdolescent Substance Use and Interventions. Tom Freese, PhD Sherry Larkins, PhD May 17, 2011
Adolescent Substance Use and Interventions Tom Freese, PhD Sherry Larkins, PhD May 17, 2011 Agenda Review importance of epidemiological data understand adolescent substance issues. Review standardized
More informationTreatment Improvement Survey Findings. DASA Adolescent Substance Abuse Treatment Statewide Coordination Project INTRODUCTION
DASA Adolescent Substance Abuse Treatment Statewide Coordination Project Treatment Improvement Survey Findings INTRODUCTION T o assess Washington s statewide adolescent substance abuse treatment system,
More informationColorado Substance Abuse Treatment Clients with Co-Occurring Disorders, FY05
Colorado Substance Abuse Treatment Clients with Co-Occurring Disorders, FY05 Introduction Many clients who have chronic substance use disorders often simultaneously suffer from a serious mental disorder.
More informationAcknowledgements. Substance Abuse and Mental Health Services Association (Grant Number TI17817, Craig Henderson, PI)
Effectiveness of the Adolescent Community Reinforcement Approach for Justice-Involved Youth: Results from an Independently Conducted Randomized Controlled Trial Craig Henderson, Lindsey North, Vivian Lotts,
More informationA Family-Based Substance Abuse, Delinquency and HIV Prevention Intervention for Detained Adolescents
A Family-Based Substance Abuse, Delinquency and HIV Prevention Intervention for Detained Adolescents CRAIG HENDERSON a, GAYLE DAKOF b, CINDY ROWE b CINDY MENA a, HYEMIN JEON a, SCHOLAR COLBOURN a, & HOWARD
More informationMOBC Research Highlights Reel. Mitch Karno Mechanisms of Behavior Change Conference San Antonio, Texas June 20, 2015
MOBC Research Highlights Reel Mitch Karno Mechanisms of Behavior Change Conference San Antonio, Texas June 20, 2015 Starring -Change Talk -Attentional Bias -Self-Efficacy -Social Network -Craving Study
More informationCURRENT JUVENILE TREATMENT DRUG COURT PRACTICES AND TECHNICAL ASSISTANCE PRIORITIES 2015 On-Site Technical Assistance Delivery
CURRENT JUVENILE TREATMENT DRUG COURT PRACTICES AND TECHNICAL ASSISTANCE PRIORITIES 2015 On-Site Technical Assistance Delivery As part of the On-Site Technical Assistance request and planning process,
More informationEvidence Based Practice in the Treatment of Addiction Treatment of Addiction. Steve Hanson
Evidence Based Practice in the Treatment of Addiction Treatment of Addiction Steve Hanson History of Addiction Treatment Incarceration Medical Techniques Asylums What We Learned These didn t work Needed
More informationEffects of Early Intervention on Risk Factors for Antisocial Behavior
Effects of Early Intervention on Risk Factors for Antisocial Behavior Sandra Jo Wilson, Mark Lipsey & Kelly Noser Center for Evaluation Research & Methodology Vanderbilt Institute for Public Policy Studies
More informationCurrent Models of Recovery Support Services: Where We Have Data and Where We Don t
Current Models of Recovery Support Services: Where We Have Data and Where We Don t Richard Rawson, Ph.D. Integrated Substance Abuse Programs University of California, Los Angeles 1. Define recovery Talk
More informationYOUNG ADULTS IN DUAL DIAGNOSIS TREATMENT: COMPARISON TO OLDER ADULTS AT INTAKE AND POST-TREATMENT
YOUNG ADULTS IN DUAL DIAGNOSIS TREATMENT: COMPARISON TO OLDER ADULTS AT INTAKE AND POST-TREATMENT Siobhan A. Morse, MHSA, CRC, CAI, MAC Director of Fidelity and Research Foundations Recovery Network YOUNG
More informationRe-Thinking Addiction Treatment: Have We Been Thinking Correctly?
Re-Thinking Addiction Treatment: Have We Been Thinking Correctly? Scope of Substance Use in the US Alcohol, Illicit & non-prescribed drugs Very Frequent Use In Specialty Treat. ~ 2,300,000 Addiction Dx
More informationLisa R. Fortuna, MD, MPH Michelle V. Porche, Ed. D Sripallavi Morampudi, MBBS Stanley Rosenberg, PhD Douglas Ziedonis, MD, MPH
CBT for Youth with Co-Occurring Post Traumatic Stress Disorder and Substance Disorders Lisa R. Fortuna, MD, MPH Michelle V. Porche, Ed. D Sripallavi Morampudi, MBBS Stanley Rosenberg, PhD Douglas Ziedonis,
More informationFree Additional Resources
Free Additional Resources Substance Abuse and Mental Health Services Administration Treatment Improvement Protocols The Substance Abuse and Mental Health Services Administration (SAMHSA) offers free Treatment
More informationMindfulness-based approaches in substance abuse: a meta-analysis - preliminary results
This work was supported by a grant of the Romanian National Authority for Scientific Research, CNCS UEFISCDI, project number PN-II-ID-PCE-2012-4-0621. Mindfulness-based approaches in substance abuse: a
More informationSOCIAL WORK RESEARCH ON INTERVENTIONS FOR ADOLESCENT SUBSTANCE MISUSE: A SYSTEMATIC REVIEW OF THE LITERATURE
SOCIAL WORK RESEARCH ON INTERVENTIONS FOR ADOLESCENT SUBSTANCE MISUSE: A SYSTEMATIC REVIEW OF THE LITERATURE By: Christine Kim Cal State University, Long Beach May 2014 INTRODUCTION Substance use among
More informationSUBSTANCE ABUSE PSYCHO-EDUCATION AND TREATMENT. The Alcohol and Drug Education Program (ASAM Level 0.5)
SUBSTANCE ABUSE PSYCHO-EDUCATION AND TREATMENT Addiction as a major health problem which demands effective treatments of substance use disorders. Group therapy works well because it engages therapeutic
More informationMarijuana Abuse / Dependence and Its Treatment
Marijuana Abuse / Dependence and Its Treatment Alan J. Budney, Ph.D. Center for Addiction Research University of Arkansas for Medical Sciences Supported by research grants from National Institute on Drug
More informationExcellence in Prevention descriptions of the prevention programs and strategies with the greatest evidence of success
Name of Program/Strategy: Project Towards No Drug Abuse Report Contents 1. Overview and description 2. Implementation considerations (if available) 3. Descriptive information 4. Outcomes 5. Cost effectiveness
More informationHow To Treat Cannabis
Cannabis Treatment EMCDDA Insights series publication Marica Ferri, Eva Hoch and Roland Simon Lisbon, 25 th September 2014 EDR 2014 Cannabis: Europe s most commonly used drug 73.6 million adults ever used
More informationJennifer Sharpe Potter, PhD, MPH Associate Professor Division of Alcohol and Drug Addiction Department of Psychiatry
Buprenorphine/Naloxone and Methadone Maintenance Treatment Outcomes for Opioid Analgesic, Heroin, and Combined Users: Findings From Starting Treatment With Agonist Replacement Therapies (START) Jennifer
More informationIntegrating the Treatment of Substance Use Disorders and Co-occurring Psychiatric Disorders in Adolescents
Integrating the Treatment of Substance Use Disorders and Co-occurring Psychiatric Disorders in Adolescents Paula Riggs, M.D. University of Colorado School of Medicine Denver, CO Disclosures Source Consultant
More informationSubstance Abuse Day Treatment Program. Jennifer Moore CYC Paul Pereira CYC
Substance Abuse Day Treatment Program Jennifer Moore CYC Paul Pereira CYC Objectives To describe the Substance Abuse Day Treatment Program To describe the characteristics of youth who attend the program
More informationPrograms and Services. Central Texas Council on Alcoholism and Drug Abuse
Programs and Services Central Texas Council on Alcoholism and Drug Abuse CTCADA Goals To reduce the harm caused by substance abuse in our communities To mobilize communities to implement prevention and
More informationCo-Occurring Substance Use and Mental Health Disorders. Joy Chudzynski, PsyD UCLA Integrated Substance Abuse Programs
Co-Occurring Substance Use and Mental Health Disorders Joy Chudzynski, PsyD UCLA Integrated Substance Abuse Programs Introduction Overview of the evolving field of Co-Occurring Disorders Addiction and
More informationWITH OVER 20 YEARS OF EXPERIENCE, Unity Chemical Dependency is the Rochester area s most experienced and comprehensive treatment provider.
WITH OVER 20 YEARS OF EXPERIENCE, Unity Chemical Dependency is the Rochester area s most experienced and comprehensive treatment provider. Our highly trained and dedicated team of counselors and physicians
More informationSchool of Social Work University of Missouri Columbia
Summary Report On Participant Characteristics at Entry Into the Missouri Drug Court Programs Included in the Multi-jurisdictional Enhancement for Evaluation of Drug Courts School of Social Work University
More informationThe NJSAMS Report. Heroin Admissions to Substance Abuse Treatment in New Jersey. In Brief. New Jersey Substance Abuse Monitoring System.
New Jersey Substance Abuse Monitoring System The NJSAMS Report May 2011 Admissions to Substance Abuse Treatment in New Jersey eroin is a semi-synthetic opioid drug derived from morphine. It has a high
More informationUnderstanding. Treating Adolescent Substance Abuse
Understanding & Treating Adolescent Substance Abuse 1 Introduction Adolescent substance abuse is a complex public health problem that affects multiple aspects of our society. Surveys indicate that despite
More informationCharacteristics of OWI Offenders
Characteristics of OWI Offenders Sean Corbin, MPA, CCJP December 16, 2009 Characteristics First Time Offender? Scratching the Surface. Recidivist Characteristics. Who Are They? How We Think Is How We Act.
More informationProject BEST. A Social-Economic, Community-Based Approach to Implementing Evidence-Based Trauma Treatment for Abused Children
Project BEST A Social-Economic, Community-Based Approach to Implementing Evidence-Based Trauma Treatment for Abused Children Prof. Benjamin E. Saunders, Ph.D. National Crime Victims Research and Treatment
More informationFRN Research Report March 2011: Correlation between Patient Relapse and Mental Illness Post-Treatment
FRN Research Report March 2011: Correlation between Patient Relapse and Mental Illness Post-Treatment Background Studies show that more than 50% of patients who have been diagnosed with substance abuse
More informationEffective Family-Based Interventions for Adolescents With Substance Use Problems: A Systematic Review
10.1177/1049731504271606 RESEARCH ON SOCIAL WORK PRACTICE Austin et al. / EFFECTIVE FAMILY-BASED INTERVENTIONS Effective Family-Based Interventions for Adolescents With Substance Use Problems: A Systematic
More informationEvidence-Based Treatments for Drug and Alcohol Problems in Ethnic Minority Populations
Evidence-Based Treatments for Drug and Alcohol Problems in Ethnic Minority Populations Stan Huey, Ph.D. Department of Psychology University of Southern California SARC Meeting September 23, 2008 Background
More informationHow To Treat An Adolescent Substance Use
EFFECTIVE STRATEGIES FOR COURT-INVOLVED YOUTH: SUBSTANCE USE TREATMENT May 2012 EXECUTIVE SUMMARY There is a strong relationship between substance use and criminal offending among adolescents. 1 Not only
More informationEvaluation of the Effective Adolescent Treatment (EAT) Program. PROTOTYPES Outpatient and Day Treatment Center Pomona, California.
Evaluation of the Effective Adolescent Treatment (EAT) Program PROTOTYPES Outpatient and Day Treatment Center Pomona, California Final Report Grant Number TI15670 from the U.S. Department of Health and
More informationExcellence in Prevention descriptions of the prevention programs and strategies with the greatest evidence of success
Name of Program/Strategy: Curriculum-Based Support Group (CBSG) Program Report Contents 1. Overview and description 2. Implementation considerations (if available) 3. Descriptive information 4. Outcomes
More informationBrief Substance Abuse Treatment with Urban Adolescents: A Translational Research Study
Journal of Child & Adolescent Substance Abuse, 18:193 206, 2009 Copyright # Taylor & Francis Group, LLC ISSN: 1067-828X print=1547-0652 online DOI: 10.1080/10678280902724184 Brief Substance Abuse Treatment
More informationFRN Research Report January 2012: Treatment Outcomes for Opiate Addiction at La Paloma
FRN Research Report January 2012: Treatment Outcomes for Opiate Addiction at La Paloma Background A growing opiate abuse epidemic has highlighted the need for effective treatment options. This study documents
More informationIn Brief UTAH. Adolescent Behavioral Health. A Short Report from the Office of Applied Studies
UTAH Adolescent Behavioral Health In Brief A Short Report from the Office of Applied Studies Adolescence (12 to 17 years) is a critical and vulnerable stage of human development, during which males and
More informationIn Brief MICHIGAN. Adolescent Behavioral Health. A Short Report from the Office of Applied Studies
MICHIGAN Adolescent Behavioral Health In Brief A Short Report from the Office of Applied Studies Adolescence (12 to 17 years) is a critical and vulnerable stage of human development, during which males
More informationIn Brief ARIZONA. Adolescent Behavioral Health. A Short Report from the Office of Applied Studies
ARIZONA Adolescent Behavioral Health In Brief A Short Report from the Office of Applied Studies Adolescence (12 to 17 years) is a critical and vulnerable stage of human development, during which males
More informationCo-occurring Disorders Treatment. Bob Werstlein PhD Training Director Daymark Recovery Services
Co-occurring Disorders Treatment Bob Werstlein PhD Training Director Daymark Recovery Services Co-occurring Disorders Definition Co-occurring disorders refers to co-occurring Substance Abuse(SA) and Mental
More informationTreatment Approaches for Drug Addiction
Treatment Approaches for Drug Addiction [NOTE: This is a fact sheet covering research findings on effective treatment approaches for drug abuse and addiction. If you are seeking treatment, please call
More informationOVERVIEW OF COGNITIVE BEHAVIORAL THERAPY. 1 Overview of Cognitive Behavioral Therapy
OVERVIEW OF COGNITIVE BEHAVIORAL THERAPY 1 Overview of Cognitive Behavioral Therapy TABLE OF CONTENTS Introduction 3 What is Cognitive-Behavioral Therapy? 4 CBT is an Effective Therapy 7 Addictions Treated
More informationAdolescent-Based Treatment Interventions and Assessment Instruments
Adolescent-Based Treatment Interventions and Assessment Instruments Welcome to NCJFCJ's Adolescent-Based Treatment Database The adolescent substance abuse treatment field is young compared to adult substance
More informationMultisystemic Therapy With Juvenile Sexual Offenders: Clinical and Cost Effectiveness
Multisystemic Therapy With Juvenile Sexual Offenders: Clinical and Cost Effectiveness Charles M. Borduin Missouri Delinquency Project Department of Psychological Sciences University of Missouri-Columbia
More informationOver the past decade, researchers
Current State of Treatment for Alcohol and Other Drug Use Disorders in Adolescents Deborah Deas, M.D., M.P.H., and Andrew Clark, M.D. Over the past decade, treatment programs have been developed specifically
More informationCharacteristics and Outcomes Site Profiles Report Guide
What is it? Characteristics and Outcomes Site Profiles Report Guide The Characteristics and Outcomes Site Profiles Report provides our customers within a given treatment agency a comprehensive description
More informationCORRELATES AND COSTS
ANOTHER LOOK AT MENTAL ILLNESS AND CRIMINAL JUSTICE INVOLVEMENT IN TEXAS: CORRELATES AND COSTS Decision Support Unit Mental Health and Substance Abuse Services Another Look at Mental Illness and Criminal
More informationTreatment Approaches for Drug Addiction
Treatment Approaches for Drug Addiction NOTE: This is a fact sheet covering research findings on effective treatment approaches for drug abuse and addiction. If you are seeking treatment, please call 1-800-662-HELP(4357)
More informationMetropolitan Detention Center (MDC) DWI Addiction Treatment Programs (ATP) Outcome Study for DWI Offenders
Metropolitan Detention Center (MDC) DWI Addiction Treatment Programs (ATP) Outcome Study for DWI Offenders Prepared for: The DWI Addiction Treatment Programs (ATP) Metropolitan Detention Center Prepared
More informationCRITICALLY APPRAISED PAPER (CAP)
CRITICALLY APPRAISED PAPER (CAP) FOCUSED QUESTION Does a neurocognitive habilitation therapy service improve executive functioning and emotional and social problem-solving skills in children with fetal
More informationMultidimensional Family Therapy (MDFT) for young people in treatment for illicit
Title registration for a review proposal: Multidimensional Family Therapy (MDFT) for young people in treatment for illicit non-opioid drug use Pernille Skovbo Rasmussen, Maia Lindstrøm, Krystyna Kowalski,
More informationBaby Boomers and Substance Abuse Treatment
The Abbey Foundation Baby Boomers and Substance Abuse Treatment Punit Sharma Bettendorf, Iowa Date: August 5 th, 2009 Baby Boomers and Substance Abuse Treatment 1 Introduction The term Baby Boomer refers
More informationMOVING TOWARD EVIDENCE-BASED PRACTICE FOR ADDICTION TREATMENT
MOVING TOWARD EVIDENCE-BASED PRACTICE FOR ADDICTION TREATMENT June, 2014 Dean L. Babcock, LCAC, LCSW Associate Vice President Eskenazi Health Midtown Community Mental Health Centers Why is Evidence-Based
More informationAddiction Psychiatry Fellowship Rotation Goals & Objectives
Addiction Psychiatry Fellowship Rotation Goals & Objectives Table of Contents University Neuropsychiatric Institute (UNI) Training Site 2 Inpatient addiction psychiatry rotation.....2 Outpatient addiction
More informationUsing web-based videoconferencing to deliver both standard and intensified levels of substance abuse counseling treatment. Van L.
Using web-based videoconferencing to deliver both standard and intensified levels of substance abuse counseling treatment Van L. King, MD Addiction Treatment Services Johns Hopkins Bayview Medical Center
More informationAll Might Have Won, But Not All Have the Prize: Optimal Treatment for Substance Abuse Among Adolescents with Conduct Problems
Substance Abuse: Research and Treatment Review Open Access Full open access to this and thousands of other papers at http://www.la-press.com. All Might Have Won, But Not All Have the Prize: Optimal Treatment
More informationREVISED SUBSTANCE ABUSE GRANTMAKING STRATEGY. The New York Community Trust April 2003
REVISED SUBSTANCE ABUSE GRANTMAKING STRATEGY The New York Community Trust April 2003 1 I. INTRODUCTION Substance Abuse is defined as the excessive use of addictive substances, especially narcotic drugs,
More informationSubstance Use Services for Youth
A Guide for Parents & Youth Substance Use Services for Youth A Guide for Parents & Youth This brochure provides an overview of the continuum of youth substance use and abuse services in Manitoba. At one
More informationHow To Treat Anorexic Behavior
Psychology of Addictive Behaviors 2009 American Psychological Association 2009, Vol. 23, No. 2, 355 361 0893-164X/09/$12.00 DOI: 10.1037/a0014517 Changes in Tobacco Use Among Adolescent Smokers in Substance
More informationYouth Residential Treatment- One Step in the Continuum of Care. Dave Sprenger, MD
Youth Residential Treatment- One Step in the Continuum of Care Dave Sprenger, MD Outline Nature of substance abuse disorders Continuum of care philosophy Need for prevention and aftercare Cost-effectiveness
More informationMedical marijuana for pain and anxiety: A primer for methadone physicians. Meldon Kahan MD CPSO Methadone Prescribers Conference November 6, 2015
Medical marijuana for pain and anxiety: A primer for methadone physicians Meldon Kahan MD CPSO Methadone Prescribers Conference November 6, 2015 Conflict of interest statement No conflict of interest to
More informationThe author(s) shown below used Federal funds provided by the U.S. Department of Justice and prepared the following final report:
The author(s) shown below used Federal funds provided by the U.S. Department of Justice and prepared the following final report: Document Title: Author(s): The Effectiveness of School-Based Violence Prevention
More informationEffectiveness of Treatment The Evidence
Effectiveness of Treatment The Evidence The treatment programme at Castle Craig is based on the 12 Step abstinence model. This document describes the evidence for residential and 12 Step treatment programmes.
More informationTreatment Effectiveness With Dually Diagnosed Adolescents: A Systematic Review
Treatment Effectiveness With Dually Diagnosed Adolescents: A Systematic Review Kimberly Bender, MSW* David W. Springer, PhD, LCSW Johnny S. Kim, PhD, LICSW The treatment of dually diagnosed adolescents
More informationOutpatient and Intensive Outpatient Narrative
Los Angeles County Department of Public Health Substance Abuse Prevention and Control (SAPC) will implement an initial benefit package of Substance Use Disorder (SUD) services within the initial twelve
More informationAppendix D. Behavioral Health Partnership. Adolescent/Adult Substance Abuse Guidelines
Appendix D Behavioral Health Partnership Adolescent/Adult Substance Abuse Guidelines Handbook for Providers 92 ASAM CRITERIA The CT BHP utilizes the ASAM PPC-2R criteria for rendering decisions regarding
More informationDr. Keith Hudson s Vita
Dr. Keith Hudson s Vita Jackson State University Department of Psychology 601 979 3383 EDUCATION Mississippi State University Ph.D. in Counselor Education & Educational Psychology (Counseling) M.S. in
More informationTeen-Intervene Using Brief Intervention with Substance-Abusing Adolescents From HAZELDEN A Research-based Program
Teen-Intervene Using Brief Intervention with Substance-Abusing Adolescents From HAZELDEN A Research-based Program What is Teen-Intervene? Teen-Intervene is a tested, time-efficient, evidence-based program
More informationRequest for Applications
Palm Beach County Department of Public Safety Justice Services Division Palm Beach County Drug Court Programs Substance Abuse Treatment Request for Applications Release Date: June 30, 2015 Due Date: July
More informationWhat is Addiction? DSM-IV-TR Substance Abuse Criteria
Module 2: Understanding Addiction, Recovery, and Recovery Oriented Systems of Care This module reviews the processes involved in addiction and what is involved in recovering an addiction free lifestyle.
More informationPsychosocial treatment of late-life depression with comorbid anxiety
Psychosocial treatment of late-life depression with comorbid anxiety Viviana Wuthrich Centre for Emotional Health Macquarie University, Sydney, Australia Why Comorbidity? Comorbidity is Common Common disorders,
More informationDRAFT Metropolitan Detention Center (MDC) DWI Addiction Treatment Programs (ATP) Outcome Study Final Report UPDATED
DRAFT Metropolitan Detention Center (MDC) DWI Addiction Treatment Programs (ATP) Outcome Study Final Report UPDATED Prepared for: The DWI Addiction Treatment Programs (ATP) Metropolitan Detention Center
More informationComprehensive Substance Abuse Prevention Program Evaluation
Comprehensive Substance Abuse Prevention Program Evaluation Annual Report Iowa Consortium for Substance Abuse Research and Evaluation University of Iowa, Iowa City, Iowa 52242-5000 With Funds Provided
More informationWashington/Madison County Drug Treatment Court. Drug Treatment Court Program Overview
Washington/Madison County Drug Treatment Court Drug Treatment Court Program Overview MISSION It is the mission of the Washington/Madison County Drug Treatment Court to promote public safety and quality
More informationTherapeutic Community Treatment: Special Populations and Special Settings
Therapeutic Community Treatment: Special Populations and Special Settings ATCA Conference Byron Bay, Australia, September 2008 George De Leon Center for Therapeutic Community Research at NDRI, Inc. New
More informationLimiting the Duration of Medication Assisted Treatment for Opioid Addiction: Will New State Policies Help or Hurt?
Limiting the Duration of Medication Assisted Treatment for Opioid Addiction: Will New State Policies Help or Hurt? Medicaid Evidence-Based Decisions Project June 25, 2014 Supported by National Institute
More informationDual Diagnosis Understanding the Unique Challenges Facing Children Suffering from Co-occurring Behavioral Health and Addiction Disorders
Dual Diagnosis Understanding the Unique Challenges Facing Children Suffering from Co-occurring Behavioral Health and Addiction Disorders Randolph D. Muck, M.Ed. Advocates for Youth and Family Behavioral
More informationBest Practices in Juvenile Justice Reform
The Case for Evidence-Based Reform Best Practices in Juvenile Justice Reform Over the past decade, researchers have identified intervention strategies and program models that reduce delinquency and promote
More informationUnderstanding the Disease of Addiction & the Process of Recovery for Healthcare Clinicians and Staff
Understanding the Disease of Addiction & the Process of Recovery for Healthcare Clinicians and Staff Presented by John G. Gardin II, Ph.D., A.C.S. Chief Clinical Officer, ADAPT, Inc./SouthRiver CHC Basic
More informationSubstance Use Disorder Screening and Testing 35-45-3
Policy The Department of Children and Families shall screen all adult and adolescent clients for indicators of substance use disorders and refer those in need of further assessment or treatment to an appropriate
More informationAddiction and Substance Abuse among Nevada Youths
UNLV Center for Democratic Culture Edited by Dmitri N. Shalin The Social Health of Leading Indicators and Quality of Life in the Silver State Addiction and Substance Abuse among Youths An-Pyng Sun, School
More informationWhat happens to depressed adolescents? A beyondblue funded 3 9 year follow up study
What happens to depressed adolescents? A beyondblue funded 3 9 year follow up study Amanda Dudley, Bruce Tonge, Sarah Ford, Glenn Melvin, & Michael Gordon Centre for Developmental Psychiatry & Psychology
More informationKathryn P. Jett Director
Kathryn P. Jett Director California Department of Alcohol and Drug Programs ADP Mission To lead efforts to reduce alcoholism, drug addiction and problem gambling in California by developing, administering
More informationDepartment of Community and Human Services Mental Health, Chemical Abuse and Dependency Services Division
Criminal Justice Initiative Community Center for Alternative Programs Intensive Outpatient Chemical Dependency Treatment Program Two Year Outcomes Subsequent to Program Changes Department of Community
More informationRecovery Outcomes for Opiate Users. FRN Research Report November 2013
Recovery Outcomes for Opiate Users FRN Research Report November 2013 Introduction Opiate use in America is at epidemic levels. The latest surveys show 4.5 million Americans using prescription painkillers
More informationStates In Brief Substance Abuse and Mental Health Issues At-A-Glance
virginia States In Brief Substance Abuse and Mental Health Issues At-A-Glance a Short report from the Office of applied Studies Prevalence of Illicit Substance 1 and Alcohol Use The National Survey on
More informationCo occuring Antisocial Personality Disorder and Substance Use Disorder: Treatment Interventions Joleen M. Haase
Co occuring Antisocial Personality Disorder and Substance Use Disorder: Treatment Interventions Joleen M. Haase Abstract: Substance abuse is highly prevalent among individuals with a personality disorder
More informationDrugFacts: Treatment Approaches for Drug Addiction
DrugFacts: Treatment Approaches for Drug Addiction NOTE: This is a fact sheet covering research findings on effective treatment approaches for drug abuse and addiction. If you are seeking treatment, please
More informationSubstance Use, Treatment Need and Receipt of Treatment in Minnesota:
Substance Use, Treatment Need and Receipt of Treatment in Minnesota: Results from Minnesota Student Survey, Minnesota Survey on Adult Substance Use, and Drug and Alcohol Abuse Normative Evaluation System
More informationRe-Considering Addiction Treatment. Have We Been Thinking Correctly?
Re-Considering Addiction Treatment Have We Been Thinking Correctly? Part I FDA standards of effectiveness Do substance abuse treatments meet those standards? An FDA Perspective A Drug is Approved for An
More information2015 OPIOID TREATMENT PROGRAM DESCRIPTIONS
2015 OPIOID TREATMENT PROGRAM PROGRAM DESCRIPTIONS Contents Opioid T reatment Program Core Program Standards... 2 Court Treatment (CT)... 2 Detoxification... 2 Day Treatment... 3 Health Home (HH)... 3
More informationEvidence Based Approaches to Addiction and Mental Illness Treatment for Adults
Evidence Based Practice Continuum Guidelines The Division of Behavioral Health strongly encourages behavioral health providers in Alaska to implement evidence based practices and effective program models.
More informationPredictors of Substance Abuse Treatment Engagement among Rural Appalachian Prescription Drug Users
Predictors of Substance Abuse Treatment Engagement among Rural Appalachian Prescription Drug Users Jennifer R. Havens, PhD, MPH Carrie B. Oser, PhD Carl G. Leukefeld, PhD Study Objective The objective
More informationTreatment of Prescription Opioid Dependence
Treatment of Prescription Opioid Dependence Roger D. Weiss, MD Chief, Division of Alcohol and Drug Abuse McLean Hospital, Belmont, MA Professor of Psychiatry, Harvard Medical School, Boston, MA Prescription
More information