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      Current advances in the treatment of adolescent drug use

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          Abstract

          Research on the development and efficacy of drug abuse treatment for adolescents has made great strides recently. Several distinct models have been studied, and these approaches range from brief interventions to intensive treatments. This paper has three primary aims: to provide an overview of conceptual issues relevant to treating adolescents suspected of drug-related problems, including an overview of factors believed to contribute to a substance use disorder, to review the empirical treatment outcome literature, and to identify areas of need and promising directions for future research.

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          Most cited references65

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          Meta-Analysis of 143 Adolescent Drug Prevention Programs: Quantitative Outcome Results of Program Participants Compared to a Control or Comparison Group

          Nancy S. Tobler (1986)
          Article 0 comments Cited 106 times – based on 0 reviews     Review now
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            The comparative effectiveness of outpatient treatment for adolescent substance abuse: a meta-analysis.

            Emily Tanner-Smith, Sandra Jo Wilson, Mark W Lipsey (2013)
            Meta-analysis was used to synthesize research on the effects of outpatient treatment on substance use outcomes for adolescents with substance use disorders. An extensive literature search located 45 eligible experimental or quasi-experimental studies reporting 73 treatment-comparison group pairs, with many of the comparison groups also receiving some treatment. The first analysis examined 250 effect sizes for the substance use outcomes of adolescents receiving different types of treatment relative to the respective comparison groups. As a category, family therapy programs were found to be more effective than their comparison conditions, whereas no treatment programs were less effective. However, not all treatment types were compared with each other in the available research, making it difficult to assess the comparative effectiveness of the different treatments. To provide a more differentiated picture of the relative improvement in substance use outcomes for different treatments, a second analysis examined 311 pre-post effect sizes measuring changes in substance use for adolescents in the separate treatment and comparison arms of the studies. The adolescents in almost all types of treatment showed reductions in substance use. The greatest improvements were found for family therapy and mixed and group counseling. Longer treatment duration was associated with smaller improvements, but other treatment characteristics and participant characteristics had little relationship to the pre-post changes in substance use. Based on these findings family therapy is the treatment with the strongest evidence of comparative effectiveness, although most types of treatment appear to be beneficial in helping adolescents reduce their substance use. Copyright © 2013 Elsevier Inc. All rights reserved.
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              Prevalence and comorbidity of major internalizing and externalizing problems among adolescents and adults presenting to substance abuse treatment.

              Ya-Fen Chan, Michael L Dennis, Rodney R Funk (2008)
              As the field follows recommendations to introduce standardized assessments on substance, mental, and behavioral problems, a consistent picture has emerged that co-occurring disorders are common, that there is heterogeneity in the type of disorder, and that the pattern varies by age. This study examines the prevalence of self-reported substance use and mental health problems, the pattern of comorbidity, and how both vary by age among people presenting to substance abuse treatment. Data are from 4,930 adolescents and 1,956 adults admitted to substance abuse treatment in multisite studies who were assessed with the Global Appraisal of Individual Needs and categorized into five age groups: <15, 15-17, 18-25, 26-39, and 40+ years. Two thirds of clients had a co-occurring mental health problem in the year prior to treatment admission. Across all ages, clients self-reporting criteria for past-year substance dependence were more likely than those who did not to have other co-occurring mental health problems (odds ratios of 2.9 to 8.8). The prevalence and patterns of co-occurring mental health problems, however, varied by age. Young adults (ages 18-25) were found to be most vulnerable to co-occurring problems.
              Article 0 comments Cited 76 times – based on 0 reviews     Review now
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                Author and article information

                Journal
                Journal ID (nlm-ta): Adolesc Health Med Ther
                Journal ID (iso-abbrev): Adolesc Health Med Ther
                Journal ID (publisher-id): Adolescent Health, Medicine and Therapeutics
                Title: Adolescent Health, Medicine and Therapeutics
                Publisher: Dove Medical Press
                ISSN (Electronic): 1179-318X
                Publication date Collection: 2014
                Publication date (Electronic): 20 November 2014
                Volume: 5
                Pages: 199-210
                Affiliations
                [1 ]Department of Psychiatry, University of Minnesota Medical School, Minneapolis, MN, USA
                [2 ]Peabody Research Institute, Vanderbilt University, Nashville, TN, USA
                [3 ]Treatment Research Institute, Philadelphia, PA, USA
                Author notes
                Correspondence: Ken C Winters, Department of Psychiatry, University of Minnesota Medical School, F282/2A West, 2450 Riverside Avenue, Minneapolis, MN 55454, USA, Email winte001@ 123456umn.edu
                Article
                Publisher ID: ahmt-5-199
                DOI: 10.2147/AHMT.S48053
                PMC ID: 4241949
                PubMed ID: 25429247
                SO-VID: fde523fa-d946-4286-a0a2-5b677c9af4ef
                Copyright © © 2014 Winters et al. This work is published by Dove Medical Press Limited, and licensed under Creative Commons Attribution – Non Commercial (unported, v3.0) License
                License:

                The full terms of the License are available at http://creativecommons.org/licenses/by-nc/3.0/. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed.

                History
                Categories
                Subject: Review

                Keywords: adolescent drug abuse,treatment
                Data availability:
                Keywords: adolescent drug abuse, treatment

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