Reducing Underage Drinking A Collective Responsibility (2004) / Chapter Skim
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15 Teen Treatment: Addressing Alcohol Problems Among Adolescents--Rosalind Brannigan, Mathea Falco, Linda Dusenbury, and William B. Hansen
15 Teen Treatment: Addressing Alcohol Problems Among Adolescents--Rosalind Brannigan, Mathea Falco, Linda Dusenbury, and William B. Hansen
Pages 697-715
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, 2002) , with an additional $143 billion attributable to illicit drug abuse and dependence (Office of National Drug Control Policy [ONDCP]
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. Also readily available are studies of best practices in alcohol and drug prevention, and outcome studies of various adolescent treatment programs (e.g., Center for Substance Abuse Treatment [CSAT]
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It is important for treatment programs to conduct ongoing evaluations of their effectiveness. At this point, research has not yet confirmed each of these elements, but they represent our best understanding of what works in teen treatment (CSAT, 2000c; Drug Strategies, 2003)
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One study found that adolescents who are motivated to attend Twelve Step meetings have improved treatment outcomes (Kelly, Myers, and Brown, 2002)
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. Outcome studies for TC treatment programs have been inconsistent for adolescents (Jainchill et al., 1995; Pompi, 1994)
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For example, Drug Strategies (2003) analyzed the most predominant treatment approaches among the 144 programs described in the Treating Teens guide.
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In the most intensive of the outpatient programs, the treatment provided may involve a combination of individual, group, and family therapy. Inpatient treatment offers a range of intensity of care levels.
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. Treatment programs need to be sensitive to the multiple developmental issues that adolescents face (CSAT, 2000b)
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. Qualified Staff Staff should be trained to understand adolescent development, to recognize psychiatric problems, and to work effectively with families (Liddle et al., 2001)
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. Continuing Care Alcohol abuse and dependence, like most medical or psychological disorders, tend to be chronic.
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. A number of evaluation studies of adolescent treatment programs have been conducted.
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. Although it is crucial for adolescent treatment programs to be developmentally appropriate according to the specific needs of youth, few states require in their certification standards that counselors have any specific knowledge or experience in treating adolescents.
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Treatment Should Be Developmentally Appropriate · Adolescents face multiple developmental, gender, and cultural issues that require a well-trained program staff because program models specifically designed for adolescents are more effective than programs based on adult regimens. Treatment Programs Should Actively Work to Retain Teens · Motivation and building a therapeutic relationship are important to successful treatment outcomes, in part because most adolescents enter treatment through the criminal justice and education systems.
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Programs Should Be Comprehensive and Offer an Integrated Treatment Approach A comprehensive, integrated treatment approach ensures that the program addresses all of an individual teen's treatment needs, which may include addressing mental health problems, family dysfunction, learning disabilities or school failure, and physical health concerns. In addition, this approach should connect adolescents and their families with an array of community services.
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Treatment Needs to Include Continuing Care Continuing care is crucial to achieving long-term outcomes. Continuing care is often one of the weakest features of adolescent treatment programs nationwide (Drug Strategies, 2003)
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. Predictor of engagement in adolescent drug abuse treatment.
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. Multidimensional family therapy for adolescent drug abuse: Results of a randomized clinical trial.
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. Adolescent drug abuse: Clinical assessment and therapeutic interventions (NIH Publication No, M156)
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. Adolescent drug abuse: Diagnosis, treatment and preven tion.
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