title: Alcoholics Anonymous-Narcotics Anonymous model inpatient treatment of chemically dependent adolescents: a 2-year outcome study.
abstract: Many hospital and residential chemical dependency treatment facilities utilize Alcoholics Anonymous (AA) and Narcotics Anonymous (NA) principles and practices in therapeutic programming. Although well-known and broadly endorsed and supported, such AA/NA approaches have received little research attention especially in regard to chemically dependent adolescents. The present study examined chemical usage and social-civil-productive functioning in 157 male and female chemically dependent adolescents at 6, 12 and 24 months after leaving an AA/NA-based treatment program. Results revealed that both treatment completers and noncompleters (those who left treatment prematurely against professional/medical advice) demonstrated less chemical use after their respective hospitalizations than before. Although significantly higher percentages of both male and female treatment completers were found abstinent/essentially abstinent at 6 months post discharge in contrast to noncompleters, abstinence rates, particularly for male subjects, declined sharply by 1 and 2 years after treatment. Results indicated that the AA/NA model is a promising approach in treating chemically dependent adolescents, but that much attention to relapse prevention methods is necessary.
authors.affiliation: Department of Psychiatry and Human Behavior, University of Mississippi Medical Center, Jackson 39216.
authors.forename: G S
authors.initials: GS
authors.lastname: Alford
authors.forename: R A
authors.initials: RA
authors.lastname: Koehler
authors.forename: J
authors.initials: J
authors.lastname: Leonard
mesh_terms: D000293:Adolescent; D000436:Alcoholics Anonymous; D000437:Alcoholism / Q000523:psychology / Q000534:rehabilitation*; D003131:Combined Modality Therapy; D003376:Counseling; D005260:Female; D005500:Follow-Up Studies; D006760:Hospitalization; D006801:Humans; D013287:Illicit Drugs; D008297:Male; D009293:Opioid-Related Disorders / Q000523:psychology / Q000534:rehabilitation*; D012917:Social Adjustment; D019966:Substance-Related Disorders / Q000523:psychology / Q000534:rehabilitation*; D013695:Temperance
chemical_list: D013287:Illicit Drugs