Correlation between ancillary community services with adolescent substance use disorders treatment outcome.
OBJECTIVE
This study explores whether participation in ancillary out-of-program services predicts outcomes of adolescents treated for substance use disorders.


METHODS
Eighty-eight consenting adolescents, 13-18 years of age recruited at an outpatient program filled the Teen Treatment Services Review (T-TSR) during eight weekly sessions, and at 3-and 9-Month post-treatment. Outcome variables included urinalysis and three subscales of the Teen-Addiction Severity Index (T-ASI) during Treatment (DT) and at follow-ups. The predictor variable was the number of reported Out-of-Program service contact Days (OD).


RESULTS
While DT OD did not correlate with DT urinalysis, high DT OD days showed a trend toward predicting negative 3-month (3-M) urinalysis. By contrast, high 3-M OD days-predicted positive 3-M urinalyses as well as high use on all three T-ASI subscales. Out-of-Program services between 3-and 9-M post-treatment were not correlated with 9-M objective or subjective outcomes.


CONCLUSIONS
The more therapeutic services received during treatment, the better the short-term outcome. The more therapeutic services received post-treatment, however, the poorer the shortterm outcome. Use of outside services presented a response rather than a cause of substance use.
Alcohol Research Center, University of Connecticut Health Center, Farmington, CT 06030-2103, USA. kaminer@psychiatry.uchc.edu
Yifrah
Y
Kaminer
Joseph A
JA
Burleson
D000293:Adolescent; D000553:Ambulatory Care / Q000706:statistics & numerical data; D015928:Cognitive Behavioral Therapy; D003153:Community Health Services; D004353:Drug Evaluation, Preclinical; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D017063:Outcome Assessment, Health Care; D010342:Patient Acceptance of Health Care / Q000706:statistics & numerical data; D010353:Patient Education as Topic; D010358:Patient Participation; D011615:Psychotherapy, Group; D011619:Psychotropic Drugs; D013223:Statistics as Topic; D019966:Substance-Related Disorders / Q000453:epidemiology / Q000534:rehabilitation*; D014600:Utilization Review
D011619:Psychotropic Drugs