title: Substance use treatment outcomes for youth: integrating personal and environmental predictors.
abstract: This investigation examined personal and environmental predictors of substance treatment outcomes in youth. A 424 adolescents (M=15.9 years, S.D.=1.3) completed comprehensive assessments, including substance use, environmental factors (e.g., family history, social supports), and person-centered variables (e.g., Axis I diagnosis, motivation, self-esteem), at study intake and throughout the year following inpatient treatment. Youth treatment outcomes were assessed by relapse status (abstaining, minor relapse, major relapse) and DSM-IV dependence symptoms at 1 year. Relapse status was predicted by demographic (age), environmental (social supports), and person-centered factors (diagnosis) while dependence symptoms were best predicted by substance use variables alone. Consideration of the general and specific nature of risk and protection within the adolescent developmental context were explored.
authors.affiliation: Department of Psychology, University of California, San Diego, 9500 Gilman Drive (MC 0109), San Diego, CA 92093-0109, USA.
authors.forename: Kristen G
authors.initials: KG
authors.lastname: Anderson
authors.forename: Danielle E
authors.initials: DE
authors.lastname: Ramo
authors.forename: Marya T
authors.initials: MT
authors.lastname: Schulte
authors.forename: Kevin
authors.initials: K
authors.lastname: Cummins
authors.forename: Sandra A
authors.initials: SA
authors.lastname: Brown
mesh_terms: D000293:Adolescent; D002648:Child; D039721:Diagnostic and Statistical Manual of Mental Disorders; D005260:Female; D005544:Forecasting; D006801:Humans; D008297:Male; D009042:Motivation; D012008:Recurrence; D012931:Social Environment; D012944:Social Support; D016320:Substance Abuse Treatment Centers; D019966:Substance-Related Disorders / Q000523:psychology / Q000628:therapy*; D016896:Treatment Outcome