title: Impact of victimization on substance abuse treatment outcomes for adolescents in outpatient and residential substance abuse treatment.
abstract: This paper considers whether victimization moderates adolescents' outcomes in substance abuse treatment. Adolescents (N=975) in outpatient and residential settings were assessed at intake, three, six, nine, and 12 months. Differential outcomes by gender and degree of victimization were analyzed. Dependent variables were marijuana use and substance-related problems. The residential sample reported higher baseline marijuana use and victimization. Both samples significantly reduced marijuana use and associated problems during treatment. Victimization was significantly related to more substance-related problems at intake and follow-up. More severe trauma histories in residential females were associated with significantly greater persistence in substance-related problems post-discharge.
authors.affiliation: Research Institute, Alta Bates Summit Medical Center, Sutter Health, Oakland, CA 94612, USA. shanep@sutterhealth.org
authors.forename: Patricia
authors.initials: P
authors.lastname: Shane
authors.forename: Guy S
authors.initials: GS
authors.lastname: Diamond
authors.forename: Janell Lynn
authors.initials: JL
authors.lastname: Mensinger
authors.forename: David
authors.initials: D
authors.lastname: Shera
authors.forename: Matthew B
authors.initials: MB
authors.lastname: Wintersteen
mesh_terms: D000293:Adolescent; D000553:Ambulatory Care; D015331:Cohort Studies; D019548:Crime Victims / Q000523:psychology*; D005260:Female; D006801:Humans; D008297:Male; D002189:Marijuana Abuse / Q000523:psychology / Q000534:rehabilitation*; D015337:Multicenter Studies as Topic; D010043:Outcome and Process Assessment, Health Care; D010343:Patient Admission; D011614:Psychotherapy, Brief; D016032:Randomized Controlled Trials as Topic; D016320:Substance Abuse Treatment Centers