Treatment length and outcomes among adolescents: a secondary data analysis.
BACKGROUND
Adaptations to evidence-based substance abuse treatment programs may impact their effectiveness. A qualitative study of MET/CBT-5 implementation in community agencies treating adolescents found that the majority of the agencies made adaptations and that the most frequent adaptation was to provide more than five treatment sessions.


METHODS
Baseline and outcome data from SAMHSA's Effective Adolescent Treatment demonstration were analyzed to assess associations between length of treatment, client characteristics, and outcomes at three months.


RESULTS
Adolescents who received more or less than the protocol length of 5 sessions were less likely to be discharged to the community than those who received the 5 session protocol. Those who received more than five sessions were more likely to have higher severity scores at intake but almost 50% of those with more than five sessions had low intake severity scores. Clients who received less than five sessions tended to have lower severity scores than clients who received more than five sessions.


CONCLUSIONS
Length of treatment tended to vary by site rather than severity of substance problems or frequency of use. There was no significant improvement of substance abuse problems or decrease in frequency of use with longer treatment. Implementation of the MET/CBT-5 component of the Cannabis Youth Treatment trial in the EAT project illustrates the difficulty of adherence to an evidence based protocol in the field.
Public Health & Preventive Medicine, Oregon Health & Science University, Portland, OR, USA. rileyk@ohsu.edu
Katherine J
KJ
Riley
Priya
P
Srikanth
Dongseok
D
Choi
Dennis
D
McCarty
D000293:Adolescent; D000367:Age Factors; D001519:Behavior; D005260:Female; D006801:Humans; D008297:Male; D008603:Mental Health; D010043:Outcome and Process Assessment, Health Care; D010342:Patient Acceptance of Health Care; D012737:Sex Factors; D012959:Socioeconomic Factors; D013315:Stress, Psychological / Q000453:epidemiology; D016320:Substance Abuse Treatment Centers / Q000706:statistics & numerical data*; D019966:Substance-Related Disorders / Q000534:rehabilitation*; D013997:Time Factors; D014481:United States; D014482:United States Substance Abuse and Mental Health Services Administration