A comparison of treatment outcomes for adolescent community reinforcement approach participants with and without co-occurring problems.
This study examined the relationship between Adolescent Community Reinforcement Approach (A-CRA) participation with treatment engagement, retention, and satisfaction, and with substance use and emotional problem outcomes. Participants had substance use disorders (SUD) only or co-occurring substance use and psychiatric problems. Those with co-occurring problems reported more days of substance use and emotional problems at intake to treatment than those with SUD only. All groups received equivalent exposure to A-CRA during treatment implementation. At the 12-month follow-up, adolescents classified as externalizers (n = 468) or those with both externalizing and internalizing problems (n = 674) had significantly greater improvement in their days of abstinence and substance problems relative to adolescents with substance use disorders only (n = 666). Additionally, adolescents reporting symptoms of internalizing (n = 154), externalizing, or both externalizing and internalizing disorders had significantly greater improvements in days of emotional problems relative to adolescents with SUD only.
Chestnut Health Systems, 448 Wylie Drive, Normal, IL 61761. Electronic address: sgodley@chestnut.org.
Susan H
SH
Godley
Chestnut Health Systems, 448 Wylie Drive, Normal, IL 61761.
Brooke D
BD
Hunter
University of Oviedo (Asturias), Spain.
Sergio
S
Fernández-Artamendi
Department of Psychology, University of New Mexico.
Jane Ellen
JE
Smith
University of New Mexico.
Robert J
RJ
Meyers
Chestnut Health Systems, 448 Wylie Drive, Normal, IL 61761.
Mark D
MD
Godley
D000293:Adolescent; D017831:Diagnosis, Dual (Psychiatry); D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007389:Internal-External Control; D008297:Male; D001523:Mental Disorders / Q000150:complications*; D012056:Reinforcement, Social; D019966:Substance-Related Disorders / Q000523:psychology / Q000534:rehabilitation*; D016896:Treatment Outcome
A-CRA; Adolescents; Co-occurring; Substance use; Treatment