title: Provision of mental health services as a quality indicator for adolescent substance abuse treatment facilities.
abstract: OBJECTIVE
  The study tested whether adolescents receiving substance abuse treatment at facilities offering full (can treat all psychiatric conditions) or partial (cannot treat severe or persistent mental illness) mental health services have better 12-month substance use and mental health outcomes than youths at facilities with no mental health services.
  
  
  METHODS
  Data were collected from 3,235 adolescents who were assessed at baseline and at 12 months at one of 50 adolescent treatment facilities. Propensity scores were applied to compare client outcomes from three types of facilities (full, partial, or no mental health services); weighted linear models were estimated to examine outcomes.
  
  
  RESULTS
  Youths attending facilities offering full or partial mental health services had better substance abuse treatment outcomes than youths attending facilities offering no such services. There was no evidence of a difference in substance use outcomes between facilities offering full versus partial services, nor was there evidence of differences in mental health outcomes.
  
  
  CONCLUSIONS
  These preliminary findings suggest that the availability of mental health services may be a useful quality indicator for adolescent substance abuse treatment facilities. More research is needed to examine specific types of mental health services offered at different facilities.
authors.affiliation: The authors are with the RAND Corporation. Dr. Ramchand and Dr. Griffin are with the Arlington, Virginia, office, Dr. Hunter and Ms. Booth are in Santa Monica, California, and Dr. McCaffrey is in Pittsburgh. Send correspondence to Dr. Ramchand (e-mail: ramchand@rand.org ).
authors.forename: Rajeev
authors.initials: R
authors.lastname: Ramchand
authors.forename: Beth Ann
authors.initials: BA
authors.lastname: Griffin
authors.forename: Sarah B
authors.initials: SB
authors.lastname: Hunter
authors.forename: Marika Suttorp
authors.initials: MS
authors.lastname: Booth
authors.forename: Daniel F
authors.initials: DF
authors.lastname: McCaffrey
mesh_terms: D000293:Adolescent; D016497:Adolescent Health Services / Q000592:standards* / Q000706:statistics & numerical data; D005500:Follow-Up Studies; D006268:Health Facilities / Q000592:standards* / Q000706:statistics & numerical data; D006801:Humans; D008605:Mental Health Services / Q000592:standards* / Q000706:statistics & numerical data; D019984:Quality Indicators, Health Care / Q000706:statistics & numerical data*; D019966:Substance-Related Disorders / Q000628:therapy*; D016896:Treatment Outcome