Young adults with co-occurring disorders: substance use disorder treatment response and outcomes
Open accessAbstract
Compared to other life stages, young adulthood (ages 18-24) is characterized by qualitative differences including the highest rates of co-occurring substance use and psychiatric disorders (COD). Little is known, however, regarding young adults' response to substance use disorder (SUD) treatment, especially those with COD. Greater knowledge in this area could inform and enhance the effectiveness and efficiency of SUD care for this patient population. The current study investigated differences between 141 COD and 159 SUD-only young adults attending psychiatrically-integrated residential SUD treatment on intake characteristics, during-treatment changes on clinical targets (e.g., coping skills; abstinence self-efficacy), and outcomes during the year post-discharge. Contrary to expectations, despite more severe clinical profiles at intake, COD patients showed similar during-treatment improvements on clinical target variables, and comparable post-treatment abstinence rates and psychiatric symptoms. Clinicians referring young adults with COD to specialized care may wish to consider residential SUD treatment programs that integrate evidence-based psychiatric services.
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Specific to emerging adults, existing research has shown potential benefits from cognitive-behavioural and motivational interventions, integrated mental health and substance use treatment, and higher emerging adult retention when programs include CBT.
“Specific to emerging adults, though limited, existing research has shown potential benefits from cognitive-behavioural and motivational interventions, integrated mental health and substance use treatment, and higher emerging adult retention when programs include CBT (6, 48, 49).”
From Initial insights from a quality improvement initiative to develop an evidence-informed young adult substance use program (2022) · cites this paper as [48]
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References 66 · Cited by 28
Research works printed but not linked: 2
- Derogatis LR 2001 BSI-I8: Brief Symptom Inventory 18 Administration, scoring, and procedures manual Minneapolis, MN NCS Pearson
- First MB Spitzer RL Gibbon M Williams JBW 2002 Structured Clinical Interview for DSM-IV-TR Axis I Disorders, Research Version, Patient Edition (SCID-I/P) New York Biometrics Research, New York State Psychiatric Institute
- Authors
- Bergman, B. G., Greene, M. C., Slaymaker, V., Hoeppner, B. B., & Kelly, J. F.
- Affiliations
- Harvard University (US)
- Massachusetts General Hospital (US)
- Corresponding author
- Bergman, Brandon G.
- Venue
- Journal of Substance Abuse Treatment
- Publisher
- Elsevier BV
- Published
- 2014-04
- Volume
- 46
- Issue
- 4
- Pages
- 420-428
- ISSN
- 0740-5472 (ISSN-L)
- PMC
- PMC3968943
- OpenAlex
- W2058062051
- Cited by
- 28
- References
- 66
- Citations by year
- 2026: 1 · 2025: 4 · 2024: 4 · 2023: 3 · 2022: 2 · 2021: 3 · 2020: 1 · 2019: 5 · 2017: 1 · 2016: 2 · 2015: 2
- FWCI
- 0.97
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Journal of Substance Abuse Treatment (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute on Alcohol Abuse and Alcoholism (R21AA018185, K24AA022136)
- National Institute on Drug Abuse (K01DA027097)
- Topics
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Opioid Use Disorder Treatment
- Social Sciences › Psychology › Clinical Psychology › Personality Disorders and Psychopathology
- Keywords
- co-occurring disorders, young adults, addiction treatment, treatment response, abstinence self-efficacy, coping strategies, post-discharge outcomes, psychiatric symptoms, referral to treatment
- MeSH terms
- Adaptation, Psychological, Adolescent, Age Factors, Mental Disorders, Female, Follow-Up Studies, Humans, Male, Residential Treatment, Severity of Illness Index, Treatment Outcome, Diagnosis, Dual (Psychiatry), Evidence-Based Medicine, Substance-Related Disorders, Self Efficacy, Young Adult
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