Family involvement in treatment and recovery for substance use disorders among transition-age youth: Research bedrocks and opportunities
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This article presents a narrative review and conceptual framework for research on family involvement across the continuum of substance use disorder (SUD) services for transition-age youth (ages 15-26). Though families are powerful resources for enhancing treatment and recovery success among youth with SUDs, they are not routinely included in clinical practice. This article summarizes youth SUD prevalence and service utilization rates and presents developmental and empirical rationale for increasing family involvement in services. It then describes key research issues on family involvement across the SUD services continuum: Problem Identification, Treatment Engagement, Active Treatment, Recovery Support. Within each phase, it highlights bedrock research findings and suggests promising opportunities for advancing the scientific knowledge base on family involvement. The main goals are to endorse family-oriented practices for immediate adoption in routine care and identify areas of research innovation that could significantly enhance the quality of youth SUD services.
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Experts and emerging adults have indicated that parent, caregiver, and partner involvement should be offered, while simultaneously respecting the emerging adults' autonomy and independence, such as through separate programming.
“Experts and emerging adults have also indicated that parent, caregiver, and partner involvement should be offered, while simultaneously respecting the emerging adults' autonomy and independence, such as through separate programming (6, 29, 56, 57).”
From Initial insights from a quality improvement initiative to develop an evidence-informed young adult substance use program (2022) · cites this paper as [56]
The Rationale section (page unavailable) says family involvement in youth substance-use care should account for growing independence and autonomy. Active Treatment > Intervention Delivery (page unavailable) calls for strategies involving caregivers and romantic partners. The passages do not establish that emerging adults themselves recommended offering that involvement, or recommend separate programming as the way to respect autonomy. (LLM, conf=0.84)
Experimental — accuracy not yet measuredThere appears to be continued clinical importance of family engagement during emerging adulthood.
“there appears to be continued clinical importance of family engagement during emerging adulthood (6, 56).”
From Initial insights from a quality improvement initiative to develop an evidence-informed young adult substance use program (2022) · cites this paper as [56]
CRAFT is commonly recommended in family-involvement calls to action.
“CRAFT is commonly recommended in familyinvolvement calls to action (56, 57)”
From Initial insights from a quality improvement initiative to develop an evidence-informed young adult substance use program (2022) · cites this paper as [56]
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“CRAFT is commonly recommended in familyinvolvement calls to action (56, 57) as CRAFT has previously been shown to increase patient engagement in treatment (59, 60), improve family functioning (58, 60), reduce the patients’”
BackgroundHogue, A., Bobek, M., Porter, N. P., MacLean, A., Henderson, C. E., Jensen-Doss, A., Diamond, G. M., Southam-Gerow, M. A., & Ehrenreich-May, J. (2024) · JMIR Research Protocols · doi:10.2196/64332 · Cited by 2 · see citing works
Self-citation
- Authors
- Hogue, A., Becker, S. J., Wenzel, K., Henderson, C. E., Bobek, M., Levy, S., & Fishman, M.
- Affiliations
- Brown University (US)
- Sam Houston State University (US)
- Boston Children's Hospital (US)
- Corresponding author
- Hogue, Aaron
- ORCID
- Venue
- Journal of Substance Abuse Treatment
- Publisher
- Elsevier BV
- Published
- 2021-10
- Volume
- 129
- Pages
- 108402
- ISSN
- 0740-5472 (ISSN-L)
- PMC
- PMC8380649
- OpenAlex
- W3154898683
- Cited by
- 101
- References
- 120
- Citations by year
- 2026: 26 · 2025: 21 · 2024: 28 · 2023: 15 · 2022: 9 · 2021: 2
- FWCI
- 2.07
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- www.elsevier.com/tdm/userlicense/1.0/ (tdm)
- www.elsevier.com/legal/tdmrep-license (tdm)
- www.elsevier.com/open-access/userlicense/1.0/ (am, 197 d)
- doi.org/10.15223/policy-017 (stm-asf)
- doi.org/10.15223/policy-037 (stm-asf)
- doi.org/10.15223/policy-012 (stm-asf)
- doi.org/10.15223/policy-029 (stm-asf)
- doi.org/10.15223/policy-004 (stm-asf)
- Locations
- Journal of Substance Abuse Treatment (acceptedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute on Drug Abuse
- Topics
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Social Sciences › Demography › Youth, Drugs, and Violence
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Opioid Use Disorder Treatment
- Keywords
- family involvement, substance use disorders, transition-age youth, family-oriented treatment, recovery support, treatment engagement, service utilization
- MeSH terms
- Adolescent, Adult, Humans, Prevalence, Substance-Related Disorders, Young Adult
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
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