Clinician Perspectives on Treating Adolescents with Co-occurring Post-Traumatic Stress Disorder, Substance Use, and Other Problems
Open accessAbstract
Clinicians (n=138) who treat adolescents with co-occurring posttraumatic stress and substance use disorders (PTSD+SUD) were surveyed about their attitudes and practice behaviors. Most providers were trained in PTSD treatment; fewer were trained in SUD or PTSD+SUD treatments. PTSD+SUD treatment was rated more difficult than treatment of other diagnoses. Providers typically addressed symptoms of PTSD and SUD separately and sequentially, rather than with integrated approaches. There was no consensus about which clinical strategies to use with adolescent PTSD+SUD. Continued treatment development, training, and dissemination efforts are needed to equip providers with resources to deliver effective treatments to adolescents with PTSD+SUD.
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Surveys of the adolescent SUD specialty workforce confirm an ID services gap.
“Surveys of the adolescent SUD specialty workforce confirm this ID services gap [18,19].”
From Family Support Protocol for Adolescent Internalizing Disorders: Protocol for a Pre-Post Quantitative Treatment Development Study (2024) · cites this paper as [18]
The Abstract and Discussion report a survey of clinicians treating adolescents with PTSD and SUD and identify gaps in training and integrated treatment. They do not establish an ID services gap; the Limitations also note that SUD counselors were under-represented, so the sample cannot be treated as representative of the adolescent SUD specialty workforce. No page numbers are provided in our copy. (LLM, conf=0.78)
Experimental — accuracy not yet measuredClinicians who treat youth with co-occurring substance use disorder and PTSD often encounter difficulties prioritizing treatment components, managing family conflict, and coping with feelings of frustration and helplessness.
“Clinicians who treat youth with co-occurring SUD and PTSD often encounter difficulties prioritizing treatment components, managing family conflict, and coping with feelings of frustration and helplessness [84].”
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“Clinicians who treat youth with co-occurring SUD and PTSD often encounter difficulties prioritizing treatment components, managing family conflict, and coping with feelings of frustration and helplessness [84].”
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- Authors
- Adams, Z. W., McCauley, J. L., Back, S. E., Flanagan, J. C., Hanson, R. F., Killeen, T. K., & Danielson, C. K.
- Affiliations
- Medical University of South Carolina (US)
- Corresponding author
- Adams, Zachary W.
- ORCID
- Venue
- Journal of Child & Adolescent Substance Abuse
- Publisher
- Informa UK Limited
- Published
- 2016-06-10
- Volume
- 25
- Issue
- 6
- Pages
- 575-583
- ISSN
- 1067-828X (ISSN-L)
- 1547-0652
- PMC
- PMC5100692
- OpenAlex
- W2413064726
- Cited by
- 31
- References
- 45
- Citations by year
- 2026: 3 · 2024: 4 · 2023: 5 · 2022: 1 · 2021: 4 · 2020: 6 · 2019: 4 · 2018: 3 · 2017: 1
- FWCI
- 3.57
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Journal of Child & Adolescent Substance Abuse (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- IUScholarWorks (Indiana University) (submittedVersion)
- Funders
- National Institutes of Health (UL1TR000062, UL1TR001450)
- National Institute on Alcohol Abuse and Alcoholism (P50AA010761)
- National Institute on Drug Abuse (K23DA038257, R01DA030143, K02DA039229, K23DA036566, R01DA031285, K12DA031794, K24DA039783)
- National Center for Research Resources (UL1RR029882)
- National Center for Advancing Translational Sciences
- Eunice Kennedy Shriver National Institute of Child Health and Human Development (K12HD055885)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Posttraumatic Stress Disorder Research
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Social Sciences › Psychology › Clinical Psychology › Child Abuse and Trauma
- Keywords
- post-traumatic stress disorder, substance use disorders, co-occurring disorders, adolescents, clinician attitudes, treatment patterns, integrated treatment, provider training, barriers to treatment
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