Retention of adolescents with substance dependence and coexisting mental health disorders in outpatient alcohol and drug group therapy
Abstract
The aim of this study was to investigate characteristics that might enhance retention among adolescents attending outpatient alcohol and drug group therapy within a youth mental health setting. An important goal was to provide information for nurses and other clinicians who work with adolescents with coexisting substance use and mental health disorders. A retrospective file audit reviewed the files of 64 adolescents who attended a weekly alcohol and drug group between 2002 and 2004. Five characteristics were shown to have a significant impact on enhancing participant group retention. These were Māori and Pacific Island ethnicity, past or current legal charges, youth drug court (YDC) involvement, having a diagnosis of cannabis dependence, and a diagnosis of conduct disorder. Logistic regression found that YDC involvement on its own significantly predicted treatment retention. In an area of limited research, the findings from this study expand the literature on enhancing treatment retention for a vulnerable and hard‐to‐engage adolescent group with complex treatment needs, and highlight the need for further investigation of the potential role of the YDC. From a practice perspective, the findings support group therapy interventions as a cost‐effective treatment modality for assisting adolescents with coexisting substance use and mental health issues, including those with conduct disorder and YDC involvement.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
Relatively high levels of service disengagement occurred early in the program, as in other similar programs.
“Specifically, like other similar programs, we have seen relatively high levels of service disengagement early in the program (8082).”
From Initial insights from a quality improvement initiative to develop an evidence-informed young adult substance use program (2022) · cites this paper as [81]
Cites
The Cannabis Youth Treatment (CYT) Study: main findings from two randomized trials.
Dennis, M. L., Godley, S., Diamond, G., Tims, F., Babor, T., Donaldson, J., Liddle, H., Titus, J. C., Kaminer, Y., Webb, C., et al. (2004) · Journal of Substance Abuse Treatment · doi:10.1016/j.jsat.2003.09.005 · Cited by 783 · see citing works
Dropping out of substance abuse treatment: A clinically oriented review.
Stark, M. J. (1992) · Clinical Psychology Review · doi:10.1016/0272-7358(92)90092-m · Cited by 636 · see citing works
A comprehensive and comparative review of adolescent substance abuse treatment outcome
Williams, R. J., Addiction Centre Adolescent Research Group, & Chang, S. Y. (2000) · Clinical Psychology: Science and Practice · doi:10.1093/clipsy.7.2.138 · Cited by 453 · see citing works
An Evaluation of Drug Treatments for Adolescents in 4 US Cities
Hser, Y.-I., Grella, C. E., Hubbard, R. L., Hsieh, S.-C., Fletcher, B. W., Brown, B. S., & Anglin, M. D. (2001) · Archives of General Psychiatry · doi:10.1001/archpsyc.58.7.689 · Cited by 341 · see citing works
Retention and patient engagement models for different treatment modalities in DATOS
Joe, G. W., Simpson, D. D., & Broome, K. M. (1999) · Drug and Alcohol Dependence · doi:10.1016/s0376-8716(99)00088-5 · Cited by 323 · see citing works
Tevyaw, T. O., & Monti, P. M. (2004) · Addiction · doi:10.1111/j.1360-0443.2004.00855.x · Cited by 269 · see citing works
Juvenile drug court: Enhancing outcomes by integrating evidence-based treatments.
Henggeler, S. W., Halliday‐Boykins, C. A., Cunningham, P. B., Randall, J., Shapiro, S. B., & Chapman, J. E. (2006) · Journal of Consulting and Clinical Psychology · doi:10.1037/0022-006x.74.1.42 · Cited by 265 · see citing works
The definition of harm reduction
Lenton, S. R., & Single, E. W. (1998) · Drug and Alcohol Review · doi:10.1080/09595239800187011 · Cited by 219 · see citing works
COGNITIVE-BEHAVIORAL COPING SKILLS AND PSYCHOEDUCATION THERAPIES FOR ADOLESCENT SUBSTANCE ABUSE
Kaminer, Y., Burleson, J., & Goldberger, R. (2002) · Journal of Nervous and Mental Disease · doi:10.1097/00005053-200211000-00003 · Cited by 198 · see citing works
Liddle, H. A. (2004) · Addiction · doi:10.1111/j.1360-0443.2004.00856.x · Cited by 188 · see citing works
Waldron, H. B., & Kaminer, Y. (2004) · Addiction · doi:10.1111/j.1360-0443.2004.00857.x · Cited by 173 · see citing works
A longitudinal evaluation of treatment engagement and recovery stages
Simpson, D. D., & Joe, G. W. (2004) · Journal of Substance Abuse Treatment · doi:10.1016/j.jsat.2004.03.001 · Cited by 172 · see citing works
Melnick, G., Leon, G. D., Hawke, J. M., Jainchill, N., & Kressel, D. (1997) · The American Journal of Drug and Alcohol Abuse · doi:10.3109/00952999709016891 · Cited by 150 · see citing works
Adolescent substance abuse treatment: A synthesis of controlled evaluations
Vaughn, M. G., & Howard, M. O. (2004) · Research on Social Work Practice · doi:10.1177/1049731504265834 · Cited by 139 · see citing works
Dual diagnosis and successful participation of adolescents in substance abuse treatment.
Wise, B. K., Cuffe, S. P., & Fischer, T. D. (2001) · Journal of Substance Abuse Treatment · doi:10.1016/s0740-5472(01)00193-3 · Cited by 137 · see citing works
Motivation and Readiness for Therapeutic Community Treatment among Cocaine and Other Drug Abusers
Leon, G. D., Melnick, G., & Kressel, D. (1997) · The American Journal of Drug and Alcohol Abuse · doi:10.3109/00952999709040940 · Cited by 129 · see citing works
Patient histories, retention, and outcome models for younger and older adults in DATOS
Grella, C. E., Hser, Y., Joshi, V., & Anglin, M. D. (1999) · Drug and Alcohol Dependence · doi:10.1016/s0376-8716(99)00082-4 · Cited by 98 · see citing works
Delivering more effective treatment to adolescents: Improving the juvenile drug court model
Belenko, S. R., & Logan, T. (2003) · Journal of Substance Abuse Treatment · doi:10.1016/s0740-5472(03)00123-5 · Cited by 93 · see citing works
Pretreatment Variables That Predict Completion of an Adolescent Substance Abuse Treatment Program
Blood, L., & Cornwall, A. (1994) · The Journal of Nervous and Mental Disease · doi:10.1097/00005053-199401000-00004 · Cited by 66 · see citing works
Friedman, A. S., Glickman, N. W., & Morrissey, M. R. (1986) · Journal of Drug Education · doi:10.2190/98em-3tnt-5066-7qhp · Cited by 64 · see citing works
Retention of Court-Referred Adolescents and Young Adults in the Therapeutic Community
Pompi, K. F., & Resnick, J. (1987) · The American Journal of Drug and Alcohol Abuse · doi:10.3109/00952998709001516 · Cited by 58 · see citing works
Orlando, M., Chan, K. S., & Morral, A. R. (2003) · The American Journal of Drug and Alcohol Abuse · doi:10.1081/ada-120020518 · Cited by 54 · see citing works
SCHRODER, R., SELLMAN, D., FRAMPTON, C., & DEERING, D. (2009) · Drug and Alcohol Review · doi:10.1111/j.1465-3362.2009.00076.x · Cited by 53 · see citing works
Self-citationMeasuring youth outcomes from alcohol and drug treatment
Brown, S. A. (2004) · Addiction · doi:10.1111/j.1360-0443.2004.00853.x · Cited by 51 · see citing works
Feigelman, W. T. (1987) · Journal of Psychoactive Drugs · doi:10.1080/02791072.1987.10472421 · Cited by 43 · see citing works
Developments in the treatment of cannabis use disorder
Copeland, J. (2004) · Current Opinion in Psychiatry · doi:10.1097/00001504-200405000-00003 · Cited by 38 · see citing works
Prospective Risk Factors and Treatment Outcomes among Adolescents in DATOS-A
Galaif, E. R., Hser, Y., Grella, C. E., et al. (2001) · Journal of Adolescent Research · doi:10.1177/0743558401166008 · Cited by 38 · see citing works
Predicting retention of adolescents in substance abuse treatment
Battjes, R. J., Gordon, M., O’Grady, K. E., & Kinlock, T. W. (2004) · Addictive Behaviors · doi:10.1016/j.addbeh.2004.02.054 · Cited by 32 · see citing works
Management of alcohol and drug problems.
Hulse, G. K., Cape, G., & White, J. M. (2002) · Cited by 31 · see citing works
Role development and career stages in addiction nursing: an exploratory study
Clancy, C., Oyefeso, A. O., & Ghodse, H. (2007) · Journal of Advanced Nursing · doi:10.1111/j.1365-2648.2006.04088.x · Cited by 31 · see citing works
Juvenile drug courts: emerging outcomes and key research issues
Henggeler, S. W. (2007) · Current Opinion in Psychiatry · doi:10.1097/yco.0b013e3280ebb601 · Cited by 29 · see citing works
Salient variables for treatment research of adolescent alcohol and other substance use disorders
Bukstein, O. G., & Winters, K. C. (2004) · Addiction · doi:10.1111/j.1360-0443.2004.00852.x · Cited by 23 · see citing works
Residential Program Characteristics for Completion of Treatment by Adolescent Drug Abusers
Friedman, A. S., & GLICKMAN, N. W. (1987) · The Journal of Nervous and Mental Disease · doi:10.1097/00005053-198707000-00005 · Cited by 17 · see citing works
Child and Adolescent Psychiatry
Pumariega, A. J., Cagande, C. C., & Gogineni, R. R. (2016) · Springer eBooks · doi:10.1007/978-3-319-39460-2_13 · Cited by 14 · see citing works
What works with youth? : an evaluation of the adventure development counselling programme.
Mossman, S. E. (2005) · UC Research Repository (University of Canterbury) · doi:10.26021/10063 · Cited by 11 · see citing works
Flagged first, then by citations
Cited by
Sorted by citations
Molecular and behavioral aspects of the actions of alcohol on the adult and developing brain
Alfonso-Loeches, S., & Guerri, C. (2011) · Critical Reviews in Clinical Laboratory Sciences · doi:10.3109/10408363.2011.580567 · Cited by 254 · see citing works
Fortuna, L. R., Porche, M. V., & Padilla, A. (2018) · Psychology and Psychotherapy: Theory, Research and Practice · doi:10.1111/papt.12143 · Cited by 60 · see citing works
Halladay, J., Stead, V., McCarron, C., Kennedy, M., King, K., Venantius, M., Carter, A., Syan, S., Matthews, M., Khoshroo, S., et al. (2022) · medRxiv · doi:10.1101/2022.10.21.22281362 · Cited by 5 · see citing works
- Authors
- Pagey, B., Deering, D., & Sellman, D.
- Affiliations
- Canterbury District Health Board (NZ)
- University of Otago (NZ)
- Corresponding author
- Pagey, Bronwyn
- ORCID
- Deering, Daryle
- Venue
- International Journal of Mental Health Nursing
- Publisher
- Wiley
- Published
- 2010-11-03
- Volume
- 19
- Issue
- 6
- Pages
- 437-444
- ISSN
- 1445-8330 (ISSN-L)
- 1447-0349
- OpenAlex
- W1957813085
- Cited by
- 19
- References
- 35
- Citations by year
- 2025: 1 · 2022: 3 · 2021: 1 · 2020: 1 · 2018: 3 · 2017: 1 · 2016: 1 · 2015: 2 · 2013: 2 · 2012: 3
- FWCI
- 1.40
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- International Journal of Mental Health Nursing (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Canterbury District Health Board
- Topics
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
- Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
- Keywords
- treatment retention, adolescents, substance use disorders, cannabis use disorder, conduct disorder, legal charges, child and adolescent mental health services
- MeSH terms
- Adolescent, Mental Disorders, Marijuana Abuse, Ethnicity, Female, Humans, Male, New Zealand, Outpatients, Patient Compliance, Patient Dropouts, Psychotherapy, Group, Retrospective Studies, Chi-Square Distribution, 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.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review
