Cited by 149Substance Abuse Treatment and OutcomesChild and Adolescent Psychosocial and Emotional DevelopmentHomelessness and Social Issues

Four-year outcomes from adolescent alcohol and drug treatment

Brown, S A, D'Amico, E J, McCarthy, D M, Tapert, S F·2001·Journal of Studies on Alcohol

Abstract

OBJECTIVE: Knowledge of treatment response for alcohol and drug problems among adults is mounting; less is known about long-term outcome for adolescents who receive treatment for alcohol and drug problems. The current study examined youth substance involvement over 4 years (using five waves of data collection) following treatment for alcohol and drug abuse. METHOD: A cohort of youth (N = 162, 60% male) treated during adolescence (mean age = 16 years) was followed into young adulthood, a period associated with stabilization of alcohol use patterns and elevated risk for life problems secondary to both alcohol and drug use. Participants (14-18 years old) were consecutive admissions to inpatient adolescent alcohol and drug treatment centers in San Diego that were abstinence focused and based on the 12-step approach. RESULTS: Alcohol and other drug use were reduced during the 4 years posttreatment, with the exception of nicotine. The greatest prevalence reduction occurred for stimulants; modest changes were evident in alcohol and marijuana use. Nicotine was the most commonly used substance throughout the 4 years after treatment. Several distinct substance involvement trajectories were evident during the 4 years following treatment. CONCLUSIONS: Alcohol and drug use patterns during the 4 years following treatment highlight both changes and diversity in substance involvement as youth make the transitions from middle to late adolescence and into young adulthood. Findings demonstrate the importance of identifying transitional periods and the need for alternative intervention strategies that may help the progression of this population into young adulthood.

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Crossref · 10.15288/jsa.2001.62.381

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Authors
Brown, S. A., D'Amico, E. J., McCarthy, D. M., & Tapert, S. F.
Affiliations
  • University of California San Diego (US)
  • Department of Psychiatry, University of California, San Diego, La Jolla 92093, USA.
Venue
Journal of Studies on Alcohol
Published
2001-05
Volume
62
Issue
3
Pages
381-388
ISSN
  • 0096-882X (ISSN-L)
  • 1934-2683
OpenAlex
W2029219416
Cited by
147
References
0
Citations by year
2025: 1 · 2024: 1 · 2023: 1 · 2021: 5 · 2020: 3 · 2019: 4 · 2018: 4 · 2017: 8 · 2016: 3 · 2015: 2 · 2014: 4 · 2013: 3 · 2012: 9
FWCI
5.60
Type
journal article
Language
en
Open access
closed
Locations
  • Journal of Studies on Alcohol (publishedVersion)
  • PubMed (publishedVersion)
Funders
  • National Institutes of Health (1z01aa000703-04)
  • National Institute on Alcohol Abuse and Alcoholism (AA 12171, R01AA012171, AA0703)
Topics
  • Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
  • Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
  • Health Sciences › Health Professions › General Health Professions › Homelessness and Social Issues
Keywords
adolescent substance abuse treatment, long-term treatment outcomes, alcohol consumption, cannabis use, nicotine use, stimulant use, transition to young adulthood, substance use prevention
MeSH terms
Adolescent, Alcoholism, Analysis of Variance, Cross-Sectional Studies, Female, Humans, Interviews as Topic, Longitudinal Studies, Male, Self-Help Groups, Temperance, Treatment Outcome, Substance-Related Disorders

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