Four-year outcomes from adolescent alcohol and drug treatment
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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Substance abuse treatment effects tend to diminish quickly after treatment, especially during the initial three months.
“research has also shown such treatment effects to quickly diminish post-treatment, especially during the initial 3-months (Cornelius et al., 2003; Brown, et al., 2011).”
From Substance use recovery outcomes among a cohort of youth participating in a mobile-based texting aftercare pilot program (2014) · cites this paper as Brown, et al., 2011
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“Adolescents who experience major relapse experience higher rates of parental substance use and family conflict and a higher density of drug users in their post-treatment social milieu (Hoffman, et al, 1993; Brown et al., 2001; Godley et al., 2003).”
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“Indeed, youth who engage in recovery supports posttreatment have the greatest likelihood of abstinence from substance use (Brown et al., 2001; Hennessy & Fisher, 2015).”
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“Some available data from longitudinal [32], co-twin [53] and intervention [54] studies on substance use are consistent with this assumption, although the investigation along this line is still scarce.”
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Initiation of abstinence in adolescents treated for marijuana use disorders
Brown, P., Budney, A. J., Thostenson, J. D., & Stanger, C. (2012) · Journal of Substance Abuse Treatment · doi:10.1016/j.jsat.2012.08.223 · Cited by 16 · see citing works
Relapse among Drug Addicts in East Coast Malaysia: A Qualitative Study of Risk Factors
Amat, M. A. C., Ahmad, J., Jailani, O., Jaafar, W. M. W., & Zaremohzzabieh, Z. (2020) · International Journal of Academic Research in Business and Social Sciences · doi:10.6007/ijarbss/v10-i12/8337 · Cited by 15 · see citing works
“Studies report that in the six months following a community- or hospital-based opioid or alcohol recovery episode, about two-thirds and four-fifths of both adults and teenagers begin to use the substance again (Brown et al., 2001; Williams & Chang, 2000).”
BackgroundMartins, R. A., Manzatto, A. J., da Cruz, L. N., et al. (2008) · Acervo Digital da Universidade Estadual Paulista (Universidade Estadual Paulista) · Cited by 15 · see citing works
Relapse Contexts for Substance Abusing Adolescents with Comorbid Psychopathology
Anderson, K. G., Frissell, K. C., & Brown, S. A. (2007) · Journal of Child & Adolescent Substance Abuse · doi:10.1300/j029v17n01_04 · Cited by 15 · see citing works
Self-citationSteiker, L. K. H., Hopson, L. M., Goldbach, J. T., & Robinson, C. (2014) · Journal of Child & Adolescent Substance Abuse · doi:10.1080/1067828x.2013.869141 · Cited by 15 · see citing works
Treatment of Adolescent Alcohol-Related Problems
Brown, S. A., Anderson, K. G., Ramo, D., & Tomlinson, K. (2005) · Kluwer Academic Publishers-Plenum Publishers eBooks · doi:10.1007/0-306-48626-1_15 · Cited by 11 · see citing works
Self-citationHennessy, E. A., & Finch, A. J. (2019) · Psychology of Addictive Behaviors · doi:10.1037/adb0000528 · Cited by 14 · see citing works
““recovery hostile” environments increase the risk of return to use (Brown et al., 2001; Cerdá, Wall, Keyes, Galea, & Hasin, 2012; Ramo, Prince, Roesch, & Brown, 2012; White et al., 2004).”
BackgroundSchell, T. L., Orlando, M., & Morral, A. R. (2005) · Health Services Research · doi:10.1111/j.1475-6773.2005.00399.x · Cited by 14 · see citing works
“other problem behaviors after treatment (Brown et al. 2001; Hser et al. 2001), and multiple treatment admissions over a ‘‘treatment career’’ are com-”
BackgroundPredicting nonresponse to juvenile drug court interventions
Halliday‐Boykins, C. A., Schaeffer, C. M., Henggeler, S. W., Chapman, J. E., Cunningham, P. B., Randall, J., & Shapiro, S. B. (2010) · Journal of Substance Abuse Treatment · doi:10.1016/j.jsat.2010.07.011 · Cited by 14 · see citing works
“On the other hand, the percentages of non-responders are even higher (e.g., 62%-75%; Brown et al., 2001; Williams & Chang, 2000) in adolescent substance abuse treatment studies that did not use evidence-based services.”
BackgroundWinters, K. C., Stinchfield, R. D., Lee, S., & Latimer, W. W. (2008) · Substance Abuse · doi:10.1080/08897070802093460 · Cited by 12 · see citing works
“Multiple developmental trajectories of adolescent-onset drug use and problems exist (12,13); these trajectories identify several paths, some of which reflect persistent or continuous problems whereas other paths reflect problems that are more intermittent (14).”
BackgroundPiehler, T. F., & Winters, K. C. (2016) · Journal of Family Psychology · doi:10.1037/fam0000266 · Cited by 11 · see citing works
Godley, S. H., Passetti, L. L., Funk, R. R., Garner, B. R., & Godley, M. D. (2008) · Journal of Psychoactive Drugs · doi:10.1080/02791072.2008.10399758 · Cited by 12 · see citing works
Lessons in Sobriety: An Exploratory Study of Graduate Outcomes at a Recovery High School
Lanham, C. C., & Tirado, J. A. (2011) · Journal of Groups in Addiction & Recovery · doi:10.1080/1556035x.2011.597197 · Cited by 10 · see citing works
“Some researchers are opting to extend the binary definition of abstinence versus relapse into several more descriptive categories, such as low alcohol use, slow improvement, worse with time, and continuous heavy use (Brown et al., 2001; Chung, Maisto, Cornelius, Martin, & Jackson, 2005).”
BackgroundIdentifying treatment response subgroups for adolescent cannabis use
Babbin, S. F., Stanger, C., Scherer, E. A., & Budney, A. J. (2016) · Addictive Behaviors · doi:10.1016/j.addbeh.2016.03.033 · Cited by 10 · see citing works
The Drug Abuse Treatment Outcomes Studies: outcomes with adolescent substance abusers
Grella, C. E. (2006) · Cambridge University Press eBooks · doi:10.1017/cbo9780511543968.008 · Cited by 10 · see citing works
- 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
- Publisher
- Alcohol Research Documentation, Inc.
- 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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