Book contents
- Frontmatter
- Contents
- List of contributors
- Forewords
- Acknowledgements
- List of abbreviations
- 1 Treating adolescent substance abuse: state of the science
- Part I Theoretical, empirical, and methodological foundations for research in adolescent substance abuse treatment
- 2 The developmental context for adolescent substance abuse intervention
- 3 Recent methodological and statistical advances: a latent variable growth modeling framework
- 4 Clinical course of youth following treatment for alcohol and drug problems
- 5 Cannabis Youth Treatment intervention: preliminary findings and implications
- Part II Practice and policy trends in treatment for adolescent substance abuse
- Part III Comprehensive assessment and integrative treatment planning with adolescent substance abusers
- Part IV Empirically based interventions for adolescent substance abuse: research and practical implications
- Part V Culturally based treatment development for adolescent substance abusers
- Part VI Building the future
- Index
- References
4 - Clinical course of youth following treatment for alcohol and drug problems
from Part I - Theoretical, empirical, and methodological foundations for research in adolescent substance abuse treatment
Published online by Cambridge University Press: 26 August 2009
- Frontmatter
- Contents
- List of contributors
- Forewords
- Acknowledgements
- List of abbreviations
- 1 Treating adolescent substance abuse: state of the science
- Part I Theoretical, empirical, and methodological foundations for research in adolescent substance abuse treatment
- 2 The developmental context for adolescent substance abuse intervention
- 3 Recent methodological and statistical advances: a latent variable growth modeling framework
- 4 Clinical course of youth following treatment for alcohol and drug problems
- 5 Cannabis Youth Treatment intervention: preliminary findings and implications
- Part II Practice and policy trends in treatment for adolescent substance abuse
- Part III Comprehensive assessment and integrative treatment planning with adolescent substance abusers
- Part IV Empirically based interventions for adolescent substance abuse: research and practical implications
- Part V Culturally based treatment development for adolescent substance abusers
- Part VI Building the future
- Index
- References
Summary
Alcohol and drug abuse by adolescents is a problem of critical importance in the USA. Treatment facilities are now providing programs specifically for substance use disorders (SUDs) among adolescents, and research has begun to examine long-term outcomes for these youth. This chapter examines the clinical course of youth following alcohol and/or drug treatment. It considers the use patterns observed after treatment in community treatment programs and through clinical trials, the personal and environmental factors that may influence these outcomes, and the important distinctions between adolescent and adult relapse patterns. A revised cognitive–behavioral model of relapse is presented that incorporates the factors found to be particularly important in understanding the adolescent relapse process. Special challenges for youth are explored, including the prevalence and impact of psychiatric comorbidity, the neurocognitive impact of early alcohol and drug involvement, and the developmental transitions associated with elevated risk for youth with a history of substance abuse.
Adolescent alcohol and drug use is a major social and public health concern. Monitoring the Future, a study funded by NIDA, indicated that 80% of high school students have used alcohol and 54% have used other drugs at least once (Johnston, O'Malley, & Bachman, 2002). Hazardous drinking (five or more drinks on one occasion) is also a frequent occurrence, with 30% of all adolescents nationwide in the USA reporting episodes of binge drinking (Grunbaum et al., 2002).
- Type
- Chapter
- Information
- Adolescent Substance AbuseResearch and Clinical Advances, pp. 79 - 103Publisher: Cambridge University PressPrint publication year: 2006
References
- 19
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