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Randomized Controlled Trial
. 2010 Jul 1;110(1-2):44-54.
doi: 10.1016/j.drugalcdep.2010.02.003. Epub 2010 Mar 9.

Adolescent outpatient treatment and continuing care: main findings from a randomized clinical trial

Susan H Godley  1 , Bryan R Garner, Lora L Passetti, Rodney R Funk, Michael L Dennis, Mark D Godley
Affiliations
Randomized Controlled Trial

Adolescent outpatient treatment and continuing care: main findings from a randomized clinical trial

Susan H Godley et al. Drug Alcohol Depend. .

Abstract

This study evaluated the effectiveness and cost-effectiveness of two types of outpatient treatment with and without Assertive Continuing Care (ACC) for 320 adolescents with substance use disorders. Study participants were randomly assigned to one of four conditions: (a) Chestnut's Bloomington Outpatient Treatment (CBOP) without ACC; (b) CBOP with ACC; (c) Motivational Enhancement Therapy/Cognitive Behavior Therapy-7 session model (MET/CBT7) without ACC; and (d) MET/CBT7 with ACC. All study conditions attained high rates of participant engagement and retention. Follow-up interviews were completed with over 90% of the adolescents at three, six, nine, and 12 months after treatment admission. There was a significant time by condition effect over 12 months, with CBOP having a slight advantage for average percentage of days abstinent. Unlike previous findings that ACC provided incremental effectiveness following residential treatment, there were no statistically significant findings with regard to the incremental effectiveness of ACC following outpatient treatment. Analysis of the costs of each intervention combined with its outcomes revealed that the most cost-effective condition was MET/CBT7 without ACC.

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Figures

Figure 1
Figure 1
Flow of participants through treatment and follow-up data collection waves by experiment condition.
Figure 2
Figure 2
Data are shown for the mean values of percentage of days abstinent from alcohol and other drugs by condition [CBOP without ACC (n = 80), CBOP/ACC (n = 80), MET/CBT7 without ACC (n = 79), and MET/CBT7/ACC (n = 81)]. A mixed linear analysis revealed a significant time effect (F[4, 729] = 10.45, p < .001), a significant time by condition interaction (F[12, 729] = 2.03, p < .05), and a significant time by outpatient (CBOP vs. MET/CBT7) interaction (F[4, 729] = 4.08, p < .01). CBOP = Chestnut Bloomington outpatient; MET/CBT7 = Motivational Enhancement Therapy/Cognitive Behavior Treatment – 7 sessions; ACC = Assertive Continuing Care.
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References

    1. American Society of Addiction Medicine (ASAM) Patient Placement Criteria for the Treatment of Substance-Related Disorders. 2. American Society of Addiction Medicine; Chevy Chase, MD: 2001.
    1. Bray JW, Zarkin GA, Ringwalt C, Qi J. The relationship between marijuana initiation and dropping out of high school. Health Econ. 2000;9:1–18. - PubMed
    1. Carroll KM, Nich C, Rounsaville BJ. Contributions of the therapeutic alliance to outcome in active versus control psychotherapies. J Consul Clin Psychol. 1997;65:510–514. - PubMed
    1. Center for Substance Abuse Treatment. Treatment Improvement Protocol Series, Number 4. DHHS Publication No. 93-2010. Center for Substance Abuse Treatment; Rockville, MD: 1993. Guidelines for the Treatment of Alcohol- and Other Drug-Abusing Adolescents.
    1. Chan Y-F, Dennis ML, Funk RR. Prevalence and comorbidity of major internalizing and externalizing problems among adolescents and adults presenting to substance abuse treatment. J Subst Abuse Treat. 2008;34:14–24. - PMC - PubMed

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