A family-oriented therapy program for youths with substance abuse: long-term outcomes related to relapse and academic or social status

Wang, Liang‐Jen; Lu, Shing-Fang; Chong, Mian‐Yoon; Chou, Wen-Jiun; Hsieh, Yu-Lian; Tsai, Tung-ning; Chen, Ching; Lee, Yi‐Hsuan

doi:10.2147/ndt.s105199

Cited by 10 publications

(7 citation statements)

References 36 publications

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“…In this study, the respective program consists of 10 weekly psychotherapy sessions based on motivational enhancement principles [28], as well as 10 weekly parental skill training sessions [29, 30] for the youths’ caregivers. The details of this family-oriented treatment program and its effectiveness on youths with substance abuse issues and their caregivers have been provided in previous studies [31, 32]. The adolescents who have completed the family-orientated treatment program also received long-term follow-up in the justice system, which offers us a great opportunity to determine the relapse risk between ketamine users and those who use stimulants (methamphetamine or MDMA).…”

Section: Introductionmentioning

confidence: 99%

Difference in long-term relapse rates between youths with ketamine use and those with stimulants use

Wang

Chen²,

Lin³

et al. 2018

Subst Abuse Treat Prev Policy

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BackgroundUnderstanding the relapse risk among different illicit drugs is vital for developing an adequate relapse prevention policy. Therefore, the current study aims to explore the potential difference in long-term relapse rates between youths who use ketamine and those who use stimulants (3,4-Methylenedioxymethamphetamine [MDMA] or methamphetamine).MethodsThe study’s participants included 92 youths with ketamine use (ketamine group, mean age: 16.0 years) and 43 youths with MDMA/methamphetamine use (stimulants group, mean age: 16.1 years) that had undergone a family-oriented treatment program in a medical center in Taiwan. All participants were followed up for a maximum of 7 years in order to observe their long-term outcomes with regard to substance use relapse.ResultsDuring the follow-up period, compared to the 34.8% relapse rate in ketamine users, their counterparts who used MDMA or methamphetamine had a significantly higher relapse rate (60.5%, Adjusted HR = 1.86, 95%CI: 1.06–3.28, p = 0.032). Of the youths in the ketamine group that relapsed, 65.6% continued to use ketamine in their relapse event, while 34.4% switched to MDMA or methamphetamine. Among the relapsing youths in the stimulants group, 84.6% continued to use MDMA or methamphetamine in their relapse event, while 15.4% switched to ketamine (p = 0.042).ConclusionsCompared to adolescents who use ketamine, those using MDMA or methamphetamine had higher relapse rates and were more likely to use the same type of drug upon relapsing. These results can serve as a crucial reference for developing relapse prevention policies of illicit drugs for the youth population.Electronic supplementary materialThe online version of this article (10.1186/s13011-018-0188-8) contains supplementary material, which is available to authorized users.

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Section: Introductionmentioning

confidence: 99%

Difference in long-term relapse rates between youths with ketamine use and those with stimulants use

Wang

Chen²,

Lin³

et al. 2018

Subst Abuse Treat Prev Policy

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“…A study of adolescent crack users revealed high rates of relapse of 65.9 and 86.4% in the first and third months, respectively [32]. Our previous cohort revealed that the 2-year relapse rate reached 33.1% among substance-use adolescents [17]. This finding suggests that breaking the drug addiction cycle for substance-using adolescents remains a challenge [33].…”

Section: Discussionmentioning

confidence: 88%

“…Before taking part in this research, each participant submitted a signed written informed consent, while the researchers emphasized whether to take part in this research or not would never affect his or her legal status and that all personal information provided would be kept strictly confidential. Details of treatment protocols and research procedures have been demonstrated elsewhere [16,17].…”

Section: Research Participantsmentioning

confidence: 99%

“…In this research, the corresponding programs included 10 sessions of weekly psychotherapy courses based on the motivational enhancement principle [12] and 10 sessions of weekly parenting-skill training courses for caregivers [13][14][15]. Detailed information on this family-oriented treatment plan and its effectiveness for young drug addicts and their caregivers has been provided in our previous studies [16,17].…”

Section: Introductionmentioning

confidence: 99%

“…Moreover, it was also found that family-oriented treatments might be a more effective option to prevent adolescents from relapsing into substance abuse. Compared with individuals who were subject to the standard supervision by the court, those receiving MEP showed higher school attendance rates or better social outcomes in the follow-up period [17]. Despite this, it is still unclear whether the changes in those treated young people can be used to predict their subsequent substance-use relapse.…”

Section: Introductionmentioning

confidence: 99%

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Predictors of five-year relapse rates of youths with substance abuse who underwent a family-oriented therapy program

You¹,

Lu²,

Tsai³

et al. 2020

Ann Gen Psychiatry

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Background: Substance abuse among young people has become a serious public health problem for years. The risk of relapse among illicit drug use is essential for developing adequate substance reuse prevention policies. The purpose of the current study is to investigate the potential predictor in long-term relapse rates among young patients that underwent a family-based treatment program. Methods: To perform this study, 103 young patients with substance use (mean age: 16.2 years, 78.6% male) were referred to participate in a 10-week family-based treatment program. At the beginning and at the end of the treatment, the patients were required to fill out the Chinese Craving Beliefs Questionnaire (CCBQ), the Adolescents' Behavior-problem Scale (ABS), and the Family APGAR. Furthermore, the patients' caregivers had to fill out the Family APGAR, the 12-item version of the Chinese Health Questionnaire (CHQ), and the Parenting Stress Index (PSI). All patients were followed up for 5 years in order to observe their long-term outcomes regarding substance use relapse. Results: During the 10-week family-oriented programs, the CCBQ scores, the CHQ scores and the Child-domain of PSI significantly decreased. Better changes in patients' behavioral problems during the treatment program predicted a lesser likelihood of substance use relapse in the subsequent 5 years. Furthermore, methamphetamine or 3,4-methylenedioxy-methamphetamine use and living in single-parent families were two factors associated with higher relapse rates. Conclusions: The changes in patients' behavioral problems during the treatment program may serve as a predictor of substance use relapse over the subsequent 5 years. This study's findings provide insight about substance use prevention and serve as a reference for policy-making.

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Relapse Rates in Substance Misuse and the Role of Family

Wang

Lee

2022

Handbook of Substance Misuse and Addictions

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A family-oriented therapy program for youths with substance abuse: long-term outcomes related to relapse and academic or social status

Cited by 10 publications

References 36 publications

Difference in long-term relapse rates between youths with ketamine use and those with stimulants use

Difference in long-term relapse rates between youths with ketamine use and those with stimulants use

Predictors of five-year relapse rates of youths with substance abuse who underwent a family-oriented therapy program

Relapse Rates in Substance Misuse and the Role of Family

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