Now and then: a ten-year comparison of young people in residential substance use disorder treatment receiving group dialectical behaviour therapy

Marceau, Ely M.; Holmes, Gabriella; Cutts, Jane; Mullaney, L.; Meuldijk, Denise; Townsend, Michelle L.; Grenyer, Brin F. S.

doi:10.1186/s12888-021-03372-2

Cited by 8 publications

(10 citation statements)

References 50 publications

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“…The findings are consistent with research demonstrating that when treatment concurrently addresses psychiatric and substance use disorders, improvements in both domains can be achieved (Azrin et al, 2001;Bergman et al, 2014;Esposito-Smythers et al, 2011;Godley et al, 2014;Hides et al, 2010;Hogue & Liddle, 2009;Marceau et al, 2021;Rohde et al, 2014;Ryan et al, 2013). These findings extend this research to inpatient settings, suggesting the delivery of evidence-informed integrated treatment in an inpatient setting for adolescents can be effective.…”

Section: Discussionsupporting

confidence: 86%

“…Finally, substantial attrition over the follow‐up period may have impacted the validity of the results. High attrition rates are a common problem in substance use treatment research, particularly involving youth (Farabee et al, 2011; Marceau et al, 2021). The study's results indicated no significant differences at admission between those who did and did not participate during the post‐discharge period; however, the severity of psychiatric conditions has been associated with difficulty contacting adolescent participants in longitudinal research (Allott et al, 2006), and attrition may reflect instability in important aspects of functioning (e.g., living situation).…”

Section: Discussionmentioning

confidence: 99%

“…A number of studies have identified the need to screen for and address the unique needs of youth with co‐occurring disorders in inpatient psychiatric settings (Daudin et al, 2010; Preyde et al, 2021). Few studies have examined the provision of integrated treatment in an inpatient setting, though promising findings exist describing residential treatment (Bergman et al, 2014; Marceau et al, 2021).…”

Section: Introductionmentioning

confidence: 99%

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Outcomes among youth attending inpatient treatment for co‐occurring disorders

Rosenkranz

Courtney

Chen

et al. 2023

Early Intervention Psych

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AimAn emerging body of research is identifying effective outpatient integrated treatment approaches for youth with co‐occurring psychiatric and substance use disorders, though few studies exist examining inpatient treatment. The current study aimed to address this gap by examining response to treatment during admission to, and in the year following discharge from, a specialized inpatient program for youth with co‐occurring disorders.MethodsA single‐cohort longitudinal design examined change in adaptive functioning, mental health symptoms, and substance use frequency among N = 142 youth (69.1% female) aged 14–21 (M = 16.9, SD = 1.5) attending the program. Participants completed self‐report measures at admission, discharge, and 1‐, 6‐ and 12‐months post‐discharge.ResultsAnalyses indicated significant improvements in adaptive functioning, internalizing and externalizing symptoms, and substance use frequency during admission. There was some loss of gains in adaptive functioning over the 12‐months post‐discharge. Improvements were maintained in internalizing symptoms and substance use frequency, and improvements in externalizing symptoms continued over the 12‐months post‐discharge. There was no significant interaction between change in functioning and internalizing symptoms at admission or type of substance use disorder diagnosis. There was a significant interaction with externalizing symptoms, such that those with clinically significant levels of externalizing symptoms at admission experienced greater improvement in functioning, though the groups ended treatment with comparable functioning scores.ConclusionsThe results provide preliminary support for integrated treatment for co‐occurring disorders delivered in an inpatient setting. However, the results also reflect the significant needs of youth with co‐occurring disorders and the importance of ongoing care post‐discharge from intensive treatment settings.

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Section: Discussionsupporting

confidence: 86%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Outcomes among youth attending inpatient treatment for co‐occurring disorders

Rosenkranz

Courtney

Chen

et al. 2023

Early Intervention Psych

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“…Finally, 15 articles were included in the systematic review. Characteristics of the Literature Among the 15 eligible articles for the systematic review, 14 studies were published after 2004, demonstrating recent valid results [30][31][32][33][34][35][36][37][38][39][40][41][42][43]. Five articles were from Australia four articles from Europe and six articles from Asia [30][31][32][33][34][35][36][37][38][39][40][41][42][43][44].…”

Section: Literature Search Resultsmentioning

confidence: 98%

The Use of the Severity Dependence Scale (SDS) as an Outcome in Studies of Alcohol and Other Drug Use a Systematic Review

Jang,

Gallagher

2024

J Drug Addi Ther

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Introduction: The Severity Dependence Scale (SDS) is a validated measure of the severity of dependence on alcohol or drugs. SDS scores can be used to guide treatment planning, monitor progress, and evaluate treatment outcomes. Objectives: We aimed to review studies that analysed SDS as an outcome in studies of alcohol and drug use (AoD), with a particular focus on the methodology used to examine the changes in SDS. Methods: The search was performed using the literature databases Embase, PubMed and Medline. Articles were included when the outcome was SDS in AoD. Studies that examined SDS, but not among the AoD population, studies that reported SDS as predictors, qualitative research, study protocols, conference papers, and studies in non-English language were excluded. Results: Among 179 articles identified, 15 were included in the systematic review. Two studies conducted cannabis research, two for methamphetamine, one for cannabis and amphetamine, one for cocaine, one for ketamine, one for ecstasy and seven for general illicit drugs. Out of 15 studies, ten used the t-test for statistical analysis of the SDS, one used a generalised estimating equation, one used a Spearman non-parametric test, and one used a linear mixed model, one reported the baseline score for the SDS and did not report the SDS at follow-up, one reported a descriptive analysis of the SDS. Conclusions: In the absence of a standardised cut-off score and a minimal important difference, more attention should be paid in analysing the discrete scale of the SDS to ensure analysis accuracy.

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“…As adolescence and young adulthood are vulnerable age stages for the development of mental disorders, early identification and tailored intervention planning should be an integral part of a placement and admission process in which the resources and strengths of these adolescents should be adequately assessed [73]-especially by offering continuity in evidence-based psychotherapy and well-prepared transitions [15,[74][75][76]. For example, primary treatment modalities (e.g., family-based therapies and multicomponent interventions) have been suggested as primary strategies for treating substance-use disorders among adolescents, and a dialectical-behavioral therapy plus milieu approach demonstrated sustained positive treatment outcomes [77,78]. Furthermore, evidence-based practices have been shown to be relevant to group care and residential treatment settings for children in the child welfare system [74].…”

Section: Limitations and Implicationsmentioning

confidence: 99%