Psychiatric Comorbidity and the 16‐Month Trajectory of Substance‐Abusing and Substance‐Dependent Juvenile Offenders

Adolescent and parent therapeutic alliances as predictors of dropout in multidimensional family therapy.

“…Engagement may be facilitated because both adolescents and parents recognize there are problems that need to be dealt with. Consistent with this interpretation is the fact that adolescents who use drugs and who report more internalizing symptoms have been shown to fare better in treatment (Randall, Henggeler, Pickrel, & Brondino, 1999). Additional research is needed to determine whether these differences between dropouts and completers are stable across samples and whether they are associated with specific insession processes.…”

Internalizing and externalizing behaviors and their association with the treatment of adolescents with substance use disorder

“…Grella, Hser, Joshi, and RoundsBryant (2001) found that drug-abusing youth with psychiatric comorbidity exhibited higher rates of problem behavior, marijuana use, and hallucinogen use at 12 months posttreatment when compared with control youth. Randall, Henggeler, Pickrel, and Brondino (1999) examined the influences of psychiatric comorbidity on outcomes of drug-abusing juvenile offenders. Juvenile offenders with externalizing disorders exhibited higher rates of antisocial behavior at 16 months follow-up when compared with juvenile offenders with either drug abuse alone or with comorbid internalizing disorders.…”

Diagnosing child sex abuse: A research challenge.

“…Youth with co-occurring disorders may be linked with differential longer-term treatment outcomes (Drake, Muesser, Clark and Wallach, 1996;Randall, Henggeler, Pickrel & Brondino, 1999). Juveniles who have a comorbid externalizing disorders as the coinciding diagnosis with substance abuse are predicted to drop out of high school (Kessler, Foster, Saunder, & Stang, 1995) and inpatient care (Abram & Teplin, 1991) whereas juveniles with co-occurring internalizing disorders are predicted to complete inpatient treatment (Kaminer and Frances, 1991).…”

“…Different mental health diagnosis coupled with substance abuse disorders impacts youth differently than those with only a substance abuse disorder or a mental health disorder. Youth with co-occurring disorders are more likely to engage in higher rates of delinquent behavior, use more drugs and alcohol, and conform to antisocial peer pressure (Randall, et al, 1999;Kessler, et al, 1995).…”

“…Research has shown reductions up to 70% in long term rates of re-arrest, reductions up to 64% in out of home placements and improvements in family functioning (Randall, et al, 1999& Mulvey, Arthur & Reppucci, 1993.…”