The relationship between pre-, during-, post-treatment factors, and adolescent substance abuse behaviors

Examining Gender Differences in Adolescent Substance Abuse Behavior: Comparisons and Implications for Treatment

“…Many are based on the philosophy of the Twelve-Step Programs, and also use a variety of professional staff for patient and family therapies. In a previous work by Hsieh et al (1998), an integrated model was developed exploring the relationships between variables and treatment outcome without separating male and female populations. The present study sought to further compare the statistical relationship between pre-, during-, and post-treatment variables with adolescent substance abuse behaviors with respect to each gender.…”

Adolescent Substance Abuse Treatment Clinicians' Self-Help Meeting Referral Practices and Adolescent Attendance Rates

“…Some evidence indicates that 12-Step based treatment assists adolescents in reducing substance use (Winters et a!. 2000 ;Kennedy & Minami 1993;Alford , Koehler & Leonard 1991) and that adolescents who participate in 12-Step meetings after inpatient treatment maintain lower levels of substance use and/or higher rates of abstinence than adolescents who do not (Kelly, Myers & Brown 2001, 2000Hsieh, Hoffman & Hollister 1998;Kelly & Myers 1997;Brown 1993;Kennedy & Minami 1993;Alford, Koehler & Leonard 1991;Brown, Mott & Myers 1990). While two such studies identified self-help meeting attendance as one of the most powerful discriminators of abstinence up to six and 12 months after discharge from treatment (Hsieh, Hoffman & Hollister 1998;Kennedy & Minami 1993), conclusions from this research are limited because of the small number of studies, a focus on adolescents discharged from residential or inpatient treat ment only, nonexperimental designs, and measurement of 12-Step meeting involvement solely in terms of attendance rather than other dimensions of involvement (such as obtain ing a sponsor, reading literature , and working the steps).…”

Motivation for reducing substance use among minority adolescents: Targets for intervention

“…Some research suggests that higher levels of pretreatment substance use are predictive of poor treatment retention (Galaif et al, 2001) and outcome (Hsieh, Hoffman, & Hollister, 1998), whereas other research indicates that more severe pretreatment substance use actually predicts better treatment retention (Harrison & Asche, 2001) and outcome (Jainchill, Hawke, De Leon, & Yagelka, 2000) among teens. The relation between substance use severity and motivation to change substance use is no less ambiguous.…”