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17 - Profiles of change in behavioral and family interventions for adolescent substance abuse and dependence

from Part IV - Empirically based interventions for adolescent substance abuse: research and practical implications

Published online by Cambridge University Press:  26 August 2009

By
Holly Barrett Waldron ,
Charles W. Turner  and
Timothy J. Ozechowski
Edited by
Howard A. Liddle  and
Cynthia L. Rowe
Holly Barrett Waldron
Affiliation:
Oregon Research Institute, Eugene, OR USA
Charles W. Turner
Affiliation:
Oregon Research Institute, Eugene, OR USA
Timothy J. Ozechowski
Affiliation:
Oregon Research Institute, Eugene, OR USA
Howard A. Liddle
Affiliation:
University of Miami School of Medicine
Cynthia L. Rowe
Affiliation:
University of Miami School of Medicine
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Summary

Clinical research has yielded considerable empirical support for the efficacy of treatments for adolescent substance abuse and dependence (Dennis et al., 2003a; Liddle et al., 2001; Kaminer & Burleson, 1999; Kaminer et al., 1998; Wagner et al., 1999; Wagner & Waldron, 2001; Waldron et al., 2001). Findings from controlled clinical trials have revealed consistent patterns, signaling initial, albeit preliminary, steps toward consensus regarding promising treatment models (Deas & Thomas, 2001; Liddle & Dakof, 1995; Muck et al., 2001; Ozechowski & Liddle, 2000; Stanton & Shadish, 1997; Waldron, 1997; Waldron & Kaminer, 2004; Williams & Chang, 2000). Nevertheless, this body of findings has also revealed marked individual variability in treatment response. Even within the most efficacious models, in which the majority of adolescents achieve significant reductions in substance use, reductions vary widely, and fewer than half of treated youth remains drug or alcohol free during the year following treatment (Brown, Vik, & Creamer, 1989; Dennis et al., 2003a; Spear, Ciesla, & Skala, 1999; Waldron et al., 2001; Winters, 1999). Such differential treatment outcomes point to the importance of developing and testing treatments tailored to the unique developmental needs and substance use patterns of adolescents (Deas et al., 2000; Winters, 1999). Yet, little is currently known about how substance abuse treatments work, for whom various treatments are effective, and how the durability of treatment effects over time might be enhanced.

Type
Chapter
Information
Adolescent Substance Abuse
Research and Clinical Advances
 , pp. 357 - 374
Publisher: Cambridge University Press
Print publication year: 2006

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