@article{c30d2be653c04b97b8a1e0bdca1e6c39,
title = "Treatment length and outcomes among adolescents: A secondary data analysis",
abstract = "Background: Adaptations to evidence-based substance abuse treatment programs may impact their effectiveness. A qualitative study of MET/CBT-5 implementation in community agencies treating adolescents found that the majority of the agencies made adaptations and that the most frequent adaptation was to provide more than five treatment sessions.Methods: Baseline and outcome data from SAMHSA's Effective Adolescent Treatment demonstration were analyzed to assess associations between length of treatment, client characteristics, and outcomes at three months.Results: Adolescents who received more or less than the protocol length of 5 sessions were less likely to be discharged to the community than those who received the 5 session protocol. Those who received more than five sessions were more likely to have higher severity scores at intake but almost 50% of those with more than five sessions had low intake severity scores. Clients who received less than five sessions tended to have lower severity scores than clients who received more than five sessions.Conclusions: Length of treatment tended to vary by site rather than severity of substance problems or frequency of use. There was no significant improvement of substance abuse problems or decrease in frequency of use with longer treatment. Implementation of the MET/CBT-5 component of the Cannabis Youth Treatment trial in the EAT project illustrates the difficulty of adherence to an evidence based protocol in the field.",
keywords = "Adolescent treatment, Evidence-based program implementation, MET/CBT-5, Substance use, Treatment length",
author = "Riley, {Katherine J.} and Priya Srikanth and Dongseok Choi and Dennis McCarty",
note = "Funding Information: The development of data for this project was supported by the Substance Abuse and Mental Health Services Administration{\textquoteright}s (SAMHSA) Center for Substance Abuse Treatment (CSAT) under contracts 207-98-7047, 277-00-6500, 270-2003-00006, and 270-07-0191 using data provided by the following CSAT grantees: (TI-15413, TI-15415, TI-15421, TI-15433, TI-15438, TI-15446, TI-15447, TI-15458, TI-15461, TI-15466, TI-15467, TI-15469, TI-15475, TI-15478, TI-15479, TI-15481, TI-15483, TI-15485, TI-15486, TI-15489, TI-15511, TI-15514, TI-15524, TI-15527, TI-15545, TI-15562, TI-15577, TI-15586, TI-15670, TI-15671, TI-15672, TI-15674, TI-15677, TI-15678, TI-15682, TI-15686). The qualitative research was supported by a subcontract to the first author from Z-Tech Corporation through contract #N01AA21004 from the National Institute of Alcohol Addiction. We also acknowledge support for this project from the Center for Substance Abuse Treatment and its staff, Randy Muck and Jutta Butler, and their subcontracting Mayatech staff, including Darrel Fulmore. We are indebted to Cherry Lowman, Project Officer for the National Institute of Alcohol Addiction, for her support. We also appreciate the assistance of the staff at Chestnut Health for access to the dataset and critical reviews of earlier versions of the article. Kelly Reavis, M.S., M.P.H., assisted with preliminary data analysis. A preliminary version of this study was presented at the 2007 Joint Meeting on Adolescent Treatment Effectiveness (JMATE) conference. Any opinions about these data are those of the authors and do not reflect official positions of the government or individual grantees. Please address correspondence regarding this study to Katherine J. Riley, Oregon Health & Science University, 3181 SW Sam Jackson Park Rd, CB669, Portland, OR 97239; rileyk@ohsu.edu; phone: 503-494-2556.",
year = "2012",
month = aug,
day = "16",
doi = "10.1186/1747-597X-7-35",
language = "English (US)",
volume = "7",
journal = "Substance Abuse: Treatment, Prevention, and Policy",
issn = "1747-597X",
publisher = "BioMed Central",
}