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Multidimensional Predictors of Treatment Outcome in Usual Care for Adolescent Conduct Problems and Substance Use

  • Aaron HogueEmail author
  • Craig E. Henderson
  • Adam T. Schmidt
Original Article

Abstract

This study investigated baseline client characteristics that predicted long-term treatment outcomes among adolescents referred from school and community sources and enrolled in usual care for conduct and substance use problems. Predictor effects for multiple demographic (age, sex, race/ethnicity), clinical (baseline symptom severity, comorbidity, family discord), and developmental psychopathology (behavioral dysregulation, depression, peer delinquency) characteristics were examined. Participants were 205 adolescents (52 % male; mean age 15.7 years) from diverse backgrounds (59 % Hispanic American, 21 % African American, 15 % multiracial, 6 % other) residing in a large inner-city area. As expected, characteristics from all three predictor categories were related to various aspects of change in externalizing problems, delinquent acts, and substance use at one-year follow-up. The strongest predictive effect was found for baseline symptom severity: Youth with greater severity showed greater clinical gains. Higher levels of co-occurring developmental psychopathology characteristics likewise predicted better outcomes. Exploratory analyses showed that change over time in developmental psychopathology characteristics (peer delinquency, depression) was related to change in delinquent acts and substance use. Implications for serving multiproblem adolescents and tailoring treatment plans in routine care are discussed.

Keywords

Outcome predictors Adolescent mental health treatment Adolescent substance use treatment Usual care 

Notes

Acknowledgments

This study was supported by the National Institute on Drug Abuse (R01DA019607). The authors would like acknowledge the dedicated work of the CASALEAP research staff: Cynthia Arnao, Molly Bobek, Daniela Caraballo, Benjamin Goldman, Diana Graizbord, Jacqueline Horan, Candace Johnson, Emily Lichvar, Emily McSpadden, Catlin Rideout, and Jeremy Sorgen. We are grateful to Sarah Dauber for her expert research support and to the partnering treatment sites for their generous cooperation.

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Copyright information

© Springer Science+Business Media New York 2016

Authors and Affiliations

  • Aaron Hogue
    • 1
    Email author
  • Craig E. Henderson
    • 2
  • Adam T. Schmidt
    • 2
  1. 1.The National Center on Addiction and Substance AbuseNew YorkUSA
  2. 2.Department of PsychologySam Houston State UniversityHuntsvilleUSA

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