Residential Treatment of Adolescents with Substance Use Disorders: Evidence-Based Approaches and Best Practice Recommendations
The rate of alcohol and drug abuse among adolescents and the number of youth at risk for the development of substance use disorders later in life remain a serious, national health concern. Deeper end services, such as residential treatment, may be indicated for youth with severe substance use disorder. Residential substance abuse treatment for adolescents has continued to lack adequate research regarding its practices and outcomes. However, separately, there are best practices, principles and strategies in both residential treatment and in adolescent substance abuse treatment. In this chapter both are summarized to outline the best possible care for adolescents with substance use disorder. Also explored are the prevalence rates of commonly used substances among adolescents (e.g., alcohol, marijuana), population parameters, theoretical background of principle interventions, interventions that work, interventions that might work, interventions that do not work, policy changes pertaining to health care, and treatment recommendations.
KeywordsResidential treatment Adolescents Substance use disorders Evidence-based practices Adolescent substance use
- Blau, G. M., Caldwell, B., & Lieberman, R. (Eds.). (2014). Residential interventions for children adolescents and families: A best practice guide. New York, NY: Routledge Press.Google Scholar
- Bracken, B. K., Rodolico, J., & Hill, K. P. (2013). Sex, age, and progression of drug use in adolescents admitted for substance use disorder treatment in the northeastern United States: Comparison with a national survey. Substance Abuse: Official Publication of the Association for Medical Education and Research in Substance Abuse, 34(3), 263–272. Retrieved from https://doi.org/10.1080/08897077.2013.770424.
- Brown, S. A., Myers, M., Abrantes, A., & Kahler, C. W. (2008). Social recovery model: An 8-year investigation of adolescent 12-step group involvement following inpatient treatment. Alcoholism: Clinical & Experimental Research (ACER), 31(8), 1468–1478.Google Scholar
- Center for Consumer Information & Insurance Oversight. (2016). The mental health parity and addiction equity act: Summary of MHPAEA protections. Retrieved from https://www.cms.gov/cciio/programs-and-initiatives/other-insurance-protections/mhpaea_factsheet.html#Summary of MHPAEA Protections.
- Child Welfare League of America (CWLA). (2005). Position statement on residential services. Washington, DC: Retrieved from http://www.cwla.org/programs/group-care/rgcpositionstatement.pdf.
- Edelen, M. O., Tucker, J. S., Wenzel, S. L., Paddock, S. M., Ebener, P., Dahl, J., & Mandell, W. (2007). Treatment process in the therapeutic community: Associations with retention and outcomes among adolescent residential clients. Journal of Substance Abuse Treatment, 32(4), 415–421.CrossRefGoogle Scholar
- Fishman, M., Clemmey, P., & Hoover, A. (2003). Mountain manor treatment center: Residential adolescent addictions treatment program. In S. J. Stevens & A. R. Morral (Eds.), Adolescent substance abuse treatment in the United States: Exemplary models from a national evaluation study (pp. 135–153). New York, NY: The Haworth Press.Google Scholar
- Governing the States and Localities. (2017). Data: State marijuana laws in 2017 map. Retrieved from http://www.governing.com/gov-data/state-marijuana-laws-map-medical-recreational.html.
- Hall, J. A., Smith, D. C., Williams, J. K., & Delaney, P. J. (2005). Comparison of family and group based treatment for adolescent substance abuse (pp. 1–47) [PowerPoint presentation]. Rockville, MD: Center for Substance Abuse Treatment.Google Scholar
- Johnston, L. D., O’Malley, P. M., Miech, R. A., Bachman, J. G., & Schulenberg, J. E. (2017). Monitoring the future national survey results on drug use, 1975–2016: Overview, key findings on adolescent drug use. Ann Arbor, MI: Institute for Social Research, The University of Michigan.Google Scholar
- De Leon, G. (2010). Is the therapeutic community an evidence based treatment? What the evidence says. International Journal of Therapeutic Communities, 31(2), 104–128.Google Scholar
- Miech, R. A., Johnston, L. D., O’Malley, P. M., Bachman, J. G., Schulenberg, J. E., & Patrick, M. E. (2017). Monitoring the future national survey results on drug use, 1975–2016: Vol. I. Secondary school students. Ann Arbor, MI: Institute for Social Research, The University of Michigan.Google Scholar
- Morral, A. R., Jaycox, L. H., Smith, W., Becker, K., & Ebener, P. (2003). An evaluation of substance abuse treatment services provided to juvenile probationers at Phoenix Academy of Los Angeles. In S. J. Stevens & A. R. Morral (Eds.), Adolescent substance abuse treatment in the United States: Exemplary models from a national evaluation study (pp. 213–232). Binghamton, NY: Haworth Press.Google Scholar
- National Association of State Mental Health Program Directors. (2008). Six core strategies for reducing seclusion and restraint use. Retrieved from https://www.nasmhpd.org/sites/default/files/Consolidated%20Six%20Core%20Strategies%20Document.pdf.
- National Institute on Drug Abuse. (2014). Principles of adolescent substance use disorder: A research-based guide. Retrieved from https://www.drugabuse.gov/publications/principles-adolescent-substance-use-disorder-treatment-research-based-guide.
- Prochaska, J. O., & DiClemente, C. C. (1992). Stages of change in the modification of problem behaviors. In M. Hersen, P. M. Miller, & R. Eisler (Eds.), Progress in behavior modification (Vol. 28, pp. 184–218). New York, NY: Wadsworth Publishing.Google Scholar
- Rudd, R. A., Seth, P., David, F., & Scholl, L. (2016). Increases in drug and opioid-involved overdose deaths: United States, 2010–2015. MMWR, 65(50–51), 1445–1452. Retrieved from https://doi.org/10.15585/mmwr.mm655051e1.
- Sampl, S., & Kadden, R. (2001). A 5 session motivational enhancement therapy and cognitive behavioral therapy (MET-CBT-5) for adolescent cannabis users (DHHS Publication No. 791 SMA 01-3486), Cannabis Youth Treatment (CYT) Manual Series, Vol. 1. Rockville, MD: Center for Substance Abuse Treatment, Substance Abuse and Mental Health Services Administration.Google Scholar
- Schulenberg, J. E., Johnston, L. D., O’Malley, P.M., Bachman, J. G., Miech, R. A., & Patrick, M. E. (2017). Monitoring the future national survey results on drug use, 1975–2016: Vol. II. College students and adults ages 19–55. Ann Arbor, MI: Institute for Social Research, The University of Michigan.Google Scholar
- Schwebel, R. (2004). The seven challenges manual. Tuscon, AZ: Viva Press.Google Scholar
- Subramanian, G. A., Stitzer, M. A., Clemmey, P., Kolodner, K., & Fishman, M. J. (2007). Baseline depressive symptoms predict poor substance abuse outcome following adolescent residential treatment. Journal of the American Academy of Child and Adolescent Psychiatry, 46(8), 1062–1069.CrossRefGoogle Scholar
- Substance Abuse and Mental Health Services Administration. (2015a). Behavioral health barometer: United States, 2015. (HHS Publication No. SMA 16–Baro–2015). Rockville, MD: Substance Abuse and Mental Health Services Administration.Google Scholar
- Substance Abuse and Mental Health Services Administration. (2015b). National Survey of Substance Abuse Treatment Services (N-SSATS). Data on substance abuse treatment facilities. BHSIS Series S-88 (HHS Publication No. SMA 17-5031). Rockville, MD: Substance Abuse and Mental Health Services Administration.Google Scholar
- The Seven Challenges. (2017). Overview: Why seven challenges works. Retrieved from http://www.sevenchallenges.com/overview.
- University of Georgia. (2008, June). Service delivery and use of evidence-based treatment practices in adolescent substance abuse treatment settings: Project report (Grant No. 53130). Athens, GA: Institute for Behavioral Research.Google Scholar
- Williams, R. J., & Chang, S. Y. (2000). A comprehensive and comparative review of adolescent substance abuse treatment outcome. Clinical Psychology: Science and Practice, 7(2), 138–166.Google Scholar
- Winters, K. C., Tanner-Smith, E. E., Bresani, E., & Meyers, K. (2014). Current advances in the treatment of adolescent drug use. Adolescent Health, Medicine and Therapeutics, 5(2014), 199–210. Retrieved from https://doi.org/10.2147/AHMT.S48053.