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NCJRS Abstract

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NCJ Number: 250440 Find in a Library
Title: Adolescent Substance Use Treatment Effectiveness: A Systematic Review and Meta-Analysis
Author(s): Emily E. Tanner-Smith Ph.D.; Katarzyna T. Steinka-Fry M.P.A; Heather Hensman Kettrey Ph.D; Mark W. Lipsey Ph.D
Date Published: December 2016
Page Count: 76
Sponsoring Agency: Office of Juvenile Justice and Delinquency Prevention
Washington, DC 20531
Grant Number: 2014-DC-BX-K001
Sale Source: Office of Juvenile Justice and Delinquency Prevention
US Dept of Justice
810 Seventh Street NW
Washington, DC 20531
United States of America
Document: PDF
Type: Literature Review; Program/Project Description; Program/Project Evaluation; Report (Grant Sponsored); Report (Study/Research); Research (Applied/Empirical)
Format: Document; Document (Online)
Language: English
Country: United States of America
Annotation: The findings and methodology are reported for a meta-analysis that quantitatively synthesized findings from the most current research on the effectiveness of adolescent substance-use treatment.
Abstract: Specifically, the meta-analysis examined the effects of substance-use treatment programs on adolescents’ subsequent substance use and the variability in these effects across key features of the adolescent populations and the treatment methods. An extensive literature search identified 61 eligible experimental or quasi-experimental studies that reported 95 treatment-comparison group pairs. Overall, assertive continuing care, behavioral therapy, cognitive-behavioral therapy (CBT), motivational enhancement therapy (MET), and family therapy had the strongest evidence of effectiveness in stopping substance abuse among treatment participants. Generic practice that typically involved referral to standard community services was consistently the least effective treatment condition. In a second analysis that examined 380 pretest-posttest effect sizes showed changes in substance use for each of the treatment types; however, the target reductions were found for MET/CBT, family therapy, and CBT programs. There was no evidence that other treatment characteristics or participant characteristics were linked to pretest-postttest changes in substance use. The overall conclusion of the meta-analysis is that most substance-use treatment programs were beneficial in helping adolescents reduce their substance use when those treatment programs provided tailored treatment services beyond standard community services. No program types showed evidence of harmful effects. The preferred referral, however, is to treatment programs that use family therapy, MET, or CBT treatment modalities. Search methods and data collection and analysis are described in detail. 5 exhibits and 21 references
Main Term(s): Juvenile drug treatment
Index Term(s): cognitive-behavioral therapy; Drug treatment programs; Motivation; Office of Juvenile Justice and Delinquency Prevention (OJJDP); OJJDP final report; Treatment effectiveness; Treatment techniques
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