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Adolescents' and young adults' perspectives on a continuum of care in a three year drug treatment program
(Perspectives d'un continuum des soins pour adolescents et jeunes adultes toxicomanes dans un programme de traitement de trois ans)
Auteur(s) :
T. H. DUROY ;
S. L. SCHMIDT ;
P. D. PERRY
Article en page(s) :
801-832
Refs biblio. :
12
Domaine :
Drogues illicites / Illicit drugs
Langue(s) :
Anglais
Thésaurus mots-clés
PROGRAMME
;
TRAITEMENT
;
ADOLESCENT
;
JEUNE ADULTE
;
COMMUNAUTE THERAPEUTIQUE
;
TRAITEMENT RESIDENTIEL
;
TRAITEMENT AMBULATOIRE
;
DUREE
Thésaurus géographique
ETATS-UNIS
Note générale :
Journal of Drug Issues, 2003, 33, 801-832
Note de contenu :
tabl. ; fig.
Résumé :
ENGLISH :
Recent discussion in the adolescent treatment community has centered on the therapeutic merits of continuum of care treatment for adolescent and young adult substance abusing populations. However, despite this discussion, few studies to date have actually looked at how adolescents and young adults view continuum of care treatment in practice. In this paper a continuum of care offered within a single treatment approach will be addressed from the perspectives of youths participating in treatment at a three year step-down therapeutic community program with four distinct levels of care: residential treatment, intensive day treatment, day treatment with work/school release, and ambulatory meetings. Adolescents and young adults attending this program must complete all four levels of care before they are eligible for program graduation. Data from 53 qualitative semistructured and open-ended interviews (conducted with 45 adolescents and young adults) indicate that treatment experiences were marked by significant program transition points, during which clients stepped down from one level of care to another. Adolescents and young adults reported experiencing distress at and during these transition points. However, they also indicated that overall emotional and psychological stress was minimized due to the following: (1) these transitions were experienced within a single program structure, (2) youths transitioned through a continuum of care with program peers and friends, and (3) the program staff was perceived by adolescents and young adults to be compassionate and encouraging. (Author's abstract.)
ENGLISH :
Recent discussion in the adolescent treatment community has centered on the therapeutic merits of continuum of care treatment for adolescent and young adult substance abusing populations. However, despite this discussion, few studies to date have actually looked at how adolescents and young adults view continuum of care treatment in practice. In this paper a continuum of care offered within a single treatment approach will be addressed from the perspectives of youths participating in treatment at a three year step-down therapeutic community program with four distinct levels of care: residential treatment, intensive day treatment, day treatment with work/school release, and ambulatory meetings. Adolescents and young adults attending this program must complete all four levels of care before they are eligible for program graduation. Data from 53 qualitative semistructured and open-ended interviews (conducted with 45 adolescents and young adults) indicate that treatment experiences were marked by significant program transition points, during which clients stepped down from one level of care to another. Adolescents and young adults reported experiencing distress at and during these transition points. However, they also indicated that overall emotional and psychological stress was minimized due to the following: (1) these transitions were experienced within a single program structure, (2) youths transitioned through a continuum of care with program peers and friends, and (3) the program staff was perceived by adolescents and young adults to be compassionate and encouraging. (Author's abstract.)
Affiliation :
Res. Fdn Mental Hygiene, Inc., NYS Office Alcoholism Substance Abuse Serv., Albany, NY
Etats-Unis. United States.
Etats-Unis. United States.
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