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Treatment process in the therapeutic community: associations with retention and outcomes among adolescent residential clients
(Le processus du traitement dans une communauté thérapeutique : les associations avec le maintien dans le traitement et les résultats chez des patients adolescents en résidentiel.)
Auteur(s) :
EDELEN, M. O. ;
TUCKER, J. S. ;
WENZEL, S. L. ;
PADDOCK, S. M. ;
EBENER P. ;
DAHL, J. ;
MANDELL W.
Année :
2007
Page(s) :
415-421
Langue(s) :
Anglais
Refs biblio. :
34
Domaine :
Drogues illicites / Illicit drugs
Thésaurus mots-clés
TRAITEMENT
;
ADOLESCENT
;
COMMUNAUTE THERAPEUTIQUE
;
TRAITEMENT RESIDENTIEL
;
OBSERVANCE DU TRAITEMENT
Thésaurus géographique
ETATS-UNIS
Note générale :
Journal of Substance Abuse Treatment, 2007, 32, (4), 415-421
Résumé :
ENGLISH :
This study examined associations of a new multidimensional measure of therapeutic community (TC) treatment process, the Dimensions of Change Instrument (DCI), with treatment retention (n = 397) and posttreatment outcomes (n = 207) among adolescent residential clients. Adolescents who increased during the first 30 days in treatment on three of the eight DCI factors (Positive Self-Attitude and Commitment to Abstinence; Problem Recognition; Social Network) were more likely to stay in treatment for 90 days or more. Although change in DCI factor scores was not directly predictive of posttreatment outcomes, staying in treatment for 90 days or more increased the likelihood of attending 12-step meetings and having a 12-step sponsor after leaving treatment. Several demographic and pretreatment characteristics also predicted retention, posttreatment outcomes, or both. Much remains to be learned about how the TC treatment process produces positive outcomes for adolescents; however, results from this study highlight components of the treatment process that may be particularly important for practitioners to consider and monitor in their clients. (Author' s abstract)
Affiliation :
RAND, Santa Monica, CA. Email : maria_edelen@brown.edu
Etats-Unis. United States.
Etats-Unis. United States.
Cote :
A03289