Titre : | Treatment outcomes among adolescents with substance abuse problems: the relationship between comorbidities and post-treatment substance involvement (2003) |
Titre traduit : | (Bilan de la prise en charge chez les adolescents ayant un problème de drogues : lien entre comorbidités et problèmes de consommation après la période de traitement) |
Auteurs : | P. A. SHANE ; P. JASIUKAITIS ; R. S. GREEN |
Type de document : | Article : Périodique |
Dans : | Evaluation and Program Planning (Vol.26, n°4, November 2003) |
Article en page(s) : | 393-402 |
Note générale : |
Evaluation and Program Planning, 2003, 26, (4), 393-402, graph. ; tabl.
|
Langues: | Anglais |
Discipline : | TRA (Traitement et prise en charge / Treatment and care) |
Mots-clés : |
Thésaurus mots-clés ADOLESCENT ; TRAITEMENT ; EVALUATION ; COMORBIDITE ; GUERISON ; PRISE EN CHARGE |
Résumé : | This study examines comorbid mental disorders in relation to post-treatment outcomes (12 months post-intake) among adolescents (N=419) who entered three residential drug treatment programs. When contrasted with youths who had no comorbid mental disorders or youths with a single comorbid condition, those with combined internalizing and externalizing disorders (mixed comorbidity) had higher levels of substance-related problems and poly-drug use at entry to treatment, and poorer outcomes, e.g. relapse, particularly evident for drugs other than alcohol or marijuana. A significantly higher proportion of those with mixed comorbidity were admitted to short term residential treatment, as compared to long term residential care. However, the effects of comorbidity were independent of both planned and actual length of stay, suggesting that comorbidities can negatively impact treatment outcome in multiple ways, apart from length of stay. Since co-occurring problems appear to profoundly limit treatment effectiveness, treatment strategies that address comorbidity are needed to improve outcomes. (Author' s abstract) |
Domaine : | Plusieurs produits / Several products |
Refs biblio. : | 57 |
Affiliation : |
The Public Health Institute, 555 12th Street, 10th Floor, Oakland, CA 94607 Etats-Unis. United States. |
Numéro Toxibase : | 1301825 |
Centre Emetteur : | 13 OFDT |
Cote : | A03023 |
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