Examination of the Role of Therapeutic Alliance, Treatment Dose, and Treatment Completion in the Effectiveness of The Seven Challenges.

Adolescent alcohol and illicit drug (AOD) use is a major public health concern. This longitudinal study examines the effectiveness of The Seven Challenges in reducing adolescent substance use and mental health problems, as well as the process by which it is effective. Participants were 89 adolescent...

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Publicado en:Child & Adolescent Social Work Journal Vol. 31; no. 1; pp. 1 - 25
Autores principales: Korchmaros, Josephine, Stevens, Sally
Formato: Artículo
Publicado: Springer Nature Feb2014
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Acceso en línea:Ver este registro en EBSCOhost
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        au:
          Korchmaros, Josephine
          Stevens, Sally
        affil:
          Southwest Institute for Research on Women, University of Arizona, 181 S. Tucson Blvd., Ste. 101 Tucson 85716 USA
          Southwest Institute for Research on Women, University of Arizona, 925 N. Tyndall Avenue Tucson 85721-0438 USA
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        Arizona
        Alcoholism treatment
        Mental illness treatment
        Substance abuse treatment
        Counseling
        Counselors
        Interviewing
        Patient-professional relations
        Treatment programs
        Adolescence
        Longitudinal method
        T-test (Statistics)
        Descriptive statistics
      sug:
        subj:
          Alcoholism treatment
          Mental illness treatment
          Substance abuse treatment
          Counseling
          Counselors
          Interviewing
          Patient-professional relations
          Treatment programs
          Adolescence
          Arizona
          Psychiatric and Substance Abuse Hospitals
          Residential Mental Health and Substance Abuse Facilities
          Other Individual and Family Services
          Outpatient Mental Health and Substance Abuse Centers
          Longitudinal method
          T-test (Statistics)
          Descriptive statistics
      keyword:
        Adolescent
        Substance abuse
        Therapeutic alliance
        Treatment effectiveness
        Adolescent
        Substance abuse
        Therapeutic alliance
        Treatment effectiveness
      ab: Adolescent alcohol and illicit drug (AOD) use is a major public health concern. This longitudinal study examines the effectiveness of The Seven Challenges in reducing adolescent substance use and mental health problems, as well as the process by which it is effective. Participants were 89 adolescents (72 male, 17 female) enrolled in a 3 month intensive outpatient adolescent substance abuse treatment program using The Seven Challenges and who provided self-report data at pre- and post-treatment. Results indicated that The Seven Challenges was effective at increasing the number of days refrained from using AOD, reducing use of tetrahydrocannabinol (THC) and other drugs, and reducing substance use problems and internal mental distress. Results also indicated that The Seven Challenges drug counselors effectively established and maintained therapeutic alliance but this seems to not play a role in the effectiveness of The Seven Challenges. Both treatment dose and completion played a role in the effectiveness of The Seven Challenges; they were both positively related to post-treatment days refrained from AOD use, and negatively related to days of THC use, substance use problems, and internal mental distress. However, the strength of the influence of treatment completion was stronger when treatment dose was low than when it was high. Despite a small sample and other limitations, findings add to existing literature that suggests that The Seven Challenges is an effective substance abuse treatment for adolescents. Furthermore, findings suggest that adolescent substance abuse treatment should focus on clients meeting pre-determined program goals as well as on dose.
      pubtype: Academic Journal
      doctype: Article
      src: R
    language: English
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