A survey was given to 141 male and female substance abusers who had eleven or more months of continuous abstinence and first sought treatment in adolescence in an attempt to add to the limited knowledge of known variables associated with successful adolescent response to clinical and community-based treatment. Results were used to create a composite of successfully abstinent adolescents. Generally, parental alcoholism and most drug use patterns were not related to the number of relapses or length of sobriety. Most of the respondents entered twelve-step programs via treatment. The only two variables that were significantly correlated with the dependent measures of more relapses and less overall sobriety were getting high for the first time at a younger age and polydrug abuse. There were about five times more adoptees represented in this sample than would be statistically expected. Implications for adolescent substance abuse diagnosis and prognosis are discussed.
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References
1.
BrookJ. S.NomuraC.CohenP., A Network of Influences on Adolescent Drug Involvement: Neighborhood, School, Peer and Family, Genetic, Social, and General Psychology Monographs, 115, pp. 123–145, 1989.
2.
DonovanJ. E.HessorR., Structure of Problem Behavior in Adolescence and Young Adulthood, Journal of Consulting and Clinical Psychology, 53, pp. 890–904, 1985.
3.
EngR. C., Family Background of Alcohol Abuse and Its Relationship to Alcohol Consumption among College Students: An Unexpected Finding, Journal of Studies on Alcohol, 51, pp. 542–547, 1990.
4.
JohnsonR. E.MarcosA. C., Correlates of Adolescent Drug Use by Gender and Geographic Location, The American Journal of Drug and Alcohol Abuse, 14, pp. 51–63, 1988.
5.
OettingE. R.BeauvaiisF., Adolescent Drug Use: Findings of National and Local Surveys, Journal of Consulting and Clinical Psychology, 58, pp. 385–394, 1990.
6.
AkerlindI.HornquistJ. O.BjurulfP., Prognosis in Alcoholic Rehabilitation: The Relative Significance of Social, Psychological, and Medical Factors, The International Journal of the Addictions, 23, pp. 1171–1195, 1988.
7.
McLellanT. A.LuborskyL.WoodyG. E.O'BrienC. P.DruleyK. A., Predicting Response to Alcohol and Drug Abuse Treatments, Archives of General Psychiatry, 40, pp. 620–625, 1983.
8.
OrnsteinP.ChereponJ. A., Demographic Variables as Predictors of Alcoholism Treatment Outcome, Journal of Studies on Alcohol, 46, pp. 425–432, 1985.
9.
PettinatiH. M.SugarmanA. A.DiDonatoN.MaurerH. S., The Natural History of Alcoholism Over Four Years After Treatment, Journal of Studies on Alcohol, 43, pp. 201–215, 1982.
10.
FriedmanA. S.GlickmanN. W.MorrisseyM. R., Prediction to Successful Treatment Outcome by Client Characteristics and Retention in Treatment in Adolescent Drug Treatment Programs: A Large-Scale Cross Validation Study, Journal of Drug Education, 6, pp. 149–165, 1986.
11.
RushT. V., Predicting Treatment Outcomes for Juvenile and Young-Adult Clients in the Pennsylvania Substance Abuse System, in Youth Drug Abuse: Problems, Issues and Treatments, Lexington Books, Inc., Lexington, Massachusetts, pp. 649–667, 1979.
12.
TaffaroC.ForsythC. J., The Effect of Living Arrangement on the Recovery of Adolescent Alcoholics: A Research Note, Free Inquirey in Creative Sociology, 17, pp. 163–164, 1989.
13.
DeLeonG., Program-Based Evaluation Research in Therapeutic Communities, in Drug Abuse Treatment Evaluation: Strategies, Progress and Prospects, TimsF. M.LudfordJ. P. (eds.), NIDA Research Monograph 51, DHHS Publication No. (ADM) 84-1329, Government Printing Office, Washington, D.C., 1984.
14.
BrownS. A.VikP. W.CreamerV. A., Characteristics of Relapse Following Adolescent Substance Abuse Treatment, Addictive Behaviors, 14, pp. 291–300, 1989.
15.
BradleyA., Keep Coming Back, Alcoholism Health & Research World, 12, pp. 192–199, 1988.
16.
ShreerenM., The Relationship Between Relapse and Involvement in Alcoholics Anonymous, Journal of Studies on Alcohol, 49, pp. 104–106, 1988.
17.
ThurstinA. H.AlfanoA. M.NervianoV. J., The Efficacy of AA Attendance for Aftercare of Inpatient Alcoholics: Some Follow-Up Data, The International Journal of the Addictions, 22, Dpp. 1083–1090, 1987.
18.
SchuckitM. A.SchweiM. G.GoldE., Prediction of Outcome in Inpatient Alcoholics, Journal of Studies on Alcohol, 47, pp. 151–155, 1986.
19.
EmickC., A Review of Psychologically Oriented Treatment, Journal of Studies on Alcohol, 36, pp. 88–103, 1975.
20.
HesselbrockM.BaborT. F.HesselbrockV., Never Believe an Alcoholic?, The International Journal of the Addictions, 18, pp. 593–609, 1983.
21.
StephensR., The Truthfulness of Addict Respondents in Research Projects, The International Journal of the Addictions, 7, pp. 548–558, 1972.
22.
NeedleR. H., The Impact of Changing Methods of Data Collection on the Reliability of Self-Reported Drug Use of Adolescents, The American Journal of Drug and Alcohol Abuse, 15, pp. 275–289, 1989.
23.
RaveisV. H.KandelD. B., Changes in Drug Behavior From the Middle to the Late Twenties: Initiation, Persistence, and Cessation of Use, American Journal of Public Health, 77, pp. 607–611, 1987.
24.
KirkD. H., Shared Fate, The Free Press, Ontario, 1964.
25.
Bureau of the Census, Studies in Marriage and the Family, Current Population Reports, Series P-23, No. 162, U.S Government Printing Office, Washington, D.C., 1989.
26.
FrancisR. J., Update on Alcohol and Drug Disorder Treatment, Journal of Clinical Psychiatry, 49, pp. 13–17, 1988.
27.
National Institute of Drug Abuse and National Institute on Alcohol Abuse and Alcoholism, Summary of NDATUS Findings on Youth: 1989 National Drug and Alcoholism Treatment Unit Survey, DHHS Publication No. (ADM) 89-1630, U.S. Government Printing Office, Washington, D.C., 1990.
