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Treatment Compliance and Post-Treatment Behavior in Adolescents Attending Residential Treatment for Substance Use Disorders

Campbell, Nicole M.
http://rave.ohiolink.edu/etdc/view?acc_num=ohiou1416255601

Abstract Details

2014, Doctor of Philosophy (PhD), Ohio University, Clinical Psychology (Arts and Sciences).
Substance use in adolescents has significant negative long-term effects, and relapse post-treatment remains high. Despite the need for effective treatment programs, research on substance use treatment outcome has been too narrowly defined and there has been limited exploration of factors related to in-treatment behavior and premature treatment dropout, two factors, which may play an important role in treatment outcome. This naturalistic study aimed to identify predictors of an adolescent’s experience during and after residential substance use treatment. Analyses were conducted on 284 adolescents at intake and during residential substance use treatment and for 92 participants who completed the program and responded to follow-up questionnaires one month after discharge. Bivariate analyses and a binary logistic regression analysis were conducted to determine whether variables representing five domains (sociodemographics, substance use, legal involvement, psychological functioning, and social relations) significantly predicted treatment completion. Legal history and no assessed risk of harm to self at intake were protective factors against premature treatment dropout. Further exploration of treatment compliance revealed significant concerns with the existing structure of the SASSI-A2 based on confirmatory factor analysis. Structural equation modeling revealed no significant relationship between substance use severity and treatment compliance, and motivation to change did not mediate this relationship. Finally, logistic analyses were conducted to explore a more robust examination of post-treatment outcome. Significant relationships between relapse post-treatment and AA/NA attendance, individual psychotherapy, group counseling, legal problems, and the perception of having a very supportive mother were found.
Timothy Anderson (Advisor)
John Garske (Committee Member)
Brian Wymbs (Committee Member)
Michelle Pride (Committee Member)
Thomas Vander Ven (Committee Member)
117 p.
Clinical Psychology; Psychology
Substance use; treatment outcome; adolescents; drop out

Recommended Citations

Citations

  • Campbell, N. M. (2014). Treatment Compliance and Post-Treatment Behavior in Adolescents Attending Residential Treatment for Substance Use Disorders [Doctoral dissertation, Ohio University]. OhioLINK Electronic Theses and Dissertations Center. http://rave.ohiolink.edu/etdc/view?acc_num=ohiou1416255601

    APA Style (7th edition)

  • Campbell, Nicole. Treatment Compliance and Post-Treatment Behavior in Adolescents Attending Residential Treatment for Substance Use Disorders. 2014. Ohio University, Doctoral dissertation. OhioLINK Electronic Theses and Dissertations Center, http://rave.ohiolink.edu/etdc/view?acc_num=ohiou1416255601.

    MLA Style (8th edition)

  • Campbell, Nicole. "Treatment Compliance and Post-Treatment Behavior in Adolescents Attending Residential Treatment for Substance Use Disorders." Doctoral dissertation, Ohio University, 2014. http://rave.ohiolink.edu/etdc/view?acc_num=ohiou1416255601

    Chicago Manual of Style (17th edition)

ohiou1416255601
535
© 2014, all rights reserved.
This open access ETD is published by Ohio University and OhioLINK.