Factors associated with substance use disorder treatment completion: a cross-sectional analysis of justice-involved adolescents

Background Substance use disorders (SUD) are prevalent among those in the juvenile justice system. SUD treatment programs implemented in correctional settings can prevent overdose and other health-related problems among an underserved health disparity population. However, only a fraction of justice-...

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Veröffentlicht in:Substance abuse treatment, prevention and policy prevention and policy, 2020-12, Vol.15 (1), p.92-11, Article 92
Hauptverfasser: Johnson, Micah E., Tran, Dieu X.
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description Background Substance use disorders (SUD) are prevalent among those in the juvenile justice system. SUD treatment programs implemented in correctional settings can prevent overdose and other health-related problems among an underserved health disparity population. However, only a fraction of justice-involved adolescents with SUDs complete a treatment program and the factors associated with treatment completion among adolescents in the criminal justice system have not been thoroughly investigated. Methods Using cross-sectional data on 25,587 adolescents from the Florida Department of Juvenile Justice (FLDJJ) who met the criteria for SUD treatment, the study investigated the factors associated with the completion of SUD treatment. Sociodemographic, mental health, and other variables were examined. Results Several factors were associated with an increased likelihood of SUD treatment completion: previous participation in treatment programs, prior drug and alcohol education class attendance, and involvement in court-directed programs. Additional factors included multiple incarcerations, and strong financial and support networks. Conclusions The strongest factors associated with a higher likelihood of SUD treatment completion among adolescents in the justice system are ones that can be translated into programs and practices. Repeated referrals to treatment, court-directed programs, and strong support networks may yield higher rates of completion.
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SUD treatment programs implemented in correctional settings can prevent overdose and other health-related problems among an underserved health disparity population. However, only a fraction of justice-involved adolescents with SUDs complete a treatment program and the factors associated with treatment completion among adolescents in the criminal justice system have not been thoroughly investigated. Methods Using cross-sectional data on 25,587 adolescents from the Florida Department of Juvenile Justice (FLDJJ) who met the criteria for SUD treatment, the study investigated the factors associated with the completion of SUD treatment. Sociodemographic, mental health, and other variables were examined. Results Several factors were associated with an increased likelihood of SUD treatment completion: previous participation in treatment programs, prior drug and alcohol education class attendance, and involvement in court-directed programs. Additional factors included multiple incarcerations, and strong financial and support networks. Conclusions The strongest factors associated with a higher likelihood of SUD treatment completion among adolescents in the justice system are ones that can be translated into programs and practices. Repeated referrals to treatment, court-directed programs, and strong support networks may yield higher rates of completion.</description><identifier>ISSN: 1747-597X</identifier><identifier>EISSN: 1747-597X</identifier><identifier>DOI: 10.1186/s13011-020-00332-z</identifier><identifier>PMID: 33287838</identifier><language>eng</language><publisher>LONDON: Springer Nature</publisher><subject>Alcohol ; Care and treatment ; Confidence ; Cross-sectional studies ; Drug addiction ; Drug overdose ; Drug use ; Drugs and youth ; Enrollments ; Justice-involved adolescents ; Juvenile justice ; Juvenile offenders ; Life Sciences &amp; Biomedicine ; Management ; Mental disorders ; Mental health ; Participation ; Patient compliance ; Science &amp; Technology ; Sex offenders ; Social support ; Sociodemographics ; Substance Abuse ; Substance abuse treatment ; Substance misuse ; Substance use disorder ; Teenagers ; Trauma ; Treatment adherence ; Violence</subject><ispartof>Substance abuse treatment, prevention and policy, 2020-12, Vol.15 (1), p.92-11, Article 92</ispartof><rights>COPYRIGHT 2020 BioMed Central Ltd.</rights><rights>2020. 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SUD treatment programs implemented in correctional settings can prevent overdose and other health-related problems among an underserved health disparity population. However, only a fraction of justice-involved adolescents with SUDs complete a treatment program and the factors associated with treatment completion among adolescents in the criminal justice system have not been thoroughly investigated. Methods Using cross-sectional data on 25,587 adolescents from the Florida Department of Juvenile Justice (FLDJJ) who met the criteria for SUD treatment, the study investigated the factors associated with the completion of SUD treatment. Sociodemographic, mental health, and other variables were examined. Results Several factors were associated with an increased likelihood of SUD treatment completion: previous participation in treatment programs, prior drug and alcohol education class attendance, and involvement in court-directed programs. 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SUD treatment programs implemented in correctional settings can prevent overdose and other health-related problems among an underserved health disparity population. However, only a fraction of justice-involved adolescents with SUDs complete a treatment program and the factors associated with treatment completion among adolescents in the criminal justice system have not been thoroughly investigated. Methods Using cross-sectional data on 25,587 adolescents from the Florida Department of Juvenile Justice (FLDJJ) who met the criteria for SUD treatment, the study investigated the factors associated with the completion of SUD treatment. Sociodemographic, mental health, and other variables were examined. Results Several factors were associated with an increased likelihood of SUD treatment completion: previous participation in treatment programs, prior drug and alcohol education class attendance, and involvement in court-directed programs. Additional factors included multiple incarcerations, and strong financial and support networks. Conclusions The strongest factors associated with a higher likelihood of SUD treatment completion among adolescents in the justice system are ones that can be translated into programs and practices. Repeated referrals to treatment, court-directed programs, and strong support networks may yield higher rates of completion.</abstract><cop>LONDON</cop><pub>Springer Nature</pub><pmid>33287838</pmid><doi>10.1186/s13011-020-00332-z</doi><tpages>11</tpages><orcidid>https://orcid.org/0000-0002-6044-2439</orcidid><oa>free_for_read</oa></addata></record>
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subjects Alcohol
Care and treatment
Confidence
Cross-sectional studies
Drug addiction
Drug overdose
Drug use
Drugs and youth
Enrollments
Justice-involved adolescents
Juvenile justice
Juvenile offenders
Life Sciences & Biomedicine
Management
Mental disorders
Mental health
Participation
Patient compliance
Science & Technology
Sex offenders
Social support
Sociodemographics
Substance Abuse
Substance abuse treatment
Substance misuse
Substance use disorder
Teenagers
Trauma
Treatment adherence
Violence
title Factors associated with substance use disorder treatment completion: a cross-sectional analysis of justice-involved adolescents
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