Four-Year Follow-up of Multisystemic Therapy With Substance-Abusing and Substance-Dependent Juvenile Offenders

Although several treatments for adolescent substance abuse have been identified as promising by reviewers and federal agencies, treatment effects extending beyond 12 months have not been demonstrated in randomized clinical trials. The primary purpose of this report was to examine the 4-year outcomes...

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Veröffentlicht in:Journal of the American Academy of Child and Adolescent Psychiatry 2002-07, Vol.41 (7), p.868-874
Hauptverfasser: HENGGELER, SCOTT W., CLINGEMPEEL, W. GLENN, BRONDINO, MICHAEL J., PICKREL, SUSAN G.
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container_start_page 868
container_title Journal of the American Academy of Child and Adolescent Psychiatry
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creator HENGGELER, SCOTT W.
CLINGEMPEEL, W. GLENN
BRONDINO, MICHAEL J.
PICKREL, SUSAN G.
description Although several treatments for adolescent substance abuse have been identified as promising by reviewers and federal agencies, treatment effects extending beyond 12 months have not been demonstrated in randomized clinical trials. The primary purpose of this report was to examine the 4-year outcomes of an evidence-based treatment of substance-abusing juvenile offenders. Eighty of 118 substance-abusing juvenile offenders participated in a follow-up 4 years after taking part in a randomized clinical trial comparing multisystemic therapy (MST) with usual community services. A multimethod (self-report, biological, and archival measures) assessment battery was used to measure the criminal behavior, illicit drug use, and psychiatric symptoms of the participating young adults. Analyses demonstrated significant long-term treatment effects for aggressive criminal activity (0.15 versus 0.57 convictions per year) but not for property crimes. Findings for illicit drug use were mixed, with biological measures indicating significantly higher rates of marijuana abstinence for MST participants (55% versus 28% of young adults). Long-term treatment effects were not observed for psychiatric symptoms. Findings provide some support for the long-term effectiveness of an evidenced-based family-oriented treatment of substance-abusing juvenile offenders. The clinical, research, and policy implications of these findings are noted.
doi_str_mv 10.1097/00004583-200207000-00021
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subjects Adolescent
Biological and medical sciences
Combined Modality Therapy
delinquency
Desintoxication. Drug withdrawal
Evidence-Based Medicine
Families & family life
Female
Follow-Up Studies
Humans
Juvenile Delinquency - psychology
Juvenile Delinquency - statistics & numerical data
Male
Medical sciences
multisystemic therapy
Psychology. Psychoanalysis. Psychiatry
Psychopathology. Psychiatry
Psychotherapy - methods
Street Drugs
substance abuse
Substance abuse treatment
Substance-Related Disorders - epidemiology
Substance-Related Disorders - psychology
Substance-Related Disorders - therapy
Teenagers
treatment
Treatments
title Four-Year Follow-up of Multisystemic Therapy With Substance-Abusing and Substance-Dependent Juvenile Offenders
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