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 |
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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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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.</description><identifier>ISSN: 0890-8567</identifier><identifier>EISSN: 1527-5418</identifier><identifier>DOI: 10.1097/00004583-200207000-00021</identifier><identifier>PMID: 12108813</identifier><identifier>CODEN: JAAPEE</identifier><language>eng</language><publisher>Hagerstown, MD: Elsevier Inc</publisher><subject>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</subject><ispartof>Journal of the American Academy of Child and Adolescent Psychiatry, 2002-07, Vol.41 (7), p.868-874</ispartof><rights>2002 The American Academy of Child and Adolescent Psychiatry</rights><rights>2002 INIST-CNRS</rights><rights>Copyright Lippincott Williams & Wilkins Jul 2002</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c427t-8b77a716fdc28b51bb2f19e8104e2136b192f5b18fe960892fb54ad09f14f9943</citedby><cites>FETCH-LOGICAL-c427t-8b77a716fdc28b51bb2f19e8104e2136b192f5b18fe960892fb54ad09f14f9943</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1097/00004583-200207000-00021$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>315,781,785,3551,27929,27930,31004,46000</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=13767947$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/12108813$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>HENGGELER, SCOTT W.</creatorcontrib><creatorcontrib>CLINGEMPEEL, W. GLENN</creatorcontrib><creatorcontrib>BRONDINO, MICHAEL J.</creatorcontrib><creatorcontrib>PICKREL, SUSAN G.</creatorcontrib><title>Four-Year Follow-up of Multisystemic Therapy With Substance-Abusing and Substance-Dependent Juvenile Offenders</title><title>Journal of the American Academy of Child and Adolescent Psychiatry</title><addtitle>J Am Acad Child Adolesc Psychiatry</addtitle><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.</description><subject>Adolescent</subject><subject>Biological and medical sciences</subject><subject>Combined Modality Therapy</subject><subject>delinquency</subject><subject>Desintoxication. Drug withdrawal</subject><subject>Evidence-Based Medicine</subject><subject>Families & family life</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Humans</subject><subject>Juvenile Delinquency - psychology</subject><subject>Juvenile Delinquency - statistics & numerical data</subject><subject>Male</subject><subject>Medical sciences</subject><subject>multisystemic therapy</subject><subject>Psychology. Psychoanalysis. Psychiatry</subject><subject>Psychopathology. Psychiatry</subject><subject>Psychotherapy - methods</subject><subject>Street Drugs</subject><subject>substance abuse</subject><subject>Substance abuse treatment</subject><subject>Substance-Related Disorders - epidemiology</subject><subject>Substance-Related Disorders - psychology</subject><subject>Substance-Related Disorders - therapy</subject><subject>Teenagers</subject><subject>treatment</subject><subject>Treatments</subject><issn>0890-8567</issn><issn>1527-5418</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2002</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><recordid>eNqFkFFvFCEQgImxsdfqXzDExEeUYZcFHmvrWU1NH6wxPhHYHSzN3u4KuzX370u9s_WtJBPC5Jth5iOEAn8H3Kj3vJxa6ooJzgVX5cVKCHhGViCFYrIG_ZysuDacadmoQ3KU801BQGn9ghyCAK41VCsyrMclsZ_oEl2PfT_-YctEx0C_Lv0c8zbPuIktvbrG5KYt_RHna_pt8Xl2Q4vsxC85Dr-oG7r_smc44dDhMNMvyy0OsUd6GcJ9KuWX5CC4PuOr_X1Mvq8_Xp2es4vLT59PTy5YWws1M-2Vcgqa0LVCewneiwAGNfAaBVSNByOC9KADmqZsKYKXteu4CVAHY-rqmLzZ9Z3S-HvBPNubsudQvrQChDS6krJAege1acw5YbBTihuXtha4vfds_3m2D57tX8-l9PW-_-I32D0W7sUW4O0ecLl1fUhFTcyPXKUaZWpVuA87DouN24jJ5jZi0djFhO1suzE-Pc0dsU-ZnA</recordid><startdate>20020701</startdate><enddate>20020701</enddate><creator>HENGGELER, SCOTT W.</creator><creator>CLINGEMPEEL, W. GLENN</creator><creator>BRONDINO, MICHAEL J.</creator><creator>PICKREL, SUSAN G.</creator><general>Elsevier Inc</general><general>Lippincott</general><general>Elsevier BV</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QJ</scope><scope>7TK</scope><scope>K9.</scope></search><sort><creationdate>20020701</creationdate><title>Four-Year Follow-up of Multisystemic Therapy With Substance-Abusing and Substance-Dependent Juvenile Offenders</title><author>HENGGELER, SCOTT W. ; CLINGEMPEEL, W. GLENN ; BRONDINO, MICHAEL J. ; PICKREL, SUSAN G.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c427t-8b77a716fdc28b51bb2f19e8104e2136b192f5b18fe960892fb54ad09f14f9943</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2002</creationdate><topic>Adolescent</topic><topic>Biological and medical sciences</topic><topic>Combined Modality Therapy</topic><topic>delinquency</topic><topic>Desintoxication. Drug withdrawal</topic><topic>Evidence-Based Medicine</topic><topic>Families & family life</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Humans</topic><topic>Juvenile Delinquency - psychology</topic><topic>Juvenile Delinquency - statistics & numerical data</topic><topic>Male</topic><topic>Medical sciences</topic><topic>multisystemic therapy</topic><topic>Psychology. Psychoanalysis. Psychiatry</topic><topic>Psychopathology. Psychiatry</topic><topic>Psychotherapy - methods</topic><topic>Street Drugs</topic><topic>substance abuse</topic><topic>Substance abuse treatment</topic><topic>Substance-Related Disorders - epidemiology</topic><topic>Substance-Related Disorders - psychology</topic><topic>Substance-Related Disorders - therapy</topic><topic>Teenagers</topic><topic>treatment</topic><topic>Treatments</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>HENGGELER, SCOTT W.</creatorcontrib><creatorcontrib>CLINGEMPEEL, W. GLENN</creatorcontrib><creatorcontrib>BRONDINO, MICHAEL J.</creatorcontrib><creatorcontrib>PICKREL, SUSAN G.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>Neurosciences Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><jtitle>Journal of the American Academy of Child and Adolescent Psychiatry</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>HENGGELER, SCOTT W.</au><au>CLINGEMPEEL, W. GLENN</au><au>BRONDINO, MICHAEL J.</au><au>PICKREL, SUSAN G.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Four-Year Follow-up of Multisystemic Therapy With Substance-Abusing and Substance-Dependent Juvenile Offenders</atitle><jtitle>Journal of the American Academy of Child and Adolescent Psychiatry</jtitle><addtitle>J Am Acad Child Adolesc Psychiatry</addtitle><date>2002-07-01</date><risdate>2002</risdate><volume>41</volume><issue>7</issue><spage>868</spage><epage>874</epage><pages>868-874</pages><issn>0890-8567</issn><eissn>1527-5418</eissn><coden>JAAPEE</coden><abstract>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.</abstract><cop>Hagerstown, MD</cop><pub>Elsevier Inc</pub><pmid>12108813</pmid><doi>10.1097/00004583-200207000-00021</doi><tpages>7</tpages></addata></record> |
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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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