- Copyright Page
- List of Contributors
- Introduction to the Field and the Issues
- Substance Use in the Context of Adolescent Development
- A Developmental Perspective on Substance Involvement From Adolescence to Emerging Adulthood
- The Epidemiology of Substance Use Among Adolescents in the United States
- Cultural Variations and Relevance to Etiology
- Cigarette Smoking and Nicotine Dependence in Adolescence
- Adolescent Alcohol Use
- Marijuana Use and Abuse in Adolescence
- Other Illicit Drugs of Abuse in Adolescence
- Prescription Drug Abuse in Adolescence
- A Developmental Biological Perspective of Adolescent Substance Abuse: Animal Models
- Behavioral Genetics of Adolescent Substance Use and Abuse
- The Neural Circuitry and Neurocognitive Development
- Behavioral Undercontrol: A Multifaceted Concept and Its Relationship to Alcohol and Substance Use Disorders
- An Early Emerging Internalizing Pathway to Substance Use and Disorder
- Child and Adolescent Socialization into Substance Use
- Application of the Expectancy Concept to Substance Use
- Linking Peer Relationships to Substance Use Across Adolescence
- Development of Sexual Relationships and Substance Use
- Substance-Impaired Driving in Adolescence
- Self-Regulation and Decision Making
- Identity Development and Substance Use in Adolescence
- Adolescent Resilience: Promoting More Positive Outcomes Among Youth at Risk of Using and Abusing Substances
- Adolescent Substance Use and Co-Occurring Disorders
- Alcohol and Drug Use as Risk Factors for Delinquent Behavior Among Adolescents
- Medical Issues in Adolescent Substance Use: Background and Role of the Primary Care Physician
- Sleep Impairment
- Assessing Adolescent Alcohol and Other Drug Abuse
- Prevention in School, Primary Care, and Community-Based Settings
- Targeted Prevention Approaches
- Family-Based Treatments for Adolescent Substance Abuse: Advances Yield New Developmental Challenges
- Adolescent Cultural Contexts for Substance Use: Intergroup Dynamics, Family Processes, and Neighborhood Risks
- Twelve-Step Approaches
- Effective Inpatient and Outpatient Models of Treatment for Adolescents With Substance Use Disorders
- Public Health Policy and Prevention of Alcohol, Tobacco, and Drug Problems
- Agenda for Future Research and Concluding Comments
- Index
Abstract and Keywords
This chapter provides an overview of the physical, psychological, and brain development of the adolescent, establishing the need for treatment tailored to their unique developmental needs. It also defines the goals and phases of treatment, describes the continuum of care and contextualizes the body of effectiveness treatment research. The chapter reviews the evidence based literature on inpatient and outpatient settings including short-term detoxification, acute and long-term residential care, sober houses, therapeutic schools, day hospitals, intensive outpatient as well as outpatient approaches. Overall, studies indicate that treatment in youth has small to moderate effects. The chapter concludes with recommendations for what professionals and parents should look for in treatment programs for adolescent clients and discusses future research and policy recommendations.
Keywords: adolescence, substance use disorders, treatment effectiveness, evidence-based, inpatient treatment, outpatient treatment
Marianne Pugatch, MSW, MA, Boston Children's Hospital
John R. Knight, MD, Boston Children's Hospital
Sarah Copelas, University of New England
Tatiana Buynitsky, MS
J. Wesley Boyd, MD, PhD, Cambridge Health Alliance
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- Copyright Page
- List of Contributors
- Introduction to the Field and the Issues
- Substance Use in the Context of Adolescent Development
- A Developmental Perspective on Substance Involvement From Adolescence to Emerging Adulthood
- The Epidemiology of Substance Use Among Adolescents in the United States
- Cultural Variations and Relevance to Etiology
- Cigarette Smoking and Nicotine Dependence in Adolescence
- Adolescent Alcohol Use
- Marijuana Use and Abuse in Adolescence
- Other Illicit Drugs of Abuse in Adolescence
- Prescription Drug Abuse in Adolescence
- A Developmental Biological Perspective of Adolescent Substance Abuse: Animal Models
- Behavioral Genetics of Adolescent Substance Use and Abuse
- The Neural Circuitry and Neurocognitive Development
- Behavioral Undercontrol: A Multifaceted Concept and Its Relationship to Alcohol and Substance Use Disorders
- An Early Emerging Internalizing Pathway to Substance Use and Disorder
- Child and Adolescent Socialization into Substance Use
- Application of the Expectancy Concept to Substance Use
- Linking Peer Relationships to Substance Use Across Adolescence
- Development of Sexual Relationships and Substance Use
- Substance-Impaired Driving in Adolescence
- Self-Regulation and Decision Making
- Identity Development and Substance Use in Adolescence
- Adolescent Resilience: Promoting More Positive Outcomes Among Youth at Risk of Using and Abusing Substances
- Adolescent Substance Use and Co-Occurring Disorders
- Alcohol and Drug Use as Risk Factors for Delinquent Behavior Among Adolescents
- Medical Issues in Adolescent Substance Use: Background and Role of the Primary Care Physician
- Sleep Impairment
- Assessing Adolescent Alcohol and Other Drug Abuse
- Prevention in School, Primary Care, and Community-Based Settings
- Targeted Prevention Approaches
- Family-Based Treatments for Adolescent Substance Abuse: Advances Yield New Developmental Challenges
- Adolescent Cultural Contexts for Substance Use: Intergroup Dynamics, Family Processes, and Neighborhood Risks
- Twelve-Step Approaches
- Effective Inpatient and Outpatient Models of Treatment for Adolescents With Substance Use Disorders
- Public Health Policy and Prevention of Alcohol, Tobacco, and Drug Problems
- Agenda for Future Research and Concluding Comments
- Index
