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also: An Evaluation of Drug Treatments for Adolescents in 4 U.S. Cities A total of 1,732 consecutive adolescent admissions to 23 treatment programs in 4 major U.S. cities (Pittsburgh, PA; Minneapolis, MN; Chicago, IL; and Portland, OR) from 1993-1995 were interviewed and followed a year after discharge (Hser, Grella, Hubbard, Hsieh, Fletcher, Brown, & Anglin, 2001). Treatment modalities included residential (RES) programs, outpatient drug-free (ODF) programs, and short-term inpatient (STI) programs. The average patient age was 15 - 16 years, primary sources of treatment referral were by family or friends (41.6%) or the legal system (38.6%), and the majority were in trouble with the law (i.e., 58.4% were on parole, probation or awaiting trial).
The DATOS-A study demonstrated many important behavioral and psychological improvements in the year following treatment discharge across the domains of alcohol and drug use, criminality, school performance, and psychological functioning. Poorer outcomes were associated with having shorter lengths of stay in treatment.
Prospective Risk Factors and Treatment Outcomes Among Adolescents in DATOS-A Problem behavior theory was used as a basis for testing the relationship between risk factors associated with drug use among adolescents and treatment outcomes (Galaif, Hser, Grella, & Joshi, 2001). The relationship of various risk factors, retention in DATOS-A treatment, and posttreatment outcomes among adolescents treated in outpatient drug-free (ODF; n=292) and residential (RES; n=418) programs were examined. Separate structural equation models were developed and tested for ODF and RES patients in the two modalities. Subjects were mostly male (74%), 58% were White, 24% Black, 13% Hispanic, and 5% of other ethnic groups.
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[Figure 2] Conclusion
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