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Models for Adolescents in DATOS-A
Previous work with
adult clients has identified treatment readiness and engagement indicators
that predict retention and outcomes (Joe, Simpson, & Broome, 1999;
Simpson, Joe, Rowan-Szal, & Greener, 1997). These findings fit within
a treatment process model (Simpson, 2001) that stresses the importance
of clients developing a strong working relationship with their counselor,
and maintaining interest in and commitment to treatment as a focus of
recovery efforts. The present study (Broome, Joe, & Simpson, 2001)
examines evidence for these engagement indicators in treatment settings
for adolescents in DATOS-A, including residential (RES; n = 556), outpatient
drug-free (ODF; n = 231), and short-term inpatient (STI; n = 556) treatments.
Findings supported the model.
- More highly motivated
adolescents developed better relationships with counselors and were
more committed to treatment.
- Positive family
and peer relationships were associated with higher motivation for adolescents
- Legal referrals
entered treatment with significantly lower motivation, and therefore
would likely benefit from specialized orientation and induction for
Broome, K.M., Joe,
G.W., & Simpson, D.D. (2001). Engagement models for adolescents
in DATOS-A. Journal of Adolescent Research, 16(6), 608-623. [Abstract]
Joe, G. W., Simpson,
D. D., & Broome, K. M. (1999). Retention and patient engagement
models for different treatment modalities in DATOS. Drug and Alcohol
Dependence, 57, 113-125. [Abstract]
Simpson, D. D. (2001).
Modeling treatment process and outcomes. Addiction, 96, 207-211.
Simpson, D. D., Joe, G. W., Rowan-Szal,
G. R., & Greener, J. (1997). Drug abuse treatment process components
that improve retention. Journal of Substance Abuse Treatment, 14(6),
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