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Engagement 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.

Figure.  Process Model for Engagement in RES, ODF, and STI Treatment
[Figure]

  • 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 entering treatment.

  • Legal referrals entered treatment with significantly lower motivation, and therefore would likely benefit from specialized orientation and induction for treatment readiness.


References

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.   [Abstract]

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), 565-572.  [Abstract]

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